Turkish adaptation of the clinical reasoning evaluation simulation tool (CREST-TR): a validity and reliability study

Area of Science:

• Nursing Education
• Clinical Reasoning Assessment
• Simulation-Based Learning

Background:

• Effective clinical reasoning is crucial for nursing students' competence.
• Valid and reliable tools are needed to assess clinical reasoning skills.
• This study adapted a clinical reasoning assessment tool for Turkish nursing students.

Purpose of the Study:

• To translate and culturally adapt the Clinical Reasoning Evaluation Simulation Tool into Turkish.
• To evaluate the psychometric properties (validity and reliability) of the Turkish version.
• To assess the usability of the adapted tool among nursing educators.

Main Methods:

• Methodological study involving translation-back translation and expert review for content validity.
• Exploratory and confirmatory factor analysis to assess construct validity.
• Reliability testing using Cronbach's alpha and usability evaluation by educators.

Main Results:

• The Turkish version achieved a high content validity index (CVI) of 0.91.
• Factor analysis confirmed a unidimensional structure with eight items, excluding two items.
• The tool demonstrated good construct validity and reliability (Cronbach's alpha = 0.88), with acceptable usability.

Conclusions:

• The Turkish version of the Clinical Reasoning Evaluation Simulation Tool is a valid and reliable instrument.
• It enables objective evaluation of nursing students' clinical reasoning during simulations.
• The tool provides valuable feedback for improving students' clinical reasoning abilities.