Evidence map›Paper›PMID 34819786›Full record

ArticleSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society2021

Development and evaluation of clinical reasoning using 'think aloud' approach in pharmacy undergraduates - A mixed-methods study.

Faisal Altalhi, Abdulrhman Altalhi, Ziad Magliah, Zaid Abushal, Anas Althaqafi, Azzam Falemban, Ejaz Cheema, Inderpal Dehele, Majid Ali

Open access · hybridAbstract read
In one paragraph

Article in Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Faisal AltalhiCollege of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Abdulrhman AltalhiCollege of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Ziad MagliahCollege of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Zaid AbushalCollege of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Anas AlthaqafiCollege of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Azzam FalembanCollege of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Ejaz CheemaSchool of Pharmacy, University of Management and Technology, Lahore, Pakistan.
Inderpal DeheleSchool of Pharmacy, University of Birmingham, Birmingham, United Kingdom.
Majid AliSchool of Life and Medical Sciences, University of Hertfordshire (hosted by Global Academic Foundation), New Administrative Capital, Cairo. Egypt.
Umm al-Qura University · SAUniversity of Birmingham · GBUniversity of Management and Technology · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGiven the widespread use of clinical reasoning (CR) in the healthcare practice, it is essential to inculcate the CR practice in undergraduate pharmacy education which can not only facilitate their clinical education and clinical rotations but can also help them become better clinical pharmacists. There is very limited CR employed in the pharmacy curriculum and practice in the Middle East countries. This study aimed to develop and evaluate CR practice in pharmacy undergraduates in one college of pharmacy in Saudi Arabia.

methodsWe employed a mixed-methods methodology that included two phases. In Phase I, students were introduced to CR practice ('think aloud' method) and given geriatric clinical cases which they used in two sessions together with a tutor. This was followed by the writing of SOAP notes using the tutor feedback and completion of a survey that included a self-reflection about their experience of using the CR method. Phase II included face-to-face semi-structured interviews involving selected students that were recruited via convenience sampling to further explore the issues identified in Phase I of the study.

resultsOf the 155 students who completed the survey (response rate 94%), the majority of them agreed that CR using the 'think aloud' method was useful in gathering (92%) and interpreting (95%) relevant patient information, identifying medication-related problems (95%), exploring therapeutic options for the problem(s) (93%) and formulating a treatment plan for the patient (90%). Qualitative data analysis of the 12 interviews was consistent with these findings. Furthermore, it provided an insight into the challenges faced by the students in applying this CR method.

conclusionsStudents found the practice of CR using the 'think aloud' method helpful in working through given cases and taking clinical decisions. This method can be widely employed in pharmacy education and practice.

Indexed as

Clinical decision-makingClinical reasoningMixed-methodsSOAPThink-aloud

Identifiers

PMID34819786
PMCPMC8596158
OpenAlexW3207819469

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.