J Nurs Educ. 2023 Oct;62(10):549-555. doi: 10.3928/01484834-20230815-05. Epub 2023 Oct 1.
Despite the increasingly popular role of script concordance test (SCT) scoring methods in the evaluation of clinical reasoning, studies examining these methods in nursing are relatively scarce. This study explored the psychometric properties of five SCT scoring methods.
An SCT was administered to 12 experts and 43 learners. Scores were calculated using five methods and descriptive statistics. Differences in scores were assessed with the Mann-Whitney U test, and Spearman correlation coefficients were calculated for the different methods.
The median scores of both experts and learners differed substantially according to the scoring method used. Learners' scores were statistically different from experts' scores ( < .01) for each method. Spearman coefficients (range, 0.44 to 0.95) were positive for the different methods.
Further research is needed to refine the influence of SCT scoring methods for use in certifying assessment of clinical reasoning in nursing. .
尽管脚本一致性测试（SCT）评分方法在临床推理评估中的作用越来越受到关注，但在护理领域研究这些方法的相关文献相对较少。本研究旨在探讨五种 SCT 评分方法的心理测量学特性。
12 名专家和 43 名学习者参与了 SCT 测试，采用五种方法计算分数，并进行描述性统计。采用曼-惠特尼 U 检验评估不同方法之间的分数差异，计算不同方法之间的斯皮尔曼相关系数。
专家和学习者的中位数分数因评分方法的不同而有显著差异。对于每种方法，学习者的分数与专家的分数均有统计学差异（<0.01）。不同方法的斯皮尔曼系数（范围为 0.44 至 0.95）均为正相关。
需要进一步研究以完善 SCT 评分方法在护理专业临床推理能力认证评估中的应用。
