Assessment of the needs of student nurses regarding critical thinking in nursing practice

 
 
 
  • Abstract
  • Keywords
  • References
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  • Abstract


    This study involved a quantitative, quasi-experimental and contextual design. The target population for this phase was senior student nurses registered at the University of Namibia, in their fourth year of nursing studies in the training hospitals of Windhoek and Oshakati. A total of 46 fourth-year nursing students, registered at the Faculty of Medical and Health Sciences in the Department of Nursing, were included for phase 1 except for the two students who took part in the pilot study. The students were from both campuses, namely the Windhoek and Oshakati campuses, doing the four-year Diploma in Comprehensive Nursing curriculum, which incorporates the principles of critical thinking. An imaginary case scenario was developed for students to analyse and answer some relevant questions to enable the researcher to determine the level of understanding and integration of critical thinking. In this study each student’s answers were deductively analysed by calculating central values, more specifically the mean for each question, to determine their application of critical thinking skills in the management of a nursing problem

    The researcher has, with literature support, arrived at “umbrella” concepts, namely the most important concepts that nurses in Namibia need and without which they cannot practice. These umbrella concepts are to be included in the educational programme.


  • Keywords


    Assessment; Needs; Critical Thinking and Nursing Practice.

  • References


      [1] Carroll, R.T. (2007). Teaching critical thinking. Paper presented at Critical Thinking Workshop, Las Vegas Retrieved May 14, 2007, from www.skepdic.com/essays/teachingCT.pdf

      [2] Thurmond, V.A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375–388. http://dx.doi.org/10.1177/089801010101900406.

      [3] Thurmond, V.A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375–388. http://dx.doi.org/10.1177/089801010101900406.

      [4] Hagerman, L-A. (2004). developing critical thinking through a case study approach: A publication of theinstructional development centre. Teaching at Trent, 7(2), 1-3.

      [5] Simpson, E., & Courtney, M. (2002). Critical thinking in nursing education: A literature review. International Journal of Nursing Practice, 8(2), 89–98. Retrieved September 13, 2006, from http://eprints.qut.edu.au/archi.PDF. http://dx.doi.org/10.1046/j.1440-172x.2002.00340.x.

      [6] Salmon, M. (2002). Introduction to logic and critical thinking. (4th ed). Mexico: Thomson Learning.

      [7] Brown, K., & Rutter, L. (2004). Critical thinking and analysis. A guide to enhancing reflection, learning and writing for post qualifying social work programmes. Dorset: Bournemouth University. Institute of Health and Community Studies.

      [8] Howard College. (2006). Quality enhancement plan: critical thinking … for learning, for earning, for life! Retrieved March 09, 2007, from http://www.howardcollege.edu/QEP/QEP-Plan.

      [9] Potter, P.A., & Perry, A.G. (1999). Basic nursing. A critical thinking approach. (4th ed). London: Mosby.

      [10] Carroll, R.T. (2007). Teaching critical thinking. Paper presented at Critical Thinking Workshop, Las Vegas. Retrieved May 14, 2007, from www.skepdic.com/essays/teachingCT.pdf.

      [11] Makathini, J.T. (1992). The problem solving process with special application to the clinical setting. Curationis, 15(2), 24–26. http://dx.doi.org/10.4102/curationis.v15i2.357.

      [12] Mpaka, N.M., & Uys, L.R. (1999). The critical thinking ability of diplomats from different types of bridging programmes. Curationis, 22(3), 14-20.

      [13] [Buchanan, A. (n.d). Integrating critical thinking into the classroom: Access Excellence @ the National Health Museum. Retrieved August 02, 2006 from http:// www.accessexcellence.org/LC/TL/buchanan/html.

      [14] Facione, P.A. (1990). Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction. Research findings and recommendations. Retrieved November 27, 2008, from http://eric.ed.gov.ERICWebPortal/custom/portlets/record .

      [15] Hornby, A.S. (2005). Oxford advanced learner’s dictionary of current English. (7th ed.). Wehmeier, S. (Ed.). New York: Oxford University Press.

      [16] Alfaro-LeFevre, R. (2002). Applying nursing process: promoting collaborative care (5thed.). Philadelphia: Lippincott.

      [17] Botes, A. (2000). Critical thinking by nurses on ethical issues like the termination of pregnancies. Curationis, 23(3), 26–31 http://dx.doi.org/10.4102/curationis.v23i3.686.

      [18] Wilkinson, J.M. (1996). Nursing process: A critical thinking approach. (2nd Ed.). Tokyo:Addison Wesley.

      [19] Lipe, S. K., & Beasley, S. (2004). Critical thinking in nursing: A cognitive skills workshop. Philadelphia. Lippincott, Williams & Wilkins.

      [20] Longacre, S. (n.d). Developing critical thinking in the nursing student using simulated online clinical scenario assignments. Retrieved September 14, 2006, from http://www.ccone.org/scholars/05 – 06/.

      [21] Shin, K.R. (1998). Critical thinking ability and clinical decision–making skills among senior nursing students in associate and baccalaureate programmes in Korea. Journal of Advanced Nursing, 27, 414–418. http://dx.doi.org/10.1046/j.1365-2648.1998.00499.x.

      [22] Case, B. (1998). Competence development: Critical thinking, clinical judgment and technical ability. In K.J. Kelly-Thomas (Ed.), Clinical and nursing staff development: Current competence, future focus (pp 240–281). Philadelphia: Lippincott.

      [23] Kyzer, S.P. (1996). Professional development initiative: Sharpening your critical thinking skills. Orthopaedic Nursing, 15(6), 66-75.

      [24] Alfaro–Le Fevre, R. (2004). Selfstudy modules: Improving your ability to think critically. Nursing Spectrum:Career fitness [Electronic version]. Retrieved August 06, 2004, from http://nsweb.nursingspectrum.com/ce/ce168.htm.

      [25] Alfaro–Le Fevre, R. (2004a). Critical thinking: usually not rapid-fire. Reprinted with permission April issue of AACN News, (2), 12. Retrieved August 06, 2004, from http://www.alfaroteachsmart.com/rapidfire.pdf.

      [26] Talento, B. (1995). Jean Watson. In G. George (Ed.), Nursing theories: The base for professional nursing (4th ed., pp. 317–333). Connecticut: Appletone & Lange.

      [27] Mellish, J.M. & Paton, F. (2000). An introduction to the ethos of nursing: A text for basic student nurses. (2nd ed). Sandton. Heinemann

      [28] Reilly, R., & Perrin, C. (1999). Preparing the nursing profession: Educating to lead or training to be manageable? The Australian Electronic Journal of Nursing Education, 4(2), 1-6.

      [29] Reilly, D.E., & Obermann, M.H. (1999). Clinical teaching in nursing education. (2nd ed). Sudbury, Mass: Jones & Bartlett.

      [30] Eichhorn, R. (n.d). Developing thinking skills: critical thinking at the army management staff college. Retrieved August 1, 2006, from http://www.amsc.belvoir.army.mil/roy.html.

      [31] Fonteyn, M.E. (1998). Thinking strategies for nursing practice. Philadelphia: Lippincott-Raven.

      [32] Kozier, B., Erb, G., Berman, A., & Snyder, S.J. (2004). Fundamentals of nursing. Concepts process and practice. (7th ed.). New Jersey. Pearson Education.

      [33] Hoffman, K. & Elwin, C. (2004). The relationship between critical thinking and confidence in decision–making. Australian Journal of Advanced Nursing, 22(1), 8-12.

      [34] ADEA (American Dental Education Association). (2006). Educational strategies associated with development of problem solving, critical thinking and self-directed learning. Journal of Dental Education, 70 (9), 925-936.

      [35] Simpson, E., & Courtney, M. (2002). Critical thinking in nursing education: A literature review. International Journal of Nursing Practice, 8(2), 89–98. Retrieved September 13, 2006, from http://eprints.qut.edu.au/archi.PDF. http://dx.doi.org/10.1046/j.1440-172x.2002.00340.x.

      [36] Tiwari, A., Chan, S., Sullivan, P.L., Dixon, A.S., & Tang, C. (2000) Enhancing Students’ critical thinking through problem based learning. Retrieved March 09, 2007, from http://www.hku.hk/rss/rs2000/outputs.nursing.

      [37] Cronin, P., & Rawlings-Anderson, K. (2004). Knowledge for contemporary nursing practice. Philadelpia: Elsevier Science Limited.

      [38] Hoffman, K. & Elwin, C. (2004). The relationship between critical thinking and confidence in decision–making. Australian Journal of Advanced Nursing, 22(1), 8-12.

      [39] Case, B. (1998). Competence development: Critical thinking, clinical judgment and technical ability. In K.J. Kelly-Thomas (Ed.), Clinical and nursing staff development: Current competence, future focus (pp 240–281). Philadelphia: Lippincott.

      [40] Sedlak, C.A., & Doheny, M.O’B. (1998). Peer review through clinical rounds. Nurse Educator, 23(5), 42-45. http://dx.doi.org/10.1097/00006223-199809000-00016.

      [41] Thurmond, V.A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375–388. http://dx.doi.org/10.1177/089801010101900406.

      [42] Thurmond, V.A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375–388. http://dx.doi.org/10.1177/089801010101900406.

      [43] Salmon, M. (2002). Introduction to logic and critical thinking. (4th ed). Mexico: Thomson Learning.

      [44] Conger, M.M., & Mezza, I. (1996). Fostering critical thinking in nursing students in the clinical setting. Nurse Educator, 21(3), 11–15. http://dx.doi.org/10.1097/00006223-199605000-00005.

      [45] Sedlak, C.A., & Ludwick, R. (1996). Dressing up nursing diagnosis: A critical thinking strategy. Nurse Educator, 21(4), 19–22. http://dx.doi.org/10.1097/00006223-199607000-00011.

      [46] Reilly, R., & Perrin, C. (1999). Preparing the nursing profession: Educating to lead or training to be manageable? The Australian Electronic Journal of Nursing Education, 4(2), 1-6.

      [47] Reilly, D.E., & Obermann, M.H. (1999). Clinical teaching in nursing education. (2nd ed). Sudbury, Mass: Jones & Bartlett.

      [48] Roberts, Wm. D., & Stone, P.W. (2003). How to choose and evaluate a research instrument. Applied Nursing Research, 16(1), 70–72. http://dx.doi.org/10.1053/apnr.2003.50008.

      [49] Polit, D.E., & Beck,C.T. (2006). Essentials of nursing research. (6th ed.). Philadelphia. Lippincott Williams & Wilkins.

      [50] Polit, D.E., & Beck, C.T. (2004). Nursing research: Principles and methods. (7th ed.). Philadelphia. Lippincott Williams & Young.

      [51] Burns, N., & Grove, S.K. (2005). The practice of nursing research: Conduct, critique and utilization. (5th ed.). Missouri: Elsevier Saunders.

      [52] Babbie, E., & Mouton, J. (2001). The practice of social research. Cape Town: South Africa Oxford University Press.

      [53] [De Vos, A.S., Fouche, C.B., Venter, L. (2002). Quantitative data analysis and interpretation. In A.S. De Vos (Ed.), Research at grass roots: For the social sciences and human service professions (2nd ed., pp. 222-247). Pretoria: Van Schaik.

      [54] Lipe, S. K., & Beasley, S. (2004). Critical thinking in nursing: A cognitive skills workshop. Philadelphia. Lippincott, Williams & Wilkins.


 

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Article ID: 6554
 
DOI: 10.14419/ijans.v5i2.6554




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