Addressing the development of both knowledge and clinical reasoning in nursing through the perspective of script concordance : an integrative literature review
Article [Accepted Manuscript]
Is part of
Journal of nursing education and practice ; vol. 7, no. 12, pp. 28-38.Publisher(s)
Sciedu PressAbstract(s)
Background: In clinical practice settings, where situations of uncertainty exist, clinical reasoning
is situated or contextualized. It calls upon honed knowledge, wherein nurses rely on highly
developed and organized knowledge networks known as “mental scripts”.
Methods: The aim of this integrative literature review was to address ways to develop knowledge
and clinical reasoning in nursing through the use of mental scripts, and to tackle these pedagogical
considerations. The literature search was performed using the following data sources: CINHAL,
MEDLINE Google Scholar, PubMed, ProQuest, PsycINFO, Scopus and Web of Science.
Results: Script concordance, which optimizes situated clinical reasoning, ties in with the
sociocognitive perspective of cognitive companionship, using role models to guide the
development of knowledge and clinical reasoning in nursing. Moreover, this perspective proposes
implementing new teaching strategies, which focus on situational awareness, reflective acuity, and
cognitive dialogue.
Conclusions: The perspective of script concordance allows a foreseeable innovative formulation
of practices favourable to the development of clinical reasoning in nursing.