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Critical thinking development in undergraduate midwifery students: an Australian validation study using Rasch
Amanda G Carter1, Amanda Müller2, Michelle Gray3
1School of Nursing and Midwifery, Faculty of Health, Griffith University, Griffith, Australia. a.carter@griffith.edu.au.
BMC Pregnancy and Childbirth
|December 27, 2022
Summary
The Carter Assessment of Critical Thinking in Midwifery (CACTiM) tools are validated and reliable for measuring midwifery students
Area of Science:
- Midwifery Education
- Healthcare Professional Assessment
- Nursing and Midwifery
Background:
- Critical thinking is essential for safe, evidence-based, woman-centred midwifery care.
- A validated tool is needed to measure critical thinking in midwifery practice.
- Previous psychometric assessment of the CACTiM tools used classical methods at a single site.
Purpose of the Study:
- To further evaluate the psychometric properties of the Carter Assessment of Critical Thinking in Midwifery (CACTiM) tools.
- To assess the validity and reliability of CACTiM tools in a diverse group of Australian midwifery students and preceptors.
- To refine the CACTiM tools for improved measurement of critical thinking in midwifery.
Main Methods:
- Rasch analysis was employed to evaluate the validity of the CACTiM tools.
- CACTiM tools were administered to undergraduate midwifery students and their preceptors across three Australian universities.
- Student self-assessments and preceptor assessments of critical thinking were matched for analysis.
Main Results:
- Rasch analysis confirmed good reliability and unidimensionality for both student and preceptor CACTiM tools.
- The CACTiM items effectively differentiate students' critical thinking application in midwifery practice.
- Person and item reliability exceeded .92, indicating excellent reliability and internal consistency.
Conclusions:
- The CACTiM student and preceptor tools are valid and reliable measures of critical thinking in midwifery.
- These tools can assess critical thinking abilities in midwifery students and identify areas for development.
- Findings support using CACTiM for individual development and curriculum enhancement in midwifery programs.
Keywords:
Critical thinkingCritical thinkingEvaluationMidwifery studentPre-registrationRasch analysisMore Related Videos
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