Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development
Abstract Objective The script strategy is a multistage, adaptive method designed for integration with established clinical reasoning frameworks to enhance educational outcomes for clinical students. This study evaluated the effect of these pedagogical interventions on nursing students’ learning, sat...
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BMC
2025-07-01
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| Series: | BMC Research Notes |
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| Online Access: | https://doi.org/10.1186/s13104-025-07338-5 |
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| author | Fatemeh Bahramnezhad Fatemeh Keshmiri |
| author_facet | Fatemeh Bahramnezhad Fatemeh Keshmiri |
| author_sort | Fatemeh Bahramnezhad |
| collection | DOAJ |
| description | Abstract Objective The script strategy is a multistage, adaptive method designed for integration with established clinical reasoning frameworks to enhance educational outcomes for clinical students. This study evaluated the effect of these pedagogical interventions on nursing students’ learning, satisfaction levels, and learning experience. This quasi-experimental study was conducted at Tehran University of Medical Science, involving nursing students enrolled in the clerkship course (n = 58). The intervention group was trained using the script strategy method combined with structured reflection within a workplace-based education setting. A hypothesis formation test and a 10-item questionnaire were used to evaluate the students’ clinical reasoning skills. In addition, the experiences of the nursing students were explored through conventional content analysis. Results The students’ scores in reasoning skills were 18.54 ± 11.33 (out of 20), which was significantly above the cutoff value of 10.8. The students’ satisfaction score was 74.37 ± 16.31 on a 100-point scale. The students’ experiences were explored under the theme “a learner as a director in the learning process.” The integration of script strategy enhances the reasoning abilities of nursing students. This approach fosters a sense of responsibility for their learning and cultivates critical thinking skills essential for professional nurses in dynamic healthcare environments. |
| format | Article |
| id | doaj-art-2f0b37a23de64dfd8bcdf2ff8812b1e2 |
| institution | Kabale University |
| issn | 1756-0500 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj-art-2f0b37a23de64dfd8bcdf2ff8812b1e22025-08-20T03:37:22ZengBMCBMC Research Notes1756-05002025-07-0118111110.1186/s13104-025-07338-5Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning developmentFatemeh Bahramnezhad0Fatemeh Keshmiri1Department of ICU, School of Nursing & Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical SciencesMedical Education Department, Education Development Center, Shahid Sadoughi University of Medical SciencesAbstract Objective The script strategy is a multistage, adaptive method designed for integration with established clinical reasoning frameworks to enhance educational outcomes for clinical students. This study evaluated the effect of these pedagogical interventions on nursing students’ learning, satisfaction levels, and learning experience. This quasi-experimental study was conducted at Tehran University of Medical Science, involving nursing students enrolled in the clerkship course (n = 58). The intervention group was trained using the script strategy method combined with structured reflection within a workplace-based education setting. A hypothesis formation test and a 10-item questionnaire were used to evaluate the students’ clinical reasoning skills. In addition, the experiences of the nursing students were explored through conventional content analysis. Results The students’ scores in reasoning skills were 18.54 ± 11.33 (out of 20), which was significantly above the cutoff value of 10.8. The students’ satisfaction score was 74.37 ± 16.31 on a 100-point scale. The students’ experiences were explored under the theme “a learner as a director in the learning process.” The integration of script strategy enhances the reasoning abilities of nursing students. This approach fosters a sense of responsibility for their learning and cultivates critical thinking skills essential for professional nurses in dynamic healthcare environments.https://doi.org/10.1186/s13104-025-07338-5Clinical reasoningEducationReflectionHypothesis formationNursing studentScript strategy |
| spellingShingle | Fatemeh Bahramnezhad Fatemeh Keshmiri Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development BMC Research Notes Clinical reasoning Education Reflection Hypothesis formation Nursing student Script strategy |
| title | Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development |
| title_full | Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development |
| title_fullStr | Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development |
| title_full_unstemmed | Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development |
| title_short | Clinical reasoning education: evaluating the effect of script strategy and reflective practice on nursing students’ reasoning development |
| title_sort | clinical reasoning education evaluating the effect of script strategy and reflective practice on nursing students reasoning development |
| topic | Clinical reasoning Education Reflection Hypothesis formation Nursing student Script strategy |
| url | https://doi.org/10.1186/s13104-025-07338-5 |
| work_keys_str_mv | AT fatemehbahramnezhad clinicalreasoningeducationevaluatingtheeffectofscriptstrategyandreflectivepracticeonnursingstudentsreasoningdevelopment AT fatemehkeshmiri clinicalreasoningeducationevaluatingtheeffectofscriptstrategyandreflectivepracticeonnursingstudentsreasoningdevelopment |