Critical thinking in occupational therapy education: A mixed-methods study.
Laura Irvine-Brown, Ana Malfitano, Shawna Mastro Campbell and 2 others
PMID 42420194WHAT IT FOUND
Occupational therapy educators in 29 countries all called critical thinking essential, but meant different things by it.
English speakers described practical reasoning and evidence; Portuguese and Spanish speakers described questioning knowledge and social justice.
Key findings
01Every educator who answered said critical thinking is integral to effective occupational therapy practice: 90.7% rated it essential to a significant extent and 9.3% to a moderate extent.
02The most common descriptions of critical thinking were concrete and practical: analysing information, weighing evidence and making informed decisions. These dominated the English-language responses, while social and transformative descriptions appeared more consistently in Portuguese-language responses.
03Just under two-thirds of respondents (75, 63.6%) said their programme explicitly assesses critical thinking, mostly by embedding it in assessment criteria or marking rubrics (62). Thirty-three also used student self-ratings, and only three named a formal published test, two using the Health Sciences Reasoning Test and one the Watson-Glaser Critical Thinking Appraisal.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only 118 educators took part and the language-group comparisons rest on much smaller numbers than the English group, which supplied 59.3% of responses. Participation was voluntary, so those who answered are likely to be educators already interested in critical thinking, which the authors acknowledge. Some participants answered in a second or third language, which may have limited how fully they could explain their views. The survey was offered only in English, Spanish and Portuguese, so educators who work in other languages could not take part. Educators rated their own programmes, and not all may have known every part of the curriculum, which could explain why courses were rated higher than programmes. Nothing was observed directly: no teaching was watched and no students were followed, so the study cannot show whether any teaching method changes students' thinking. There were no patient outcomes and no clinical participants, so nothing here speaks to patient care. The paper states in one place that no significant differences were found between language groups, yet reports significant differences on several items elsewhere, so the language comparisons should be read cautiously.
Declared interests
The authors declare no conflicts of interest and state that they did not use artificial intelligence in writing the manuscript. The supplied text contains no funding statement. The study was approved by the Griffith University ethics committee.
The easy way to misread this
Do not read this as evidence that any particular way of teaching critical thinking works. The study asked educators what they believe and what they say they do; it did not follow students or measure changes in their thinking. The differences between language groups are also not a ranking of programmes or countries.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →