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Script concordance test to train clinical reasoning in speech therapy students ; Prueba de concordancia de guiones para entrenar el razonamiento clínico en estudiantes de fonoaudiología

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  • معلومة اضافية
    • بيانات النشر:
      Ediciones Complutense
    • الموضوع:
      2023
    • Collection:
      Universidad Complutense de Madrid (UCM): Revistas Científicas Complutenses
    • نبذة مختصرة :
      The script concordance test has been used in the training and evaluation of clinical reasoning (CR) as an innovative strategy in higher education. However, there is no evidence of its application in undergraduate speech therapy students. The aim of this research was to analyze the performance and perception of speech therapy students regarding the use of scripts. A pre-experimental and multicenter pilot was designed, complemented with three focus groups. Quantitative variables were summarized through means and standard deviation (SD). The comparison between groups was performed with Anova one way and Bonferroni post hoc test, with a significance level of p<.05. A content analysis through open coding, identification, and interpretation of categories of meaning was performed in the qualitative phase. Students had an average of 4.03 (SD= 0.35), with a significative increase in the CR through the course (p= 0.03). A positive perception was informed, and four families of meaning was described: clinical reasoning, opportunities for improvement, implementation of the strategy and teacher feedback. In conclusion, the use of scripts in speech therapy undergraduate students is feasible, increase the performance and supports the development of competence. ; La prueba de concordancia de guiones (PCG) ha sido utilizada en el entrenamiento y evaluación del razonamiento clínico (RC) como una estrategia innovadora en la formación de profesionales. Sin embargo, no se dispone de evidencia de su aplicación en el pregrado de fonoaudiología. El objetivo de esta investigación fue analizar el desempeño y la percepción de estudiantes de fonoaudiología con respecto al uso de scripts. Se diseñó un piloto pre-experimental y multicéntrico, complementado con tres grupos focales. Las variables cuantitativas continuas fueron resumidas a través de medias y desviación estándar. La comparación entre grupos se ejecutó con Anova one way y la prueba post hoc de Bonferroni, considerando un nivel de significancia p<.05. La fase cualitativa ...
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      https://revistas.ucm.es/index.php/RLOG/article/view/80748/4564456562071; Addy, T. M., Hafler, J. y Galerneau, F. (2016). Faculty Development for Fostering Clinical Reasoning Skills in Early Medical Students Using a Modified Bayesian Approach. Teaching and Learning in Medicine, 28(4), 415-423. https://doi.org/10.1080/10401334.2016.1186551 Aebersold, M. (2016). The History of Simulation and Its Impact on the Future. AACN Advanced Critical Care, 27(1), 56-61. https://doi.org/10.4037/aacnacc2016436 Anakin, M., Jouart, M., Timmermans, J., y Pinnock, R. (2020). Student experiences of learning clinical reasoning. The Clinical Teacher, 17(1), 52-57. https://doi.org/10.1111/tct.13014 Arceo, M. y Durante, E. (2013). Desarrollo y evaluación de los scripts durante la formación profesional. Educación Médica, 33(4), 1-9. Ark, T. K., Brooks, L. R. y Eva, K. W. (2007). The benefits of flexibility: The pedagogical value of instructions to adopt multifaceted diagnostic reasoning strategies. Medical Education, 41(3), 281-287. https://doi.org/10.1111/j.1365-2929.2007.02688.x Ben-Hamida, E., Ayadi, I., Marrakchi, Z. y Quinton, A. (2017). The script concordance test as a tool to evaluate clinical reasoning in neonatology. La Tunisie Medicale, 95(5), 326-330. Brailovsky, C., Charlin, B., Beausoleil, S., Coté, S. y Van der Vleuten, C. (2001). Measurement of clinical reflective capacity early in training as a predictor of clinical reasoning performance at the end of residency: An experimental study on the script concordance test. Medical Education, 35(5), 430-436. https://doi.org/10.1046/j.1365-2923.2001.00911.x Braun, L. T., Borrmann, K. F., Lottspeich, C., Heinrich, D. A., Kiesewetter, J., Fischer, M. R. y Schmidmaier, R. (2019). Scaffolding clinical reasoning of medical students with virtual patients: Effects on diagnostic accuracy, efficiency, and errors. Diagnosis, 6(2), 137-149. https://doi.org/10.1515/dx-2018-0090 Campos, C. J. G. y Turato, E. R. (2009). Análisis de contenido en investigaciones que utilizan la metodología clínico-cualitativa: Aplicación y perspectivas. Revista Latino-Americana de Enfermagem, 17(2), 259-264. https://doi.org/10.1590/S0104-11692009000200019 Charlin, B., Roy, L., Brailovsky, C., Goulet, F. y Van der Vleuten, C. (2000). The Script Concordance test: A tool to assess the reflective clinician. Teaching and Learning in Medicine, 12(4), 189-195. https://doi.org/10.1207/S15328015TLM1204_5 Charlin, B., Tardif, J. y Boshuizen, H. P. (2000). Scripts and medical diagnostic knowledge: Theory and applications for clinical reasoning instruction and research. Academic Medicine: Journal of the Association of American Medical Colleges, 75(2), 182-190. https://doi.org/10.1097/00001888-200002000-00020 Charlin, B. y Van der Vleuten, C. (2004). Standardized assessment of reasoning in contexts of uncertainty: The script concordance approach. Evaluation & the Health Professions, 27(3), 304-319. https://doi.org/10.1177/0163278704267043 Cobb, K. A., Brown, G., Hammond, R. y Mossop, L. H. (2015). Students’ perceptions of the Script Concordance Test and its impact on their learning behavior: A mixed methods study. Journal of Veterinary Medical Education, 42(1), 45-52. https://doi.org/10.3138/jvme.0514-057R1 Cohen Aubart, F., Papo, T., Hertig, A., Renaud, M.-C., Steichen, O., Amoura, Z., Braun, M., Palombi, O., Duguet, A. y Roux, D. (2021). Are script concordance tests suitable for the assessment of undergraduate students? A multicenter comparative study. La Revue de Medecine Interne, 42(4), 243-250. https://doi.org/10.1016/j.revmed.2020.11.001 Cooke, S., Lemay, J. y Beran, T. (2017). Evolutions in clinical reasoning assessment: The Evolving Script Concordance Test. Medical Teacher, 39(8), 828-835. https://doi.org/10.1080/0142159X.2017.1327706 Córica, J. L. (2020). Resistencia docente al cambio: Caracterización y estrategias para un problema no resuelto. RIED. Revista Iberoamericana de Educación a Distancia, 23(2), 255-272. del Campo, M., Silva-Ríos, A. y Valdés, J. (2019). Perspectivas y desafíos de los fonoaudiólogos en la actividad académica en Chile: Una descripción preliminar. Revista Chilena de Fonoaudiología, 18(1), 1-10. https://doi.org/10.5354/0719-4692.2019.55330 Delany, C. y Golding, C. (2014). Teaching clinical reasoning by making thinking visible: An action research project with allied health clinical educators. BMC Medical Education, 14(20), 1-10. https://doi.org/10.1186/1472-6920-14-20 Delavari, S., Amini, M., Sohrabi, Z., Koohestani, H., Delavari, S., Rezaee, R., Mohammadi, E., Demeester, A., Charlin, B. y Kheirkha, M. (2018). Development and psychometrics of script concordance test (SCT) in midwifery. Medical Journal of the Islamic Republic of Iran, 32(75), 1-6. https://doi.org/10.14196/mjiri.32.75 Delavari, S., Monajemi, A., Baradaran, H. R., Myint, P. K., Yaghmaei, M. y Soltani Arabshahi, S. K. (2020). How to develop clinical reasoning in medical students and interns based on illness script theory: An experimental study. Medical Journal of the Islamic Republic of Iran, 34(9),1-5. https://doi.org/10.34171/mjiri.34.9 Deshpande, S., Chahande, J. y Rathi, A. (2017). Mobile learning app: A novel method to teach clinical decision making in prosthodontics. Education for Health, 30(1), 31-34. https://doi.org/10.4103/1357-6283.210514 Eva, K. W. (2005). What every teacher needs to know about clinical reasoning. Medical Education, 39(1), 98-106. https://doi.org/10.1111/j.1365-2929.2004.01972.x Evans, H., Buckland, G. y Lefer, D. (2017). They Made America. https://www.littlebrown.com/titles/harold-evans/they-made-america/9781594831454/ Evans, J. S. (2003). In two minds: Dual-process accounts of reasoning. Trends in Cognitive Sciences, 7(10), 454-459. https://doi.org/10.1016/j.tics.2003.08.012 Evans, J. S. y Stanovich, K. E. (2013). Dual-Process Theories of Higher Cognition: Advancing the Debate. Perspectives on Psychological Science: A Journal of the Association for Psychological Science, 8(3), 223-241. https://doi.org/10.1177/1745691612460685 Faucher, C., Dufour-Guindon, M. P., Lapointe, G., Gagnon, R. y Charlin, B. (2016). Assessing clinical reasoning in optometry using the script concordance test. Clinical & experimental optometry, 99(3), 280–286. https://doi.org/10.1111/cxo.12354 Faul, F., Erdfelder, E., Lang, A.G. y Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146 Fournier, J. P., Demeester, A. y Charlin, B. (2008). Script Concordance Tests: Guidelines for Construction. BMC Medical Informatics and Decision Making, 8(18), 1-7. https://doi.org/10.1186/1472-6947-8-18 Gómez, M. C. A. y Goñi, J. O. (2016). Análisis bibliométrico y de contenido. Dos metodologías complementarias para el análisis de la revista colombiana Educación y Cultura. Revista de Investigaciones · UCM, 14(23), 14-31. https://doi.org/10.22383/ri.v14i1.5 Gouzi, F., Hédon, C., Blervaque, L., Passerieux, E., Kuster, N., Pujol, T., Mercier, J. y Hayot, M. (2019). Interactive whiteboard use in clinical reasoning sessions to teach diagnostic test ordering and interpretation to undergraduate medical students. BMC Medical Education, 19(424), 1-13. https://doi.org/10.1186/s12909-019-1834-1 Graber, M. L. (2013). The incidence of diagnostic error in medicine. BMJ Quality & Safety, 22(Supl.,2), 1-7. https://doi.org/10.1136/bmjqs-2012-001615 Gruppen, L. D. (2017). Clinical Reasoning: Defining It, Teaching It, Assessing It, Studying It. The Western Journal of Emergency Medicine, 18(1), 4-7. https://doi.org/10.5811/westjem.2016.11.33191 Guerrero, P. (2005). Estudio de las Resistencias de los Profesores a una Estrategia Para el Desarrollo de la Creatividad en Tres Unidades Educativas. Psykhe, 14(1), 31-45. https://doi.org/10.4067/S0718-22282005000100003 Guillen, F. y Elida, D. (2019). Investigación cualitativa: Método fenomenológico hermenéutico. Propósitos y Representaciones, 7(1), 201-229. https://doi.org/10.20511/pyr2019.v7n1.267 Guix Oliver, J. (2008). El análisis de contenidos: ¿qué nos están diciendo? Revista de Calidad Asistencial, 23(1), 26-30. https://doi.org/10.1016/S1134-282X(08)70464-0 Guzmán, C. Z., Coro-Montanet, G., Sánchez, M. G. y Martínez, J. T. (2019). Prebriefing, herramienta clave en el aprendizaje por simulación: Concepto, evolución y consideraciones. Científica dental: Revista científica de formación continuada, 16(2), 69-74. Hamui, M., Ferreira, J. P., Torrents, M., Torres, F., Ibarra, M., Ossorio, M. F., Urrutia, L. y Ferrero, F. (2018). Script Concordance Test: First nationwide experience in pediatrics. Archivos Argentinos de Pediatria, 116(1), 1-5. https://doi.org/10.5546/aap.2018.e151 Harendza, S., Krenz, I., Klinge, A., Wendt, U. y Janneck, M. (2017). Implementation of a Clinical Reasoning Course in the Internal Medicine trimester of the final year of undergraduate medical training and its effect on students’ case presentation and differential diagnostic skills. GMS Journal for Medical Education, 34(5),1-13. https://doi.org/10.3205/zma001143 Hernández Sampieri, R., Fernández Collado, C. y Baptista Lucio, P. (2010). Metodología de la investigación (5ª ed). McGraw-Hill. Herrera, C. D. (2018). Investigación cualitativa y análisis de contenido temático. Orientación intelectual de revista Universum. Revista General de Información y Documentación, 28(1), 119-142. https://doi.org/10.5209/RGID.60813 Hughes, P. G. y Hughes, K. E. (2022). Briefing Prior to Simulation Activity, en StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK545234/ Huhn, K., Gilliland, S., Black, L., Wainwright, S. y Christensen, N. (2018). Clinical Reasoning in Physical Therapy: A Concept Analysis. Physical Therapy Faculty Articles and Research, 99(4),440-456. https://doi.org/10.1093/ptj/pzy148 Humbert, A. J., Johnson, M. T., Miech, E., Friedberg, F., Grackin, J. A. y Seidman, P. A. (2011). Assessment of clinical reasoning: A Script Concordance test designed for pre-clinical medical students. Medical Teacher, 33(6), 472-477. https://doi.org/10.3109/0142159X.2010.531157 Kania, R. E., Verillaud, B., Tran, H., Gagnon, R., Kazitani, D., Huy, P. T. B., Herman, P. y Charlin, B. (2011). Online script concordance test for clinical reasoning assessment in otorhinolaryngology: The association between performance and clinical experience. Archives of Otolaryngology-Head & Neck Surgery, 137(8), 751-755. https://doi.org/10.1001/archoto.2011.106 Karila, L., François, H., Monnet, X., Noel, N., Roupret, M., Gajdos, V., Lambotte, O., Benhamou, D. y Benyamina, A. (2018). The Script Concordance Test: A multimodal teaching tool. La Revue de Medecine Interne, 39(7), 566-573. https://doi.org/10.1016/j.revmed.2017.12.011 Kazour, F., Richa, S., Zoghbi, M., El-Hage, W. y Haddad, F. G. (2017). Using the Script Concordance Test to Evaluate Clinical Reasoning Skills in Psychiatry. Academic Psychiatry: The Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 41(1), 86-90. https://doi.org/10.1007/s40596-016-0539-6 Keemink, Y., Custers, E., Van Dijk, S. y Ten Cate, O. (2018). Illness script development in pre-clinical education through case-based clinical reasoning training. International Journal of Medical Education, 9(1), 35-41. https://doi.org/10.5116/ijme.5a5b.24a9 Lee, A., Joynt, G., Lee, A., Ho, A., Groves, M., Vlantis, A., Ma, R., Fung, C. y Aun, C. (2010). Using illness scripts to teach clinical reasoning skills to medical students. Family Medicine, 42(4), 255-261. https://pubmed.ncbi.nlm.nih.gov/20373168/ Macanchí Pico, M. L., Orozco Castillo, B. M. y Campoverde Encalada, M. A. (2020). Innovación educativa, pedagógica y didáctica. Concepciones para la práctica en la educación superior. Revista Universidad y Sociedad, 12(1), 396-403. Martínez-Salgado, C. (2012). El muestreo en investigación cualitativa: Principios básicos y algunas controversias. Ciência & Saúde Coletiva, 17(3), 613-619. https://doi.org/10.1590/S1413-81232012000300006 Moghadami, M., Amini, M., Moghadami, M., Dalal, B. y Charlin, B. (2021). Teaching clinical reasoning to undergraduate medical students by illness script method: A randomized controlled trial. BMC Medical Education, 21(1),1-7. https://doi.org/10.1186/s12909-021-02522-0 Motola, I., Devine, L. A., Chung, H. S., Sullivan, J. E. y Issenberg, S. B. (2013). Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Medical Teacher, 35(10),1511-1530. https://doi.org/10.3109/0142159X.2013.818632 Nazim, S. M., Talati, J. J., Pinjani, S., Biyabani, S. R., Ather, M. H. y Norcini, J. J. (2019). Assessing clinical reasoning skills using Script Concordance Test (SCT) and extended matching questions (EMQs): A pilot for urology trainees. Journal of advances in medical education & professionalism, 7(1),7-13. https://doi.org/10.30476/JAMP.2019.41038 Norman, G. (2006). Building on experience—The development of clinical reasoning. The New England Journal of Medicine, 355(21), 2251-2252. https://doi.org/10.1056/NEJMe068134 Norman, G. R., Monteiro, S. D., Sherbino, J., Ilgen, J. S., Schmidt, H. G. y Mamede, S. (2017). The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. Academic Medicine: Journal of the Association of American Medical Colleges, 92(1), 23-30. https://doi.org/10.1097/ACM.0000000000001421 Nseir, S., Elkalioubie, A., Deruelle, P., Lacroix, D. y Gosset, D. (2017). Accuracy of script concordance tests in fourth-year medical students. International Journal of Medical Education, 8, 63-69. https://doi.org/10.5116/ijme.5898.2f91 Pilcher, J. W. (2015). Balancing innovation and evidence. Journal for Nurses in Professional Development, 31(2), 100-105. https://doi.org/10.1097/NND.0000000000000135 Reid, J. R. y Baker, R. S. (2018). Designing and testing an educational innovation. Pediatric Radiology, 48(10), 1406-1409. https://doi.org/10.1007/s00247-018-4193-x Roberti, A., Roberti, M. do R. F., Pereira, E. R. S. y Costa, N. M. da S. C. (2016). Script concordance test in medical schools in Brazil: Possibilities and limitations. Sao Paulo Medical Journal, 134(2), 116-120. https://doi.org/10.1590/1516-3180.2015.00100108 Rodríguez de Castro, F., Carrillo-Díaz, T., Freixinet-Gilart, J. y Julià-Serdà, G. (2017). Razonamiento clínico. FEM: Revista de la Fundación Educación Médica, 20(4), 149-160. https://doi.org/10.33588/fem.204.903 Schmidt, H. G. y Mamede, S. (2015). How to improve the teaching of clinical reasoning: A narrative review and a proposal. Medical Education, 49(10), 961-973. https://doi.org/10.1111/medu.12775 See, K. C., Tan, K. L. y Lim, T. K. (2014). The script concordance test for clinical reasoning: Re-examining its utility and potential weakness. Medical Education, 48(11), 1069-1077. https://doi.org/10.1111/medu.12514 Shin, H. S. (2019). Reasoning processes in clinical reasoning: From the perspective of cognitive psychology. Korean Journal of Medical Education, 31(4), 299-308. https://doi.org/10.3946/kjme.2019.140 Silva-Ríos, A. P. y del Campo Rivas, M. N. (2022). Valoración de la Calidad de la Práctica Fonoaudiológica en Atención Primaria de Salud. Revista de Investigación en Logopedia, 12(1), 1-9. https://doi.org/10.5209/rlog.72617 Silveira Donaduzzi, D. S., Colomé Beck, C. L., Heck Weiller, T., Nunes da Silva Fernandes, M. y Viero, V. (2015). Grupo focal y análisis de contenido en investigación cualitativa. Index de Enfermería, 24(2), 71-75. https://doi.org/10.4321/S1132-12962015000100016 Varpio, L., Bell, R., Hollingworth, G., Jalali, A., Haidet, P., Levine, R. y Regehr, G. (2012). Is transferring an educational innovation actually a process of transformation? Advances in Health Sciences Education: Theory and Practice, 17(3), 357-367. https://doi.org/10.1007/s10459-011-9313-4 Vital, S., Wulfman, C., Girard, F., Tamimi, F., Charlin, B. y Ducret, M. (2021). Script concordance tests: A call for action in dental education. European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe, 25(4), 705-710. https://doi.org/10.1111/eje.12649 Yock, P. G., Brinton, T. J. y Zenios, S. A. (2011). Teaching biomedical technology innovation as a discipline. Science Translational Medicine, 3(92), 1-5. https://doi.org/10.1126/scitranslmed.3002222 Yuen, H.-W. y Balakrishnan, A. (2019). Next stop—Teaching creativity and innovation in medical education. Medical Teacher, 41(1), 116-117. https://doi.org/10.1080/0142159X.2018.1500682; https://revistas.ucm.es/index.php/RLOG/article/view/80748
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      https://revistas.ucm.es/index.php/RLOG/article/view/80748
    • Rights:
      Derechos de autor 2022 Revista de Investigación en Logopedia
    • الرقم المعرف:
      edsbas.73033218