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The importance of critical thinking in nursing
NURS 491 - Nursing Management (D)
Liberty University
Name
2022
The importance of critical thinking in nursing
Rapidly changing trends and different areas of health care require professional nurses to
develop critical thinking (Yuan, Williams, & Fan 2008). Caring for patients with various diseases is one of
the complex processes, and critical thinking is one of the solutions to such complex processes, so there
is a need for the development of critical thinking in nursing education and care. In addition, critical
thinking is critical not only in nursing, but in all areas of medicine (Yurdanur 2016.) Nurses must be
effective in coping with complex changes, increased demands and greater accountability; they must
have higher level thinking and reasoning skills (Kieft, Brouwer, Francke, & Delnoij 2014.)
The ever changing nature of the medical field, along with the need to care for the patient in
tandem with an evidence based approach, requires a high degree of competence, which is of great
importance in education and professional practice. A number of international organizations have taken a
position to place greater emphasis on critical thinking. Critical thinking is one of the main elements in
nursing practice. The use of critical thinking in clinical practice contributes to the development of
competencies and professional activities of nurses. However, critical thinking improves the quality of
patient care by nurses. The scoping review by Zuriguel Pérez, Lluch Canut, Falcó Pequeroles, Puig Llobet,
Moreno Arroyo, and Roldán Merino (2014) noted that there was insufficient research in the field of
critical thinking in nursing practice. Critical thinking is a basic skill, but it is difficult to acquire or measure
in nursing practice even though critical thinking skills are an important part of nursing. Correct decision
making in the patient's situation, organization of care, and the positive results of patient care largely
depend on the critical thinking of the nurse. In many countries, employers require medical graduates to
be able to think critically.
Many tools are being developed to determine the level of critical thinking, and these tools
provide opportunities for educators and clinical employers to get a nurse to reach a certain level of
critical thinking. In addition, these tools will help determine the level 5 of critical thinking skills that the
graduates have achieved when they take over. Students of higher professional colleges should be well
prepared for further self development, strive for different ways to achieve goals, independence and
independent decision making, and have a sense of responsibility. One of the main tasks of colleges at
the present stage is to obtain not only knowledge and skills but also the disclosure of the abilities of
each student, who will always be ready for life in a high tech, competitive world (Miftakhov &
Gilyazetdinov 2018.) In Kazakhstan, there are transformations and reforms in all spheres, including in
nursing. The goal of the nursing reform is to raise the level of nurses to the international level. For this
purpose, changes in the educational process of nurses in higher medical colleges are implemented to
train highly competitive, competent nurses in Kazakhstan.
To do this, nursing students need to be taught professional thinking, flexibility of thinking,
awareness, patience, tolerance, deep analysis of the information received, and the selection of true and
false. (Comprehensive plan for the development of nursing in the Republic of Kazakhstan until 2020,
2014) In this regard, there is a need for the formation of critical thinking of nursing students. The
purpose of this thesis is to determine the level of critical thinking of nursing students at the
undergraduate level and in traditional education, and to give recommendations to teachers of medical
colleges for the development of critical thinking of nursing students.
Nurses work in a complex, intensively changing situation. The healthcare system is described by
continuous technological growth, changes, and new knowledge and treatment techniques emerging
constantly. Critical thinking skills are essential to enable nurses to function as needed in this
environment, to hold on to and develop in a profession whose field of expertise is never stagnant, and
the number of professional staff is never sufficient. Critical thinking is defined as “purposeful, self
regulatory judgement; an interactive, reflective, reasoning process of making a judgement about what
to believe or do". According to Yildirim and Özkahraman (2011), Yahiro and Saylor (1994) have defined
critical thinking in care as follows: "the critical thinking process is reflective and reasonable thinking
about nursing problems without a single solution and is focused on deciding what to believe and do".
Critical thinking is “the intellectually disciplined process of actively and skillfully conceptualizing,
applying, analyzing, synthesizing, and/or evaluating information".
Some scientists have suggested that critical thinking is "the art of thinking about your thinking
while you are thinking in order to make your thinking better: clearer, more accurate and more
defensible". The authors of different articles (Scriven, & Paul 2016, Paul, & Elder 2013) have given many
definitions of critical thinking. But, in general, their meanings are almost the same: critical thinking is
one of the types of intellectual activities of a person, which is characterized by a high level of perception,
understanding, and objectivity of approach to his environment. It is important to use and develop
critical thinking skills since such skills increase the likelihood of obtaining the desired result. It turns out
that nursing students rarely face difficulties in mastering clinical practice skills but may face problems
with reaching proficiency in critical thinking and academic writing skills. Therefore, most educators
around the world pay more attention to the problems of critical thinking in higher education and the
ability to effectively apply critical thinking in the performance of work.
According to Drennan (2010), critical thinking is one of the main results that students must
achieve after completing a master’s education program. The nursing training program considers critical
thinking as a central outcome for graduates. Despite the key place of critical thinking in patient care
training programs, there is no specific way to see if this result is actually achieved. Critical thinking is
needed not only in clinical practice but also in the training of nurses at different levels of education. It
helps nurses in the future to develop their ability to think critically. So today, different ways and
methods are considered to develop critical thinking in learning. The most important task for researchers
is to develop tools to assess critical thinking in the field of nursing. All students who move on to the final
year will need to develop critical thinking to provide quality care in a challenging healthcare
environment. While developing critical thinking skills, students also learn the ability to think logically.
Learning critical thinking skills may seem like a time consuming process at first, but once learned, it can
be quickly applied to one’s profession. Thus, students develop their ability to be flexible in difficult
situations.
Nurses can diagnose, evaluate, and intervene in clinical situations by making appropriate
decisions. Critical thinking is a crucial skill in the diagnosis process on the part of nurses. It certainly
influences the nurses’ further actions, such as analysis, evaluation, and conclusion. This means that
nurses should strive to improve critical thinking to ensure a greater degree of accuracy in nursing
diagnoses. Starting from the first year, a novice student nurse intervenes in the nursing process. Then
the first course begins with the development of critical thinking. As the course progresses, the critical
thinking skills of nursing students develop. If nurses do not have critical thinking skills at the end of their
final year, this can pose a serious problem for employers. Every day the health sector is becoming more
difficult, so you need competent nurses who have the skills of logical thinking. Critical thinking is more
than going over a checklist, and it is very important to study all the factors that improve critical thinking
skills. Clinical practice has a positive effect on critical thinking.
Clinical conditions should be comfortable for both the nurse and the patient. Thus, the practice
must be effective and productive for both the nursing workers and students. For the development of
critical thinking among students, teachers can create their own method or add various teaching
methods for critical thinking to their traditional lecture courses. However, there are some barriers, such
as lack of time to prepare 8 the course and not knowing how to switch from a traditional lecture format
to an interactive environment (Heath & Weege, 2017). It is very important to develop strategies and
methods to improve the critical thinking of nursing students as well as to increase the competence of
nursing teachers.
Teaching critical thinking to nursing students is important, and learning these skills should begin
as early as possible. After all, these cognitive skills contribute to improving the health of patients (Chan
2013). Critical thinking is a process that uses different approaches to solve identified problems and
requires the ability to use reflective thinking and logical problem solving. Critical thinking is an action
consisting of elements of cognition and behavior. To achieve this level of thinking requires knowledge,
time, and experience. However, since each student is unique in their critical thinking, nursing educators
should treat students as individuals and use individual assessment methods to assess the level of critical
thinking. In addition, a variety of assessment methods increases the validity and accuracy of the
assessment. These assessment methods should also be incorporated into nursing courses (Paul 2014.)
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