Related Experiment Video
Updated: Sep 9, 2025
04:54
Iterative Development of an Innovative Smartphone-Based Dietary Assessment Tool: Traqq
Published on: March 19, 2021
4.7K
Building a Validity Argument for a New Clinical Reasoning Item Format: A Think-Aloud Interview Study of SHARP Item
Summary
The SHARP (SHort Answer, Rationale Provision) format effectively assesses medical students' clinical reasoning. Students utilize strategies like identifying and explaining associations, probabilistic thinking, and prioritizing evidence to justify their interpretations.
Area of Science:
- Medical Education
- Clinical Reasoning Assessment
- Health Professions Education
Background:
- The SHARP (SHort Answer, Rationale Provision) question format is designed to evaluate clinical reasoning skills.
- It requires students to provide a rationale for their clinical interpretations and decisions based on patient charts.
Purpose of the Study:
- To evaluate response process validity evidence for the SHARP item format.
- To assess the use of SHARP item performances for summative evaluations.
Main Methods:
- Concurrent think-aloud interviews with fourth-year medical students.
- Analysis of verbalized thoughts during completion of 12 SHARP items using qualitative coding techniques.
Main Results:
- Eighteen students participated, demonstrating four primary reasoning strategies: identifying associations, explaining associations, probabilistic thinking, and prioritizing evidence.
- These strategies partially align with existing clinical reasoning frameworks.
Conclusions:
- Initial validity evidence supports the interpretation and use of SHARP item scores.
- Further validity evidence collection is necessary to strengthen the argument for SHARP item utility.
Related Concept Videos
01:25Critical Thinking II
3.0K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
3.0K
01:13Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
01:24Critical Thinking I
3.5K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.5K
01:37Reason and Intuition
6.9K
The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
6.9K
01:25Formulating and Validating Nursing Diagnosis II
2.9K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
2.9K
01:29Reliability and Validity
13.2K
Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
13.2K