Faculty of Education - Theses

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End date: 2023 × Start date: 2010 × Type: Masters Research thesis × Subject: assessment × Subject: clinical reasoning ×

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    To what extent is the Script Concordance Test a valid measure of clinical reasoning for Advanced Paediatric Life Support Training?
    Stanford, Jane Susan ( 2018)
    Although Advanced Paediatric Life Support (APLS) and other Structured Resuscitation Training (SRT) programs receive widespread professional endorsement, studies have shown limited and short term change in clinicians’ knowledge, skills and behaviour.  This could be because SRT outcomes (knowledge, skills and an approach to care) are measured in isolation, which is not how the content of these programs is applied in the clinical context. Script Concordance Tests (SCTs) have been validated as a measure of knowledge and clinical reasoning following clinical placement training programs. However, SCTs have not been validated as an assessment tool for SRT programs. This project is a validation study of an SCT for the APLS program.  Guided by the frameworks of Messick and Kane, this study created and piloted an APLS SCT to collect qualitative and quantitative data for a validation argument.  Despite small numbers, psychometric analysis indicated that the APLS SCT as designed, performed in a similar manner to SCTs created for other contexts. Larger studies with APLS learners will be required to further validate the SCT for the APLS context. However, this preliminary work indicated positive results.