Preliminary Validation of a Clinical Reasoning Theory-Based Assessment Rubric: An e-Delphi Study

Nurs Educ Perspect. 2025 May-Jun;46(3):173-175. doi: 10.1097/01.NEP.0000000000001320. Epub 2024 Sep 11.

Abstract

Questions persist regarding the evaluation of cognitive processes related to clinical reasoning when resolving situations in a learning by concordance tool. This Delphi technique study aimed to validate a clinical reasoning assessment rubric based on script theory. Seventeen experts participated in the study. Two rounds of consultation were conducted to obtain a consensus on the accuracy and clarity of the rubric descriptors (clarity index and content validity index ≥ 0.9). The results inform future research procedures and the intended use of the rubric to facilitate evaluator inferences, provide student feedback, and support the development of learners' clinical reasoning.

Keywords: Clinical Reasoning Assessment; Learning by Concordance; Nursing Education; Script Theory.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Clinical Competence* / standards
  • Clinical Reasoning*
  • Delphi Technique
  • Education, Nursing, Baccalaureate
  • Educational Measurement* / methods
  • Educational Measurement* / standards
  • Female
  • Humans
  • Male
  • Nursing Education Research
  • Reproducibility of Results