Browse > Article
http://dx.doi.org/10.5977/jkasne.2019.25.3.378

A Review for Concept Clarification of Critical Thinking, Clinical Reasoning, and Clinical Judgment in Nursing Education  

Lee, Dongsuk (College of Nursing, Kangwon National University)
Park, Jiyeon (College of Nursing, Kangwon National University)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.25, no.3, 2019 , pp. 378-387 More about this Journal
Abstract
Purpose: This article is a comprehensive review for concept clarification of critical thinking, clinical reasoning, and clinical judgment, which still lack a consensus and are of mixed use. Methods: Norris's method of concept clarification was used to review concepts that have no clear definition or conceptualization yet. Results: This review summarized literature from various disciplines, classified each concept based on similarities and differences, and provided hypothetic conceptual schema. Conclusion: Clinical reasoning and clinical judgment are clinical situation specific concepts, while critical thinking is a concept applied in general situations. Critical thinking is a broader concept and serves as a foundation for clinical reasoning and clinical judgment. Clinical reasoning precedes clinical judgment. Clinical judgement implies the end point or conclusion of clinical reasoning. Each of critical thinking, clinical reasoning, and clinical judgment is a cognitive and affective process not a psychomotor process. The concept of clinical competency involves action taken after the cognitive processes of clinical reasoning and clinical judgment.
Keywords
Critical thinking; Clinical reasoning; Clinical judgment; Clinical competency; Nursing education;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 You, S. Y., & Kim, N. C. (2014). Development of critical thinking skill evaluation scale for nursing students. Journal of Korean Academy Nursing, 44(2), 129-138.   DOI
2 Alfaro-LeFevre, R. (2014). Applying nursing process: The foundation for clinical reasoning (8th ed.). Philadelphia, PA: Wolters Kluwer Health.
3 Banning, M. (2008). Clinical reasoning and its application to nursing: Concepts and research studies. Nurse Education in Practice, 8, 177-183.   DOI
4 Barrett, C., & Myrick, F. (1998). Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee. Journal of Advanced Nursing, 27(2), 364-371.   DOI
5 Berman, A., Snyder, S., & Frandsen, G. (2016). Kozier & Erb's fundamentals of nursing: Concepts, process, and practice (11th ed.). Edinburgh-Gate, England: Pearson.
6 D'Zurilla, T. J., & Nezu, A. M. (1990). Development and preliminary evaluation of the social problem-solving inventory Psychological Assessment. A Journal of Consulting and Clinical Psychology, 2(2), 156-163.
7 Education Research Institute Seoul National University (Ed.). (1995). Encyclopedia of education. Seoul: Howdongseol.
8 Facione, P. A. (1990). American Philosophical Association delphi research report (ED 315 423) - Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction. Millbrae, CA: The California Academic Press.
9 Fonteyn, M. E., & Ritter, B. J. (2008). Clinical reasoning in nursing. In J. Higgs, M. Jones, S. Loftus, & N. Christensen (Ed.). Clinical reasoning for health professionals (pp. 235-244). Boston: Elsevier.
10 Hawkins, D., Elder, L., & Paul, R. (2013). The thinker's guide to clinical reasoning. CA: Foundation for Critical Thinking Press.
11 Hur, H. K., & Roh, Y. S. (2013). Effects of simulation based clinical reasoning practice program on clinical competence in nursing students. Korean Journal of Adult Nursing, 25(5), 574-584.   DOI
12 Kuiper, R. A., & Pesut, D. J. (2004). Promoting cognitive and metacognitive reflective reasoning skills in nursing practice: self-regulated learning theory. Journal of Advanced Nursing, 45(4), 381-391.   DOI
13 Joung, J. W., & Han, J. W. (2017). Validity and reliability of a Korean version of nurse clinical reasoning competence scale. Journal of the Korea Academia-Industrial Cooperation Society, 18(4), 304-310.   DOI
14 Kim, J. A., & Ko, J. K. (2015). A study on clinical reasoning ability and academic achievements in nursing students. Journal of the Korea Academia-Industrial Cooperation Society, 16(3), 1874-1883.   DOI
15 Korean Accreditation Board of Nursing Education. (2019, July 01). Accreditation of nursing education. Retreived from: http://www.kabone.or.kr/kabon02/index.php
16 Lackey, R. N. (2000). Concept clarification: Using the Norris method in clinical research. In B. L. Rogers & K. A. Knafl (Ed.), Concept development in nursing (pp. 193-208). Philadelphia, PA: W. B. Saunders Company.
17 Lasater, K. (2007). Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education, 46(11), 496-503.   DOI
18 Lee, J. H., & Choi, M. (2011). Evaluation of effects of a clinical reasoning course among undergraduate nursing students. Korean Journal of Adult Nursing, 23(1), 1-9.
19 Liou, S. R., Liu, H. C., Tsai, H. M., Tsai, Y. H., Lin, Y. C., Chang, C. H., et al. (2016). The development and psychometric testing of a theory-based instrument to evaluate nurses' perception of clinical reasoning competence. Journal of Advanced Nursing, 72(3), 707-717.   DOI
20 Oh, I., & Kim, J. H. (2016). Impacts of critical thinking disposition and nursing work environment on nurses' clinical decision making abilities. Journal of Korean Academic Society of Nursing Education, 22(3), 304-315.   DOI
21 Shin, K. R., Hwang, J. W., & Shin, S. J. (2008). Concept analysis on the clinical critical thinking ability in nursing, Korean Journal of Adult Nursing, 20(5), 707-718.
22 Possin, K. (2014). Critique of the Watson-Glaser Critical Thinkng Appraisal Test: The more you know, the lower your score. Informal Logic, 34(4), 393-416.   DOI
23 Rhodes, M. L., & Curran, C. (2005). Use of the human patient simulator to teach clinical judgment skills in a baccalaureate nursing program. CIN: Computers, Informatics, Nursing, 23(5), 256-262.   DOI
24 Seo, M. G. (2013). A study on class design of clinical critical thinking: Focusing on critical thinking skills for nursing education. Korean Journal of General Education, 7(5), 317-341.
25 Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, March 2010, 1151-1158.
26 Sommers, C. L. (2018). Measurement of critical thinking, clinical reasoning, and clinical judgment in culturally diverse nursing students - A literature review. Nurse Education in Practice, 30, 91-100.   DOI
27 Tanner, C. A. (2006). Thinking like a nurse: A research based model of clinical judgement in nursing. Journal of Nursing Education, 45(6), 204-211.   DOI
28 Victor-Chmil, J. (2013). Critical thinking versus clinical reasoning versus clinical judgment: Differential diagnosis. Nurse Educator, 38(1), 34-36.   DOI
29 Yoon, J. (2004). Development of an instrument for the measurement of critical thinking disposition: In nursing. Unpublished doctoral dissertation, Catholic University, Seoul.