Assessing Clinical Judgment and Critical Thinking Skills in a Group of Experienced Integrative and Functional Nutrition Registered Dietitian Nutritionists

Goodman, Emily M.; Redmond, Jessica; Elia, Dana; Harris, Stephanie; Augustine, Mary Beth; Hand, Rosa K.

doi:10.1016/j.jand.2018.03.026

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…The ability to think critically has become the focus of recent previous researchers in various countries as it is important and interesting to study and develop. They are such as [5] in Portugal, [6] in South Africa, [7] in Egypt, [8] in Thailand, [9][10][11] in America, [12] in Australia, and [13] in Canada. These previous researchers conclude that critical thinking is the focus of the important ability development that each individual needs in facing global challenges.…”

Section: Introductionmentioning

confidence: 99%

Measuring Students Scientific Learning Perception and Critical Thinking Skill Using Paper-Based Testing: School and Gender Differences

Sari

Sumarmi

Astina

et al. 2019

Int. J. Emerg. Technol. Learn.

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This study aims to describe and test students' perception of scientific learning, students' critical thinking skill level in scientific learning, differences in perception and critical thinking skill level of students based on school differences and gender, and the influence of perception on students' critical thinking skill in scientific approach learning. It involved 206 students from three high schools in Banjarmasin, Indonesia. Quantitative data was obtained from a perception questionnaire and critical thinking skill test. The perception questionnaire refers to Perception of Science Classes Survey (PSCS). The test used refers to indicators of critical thinking skill from Ennis in 2011. Data were analyzed using non parametric statistical tests with the SPSS version 23 application for Windows. The results showed that 1) students' perception of scientific learning were in the medium category, 2) students' critical thinking skill level was in a low category, 3) there were differences in perception and critical thinking skill level based on school, but there are not any differences found based on gender, 4) there was an influence of perception towards students' critical thinking skill in scientific learning approach. Designing innovative learning methods, involving student activity, and providing recommend-ed learning facilities are suggested to do to enhance students' positive perception and critical thinking skill.

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Section: Introductionmentioning

confidence: 99%

Measuring Students Scientific Learning Perception and Critical Thinking Skill Using Paper-Based Testing: School and Gender Differences

Sari

Sumarmi

Astina

et al. 2019

Int. J. Emerg. Technol. Learn.

View full text Add to dashboard Cite

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“…similar to those reported in the representative sample from the 2017 Compensation and Benefits Survey of the Dietetics Profession. 23,24 The Overall CCTDI score for the 92 participants with valid scores was 317.2 ± 27.1. The mean of each subscore for critical thinking dispositions fell into the Positive score classification, with the highest subscore in inquisitiveness and the lowest subscore in truth-seeking (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Describing Critical Thinking Dispositions and Skills Among Registered Dietitian Nutritionists

Serna

Zheng

Hand

2021

Topics in Clinical Nutrition

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Critical thinking is essential for registered dietitian nutritionists (RDNs) to obtain and interpret data within the Nutrition Care Process Model, but critical thinking dispositions and skills have not been quantified previously in RDNs. This cross-sectional study used validated tools to describe critical thinking dispositions and skills of 78 RDNs. Results suggest that RDNs have relatively strong critical thinking skills but the study did not reach adequate power to make planned comparisons of critical thinking based on participant personal or professional characteristics. This study raises awareness of critical thinking definition and measurement to encourage additional participation in future research on this topic.

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“…The rich account of the nature of clinical judgement offered in the present study suggests that clinical judgement is not interchangeable with concepts currently used in the dietetics literature, such as critical thinking. To date, the dietetics literature tends to embrace critical thinking as a key construct representing the cognitive process in the nutrition care process (10) and research is dominated by attempts to measure its presence in practice (17,45,46) using established concept definitions from other fields (47) . Instead, the present study positions critical thinking as one of the various cognitive strategies needed in dietitian CDM and therefore the term 'clinical judgement' should not be used interchangeably with it.…”

Section: Discussionmentioning

confidence: 99%

“…That study adopted a definition of judgement ( 16 ) which assumed there are right and wrong judgements for prioritising referrals, reinforcing an empirico‐analytical approach to decision making. Another study has conducted an assessment of experienced functional and integrative nutrition professionals’ critical thinking skills ( 17 ) using both qualitative and quantitative content analysis against known critical thinking models ( 18 ) and the NCPM. That study identified the common use of inductive reasoning lending to the role of judgement for managing uncertainty.…”

Section: Introductionmentioning

confidence: 99%

The role of dietitian clinical judgement in the nutrition care process within the acute care setting: a qualitative study

Smith

Patton

2020

J Human Nutrition Diet

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Background Dietitian clinical decision making in the acute care setting likely incorporates a practitioner’s clinical judgement to effectively support patient care. The term ‘dietitian clinical judgement’ is well used in clinical practice, yet is poorly defined and often used interchangeably with other concepts. The aim of this research was to describe the nature of dietitians’ clinical judgement in the acute care setting. Methods A qualitative design within the interpretative paradigm was used guided by principles of philosophical hermeneutics. Dietitians with at least 3 years experience were invited to participate in two 60‐min in‐depth semi‐structured interviews which were recorded, transcribed and interpreted using hermeneutic principles. A reference group was used to increase rigour and further interpretation of the findings. Results Ten dietitians participated in the interviews and five of these same participants in the reference focus group. The findings revealed clinical judgement to be a sophisticated practitioner dependent meta‐reasoning process that helps the dietitian manage complexity, guide interpersonal interactions and individualise patient care. It is characterised by tacit and efficient use of various reasoning strategies reliant on the dietitian’s clinical experience, used to synthesise and weigh up various types of information and knowledge with respect to delivering context‐relevant care. Conclusions Dietitian clinical judgement is a necessary part of clinical decision making that extends beyond logical or critical thinking. It facilitates a person‐centredness to patient care and professional relationships that are key dimensions to dietitian clinical decision making. These findings provide training and professional development insights to managers, educators and supervisors.

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Assessing Clinical Judgment and Critical Thinking Skills in a Group of Experienced Integrative and Functional Nutrition Registered Dietitian Nutritionists

Cited by 8 publications

References 16 publications

Measuring Students Scientific Learning Perception and Critical Thinking Skill Using Paper-Based Testing: School and Gender Differences

Measuring Students Scientific Learning Perception and Critical Thinking Skill Using Paper-Based Testing: School and Gender Differences

Describing Critical Thinking Dispositions and Skills Among Registered Dietitian Nutritionists

The role of dietitian clinical judgement in the nutrition care process within the acute care setting: a qualitative study

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