Fostering Critical Thinking in Undergraduate Nursing Students

Fostering Critical Thinking in Undergraduate Nursing Students
Author: Kathleen A. LuPone
Publisher:
Total Pages: 85
Release: 2017
Genre: Clinical competence
ISBN:

Results from previous studies indicated nursing students needed to further develop critical thinking (CT) - especially with respect to employing it in their clinical reasoning. Thus, the study was conducted to support development of students' CT in the areas of inference subskills that could be applied as they engaged in clinical reasoning during course simulations. Relevant studies from areas such as CT, clinical reasoning, nursing process, and inference subskills informed the study. Additionally, the power of simulation as an instructional technique along with reflection on those simulations contributed to the formulation of the study. Participants included junior nursing students in their second semester of nursing school. They completed a pre- and post-intervention Critical Thinking Survey, reflective journals during the course of the intervention, and interviews at the conclusion of the study. The intervention provided students with instruction on the use of three inference subskills (Facione, 2015). Moreover, they wrote reflective journal entries about their use of these skills. Quantitative results indicated no changes in various CT measures. By comparison, qualitative data analysis of individual interviews and reflective journals showed students: applied inference subskills in a limited way; demonstrated restricted clinical reasoning; displayed emerging reflection skills; and established a foundation on which to build additional CT in their professional roles. Limitations of the study included time - length of the intervention and limited power of the instruction - depth of the instruction with respect to teaching the inference subskills. Discussion focused on explaining the results. Implications for teaching included revision of the instruction in inference subskills to be more robust by extending it over time, perhaps across courses. Additionally, use of a flipped instructional process was discussed in which students would learn the subskills by viewing video modules prior to class and then are guided to apply their learning in classroom health care simulations. Implications for research included closer examination of the development of CT in clinical reasoning to devise a developmental trajectory that might be useful to understand this phenomenon and to develop teaching strategies to assist students in learning to use these skills as part of the clinical reasoning process.

Critical Conversations

Critical Conversations
Author: Susan Gross Forneris
Publisher: National League for Nursing
Total Pages: 0
Release: 2017-09-07
Genre: Critical thinking
ISBN: 9781496396266

With today's health care systems demanding not only capable nurses but also reflective practitioners, nurse educators are challenged more than ever to engage students in making sense of their experiences and responding thoughtfully to diverse situations. Critical Conversations helps nursing educators discover how better listening can lead to better learning with insightful guidance on the conversations that drive effective understanding for both instructors and students. Applying The NLN Guide for Teaching Thinking, this monograph helps nursing educators practice and implement the most effective strategies for fostering critical conversations across simulation, classroom, and clinical learning environments. From conceptualizing learning as meaning making to the cognitive strategy of being critical and engaging learners through purposeful learning conversations, straightforward exemplars throughout the text offer a support structure to guide educators in helping students learn to think deeply and critically in any setting.

A Teaching Intervention on Concept Maps to Increase the Critical Thinking Skills Among Undergraduate Nursing Students

A Teaching Intervention on Concept Maps to Increase the Critical Thinking Skills Among Undergraduate Nursing Students
Author: Annie Mathew
Publisher:
Total Pages: 0
Release: 2011
Genre: Thought and thinking
ISBN:

The current health care environment is placing increasing demands on nursing educators to prepare graduates who are able to think critically and solve problems in a variety of clinical practice areas. In an effort to prepare nursing students to deliver safe quality care, critical thinking becomes an essential component to nursing education, and learning to think critically is now widely accepted as a basic goal in nursing education. Currently, the Advanced Technologies Institute Critical Thinking Assessment test is used when students enter the nursing program to obtain a baseline measure of critical thinking. The aggregate results of the year 2008 and 2009 revealed that the nursing program's percentile rank is 25% below the national percentile rank. This raised the question: Would implementation of a different teaching methodology, namely concept maps, increase critical thinking skills among undergraduate nursing students? The objective of the project was to improve and enhance critical thinking skills by changing the way nursing students think through implementation of concept maps in the clinical setting. The project outcome was to develop effective critical thinkers who translate theoretical knowledge into practice through the use of concept maps to to optimize patient outcomes in the clinical setting. The undergraduate nursing students developed three concept maps that were submitted to a repeated measure of analysis of variance (ANOVA). The results demonstrated that the nursing students manifested a higher concept map score at the third concept map than the second, indicating that the teaching intervention was effective at increasing the critical thinking skills of the nursing students. The evidence-based model used for the project was Rosswurm and Larrabee's "Model for Evidence-Based Practice Change" and the theoretical model used was Ausubel's "Assimilation Theory of Meaningful Learning". The findings of the project revealed that participants demonstrated an increase in their critical thinking skills through the development of three consecutive concept maps. The literature reviewed for this project reflected that concept maps enhance the construction of knowledge in multilinear ways that help students with their ability to conceptualize and increase critical thinking. Students were able to develop the correlations and relationships to the concepts thus gaining an insight into the patient's problems, identifying nursing diagnoses, implementing, and evaluating the nursing actions at the point of care. The results were reported in the aggregate to the director of nursing and faculty members along with the recommendation to make a practice change to include concept maps in the nursing program curriculum beginning Fall Semester, 2011.

Critical Thinking in Nursing

Critical Thinking in Nursing
Author: Elsie L. Bandman
Publisher: Prentice Hall
Total Pages: 306
Release: 1995
Genre: Medical
ISBN: 9780838513743

This edition identifies and strengthens critical thinking skills in nursing, emphasizing the value of applying systematic reasoning to clarify conflicts experienced by nurses, resolve controversial moral issues, and make sound judgments. It also helps strengthen intellectual and scientific acuity through the use of reason and logic, and examines the use of argument in nursing. Advanced nursing students.

Critical Thinking, Clinical Reasoning, and Clinical Judgment E-Book

Critical Thinking, Clinical Reasoning, and Clinical Judgment E-Book
Author: Rosalinda Alfaro-LeFevre
Publisher: Elsevier Health Sciences
Total Pages: 288
Release: 2015-12-04
Genre: Medical
ISBN: 0323429319

What's behind every healed patient? Critical thinking! And what book best equips you to master the critical thinking skills needed for success on the NCLEX examination and in professional nursing practice? Alfaro's Critical Thinking, Clinical Reasoning, and Clinical Judgment, 6th Edition! With a motivational style and insightful "how-to" approach, this unique textbook draws upon real-life scenarios and evidence-based strategies as it guides you in learning to think critically in clinically meaningful ways. The new edition features a more streamlined, full-color design, and expanded coverage on some of key trends, including: interdisciplinary care teams, competency-based education, the IOM’s Leading Health Indicators, legal considerations, the effects of the Affordable Care Act, and much more. If you want to truly succeed in nursing practice today and be thinking-oriented rather than task-oriented, then look no further than this one-of-a-kind textbook. Simple approach and motivational writing style include vivid examples, memorable anecdotes, and real case scenarios to make content come alive. Practical strategies to promote critical thinking, clinical reasoning, and clinical judgment are incorporated along with supporting evidence as to why the strategies work. Focus on application (or "how to") and inclusion of supporting rationales (theory) make difficult concepts easy to learn. Critical thinking indicators feature evidence-based descriptions from the author of behaviors that promote critical thinking in nursing practice. Highlighted features and sections — such as Chapter at a Glance, Pre-Chapter Self-Tests, Guiding Principles, Critical Moments, Other Perspectives, Think-Pair-Share, Help Me Out cartoons, real-life clinical scenarios, key points, critical thinking exercises, and more — promote independent learning. UNIQUE! Brain-based learning principles utilize strategies that challenge the mind and are incorporated throughout the text. Timely coverage includes topical issues, such as: problem-focused versus outcome-focused thinking, prioritizing, developing a culture of safety, healthy work environments, expanding roles related to diagnosis and management, applying delegation principles, evidence-based practice, improving grades and passing tests the first time, NCLEX preparation, ensuring documentation reflects critical thinking, communication and interpersonal skills, strategies for common workplace challenges, and more. Inclusion of ethics- and standards-based professional practice reflects today’s professional climate which demands increasing accountability. Incorporation of cultural, spiritual, and lifespan content along with the nurse’s role in hospitals, communities, and long-term care settings presents a broad approach to critical thinking. Discussion of Tanner and Benner’s most recent work on what the research says about critical thinking and clinical judgment in nursing keeps readers up to date on the evidence-based side of practice. Coverage of IOM, QSEN, and other patient safety standards also keeps readers up to date on safe and effective nursing care.

Improving Critical Thinking in Undergraduate Nursing Students

Improving Critical Thinking in Undergraduate Nursing Students
Author: Cathy L. Coram
Publisher:
Total Pages: 82
Release: 2005
Genre: Critical thinking
ISBN:

Critical thinking has been established as one of the key elements in developing excellent nurses and providing for patient safety. Improvement of critical thinking skills is essential to ensure patient safety as well as provide for the success of each professional nurse. Patient outcomes have been the focus of numerous research studies and correlation between critical thinking and clinical judgment has been demonstrated. The purpose of this study was to determine if critical thinking skills of undergraduate nursing students in a clinical setting could be improved. This was accomplished by utilizing Rosalinda Alfara-LeFevre's methods of developing critical thinking skills outlined in "Critical Thinking and Clinical Judgment, A Practical Approach". The experimental group was encouraged, mentored and instructed on the 'how to' of critical thinking techniques. The control group was not given the additional tools. Comparison of the two groups at the beginning of the clinical rotation and again at the completion will allow data to be compiled for statistical analysis. The data will be collected by the use of self and peer evaluations of Critical Thinking Indicators including both knowledge and behavior aspects. This study will be qualitative and quantitative in nature. While the scope of this study is limited to senior level students in one program, it provides a framework within which further evaluation of critical thinking assessment can be accomplished.

The Future of Nursing

The Future of Nursing
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 700
Release: 2011-02-08
Genre: Medical
ISBN: 0309208955

The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.