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

Published on Dec 1, 2017in Journal of Clinical Nursing1.757
· DOI :10.1111/jocn.13901
Daphne Siew Kee Lee1
Estimated H-index: 1
(UM: University of Malaya),
Khatijah Lim Abdullah11
Estimated H-index: 11
(UM: University of Malaya)
+ 2 AuthorsSwee Leong Ong2
Estimated H-index: 2
(UM: University of Malaya)
Sources
Abstract
Aims and objectives To explore whether there is a correlation between critical thinking ability and clinical decision‐making among nurses. Background Critical thinking is currently considered as an essential component of nurses’ professional judgement and clinical decision‐making. If confirmed, nursing curricula may be revised emphasising on critical thinking with the expectation to improve clinical decision‐making and thus better health care. Design Integrated literature review. Methods The integrative review was carried out after a comprehensive literature search using electronic databases Ovid, EBESCO MEDLINE, EBESCO CINAHL, PROQuest and Internet search engine Google Scholar. Two hundred and 22 articles from January 1980 to end of 2015 were retrieved. All studies evaluating the relationship between critical thinking and clinical decision‐making, published in English language with nurses or nursing students as the study population, were included. No qualitative studies were found investigating the relationship between critical thinking and clinical decision‐making, while 10 quantitative studies met the inclusion criteria and were further evaluated using the Quality Assessment and Validity Tool. As a result, one study was excluded due to a low‐quality score, with the remaining nine accepted for this review. Results Four of nine studies established a positive relationship between critical thinking and clinical decision‐making. Another five studies did not demonstrate a significant correlation. The lack of refinement in studies’ design and instrumentation were arguably the main reasons for the inconsistent results. Conclusions Research studies yielded contradictory results as regard to the relationship between critical thinking and clinical decision‐making; therefore, the evidence is not convincing. Future quantitative studies should have representative sample size, use critical thinking measurement tools related to the healthcare sector and evaluate the predisposition of test takers towards their willingness and ability to think. There is also a need for qualitative studies to provide a fresh approach in exploring the relationship between these variables uncovering currently unknown contributing factors. Relevance to clinical practice 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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References42
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#1Sharyn Hunter (University of Newcastle)H-Index: 9
#2Victoria Pitt (University of Newcastle)H-Index: 10
Last. Jan Roche (University of Newcastle)H-Index: 4
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Summary Aim This study investigated the critical thinking skills among undergraduate nursing students in Australia to obtain a profile and determine demographic predictors of critical thinking. Background There is universal agreement that being a critical thinker is an outcome requirement for many accreditation and registering nursing bodies. Most studies provide descriptive statistical information about critical thinking skills while some have studied the changes in critical thinking after an i...
27 CitationsSource
#1Ling-Na Kong (CQMU: Chongqing Medical University)H-Index: 1
#2Bo Qin (CQMU: Chongqing Medical University)H-Index: 1
Last. Hui-Ming Gao (CQMU: Chongqing Medical University)H-Index: 1
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Abstract Objectives The objective of this systematic review and meta-analysis was to estimate the effectiveness of problem-based learning in developing nursing students' critical thinking. Data sources Searches of PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Proquest, Cochrane Central Register of Controlled Trials (CENTRAL) and China National Knowledge Infrastructure (CNKI) were undertaken to identify randomized controlled trails from 1965 to December 2012, ...
90 CitationsSource
#1Christos Andreou (CUT: Cyprus University of Technology)H-Index: 3
#2Evridiki Papastavrou (CUT: Cyprus University of Technology)H-Index: 23
Last. Anastasios Merkouris (CUT: Cyprus University of Technology)H-Index: 17
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Summary Background Critical thinking is a desirable competency for contemporary nurses although there are growing concerns supporting a disturbing paucity in its achievement. Learning styles reflect habitual behaviors which determine distinct preferences within learning situations. Evidence suggests that critical thinking could evolve through learning processes. Variances in critical thinking achievement by nursing students might therefore be influenced by individual learning preferences. The co...
35 CitationsSource
#1Dehong YuH-Index: 1
#2Yaqing ZhangH-Index: 1
Last. Caifeng WangH-Index: 1
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: Critical thinking (CT) is important to nursing education and practice. Although there is evidence that active learning approaches, such as problem-based learning (PBL), are effective in developing CT dispositions, the findings are inconclusive. This study examines the effect of PBL on the development of CT dispositions in nursing students using a crossover-experimental study in a course offered to nursing students in China. All students were randomly assigned to two parallel groups, with one g...
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Last. Shahrzad Ghiyasvandian (Tehran University of Medical Sciences)H-Index: 7
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Critical thinking disposition represents an inclination of a person to use possessed skills in relation to critical thinking. The trend of critical thinking has been described as inner motivation to solve problems and make decisions by thinking. In nursing as a practical profession, the concept of critical thinking dispositions is important component in helping to manage complex health situations and to deal with patient issues effectively. Willingness to think critically is a prerequisite for s...
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#1Shu-Yuan ChaoH-Index: 4
#2Hsing-Yuan LiuH-Index: 3
Last. Jung-Ying TanH-Index: 1
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Background: Critical thinking is an essential skill in the nursing process. Although several studies have evaluated the critical thinking skills of nurses, there is limited information related to the indicators of critical thinking or evaluation of critical thinking in the context of the nursing process.Purpose: This study investigated the potential indicators of critical thinking and the attributes of critical thinkers in clinical nursing practice. Knowledge of these indicators can aid the deve...
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Abstract Aim. The purpose of this study was to explore the development of critical thinking for students who received instruction using high-fidelity patient simulation (HFPS) versus low-fidelity simulation (instructor-written case studies). Background. Simulated patient care environments have become increasingly more sophisticated in nursing labs, with HFPS fast becoming the standard for laboratory teaching/learning. Method. A convenience sample of first-semester associate degree nursing studen...
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Background and Purpose. The purpose of this systematic review is to determine if critical-thinking skills in health care professional students change as a result of participating in a health care professional education program, and to assess the quality of the evidence evaluating this change.Method/Model Description and Evaluation. The study design was a systematic review. Six electronic databases were searched. Articles were graded using the Evaluation Guidelines for Rating the Quality of an In...
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#1Karen HuhnH-Index: 4
#2Lisa BlackH-Index: 6
Last. Judith E. DeutschH-Index: 28
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Background and Purpose. Critical thinking, knowledge, skill, and self-reflection are the hallmarks of clinical reasoning in physical therapy. Teaching and measuring a highly complex entity such as clinical reasoning is a challenging task and often requires multiple pedagogies and assessments. Knowledge and skill are frequently assessed by educators, but critical thinking and skills of reflection are not. Previous studies have used standardized tests to assess clinical reasoning skills of physica...
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: The purpose of this study was to examine critical thinking skills among registered nurses who work in a military hospital. Sixty-five nurses were administered the Health Sciences Reasoning Test to obtain scores in inductive reasoning, deductive reasoning, interpretation, analysis, and evaluation skills. Results showed no significant association between critical thinking skills and years of experience; however, differences were identified among racial/ethnic groups. It is hoped that findings fr...
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CONTEXT: The myth of generalisable thinking skills in medical education is gaining popularity once again. The implications are significant as medical educators decide on how best to use limited resources to prepare trainees for safe medical practice. This myth-busting critical review cautions against the proliferation of curricular interventions based on the acquisition of generalisable skills. STRUCTURE: This paper begins by examining the recent history of general thinking skills, as defined by...
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#1David Conde-Caballero (University of Extremadura)H-Index: 1
#2Carlos Alberto Castillo (UCLM: University of Castilla–La Mancha)H-Index: 8
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Tools for online collaboration are becoming increasingly prevalent in recent years. Certain characteristics of these tools encourage this proliferation: they are easy to use, always available, allow knowledge to be built collaboratively and disseminated quickly through social networks, and are usually free of charge. In this context, blogs are becoming increasingly important in the field of health as digital newspapers and magazines that support a large number of multimedia formats. The possibil...
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#1Izaak L. Williams (UH: University of Hawaii)H-Index: 3
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ABSTRACTThe literature on critical thinking (CT) in counselling and therapy generally posits higher quality outcomes when CT is applied in therapeutic treatment. We critically examine support for t...
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