Keywords
nursing students
nursing care
nursing education
Abstract
THE FACTORS AFFECTING THE CRITICAL THINKING SKILLS AMONG NURSING STUDENTS – AN INTEGRATIVE LITERATURE REVIEW
Aim. Review and analysis of available articles focused on factors aff ecting development of nursing students critical thinking.
Material and methods. Integrative review of articles published between 2011 and 2021, available in the electronic databases PubMed, Scopus, Web of Science and EBSCO. Searching was based on keywords “critical thinking”, “nursing”, “nursing care”, “nursing education” which were connected by Boolean logic operators “and” as well as “or”.
Results. There are several factors signifi cant to advancement of critical thinking. Prevalent teaching methods, which promowe development of critical thinking, constitute active learning strategies, concept mapping, simulation, problem-based learning, case study and learning methods based on evidence. Moreover, cultural and individual factors like empathy, emotional intelligence and caring behaviour show a signifi cant relationship with critical thinking.
Conclusions. Critical thinking represents an important meta-competence for nurses. Critical thinking contributes to adequate gathering of the information about patient, selection of those and formulating accurate diagnoses, progression of problem-solving skills and making decisions, improves communication with the patient. Analysis of relevant literature made it possible to indicato factors aff ecting critical thinking..
References
1. Bavier AR. Education’s Why. Debriefing as How. Nurs. Educ. Perspect. January/ February 2016; 37(1): 1.
2. Dinkins CS, Cangelosi PR. Putting Socrates back in Socratic method: Theory-based debriefing in the nursing classroom. Nurs. Philos. 2019; 20(2).
3. Dwyer CP, Hogan MJ, Harney OM, et al. Facilitating a student-educator conceptual model of dispositions towards critical thinking through interactive management. Educ. Technol. Res. Dev. 2017; 65: 47-73.
4. Nonis SA, Hudson GI. Developing and assessing critical thinking skills in marketing students: the power of making explicit problem-solving processes. J. Educ. Bus. 2018; 93: 1-9.
5. Sullivan EA. Critical thinking in clinical nurse education: application of Paul’s model of critical thinking. Nurse Educ. Pract. 2012 Nov; 12(6): 322-327.
6. Robert RR, Petersen S. Critical thinking at the bedside: providing safe passage to patients. Medsurg. Nurs. 2013 Mar-Apr; 22(2): 85-93, 118.
7. Facione P. Critical Thinking: A Statement of Expert Consensus for Purposes of Educational Assessment and Instruction. The Delphi Report: Research Findings and Recommendations Prepared for the American Philosophical Association. Executive Summary. Fullerton, California: The California Academic Press; 1990.
8. National League for Nursing. Criteria and Guidelines for the Education of Baccalaureate and Higher Degree Programs in Nursing. New York: National League for Nursing; 1992.
9. Joint Commission for Accreditation for Healthcare Organisations (JCAHO). Accreditation Manual for Hospitals. Oakbrook, IL, USA: The Joint Commission; 1993.
10. Chan ZCY. Nursing students’ view of critical thinking as ‚Own thinking, searching for truth, and cultural influences’. Nurse Educ. Today. 2019 Jul; 78: 14-18.
11. Arslantaş S, Kurnaz A. Classifying master’s and PhD theses whose titles contain concept of “critical thinking” by different variables. Int. J. Modern Educ. Stud. 2017; 1(1): 58-68.
12. Huang GC, Newman LR, Schwartzstein RM. Critical Thinking in Health Professions Education:Summary and Consensus Statements of the Millennium Conference 2011. Teach Learn Med. 2014; 26(1): 95-102.
13. Jacob E, Duffield C, Jacob D. A protocol for the development of a critical thinking assessment tool for nurses using a Delphi technique. J. Adv. Nurs. 2017; 73(8): 19821988.
14. Carter AG, Creedy DK, Sidebotham M. Efficacy of teaching methods used to develop critical thinking in nursing and midwifery undergraduate students: A systematic review of the literature. Nurse Educ. Today. 2016 May; 40: 209-218.
15. Carvalho DSRP, Azevedo IC, Cruz GKP. Strategies used for the promotion of critical thinking in nursing undergraduate education: A systematic review. Nurse Educ. Today. 2017 Oct; 57: 103-107.
16. Hong S, Yu P. Comparison of the effectiveness of two styles of case-based learning implemented in lectures for developing nursing students’ critical thinking ability: A randomized controlled trial. Int. J. Nurs. Stud. 2017 Mar; 68: 16-24.
17. López M, Jiménez JM, Martín-Gil B, et al. The impact of an educational intervention on nursing students’ critical thinking skills: A quasi-experimental study. Nurse Educ. Today. 2020 Feb; 85:.104305.
18. Boso CM, van der Merwe AS, Gross J. Students’ and educators’ experiences with instructional activities towards critical thinking skills acquisition in a nursing school. Int. J. Africa Nurs. Sci. 2021; 14: 100293.
19. Tedesco-Schneck M. Active learning as a path to critical thinking: Are competencies a roadblock? Nurse Educ. Pract. 2013; 13: 58-60.
20. Kong LN, Qin B, Zhou Y, et al. The effectiveness of problem-based learning on development of nursing students’ critical thinking: A systematic review and meta-analysis. Int. J. Nurs. Stud. 2014 Mar; 51(3): 458-469.
21. Son HK. Effects of S-PBL in Maternity Nursing Clinical Practicum on Learning Attitude, Metacognition and Critical Thinking in Nursing Students: A Quasi-Experimental Design. Int. J. Environ. Res. Public Health. 2020 Nov; 17(21): 7866.
22. Boostel R, Felix JVC, Bortolato-Major C. Stress of nursing students in clinical simulation: a randomized clinical trial. Rev. Bras. Enferm. May-Jun 2018; 71(3).
23. Atay S, Karabacak U. Care plans using concept maps and their effects on the critical thinking dispositions of nursing students. Int. J. Nurs. Pract. 2012 Jun;18(3): 233-239.
24. Lee J, Lee Y, Gong S, et al. A meta-analysis of the effects of non-traditional teaching methods on the critical thinking abilities of nursing students. BMC Med. Educ. 2016 Sep15; 16(1): 240.
25. Bilik Ö, Kankaya EA, Deveci Z. Effects of web-based concept mapping education on students’ concept mapping and critical thinking skills: A double blind, randomized, controlled study. Nurse Educ. Today. 2020 Mar; 86: 104312.
26. Yue M, Zhang M, Zhang C, et al. The effectiveness of concept mapping on development of critical thinking in nursing education: A systematic review and meta-analysis. Nurse Educ. Today. 2017 May; 52: 87-94.
27. Kim JS, Gu MO, Chang H. Effects of an evidence-based practice education program using multifaceted interventions: a quasi-experimental study with undergraduate nursing students. BMC Med Educ. 2019; 19(71).
28. Cui C, Li Y, Geng D, et al. The effectiveness of evidence-based nursing on development of nursing students’ critical thinking: A meta-analysis. Nurse Educ. Today. 2018 Jun; 65: 46-53.
29. Chang CY, Kao CH, Hwang GJ, et al. From experiencing to critical thinking: a contextual game-based learning approach to improving nursing students’ performance in Electrocardiogram training. Education Tech. Research Dev. 2020; 68: 1225-1245.
30. Chan ZC. Exploring creativity and critical thinking in traditional and innovative problem-based learning groups. J. Clin. Nurs. 2013 Aug; 22(15-16): 2298-2307.
31. Salar AR, Fouladi B, Sarabandi A. Comparing the effect of „learning based on classic education” and „learning based on participatory education” on nursing students critical thinking: A case-control study. J. Educ. Health Promot. 2020 Feb; 28(9): 47.
32. Aein F, Hosseini R, Naseh L, et al. The effect of problem-solving-based interprofessional learning on critical thinking and satisfaction with learning of nursing and midwifery students. J. Educ. Health Promot. 2020; 9: 109.
33. Lee KE. Effects of Team-Based Learning on the Core Competencies of Nursing Students: A Quasi-Experimental Study. J. Nurs. Res. 2018 Apr; 26(2):.88-96.
34. Dehghanzadeh S, Jafaraghaee F. Comparing the effects of traditional lecture and flipped classroom on nursing students’ critical thinking disposition: A quasi-experimental study. Nurse Educ. Today. 2018 Dec; 71:.151-156.
35. Andreou C, Papastavrou E, Merkouris A. Learning styles and critical thinking relationship in baccalaureate nursing education: a systematic review. Nurse Educ. Today. 2014 Mar; 34(3): 362-371.
36. Liu NY, Hsu WY, Hung CA, et al. The effect of gender role orientation on student nurses’ caring behaviour and critical thinking. Int. J. Nurs. Stud. 2019 Jan; 89: 18-23.
37. Pai HC, Eng CJ, Ko HL. Effect of caring behavior on disposition toward critical thinking of nursing students. J. Prof. Nurs. 2013 Nov-Dec; 29(6):.423-429.
38. Michelangelo L. The overall impact of emotional intelligence on nursing students and nursing. Asia Pac J. Oncol. Nurs. 2015; 2: 118-124.
39. Hasanpour M, Bagheri M, Ghaedi Heidari F. The relationship between emotional intelligence and critical thinking skills in Iranian nursing students. Med. J. Islam Repub. Iran. 2018; 32: 40.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Authors