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Development of script concordance test for assessment of clinical reasoning in nursing: Lessons learned regarding
E V Habes1, J E M Kolk1, M F M Van Brunschot2
1Institute of Nursing Studies, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands.
Heliyon
|August 20, 2024
Summary
Barriers in developing the script concordance test (SCT) for nursing students can hinder construct validity. Addressing expert training and student understanding is crucial for accurate assessment of clinical reasoning skills.
Area of Science:
- Nursing Education
- Assessment of Clinical Reasoning
- Educational Psychology
Background:
- The script concordance test (SCT) is validated for assessing nursing students' clinical reasoning.
- Limited research exists on barriers to SCT construct validity during development.
Purpose of the Study:
- To identify barriers in developing the script concordance test (SCT) for Bachelor of Science in Nursing students.
- To outline lessons learned to improve SCT construct validity in nursing education.
Main Methods:
- Descriptive evaluation of SCT development and validation.
- Analysis of written comments (N=327), Student's Perspective Questionnaire (N=100), and live review feedback (N=27).
Main Results:
- Three primary barriers to construct validity were identified during SCT development.
- Overestimated understanding of SCT methodology by experts and students.
- Four causes of invalid item construction: questionable intervention, blurred data, regression to the middle, and misinterpretation of the midpoint.
Conclusions:
- Expert panel recruitment and training in SCT methodology are critical.
- SCT training for students is essential before its use as an assessment tool.
- Student feedback provides insights into script errors and misinterpretations, aiding future SCT development.
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