Browse > Article
http://dx.doi.org/10.13160/ricns.2019.12.2.58

Effects of a Critical Thinking Course for Korean Nurses in RN-BSN Program  

Je, Nam-Joo (Department of Nursing, Changshin University)
Lee, Shin-Young (College of Nursing, Chosun University)
Lee, Seonah (College of Nursing, Chonnam National University)
Publication Information
Journal of Integrative Natural Science / v.12, no.2, 2019 , pp. 58-68 More about this Journal
Abstract
Critical thinking is essential to implementing the nursing process requiring timely decision making. The study examined the effects of a critical thinking course for nurses in the RN-BSN program. The study used a pre- and post-test design with a control group. The experimental group was a convenience sample of 24 working nurses attending a health college. The control group was 24 fellow nurses. The nursing process-based critical thinking course was provided to the experimental group two and half hours a week for 8 weeks. Teaching methods included lectures followed by a summary and quiz, brainstorming and action learning, and lecturer feedback. A pamphlet about views of professional occupation was provided to the control group. The data were collected using self-report questionnaires and analyzed to examine differences in the test scores before and after the intervention. The scores of critical thinking disposition, problem-solving process, and clinical competence increased significantly in the experimental group but did not in the control group. The difference between the two groups was also statistically significant in critical thinking disposition, problem-solving process, and clinical competence. It is necessary that a robust educational program or training to enhance critical thinking ability of nurses are provided in clinical settings and that nurses keep going on thinking critically in their practice.
Keywords
Critical Thinking; Education; Nurse; Nursing Process; RN-BSN Program;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 J.W. Distler, "Critical Thinking and Clinical Competence: Results of the Implementation of Student-Centered Teaching Strategies in an Advanced Practice Nurse Curriculum", Nurse Education in Practice, Vol.7, No.1, pp. 53-59, 2007.   DOI
2 K.P. Suresh, "An Overview of Randomization Techniques: An Unbiased Assessment of Outcome in Clinical Research", Journal of Human Reproductive Sciences, Vol.4, No.1, pp. 8-11, 2011.   DOI
3 F. Faul, E. Erdfelder, A. Buchner, and A.G. Lang, "Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses", Behavior Research Methods, Vol.41, No.4, pp. 1149-1160, 2009.   DOI
4 J. Yoon, "Development of an Instrument for the Measurement of Critical Thinking Disposition," Master's Thesis, Catholic University, 2004.
5 W.-S. Lee, S.-H. Park, and E.-Y. Choi, "Development of a Problem-Solving Process Inventory for Adults", Journal of Korean Academy of Fundamentals of Nursing, Vol.15, No.4, pp. 548-557, 2008.
6 J.-A. Park, "A Study on the Critical Thinking Disposition and Clinical Competency in General Hospital Nurses", Master's Thesis, Ulsan University, 2008.
7 J.-J. Kim, Nursing Process and Critical Thinking (4th ed.), Seoul: Hyunmoonsa, 2008.
8 E. Park, Critical Thinking, Clinical Reasoning, and Clinical Judgment, Seoul: Hyunmoonsa, 2017.
9 M.-H. Seong, Y.-H. Hong, H.-M. Jeong, and Y.-H. Kim, Application of Nursing Process, Seoul: Soomoonsa, 2017.
10 H. Besant, "The Journey of Brainstorming", Journal of Transformative Innovation, Vol.2, No.1, pp.1-7, 2016.
11 D.M. Ruebling, "Action Learning: Creating the Connection between Good Intentions and Great Execution", GAMA International Journal, 2007. Available at https://www.rueblinggroup.com/pdf_articles/action_learning.pdf
12 Centre for Teaching Excellence, "Promoting Effective Classroom Participation", n.d., Available at https://uwaterloo.ca/centre-for-teachingexcellence/teaching-resources/teaching-tips/assessing-student-work/grading-and-feedback/promoting-effective-participation.
13 A. Ghasemi and S. Zahediasl, "Normality Tests for Statistical Analysis: A Guide for Non- Statisticians", International Journal of Endocrinology and Metabolism, Vol.10, No.2, pp. 486-489, 2012.   DOI
14 W.H. LaMorte, "Nonparametric Tests. 2017. Available at http://sphweb.bumc.bu.edu/otlt/mph-modules/bs/bs704_nonparametric/BS704_Nonparametric4.html.
15 J.H. McDonald, "Handbook of Biological Statistics" (3rd ed., pp. 186-189), Maryland, MD: Sparky House Publishing, 2014.
16 A. Hart, "Mann-Whitney Test Is Not Just a Test of Medians: Differences in Spread can be Important", BMJ, Vol. 323, pp. 391-393, 2001.   DOI
17 A.J. Vickers, "Parametric versus Non-Parametric Statistics in the Analysis of Randomized Trials with Non-Normally Distributed Data", BMC Medical Research Methodology, Vol.5, No.35, 2005. Available at http://www.biomedcentral.com/1471-2288/5/35
18 M.-J. Chang, Y.-J. Chang, S.-H. Kuo, Y.-H. Yang, and F.-H. Chou, "Relationship between Critical Thinking Ability and Nursing Competence in Clinical Nurses", Journal of Clinical Nursing, Vol.20, pp. 3224-3232, 2011.   DOI
19 M.A. Kaddoura, "Effect of the Essentials of Critical Care Orientation (ECCO) Program on the Development of Nurses' Critical Thinking Skills", Journal of Continuing Education in Nursing, Vol.41, No.9, pp. 424-432, 2014.   DOI
20 K.-S. Jang and S.-J. Park, "Effects of Action Learning Approaches on Learning Outcomes in Nursing Management Courses", Journal of Korean Academy of Nursing Administration, Vol.18, No.4, pp. 442-451, 2012.   DOI
21 W.R. Shadish, T.D. Cook, and D.T. Campbell, Experimental and Quasiexperimental Designs for Generalized Causal Inference, Boston, MA: Houghton Mifflin Company, 2002.
22 P.A. Facione, "Critical Thinking: A Statement of Expert Consensus for Purposes of Educational Assessment and Instruction", Newark, DE: Educational Resources Information Center, American Philosophical Association, 1990. Available at https://eric.ed.gov/?id=ED315423.
23 B. Shoulders, C. Follett, and J. Eason, "Enhancing Critical Thinking in Clinical Practice: Implications for Critical and Acute Care Nurses", Dimensions of Critical Care Nursing, Vol.33, No.4, pp. 207-214, 2014.   DOI
24 B.P. Black, "Chapter 8 Critical Thinking, the Nursing Process, and Clinical Judgment", In B. Black & K.K. Chitty (Eds.), Professional Nursing: Concepts & Challenges (6th ed.), Saint Louis, MO: Saunders Elsevier, pp. 171-192, 2010.
25 I.V. Papathanasiou, C.F. Kleisiaris, E.C. Fradelos, K. Kakou, and L. Kourkouta, "Critical Thinking: The Development of an Essential Skill for Nursing Students". Acta Informatica Medica, Vol.22, No.4, pp. 283-386, 2014.   DOI
26 K. LaMartina and P. Ward-Smith, "Developing Critical Thinking Skills in Undergraduate Nursing Students: The Potential for Strategic Management Simulations", Journal of Nursing Education and Practice, Vol.4, No.9, pp. 155-162, 2014.
27 B. Yildirim and S. Ozkahraman, "Critical Thinking in Nursing Process and Education", International Journal of Humanities and Social Science, Vol.1, No.13, pp. 257-262, 2011.
28 J. Profetto-McGrath, "The Relationship of Critical Thinking Skills and Critical Thinking Dispositions of Baccalaureate Nursing Student", Journal of Advanced Nursing, Vol.43, No.6, pp. 569-577, 2003.   DOI
29 N.C. Facione and P.A. Facione, Critical Thinking and Clinical Reasoning in the Health Sciences: An International Multidisciplinary Teaching Anthology, Millbrae, CA: The California Academic Press LLC, pp. 1-13, 2008.
30 B.L. Hooper, "Using Case Studies and Videotaped Vignettes to Facilitate the Development of Critical Thinking Skills in New Graduate Nurses", Dissertation Thesis, Allendale, MI: Grand Valley State University, 2012.
31 M.M. Chabeli, "Facilitating Critical Thinking within the Nursing Process Framework: A Literature Review", Health Sa Gesondheid. Vol.12, No.4, pp. 69-89, 2007.   DOI
32 M.A. McMullen and W.F. McMullen, "Examining Patterns of Change in the Critical Thinking Skills of Graduate Nursing Students", Journal of Nursing Education, Vol.48, No.6, pp. 310-318, 2009.   DOI
33 B. Swinny, "Assessing and Developing Critical-Thinking Skills in the Intensive Care Unit", Critical Care Nursing Quarterly, Vol.33, No.1, pp. 2-9, 2010.   DOI
34 R.C. Feng, M.J. Chen, M.C. Chen, and Y.C. Pai, "Critical Thinking Competence and Disposition of Clinical Nurses in a Medical Center". Journal of Nursing Research, Vol.18, No.2, pp.77-87, 2010.   DOI
35 L.M. Searing and W.C. Kooken, "The Relationship between the California Critical Thinking Disposition Inventory and Student Learning Outcomes in Baccalaureate Nursing Students", Journal of Nursing Education, Vol.55, No.4, pp. 224-226, 2016   DOI
36 S. Zori, L.J. Nosek, and C.M. Musil, "Critical Thinking of Nurse Managers related to Staff RNs' Perceptions of the Practice Environment", Journal of Nursing Scholarship, Vol.42, No.3, pp. 305-313, 2010.   DOI
37 S. Zori, N. Kohn, K. Gallo, and M. Friedman, "Critical Thinking of Registered Nurses in a Fellowship Program", Journal of Continuing Education in Nursing, Vol.44, No.8, pp. 374-380, 2013.   DOI
38 R.Y. Wood and C.E. Toronto, "Measuring Critical Thinking Dispositions of Novice Nursing Students Using Human Patient Simulators", Journal of Nursing Education, Vol.51, No.6, pp. 349-352, 2012.   DOI
39 J. Naber and T.H. Wyatt, "The Effect of Reflective Writing Interventions on the Critical Thinking Skills and Dispositions of Baccalaureate Nursing Students", Nurse Education Today, Vol.34, pp. 67-72, 2014.   DOI
40 C.L. Raymond and J. Prefetto-McGrath, "Nurse Educators' Critical Thinking: Reflection and Measurement", Nurse Education in Practice. Vol.5, No.4, pp. 209-217, 2005.   DOI
41 H.-S. Kim, "Effects of the Nursing Process Education Program on Critical Thinking Dispositions of the Nursing Students", Journal of the Korean Data Analysis Society, Vol.17, No.1, pp. 561-574, 2015.
42 Y.-J. Yi, "Comparison of Effects of Nursing Process Reeducation according to Academic Credit Bank System Student Nurses' Clinical Experience: Expertise, Critical Thinking Disposition, Clinical Decision Making", Journal of Korean Academy of Nursing Administration, Vol.15, No.2, pp. 275-283, 2009.
43 H.-R. Choi and D.-S. Cho, "Influence of Nurses' Performance with Critical Thinking and Problem-Solving Process", Korean Journal of Women Health Nursing, Vol.17, No.3, pp. 265-274, 2011.   DOI
44 J.-A. Park and B.-J. Kim, "Critical Thinking Disposition and Clinical Competence in General Hospital Nurses", Journal of Korean Academy of Nursing, Vol.39, No.6, pp. 840-850, 2009.   DOI
45 S.-K. Chaung, "Critical Thinking Disposition, Problem-Solving Ability, and Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol.18, No.1, pp. 71-78, 2011.
46 K.-J. Kang, E.-M. Kim, and S.-A. Ryu, "Factors Influencing Clinical Competence for General Hospital Nurses", The Journal of the Korea Contents Association, Vol.1, pp. 284-293, 2011.
47 A.-N. Park, K.-H. Chung, and W.-G. Kim, "A Study on the Critical Thinking Disposition, Self-Directed Learning Readiness and Professional Nursing Competency", Journal of Korean Academy of Nursing Administration, Vol.22, No.1, pp. 1-10, 2016.   DOI
48 S.-M. Park and I.-G. Kwon, "Factors Influencing Nurses' Clinical Decision Making: Focusing on Critical Thinking Disposition", Journal of Korean Academy of Nursing, Vol.37, No.6, pp. 863-871, 2007.   DOI
49 M.-H. Sung and O.-B. Eum, "Relationships between Critical Thinking Disposition, Professional Nursing Competence and Job Satisfaction in Clinical Nurses", Journal of Korean Academy of Nursing Administration, Vol.15, No.1, pp. 26-36, 2009.
50 M.-S. Kwon, "The Influence of Self-Directed Learning & Critical Thinking Disposition on Clinical Competence in Nursing Students", Journal of Korean Academic Society of Nursing Education, Vol.17, No.3, pp. 387-394, 2011.   DOI
51 K. Shin and B.-H. Cho, "Professional Self-Concept, Critical Thinking Disposition and Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol.19, No.1, pp. 46-56, .2012.   DOI
52 L. Whelan, "Competency Assessment of Nursing Staff", Orthopaedic Nursing, Vol.25, No.3, pp. 198-202, 2006.   DOI