Identifying Critical Thinking Indicators and Critical Thinker Attributes in Nursing Practice

Chao, Shu-Yuan; Liu, Hsing‐Yuan; Wu, Ming‐Chang; Clark, Mary Jo; Tan, Jung-Ying

doi:10.1097/jnr.0b013e3182a0aee9

Cited by 25 publications

(22 citation statements)

References 15 publications

(21 reference statements)

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“…61,81,84 In the more recent medical literature, there was an increasing emphasis on the role of context and patient preferences as part of the reasoning process. 33,44,64,[85][86][87] In the nursing literature, related terms were critical thinking [88][89][90][91][92][93][94][95][96] and clinical reasoning. The outcomes of reasoning in nursing focus on competence 97,98 and establishing a nursing plan of care.…”

Section: [Hd2]synopses Of Clinical Reasoning By Disciplinementioning

confidence: 99%

Clinical Reasoning in Physical Therapy: A Concept Analysis

et al. 2018

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Background Physical therapy, along with most health professions, struggles to describe clinical reasoning, despite it being a vital skill in effective patient care. This lack of a unified conceptualization of clinical reasoning leads to variable and inconsistent teaching, assessment, and research. Objective The objective was to conceptualize a broad description of physical therapists’ clinical reasoning grounded in the published literature and to unify understanding for future work related to teaching, assessment, and research. Design/Methods The design included a systematic concept analysis using Rodgers’ evolutionary methodology. A concept analysis is a research methodology in which a concept's characteristics and the relation between features of the concept are clarified. Results Based on findings in the literature, clinical reasoning in physical therapy was conceptualized as integrating cognitive, psychomotor, and affective skills. It is contextual in nature and involves both therapist and client perspectives. It is adaptive, iterative, and collaborative with the intended outcome being a biopsychosocial approach to patient/client management. Limitations Although a comprehensive approach was intended, it is possible that the search methods or reduction of the literature were incomplete or key sources were mistakenly excluded. Conclusions A description of clinical reasoning in physical therapy was conceptualized, as it currently exists in representative literature. The intent is for it to contribute to the unification of an understanding of how clinical reasoning has been conceptualized to date by practitioners, academicians, and clinical educators. Substantial work remains to further develop the concept of clinical reasoning for physical therapy, including the role of movement in our reasoning in practice.

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Section: [Hd2]synopses Of Clinical Reasoning By Disciplinementioning

confidence: 99%

Clinical Reasoning in Physical Therapy: A Concept Analysis

et al. 2018

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“…A definition of critical thinking has emerged from nursing authors. Critical thinking is a cognitive process that represents the capacity to reflect upon reasoning with the aim of minimizing the errors in decision‐making(Chao, Liu, Wu, Clark, & Tan, ; Shinnick & Woo, ; Alfaro‐LeFevre, ).…”

Section: Introductionmentioning

confidence: 99%

Development and Psychometric Properties of the Nursing Critical Thinking in Clinical Practice Questionnaire

Zuriguel‐Pérez

Falcó‐Pegueroles

Roldán‐Merino

et al. 2017

Worldviews Ev Based Nurs

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Background and Aim: A complex healthcare environment, with greater need for care based on the patient and evidence-based practice, are factors that have contributed to the increased need for critical thinking in professional competence. At the theoretical level, Alfaro-LeFevre (2016) put forward a model of critical thinking made up of four components. And although these explain the construct, instruments for their empirical measurement are lacking. The purpose of the study was to develop and validate the psychometric properties of an instrument, the Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice), designed to evaluate the critical thinking abilities of nurses in the clinical setting.

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“…Critical thinking and clinical decision-making are both abstract construct and subjective and thus challenging to measure. Till today, there is a lack of general agreement on the best approach to recognise or evaluate critical thinking in the clinical area (Chao, Liu, Wu, Clark, & Tan, 2013). Some of the instruments used to test critical thinking skills in the nine studies reviewed included the WGCTA (Brooks & Shepherd, 1990;Girot, 2000;Shin, 1998), CCTST (Bowles, 2000;Gorton & Hayes, 2014;Noohi et al, 2012;Salehi et al, 2007), CCTDI (Hicks et al, 2003) and the ETI for critical thinking (Martin, 2002).…”

Section: Discussionmentioning

confidence: 99%

An integrated review of the correlation between critical thinking ability and clinical decision‐making in nursing

Lee

Abdullah

Subramanian³

et al. 2017

Journal of Clinical Nursing

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This review confirmed that evidence to support the existence of relationships between critical thinking and clinical decision-making is still unsubstantiated. Therefore, it serves as a call for nurse leaders and nursing academics to produce quality studies in order to firmly support or reject the hypothesis that there is a statistically significant correlation between critical thinking and clinical decision-making.

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Identifying Critical Thinking Indicators and Critical Thinker Attributes in Nursing Practice

Cited by 25 publications

References 15 publications

Clinical Reasoning in Physical Therapy: A Concept Analysis

Clinical Reasoning in Physical Therapy: A Concept Analysis

Development and Psychometric Properties of the Nursing Critical Thinking in Clinical Practice Questionnaire

An integrated review of the correlation between critical thinking ability and clinical decision‐making in nursing

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