:: Volume 6, Issue 3 (Military Caring Sciences 2019) ::
MCS 2019, 6(3): 207-214 Back to browse issues page
The Effect of Teaching Clinical Reasoning on Critical Thinking of Undergraduate Nursing Students Taking the Course of Emergency Nursing in Disasters and Events: A Preliminary Study
Kameli. S1, Aliyari. Sh 2, Pishgooie. SAH3
1- MSc Student in Emergency Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
2- (Corresponding Author) Ph.D. in Curriculum Studies, Assistant Professor, Maternal Newborn Health Department, Aja University of Medical Sciences, Faculty of Nursing.
3- Ph.D., of Nursing, Associate Professor, Critical care Nursing Department, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran.
Abstract:   (541 Views)
Introduction: In the education of medical sciences- e g, nursing, the main goal is to train students who can make the best decisions with high thinking skills (critical thinking), integrating information, and using sound clinical reasoning while relying on evidence.
Objectives: The current study aimed at investigating the effect of teaching clinical reasoning on the critical thinking skill of undergraduate nursing students who took the course of emergency nursing in disasters and events.
Materials and Methods: The current quasi-experimental study was conducted on 27 undergraduate students of the 6th semester in Aja Nursing Faculty enrolled in a full-scale study in 2018. The critical thinking styles of students were assessed using the California critical thinking questionnaire before and two weeks after training. The clinical reasoning training program was presented using a repeat hypothesis model in five educational sessions. Data were analyzed by SPSS software version 23 using paired samples t-test.
Results: In the present study, the mean and standard deviation scores of critical thinking were respectively 7.63 ± 2.02 and 7.9 ± 3.36 before and after the training program. There was a significant difference between before and after mean scores of critical thinking education (P = 0.047); training with clinical reasoning method improved the critical thinking skills compared to the study onset in the students.
Discussion and Conclusion: The critical thinking level of nursing students increased significantly after receiving educations with the method of clinical reasoning compared to the study onset level. It can be concluded that this educational method, like other active teaching methods, can improve critical thinking in nursing students. It is hoped that using this method will be an effective step toward better learning of the students and improving the performance of nurses in clinical practice.
Keywords: Critical Thinking, Clinical Reasoning, Teaching Methods, Nursing Students.
Full-Text [PDF 342 kb]   (207 Downloads)    
Type of Study: Research | Subject: Special
Received: 2019/06/3 | Accepted: 2019/06/16 | Published: 2019/12/31
References
1. Elahi N, Alhani F, Ahmadi F. Challenges to effective teaching, reflection on experience, and perceived nursing: a content analysis. J Qualitative Res Health Sci. 2012;1(3):229-39.
2. Bahmanpour K, Navipour H, Ahmadi F, Kazemnejad A. A concept analysis of critical thinking in clinical nursing. Sci J Kurdistan Univ Med Sci. 2017;22(2).
3. Amini M, Moghadam M, Lotfi F, Kazempour R, Abdolfathi E. Comparison between key feature exam and multiple choice questions in internal medicine department of Shiraz University of medical sciences. Hormozgan Med J. 2013;17(3):265-72.
4. Habibzadeh H, Mohammadpour Y, Khalkhali H, Khajehali N. Effect of evidence-based nursing training on nursing students ability in executive skill of nursing process in Urmia University of Medical Sciences, 2013. J Urmia Nurs & Midwifery Faculty. 2013;11(4):284-92.
5. Rezaei R, Saatsa S, Sharif Nia SH, Molookzadeh S, Beheshti Z. Evaluation of nursing Students, critical thinking skills in mazandaran university of medical sciences. Biannual J Med Educat Develop Center (edc) Babol Univ Med Sci. 2014;2(1):29-34.
6. Habibzadeh H, Rasuli D, Moradi Y. The Effect of Concept Mapping Teaching Method on Critical Thinking Skills of Nursing Students. J Urmia Nurs & Midwif Faculty. 2014;12(5):379-85.
7. Tanner CA, Lindeman CA. Research in nursing education: assumptions and priorities. J Nurs Educ. 1987;26(2):50-9. [PubMed]
8. Higgs J, Jones MA, Loftus S, Christensen N. Clinical Reasoning in the Health Professions E-Book: Elsevier Health Sciences; 2008.
9. Hoseinzadeh E, Hamidi Y, Roshanaie G, Cheraghi P, Taghavi M. Evaluation of student satisfaction from Hamadan University of medical sciences educational process and programs in 2012-2011. Pajouhan Scientific J. 2013;11(3):37-44.
10. Aliye S. Iran Nursing Continuing Undergraduate Curriculum: Deputy for Education Ministry of Health and Medical Education. 2014
11. Akhoundzadeh K, Ahmari Tehran H, Salehi S, Abedini Z. Critical thinking in nursing education in Iran. Iranian J Med Educat. 2011;11(3):210-21.
12. Facion P, Facion N. The California critical thinking skills test: form A and form B, test manual. Millbrae: California Academic Press; 1993.
13. Ghanbari A, Monfared A, Hoseinzadeh T, Moaddab F, Sedighi A. The impact of the nursing process education on critical thinking of nursing students. Research in Med Educat. 2017;9(2):25-33. [DOI]
14. Paryad E, Javadi N, Fadakar K, Asiri S. Relationship between critical thinking and clinical decision making in nursing students. Iran J Nursing. 2011;24(73):63-71.
15. Hasanpour M, Hasanzadeh A, Ghaedi Heidari F, Bagheri M. Critical Thinking Skills of Nursing Students. Iran Journal of Nursing. 2015;28(93):22-31. [DOI]
16. Mobasher M, Mahdaviniya J, Zendehdel K. ethics, medical research, Helsinki Declaration, informed consent. Iranian J Med Ethics and History of Medicine. 2012;5(1):62-8.
17. Noohi E, Abaszadeh A. Effect of patient-centered collaborative learning on students' scores of the nursing process and critical thinking of nursing trainers. J Medical Educat & Develop. 2013;8(3):53-62.
18. Adib-Hajbaghery M, Sharifi N. Effect of simulation training on the development of nurses and nursing students' critical thinking: A systematic literature review. Nurse Educ Today. 2017;50:17-24. [DOI] [PubMed]
19. Momeni H, Salehi A, Sadeghi H. Comparing the Effect of Problem Based Learning and Concept Mapping on Critical Thinking Disposition of Nursing Student. Educat Strategies in Med Sci. 2017;10(4):234-44.
20. Dehghanzadeh S, Jafaraghaie F, Khordadi Astane H. The Effect of Flipped Classroom On Critical Thinking Disposition in Nursing Students. Iranian J Med Educat. 2018;18:39-48.
21. Sadeghi-Gandomani H, Delaram M, Naseri-Brugeni N. Comparison of concept mapping and conventional teaching methods on creativity of nursing students. J Med Educat & Develop. 2014;9(3):48-57.
22. Shabouni Z, Nouhi E, Okhovati M. The Effect of Team-Based Learning in Medical Information Systems Course on Academic Achievement in Postgraduate Students of Kerman University of Medical Sciences, Iran. sdmej. 2016;13(1).
23. Raoufi S, Farhadi A, Sheikhian A. Impact of the team effectiveness design of teaching on critical thinking, self-confidence and learning of nursing students. J Med Educat & Develop. 2014;9(2):23-32.
24. Zhang C, Fan H, Xia J, Guo H, Jiang X, Yan Y. The Effects of Reflective Training on the Disposition of Critical Thinking for Nursing Students in China: A Controlled Trial. Asian Nurs Res (Korean Soc Nurs Sci). 2017;11(3):194-200. [DOI] [PubMed]
25. 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;68:16-24. [DOI] [PubMed]
26. Kaddoura M, Van-Dyke O, Yang Q. Impact of a concept map teaching approach on nursing students' critical thinking skills. Nurs Health Sci. 2016;18(3):350-4. [DOI] [PubMed]
27. Alamrani MH, Alammar KA, Alqahtani SS, Salem OA. Comparing the Effects of Simulation-Based and Traditional Teaching Methods on the Critical Thinking Abilities and Self-Confidence of Nursing Students. J Nurs Res. 2018;26(3):152-7. [DOI] [PubMed]

Ethics code: IR.AJAUMS.REC.1397.058



XML   Persian Abstract   Print



Volume 6, Issue 3 (Military Caring Sciences 2019) Back to browse issues page