Conceptualisation as basis for the development ofcritical thinking within the nursing perspective

  • Authors

    • Louise Pretoruis University of Namibia
    • Agenes Van Dyk International University of Mangaement
    • Luis Small univerity of Namibia
    • Hans Justus Amukugo University of Namibia
    2016-10-14
    https://doi.org/10.14419/ijans.v5i2.6555
  • Conceptualisation, Development, Critical Thinking Nursing Perspective.

  • Abstract

    The purpose of this article is to present the conceptualise empirical findings arrived at from the needs assessment (phase 1), which reflected the application of critical thinking skills by the respondents. The ultimate aim was to develop an educational programme to facilitate critical thinking in nursing practice. Conceptualization as the definition of key concepts in a study with a view to integrating one’s research into conceptual frameworks.

    The findings revealed six main concepts and their related sub-concepts. These concepts included interpretation, analysis, evaluation, inference, explanation and self-regulation. These concepts were inferred from the deduction by the researcher. These concepts were the results of the concept analysis of critical thinking by 46 experts directed by Facione together with the related dispositions. These six main concepts constituted the framework within which the educational programme was developed. The following steps were followed during the conceptualization namely concepts synthesis, clarification of the concepts, interpretation of the concepts, analysis of the concepts, evaluation of the concepts, interference/ conclusion, explanation, self – regulation and critical approaches.

    Author Biography

    • Hans Justus Amukugo, University of Namibia

      Dr Hans Justus Amukugo holds a PhD in Nursing Science from the University of Namibia.  He is specializing in Nursing science, education and health service management. Currently he is a lecturer, member of Unam postgraduate committee, supervisor for master and PhD students teach research methodology, co- coordinator of undergraduate and postgraduate research activities at the School of nursing and Public health. His research interests are qualitative research, model, and theory and programme development in health perspectives. E – Mail address: hamukugo@unam.na

  • References

    1. [1] Mouton, J. (1998). Understanding social research. Pretoria. Van Schaik.

      [2] De Vos, A. (2002 a). Intervention research. In A.S. De Vos (Ed.), Research at grass roots: For the social sciences and human service professions (2nd ed., pp.114–126). Pretoria: Van Schaik.

      [3] De Vos, A. (2002 b). Scientific theory and professional research. In A.S. De Vos (Ed.), Research at grass roots: For the social sciences and human service professions (2nd ed., pp.28-48). Pretoria: Van Schaik.

      [4] Rubenfeld, G.M., & Scheffer, B.K. (1999). Critical thinking in nursing: An interactive approach. (2nd ed). Philadelphia: Lippincott, Williams & Wilkins.

      [5] Shin, K.R. (1998). Critical thinking ability and clinical decision–making skills among senior nursing students in associate and baccalaureate programmes in Korea. Journal of Advanced Nursing, 27, 414–418. http://dx.doi.org/10.1046/j.1365-2648.1998.00499.x.

      [6] Alfaro–Le Fevre, R. (2004 b). Critical thinking and clinical judgment. (3rd ed.). St. Louis, Missouri: Saunders.

      [7] Brown, K., & Rutter, L. (2004). Critical thinking and analysis. A guide to enhancing reflection, learning and writing for post qualifying social work programmes. Dorset: Bournemouth University. Institute of Health and Community Studies

      [8] Thurmond, V.A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375–388 http://dx.doi.org/10.1177/089801010101900406.

      [9] Thurmond, V.A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375–388 http://dx.doi.org/10.1177/089801010101900406.

      [10] Simpson, E., & Courtney, M. (2002). Critical thinking in nursing education: A literature review. International Journal of Nursing Practice, 8(2), 89–98. Retrieved September 13, 2006, from http://eprints.qut.edu.au/archi.PDF. http://dx.doi.org/10.1046/j.1440-172x.2002.00340.x.

      [11] Salmon, M. (2002). Introduction to logic and critical thinking. (4th ed). Mexico: Thomson Learning.

      [12] Brown, K., & Rutter, L. (2004). Critical thinking and analysis. A guide to enhancing reflection, learning and writing for post qualifying social work programmes. Dorset: Bournemouth University. Institute of Health and Community Studies.

      [13] Howard College. (2006). Quality enhancement plan: critical thinking … for learning, for earning, for life!. Retrieved March 09, 2007, from http://www.howardcollege.edu/QEP/QEP-Plan .

      [14] Robinson, D.L. (1998). Clinical decision making for nurse practitioners: A case study approach. Washington: Lippincott-Raven.

      [15] Potter, P.A., & Perry, A.G. (1999). Basic nursing. A critical thinking approach. (4th ed). London: Mosby.

      [16] Carroll, R.T. (2007). Teaching critical thinking. Paper presented at Critical Thinking Workshop, Las Vegas. Retrieved May 14, 2007, from www.skepdic.com/essays/teachingCT.pdf.

      [17] Makathini, J.T. (1992). The problem solving process with special application to the clinical setting. Curationis, 15(2), 24–26. http://dx.doi.org/10.4102/curationis.v15i2.357.

      [18] Mpaka, N.M., & Uys, L.R. (1999). The critical thinking ability of diplomats from different types of bridging programmes. Curations, 22(3), 14-20.

      [19] Buchanan, A. (n.d). Integrating critical thinking into the classroom: Access Excellence @ the National Health Museum. Retrieved August 02, 2006 from http:// www.accessexcellence.org/LC/TL/buchanan/html.

      [20] Facione, P.A. (1990). Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction. Research findings and recommendations. Retrieved November 27, 2008, from http://eric.ed.gov.ERICWebPortal/custom/portlets/record.

      [21] Abegglen, J. (1997). Critical thinking in nursing: Classroom tactics that work. Journal of Nursing Education, 36 (10), 452 – 458.

      [22] Cooke, M., & Moyle, K. (2002). Students’ evaluation of problem based learning. Nurse Education Today, 22(4), 330 -339. http://dx.doi.org/10.1054/nedt.2001.0713.

      [23] Walker, S.E. (2003). Active learning to promote critical thinking. Journal of Athletic Training, 38(3), 263–267.

      [24] Alfaro–Le Fevre, R. (2004 b). Critical thinking and clinical judgment. (3rd ed.). St. Louis, Missouri: Saunders.

      [25] Hornby, A.S. (2005). Oxford advanced learner’s dictionary of current English. (7th ed.). Wehmeier, S. (Ed.). New York: Oxford University Press.

      [26] Pond, E., Bradshaw, M.J., & Turner, S. (1991). Teaching strategies for critical thinking. Nurse Education, 16(6), 18–22. http://dx.doi.org/10.1097/00006223-199116060-00007.

      [27] Lipe, S. K., & Beasley, S. (2004). Critical thinking in nursing: A cognitive skills workshop. Philadelphia. Lippincott, Williams & Wilkins.

      [28] Murchù , D. O., & Muirhead, B. (2005). Insights into promoting critical thinking in online classes. Retrieved November 21, 2006, from http://www.itdl.org/Journal/Jun_05/article01.htm.

      [29] Finke, L.M. (1998). Teaching in nursing. In D.M. Billings & J.A. Halstead (Eds.), Teaching in nursing (pp 3-16). Tokyo: Saunders.

      [30] Bandman, E. L., & Bandman, B. (1988). Critical thinking in nursing. Connecticut: Appleton & Lange.

      [31] Walker, L. O., & Avant, C.A. (2005). Strategies for theory construction in Nursing. (4th Ed.). New Jersey: Pearson-Prentice Hall.

      [32] Carlisle, C & Ibbotson, T. (2005). Introducing problem-based learning into research methods teaching: Student and facilitator evaluation. Nurse Education Today, 25 (7), 527–541. http://dx.doi.org/10.1016/j.nedt.2005.05.005.

      [33] Fonteyn, M.E. (1998). Thinking strategies for nursing practice. Philadelphia: Lippincott-Raven.

      [34] Profetto-McGrath, J., Hesketh, K.L., Lang, S., & Estabrooks, C.A. 2003. A study of critical thinking and research utilization among nurses. Western Journal of Nursing Research, 25(3), 322–337. http://dx.doi.org/10.1177/0193945902250421.

      [35] Meyer, S.M., Naude, M., & van Niekerk, S. (2004). The unit manager: A comprehensive guide. Sandton: Heinemann.

      [36] Kozier, B., Erb, G., Berman, A., & Snyder, S.J. (2004). Fundamentals of nursing. Concepts process and practice. (7th ed.). New Jersey. Pearson Education.

      [37] Longacre, S. (n.d). Developing critical thinking in the nursing student using simulated online clinical scenario assignments. Retrieved September 14, 2006, from http://www.ccone.org/scholars/05 - 06/ .

      [38] ADEA (American Dental Education Association). (2006). Educational strategies associated with development of problem solving, critical thinking and self-directed learning. Journal of Dental Education, 70 (9), 925-936.

      [39] Conger, M.M., & Mezza, I. (1996). Fostering critical thinking in nursing students in the clinical setting. Nurse Educator, 21(3), 11–15. http://dx.doi.org/10.1097/00006223-199605000-00005.

      [40] Hawke, M. (2004). Sim-Lab learning stimulates critical thinking. Nursing Spectrum: Career Fitness Online. Retrieved August 30, 2004, from: http://community.nursingspec.com/MagazineArticles/article.

      [41] Hammond, G.T. (2004). Fit to think: conceptual, critical and creative thinking. Retrieved July 01, 2006 from http://www.au.af.mil/au/awc/awgate/awc - thkg.htm.

      [42] Alfaro–Le Fevre, R. (2004). Selfstudy modules: Improving your ability to think critically. Nursing Spectrum:Career fitness [Electronic version]. Retrieved August 06, 2004, from http://nsweb.nursingspectrum.com/ce/ce168.htm.

      [43] Alfaro–Le Fevre, R. (2004 b). Critical thinking and clinical judgment. (3rd ed.). St. Louis, Missouri: Saunders.

      [44] Cowley, S. (2004). Getting the buggers to think. London. MPG Books.

      [45] Robinson, D.L. (1998). Clinical decision making for nurse practitioners: A case study approach. Washington: Lippincott-Raven.

      [46] Sternberg, R.J., & Spear-Swerling, L. (1996). Teaching for thinking. Washington: American Psychological Association. http://dx.doi.org/10.1037/10212-000.

      [47] Lipe, S. K., & Beasley, S. (2004). Critical thinking in nursing: A cognitive skills workshop. Philadelphia. Lippincott, Williams & Wilkins

      [48] Howard College. (2006). Quality enhancement plan: critical thinking … for learning, for earning, for life!. Retrieved March 09, 2007, from http://www.howardcollege.edu/QEP/QEP-Plan.

      [49] Facione, N.C., Facione, P.A., Giancarlo, C.A.F. (1997 (a)). The motivation to think in working and learning. In E. Jones (Ed.), preparing competent college graduates: Setting new and higher expectations for student learning (pp. 67–79). San Fransisco, CA: Jossey–Bass.

      [50] Fonteyn, M.E. (1998). Thinking strategies for nursing practice. Philadelphia: Lippincott-Raven.

      [51] Cronin, P., & Rawlings-Anderson, K. (2004). Knowledge for contemporary nursing practice. Philadelphia: Elsevier Science Limited.

      [52] Paul, R. (1990). Critical thinking. What every person needs to survive in a rapidly changing world. Rohnert Park. Center for Critical Thinking and Moral Critique.

      [53] McKown, L.K. (1997). Improving leadership through better decision making: fostering critical thinking. A research paper presented to the Research Department Air Command and Staff College Retrieved May 23, 2006, from http://www.au.af.mil/au/awc/awcgate/acsc/97- 0506pdf

      [54] Rubenfeld, G.M., & Scheffer, B.K. (1999). Critical thinking in nursing: An interactive approach. (2nd ed). Philadelphia: Lippincott, Williams & Wilkins.

      [55] Ennis, R.H. (1996). Critical thinking. New Jersey: Prentice Hall.

      [56] Green, C. (2000). Critical thinking in nursing. Case studies across the curriculum. New Jersey. Prentice Hall Health.

      [57] Norris, S.P. (1985). Synthesis of research on critical thinking. Educational Leadership, 40–45.

      [58] Brannon, L.A., & Carson, K.L. (2003). Nursing expertise and information structure influence medical decision-making. Applied Nursing Research, 16(4), 287–290. http://dx.doi.org/10.1016/j.apnr.2003.08.004.

      [59] Du Toit, P. (1995). Essential thinking skills. Durban. Kagiso.

      [60] Smith–Stoner, M. (1999). Critical thinking activities for nursing. Philadelphia. Lippincott.

      [61] Lipe, S. K., & Beasley, S. (2004). Critical thinking in nursing: A cognitive skills workshop. Philadelphia. Lippincott, Williams & Wilkins.

      [62] CCT (Center for Critical Thinking). (n.d). Critical thinking glossary: An educator’ guide to critical thinking terms and concepts. Retrieved November 22, 2005, from http://www.criticalthinking.org.

      [63] Conger, M.M., & Mezza, I. (1996). Fostering critical thinking in nursing students in the clinical setting. Nurse Educator, 21(3), 11–15. http://dx.doi.org/10.1097/00006223-199605000-00005.

      [64] Varner, D., & Peck, S.R. (2003). Learning from learning journals: The benefits and challenges of using learning journal assignments. Journal of Management Education, 27(1), 23–77. http://dx.doi.org/10.1177/1052562902239248.

      [65] Ellis, P.A. (1997). Processes used by nurses to make decisions in the clinical practice setting. Nurse Education Today, 17, 325–332. http://dx.doi.org/10.1016/S0260-6917(97)80064-0.

      [66] Brannon, L.A., & Carson, K.L. (2003). Nursing expertise and information structure influence medical decision-making. Applied Nursing Research, 16(4), 287–290. http://dx.doi.org/10.1016/j.apnr.2003.08.004.

      [67] Williams, B & Walker, L. (2003). Facilitating perception and imagination in generating change through reflective practice groups. Nurse Education Today, 23(2), 131–137. http://dx.doi.org/10.1016/S0260-6917(02)00167-3.

      [68] Fonteyn, M.E. (1998). Thinking strategies for nursing practice. Philadelphia: Lippincott-Raven.

      [69] Bandman, E. L., & Bandman, B. (1988). Critical thinking in nursing. Connecticut: Appleton & Lange.

      [70] Applegate, M.H. (1998). Curriculum evaluation. In D.M. Billings & J.A Halstead (Eds.), Teaching in nursing ( pp 179 – 205). Tokyo: Saunders.

      [71] Kajs, S. (2002). The imagine project. The Successful Professor, 1(4), 3.

      [72] Paul, R. (1990). Critical thinking. What every person needs to survive in a rapidly changing world. Rohnert Park. Center for Critical Thinking and Moral Critique.

      [73] Paul, R. & Nosich, G.M (1991). A proposal for National Assessment of Higher order thinking at the community College and University Levels. [Document reproduced by EDRS]. Washington. National Centre for education Statistics. Retrieved November 24, 2008, from http://eric.ed.gov/ERICDocs/data/ericdocszs9/content-storage

      [74] Paul, R. (1995). Critical thinking: How to prepare students for a rapidly changing world. Santa Rosa. Foundation for Critical Thinking

      [75] Zalon, M.L. (1998). Political action to enhance critical thinking. The Australian Electronic Journal of Nursing Education, 4(1), 1-10.

      [76] Carroll, R.T. (2007). Teaching critical thinking. Paper presented at Critical Thinking Workshop, Las Vegas. Retrieved May 14, 2007, from www.skepdic.com/essays/teachingCT.pdf.

      [77] Caffarella, R.S., & Barnett, B.G. (1994). Characteristics of adult learners and foundations of experiential learning. New Directions for Adult and Continuing Education, (62), 29–42. http://dx.doi.org/10.1002/ace.36719946205.

      [78] Varner, D., & Peck, S.R. (2003). Learning from learning journals: The benefits and challenges of using learning journal assignments. Journal of Management Education, 27(1), 23–77. http://dx.doi.org/10.1177/1052562902239248.

      [79] Brown, K., & Rutter, L. (2004). Critical thinking and analysis. A guide to enhancing reflection, learning and writing for post qualifying social work programmes. Dorset: Bournemouth University. Institute of Health and Community Studies.

      [80] Cronin, P., & Rawlings-Anderson, K. (2004). Knowledge for contemporary nursing practice. Philadelpia: Elsevier Science Limited.

      [81] Van Aswegen, E. J., Brink, & H.I.L., Steyn, P.J.N. (2000). A model for facilitation of critical reflective practice. Part II – Conceptual analysis within the context of constructing the model. Curationis, 23(4), 123–127. http://dx.doi.org/10.4102/curationis.v23i4.769.

      [82] Ennis, R.H. (1996). Critical thinking. New Jersey: Prentice Hall.

      [83] Rubenfeld, G.M., & Scheffer, B.K. (1999). Critical thinking in nursing: An interactive approach. (2nd ed). Philadelphia: Lippincott, Williams & Wilkins.

      [84] Schick, T., & Vaughn, L. (1999). How to think about weird things: Critical thinking for a new age. (2nd ed). California: Mayfield.

      [85] Forneris, S.G. (2004). Exploring the attributes of critical thinking: A conceptual basis. International Journal of Nursing Educational Scholarship 1(1): Art 9. Retrieved January 10, 2006, from http://www.bepress.com/ijnes/vol1/iss1/art9.

      [86] Weinstein, M. (1995). Critical thinking: Expanding the paradigm. Retrieved July 01, 2006, from http://www.chss.montclair.edu/inquiry/fall95/weinste.html.

      [87] Hammond, G.T. (2004). Fit to think: conceptual, critical and creative thinking. Retrieved July 01, 2006 from http://www.au.af.mil/au/awc/awgate/awc - thkg.htm.

      [88] Jones, R.P. (2001). Foundations of critical thinking. Fortworth: Harcourt College Publishers.

      [89] ATI (Assessment Technologies Institute); LLC. (2004). Critical thinking. Retrieved June 5, 2005, from http://www.atitesting.com/productinfo/CriticalThinking.aspx.

      [90] Irani, T. (n.d). Teaching the critical thinking skill of explanation. Retrieved May 02, 2007, from http://step.ufl.edu/resources/critical_thinking/explanation.pdf.

      [91] McKay, T. (2002). Guidelines for critical thinking: Reasons, explanations and decisions. Mexico: Thomson Learning.

      [92] Cowin, L. (2001). Measuring nurses’ self-concept. Western Journal of Nursing Research, 23(3), 313–325. http://dx.doi.org/10.1177/01939450122045177.

      [93] Botes, A. (2000). Critical thinking by nurses on ethical issues like the termination of pregnancies. Curationis, 23(3), 26–31. http://dx.doi.org/10.4102/curationis.v23i3.686.

      [94] Feldmand, D.A. (2002). Critical thinking: strategies for decision making. Menlo Park, California. Washington: Crisp Publications.

      [95] Pollard, A. (2002). Reflective teaching: Effective and evidence-informed professional practice. London: Continuum.

      [96] Teekman, B. (2000). Exploring reflective thinking in nursing practice. Journal of Advanced Nursing, 31(5), 1125–1135. http://dx.doi.org/10.1046/j.1365-2648.2000.01424.x.

      [97] Williams, B & Walker, L. (2003). Facilitating perception and imagination in generating change through reflective practice groups. Nurse Education Today, 23(2), 131–137. http://dx.doi.org/10.1016/S0260-6917(02)00167-3.

      [98] Mentkowski, M. & Associates. (2000). learning that lasts: Integrating learning, development, and performance in college and beyond. San Francisco: Jossey Bass.

      [99] Youngblood, N., & Beitz, J.M. (2001). Developing critical thinking with active learning strategies. Nurse Educator, 26(1), 39–42. http://dx.doi.org/10.1097/00006223-200101000-00016.

      [100] Price, A. (2004). Encouraging reflection and critical thinking in practice. Nursing Standard, 18(47), 46–52. http://dx.doi.org/10.7748/ns2004.08.18.47.46.c3664.

      [101] Profetto-McGrath, J., Hesketh, K.L., Lang, S., & Estabrooks, C.A. 2003. A study of critical thinking and research utilization among nurses. Western Journal of Nursing Research, 25(3), 322–337. http://dx.doi.org/10.1177/0193945902250421.

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  • How to Cite

    Pretoruis, L., Van Dyk, A., Small, L., & Amukugo, H. J. (2016). Conceptualisation as basis for the development ofcritical thinking within the nursing perspective. International Journal of Advanced Nursing Studies, 5(2), 199-211. https://doi.org/10.14419/ijans.v5i2.6555

    Received date: 2016-08-02

    Accepted date: 2016-09-22

    Published date: 2016-10-14