Use of Script Concordance Activity With the Think-Aloud Approach to Foster Clinical Reasoning in Nursing Students.

BACKGROUND: Script concordance testing and the think-aloud (TA) approach uses clinical scenarios to evaluate clinical reasoning (CR).

PROBLEM: Teaching strategies to both facilitate and evaluate CR are lacking. Adaptation of script concordance testing and the TA approach may be a useful teaching/learning strategy for CR.

APPROACH: Script concordance activity with the TA approach (SCA-TA method) was created and implemented in a nursing course to facilitate and evaluate CR.

EVALUATION: Survey data provided valuable information of students' perception about the SCA-TA method as a teaching strategy.

CONCLUSIONS: The SCA-TA method holds promise to foster CR. Ongoing research to predict progression of CR is needed.