scholarly journals Development and evaluation of clinical reasoning using ‘think aloud’ approach in pharmacy undergraduates – A mixed-methods study

2021 ◽  
Author(s):  
Faisal Altalhi ◽  
Abdulrhman Altalhi ◽  
Ziad Magliah ◽  
Zaid Abushal ◽  
Anas Althaqafi ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Clinical Reasoning ◽  
Mixed Methods Study ◽  
Think Aloud

Using Think Aloud in Health Assessment: A Mixed-Methods Study

2018 ◽  
Vol 57 (11) ◽  
pp. 684-686 ◽  
Author(s):  
Margaret Verkuyl ◽  
Michelle Hughes ◽  
Mary Clare Fyfe
Keyword(s):  
Mixed Methods ◽  
Health Assessment ◽  
Mixed Methods Study ◽  
Think Aloud

Legal meta-comments in the think-aloud protocols of legal translators and lawyers

Target ◽  
2021 ◽  
Author(s):  
Cornelia Griebel
Keyword(s):  
Mixed Methods ◽  
Cognitive Processes ◽  
Mixed Methods Study ◽  
Think Aloud ◽  
Source Text ◽  
Comprehensive Understanding ◽  
Translation Process ◽  
Legal Translation ◽  
Think Aloud Protocols

Abstract In order to ensure successful subprocesses within the overall legal translation process, a correct and comprehensive understanding of the source text is crucial. Legal translators must be able to grasp all the legal, linguistic, communicative, and situational dimensions of the text. The focus of this study is on the cognitive processes involved in the first reading phase of the legal translation process and, in particular, on the question of whether legal translators and lawyers have different text reception processes. By analysing the think-aloud protocols recorded in a mixed-methods study, legal meta-comments (LMCs) from translators and lawyers are examined and compared. The results suggest that the two groups approach the text from different angles, which leads to some suggestions for further developing the training of legal translators.

“Sick or not sick?” A mixed methods study evaluating the rapid determination of illness severity in a pediatric emergency department

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Laura B. O’Neill ◽  
Priti Bhansali ◽  
James E. Bost ◽  
James M. Chamberlain ◽  
Mary C. Ottolini
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Clinical Reasoning ◽  
Pediatric Patients ◽  
Rapid Determination ◽  
Area Under The Curve ◽  
Pediatric Emergency ◽  
Illness Severity ◽  
Respiratory Support ◽  
Think Aloud

Abstract Objectives Experienced physicians must rapidly identify ill pediatric patients. We evaluated the ability of an illness rating score (IRS) to predict admission to a pediatric hospital and explored the underlying clinical reasoning of the gestalt assessment of illness. Methods We used mixed-methods to study pediatric emergency medicine physicians at an academic children’s hospital emergency department (ED). Physicians rated patients’ illness severity with the IRS, anchored by 0 (totally well) and 10 (critically ill), and shared their rationale with concurrent think-aloud responses. The association between IRS and need for hospitalization, respiratory support, parenteral antibiotics, and resuscitative intravenous (IV) fluids were analyzed with mixed effects linear regression. Area under the curve (AUC) receiver operator characteristic (ROC) curve and test characteristics at different cut-points were calculated for IRS as a predictor of admission. Think-aloud responses were qualitatively analyzed via inductive process. Results A total of 141 IRS were analyzed (mean 3.56, SD 2.30, range 0–9). Mean IRS were significantly higher for patients requiring admission (4.32 vs. 3.13, p<0.001), respiratory support (6.15 vs. 3.98, p = 0.033), IV fluids (4.53 vs. 3.14, p < 0.001), and parenteral antibiotics (4.68 vs. 3.32, p = 0.009). AUC for IRS as a predictor of admission was 0.635 (95% CI: 0.534–0.737). Analysis of 95 think-aloud responses yielded eight categories that describe the underlying clinical reasoning. Conclusions Rapid assessments as captured by the IRS differentiated pediatric patients who required admission and medical interventions. Think-aloud responses for the rationale for rapid assessments may form the basis for teaching the skill of identifying ill pediatric patients.

Developing pre-service O&M specialists’ reflective practices to improve problem-solving opportunities during instruction

2020 ◽  
pp. 026461962094607
Author(s):  
Kim T Zebehazy ◽  
Silvia M Correa-Torres ◽  
Kathryn D Botsford
Keyword(s):  
Mixed Methods ◽  
Problem Solving ◽  
Mixed Methods Study ◽  
Think Aloud ◽  
Reflective Practices ◽  
Personnel Preparation ◽  
Question Asking ◽  
Preparation Programs ◽  
Orientation And Mobility

The ability of instructors to promote problem-solving abilities is an important pedagogical skill. Providing well-planned problem-solving opportunities is especially vital in orientation and mobility (O&M) lessons. During personnel preparation programs, pre-service O&M specialists would benefit from developing a keen awareness of how well they encourage problem-solving in their instruction. This mixed-methods study reports on a process in which nine pre-service O&M specialists engaged during their blindfold techniques course. Each participant taught two lessons to a peer in their course, engaging in a retroactive think-aloud after each lesson. The process focused participants on the types of questions they asked to promote thinking and engaged them in reflection on how well the lesson met their intended objectives. Results indicated qualitative benefits noted by the participants of engaging in the process and also highlighted a need for further work with pre-service O&M specialists on question asking and allowing problem-solving and thinking opportunities during basic lessons.

Occupational therapists’ experiences and perspectives towards occupation-based practice in Thailand: A mixed-methods study

2020 ◽  
Vol 84 (1) ◽  
pp. 54-64
Author(s):  
Anuchart Kaunnil ◽  
Supalak Khemthong ◽  
Sarinya Sriphetcharawut ◽  
Peeradech Thichanpiang ◽  
Veerawat Sansri ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Thematic Analysis ◽  
Daily Living ◽  
Occupational Therapists ◽  
Mixed Methods Study ◽  
Medical Sciences ◽  
Strongly Agree

Introduction Occupation-based practice is a core tenet of occupational therapy. This study explores perspectives and experiences with occupation-based practice among Thai occupational therapists. Method Using mixed methods, a focus group was conducted with eight occupational therapists, and the results were interpreted using thematic analysis. A questionnaire survey was also completed concerning practitioner perspectives ( n = 216). Findings Three major themes were identified: (a) perspectives on occupation-based practice were related to practice areas and felt to strengthen the identity of occupational therapy (52% strongly agree), leading to improved services and better outcomes for clients (44% strongly agree); (b) approaches focused on activities of daily living were appropriate for cross-practice areas; and (c) occupation-based practice is consistent with integrated medical sciences and occupations for clients (52% strongly agree). Conclusion Implementing occupation-based practice will be of value to clients, provide benefits as a compass to direct processes, and enhance clinical reasoning and outcomes.

scholarly journals Using Virtual Patients to Explore the Clinical Reasoning Skills of Medical Students: A Mixed Methods Study (Preprint)

10.2196/24723 ◽  
2020 ◽  
Author(s):  
Ruth Plackett ◽  
Angelos P Kassianos ◽  
Jessica Timmis ◽  
Jessica Sheringham ◽  
Patricia Schartau ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Students ◽  
Clinical Reasoning ◽  
Mixed Methods Study ◽  
Virtual Patients ◽  
Reasoning Skills ◽  
Clinical Reasoning Skills

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

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