The relationship between systematic thinking, critical thinking and clinical judgment of nursing students, Boromarajonani College of Nursing, Chon Buri
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Abstract
Background: Systematic critical thinking and critical thinking are the cognitive processes used to analyze knowledge for clinical judgment that lead to effective solutions to nursing problems.
Objectives: To explore the relationship between tsystematic thinking, critical thinking and clinical judgment of nursing students, Boromarajonani College of Nursing, Chon Buri.
Methods: This research study was a descriptive study. The sample consisted of 292 nursing students in their second, third, or fourth year in the Bachelor of Nursing Science Program, Boromarajonani College of Nursing Chon Buri, academic year 2019. The participants were selected by purposive sampling. Data were collected using a 4 parts questionnaire including a part of demographic data and 3 parts of rating scale questions with reliability values of .80, .97 and .63, respectively. Data were presented using descriptive statistics and analyzed to find relationships using Pearson's Correlation Coefficient.
Results: The results of the study revealed that the systematic level of thinking of nursing students was at a high level (M=3.63, SD=0.35), whereas, critical thinking was at a moderate level (M=3.48, SD=0.55). Lastly, clinical judgment was at a low level (M=9.64, SD=4.09). The results of the relationship analysis showed that current educational level, GPA and systematic thinking correlated with clinical judgment with statistical significance (r=.562, r=.221, and r=.209, p<.01, respectively).
Conclusions: This research contributes to the idea that teaching and learning processes should be developed to promote systematic thinking which, in turn, leads to learning achievement and clinical judgment of nursing students in the future.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Sirirojporn K, Thanaphakawatkul C, Jamroenwong N. Luachai T. Chaiwong C. System thinking among nursing students, Boromarajonani College of Nursing Chiang Mai. Journal of Nurses Association of Thailand Northern Office. 2020;26(2):52-66. (in Thai).
Commission on higher education. The qualification standards: Bachelor of Nursing 2017. [Internet]. 2017 [cited 2021 Feb 04]; Available from http://www.mua. go.th/users/tqf-hed/news/data6/NQF-256 0.PDF. (in Thai).
Promnoi C, Promtape N, Tasaneesuwan S. Critical thinking ability among senior nursing students, faculty of nursing, Prince of Songkla University. Songklanagarind Journal of Nursing. 2012;32(3):1-12. (in Thai).
Poungjuntaradej N, Pleankaew P. Factors related to nursing students’ critical thinking, Police Nursing College. Journal of The Police Nurses. 2016;8(1):125-35. (in Thai).
Soakeaw S. Factors affecting to analytical thinking of nursing students Faculty of Nursing, Ubon Ratchathani Rajabhat University. Journal of Srivanalai Vijai. 2018;8(2):39-49. (in Thai).
Khorphon S, Pankeaw J, Sarobol T, Choopun K, Chomchan S, Boonlue N. Promoting of critical thinking skills in nursing students through reflective thinking. Nursing Journal. 2019;46(1):87-101. (in Thai).
Chareonsuk S, Petchkong J, Cholert P. Effects of teaching approach emphasizing systemic thinking and public consciousness in Boromarajonani College of Nursing, Chakriraj. Journal of Health Science Research. 2016;10(2):61-71. (in Thai).
Kantar L, Alexande R. Integration of Clinical Judgment in the nursing curriculum: Challenges and perspectives. J Nurs Educ. 2012;5(8):444-53. doi: 10.3928/ 01484834-20120615-03.
Waisurasing L, Noparoojjinda S. The Development of instructional mode using authentic learning approach to enhance achievement and critical thinking ability of nursing students, Boromarajonani College of Nursing, Suphanburi. Journal of Nursing and Education. 2011;4(3):63-77. (in Thai).
Sinthuchai S, Sawekngam W, Pasiphol S. Development of an instructional model based on scaffolding and reflective practice approach to promote clinical decision-making ability of nursing students. Journal of The Royal Thai Army Nurses. 2017;18(3):134-43. (in Thai).
Victor-Chmil J. Critical thinking versus clinical reasoning versus clinical judgment: Differential diagnosis. Nurse Educ. 2013;38(1):34-6. doi: 10.1097NNE. 0b013e318276dfbe.
Punsumreung T, Kanhadilok S. Clinical judgment: An essential skill for nursing intervention. Journal of Nursing Siam University. 2017;18(35):81-94. (in Thai).
Petchoo K. Causal relationship of educational management factors influencing critical thinking of nursing students, Nursing College under the Jurisdiction of Ministry of Public Health [Thesis]. Songkla Province: Prince of Songkla University; 2013. (in Thai).
Suttarat S, Somkumlung P. A study of the critical thinking abilities of nursing students at a Boromarajonani College of Nursing Nakhon Phanom. Nursing Journal of the Ministry of Public Health. 2012;22(1):61-7. (in Thai).
Jutarasaga M. Systems thinking: Teaching application. Bangkok: Thanapress Ltd.; 2013. (in Thai).
Toofany S. Critical thinking among nurses. Nurs Manag (Harrow). 2008;14(9):28-31. doi: 10.7748/nm2008.02.14.9.28.c6344.
Thongsong L. Pongsananurak T. Relationships between factors and academic achievement in pediatric nursing subject among nursing students, Kuakarun College of Nursing. Kuakarun Journal of Nursing. 2013;20(1):55-71. (in Thai).
Rukyingchareon K, Thaikla A, Pramakatae N. The study of higher-ordered thinking in adult and elderly nursing I among sophomore nursing students. Journal of Health Science Research. 2012;6(1):49-57. (in Thai).
Alfaro-Lefevre R. Critical thinking critical reasoning and clinical judgment. 7th Ed. Philadelphia, PA: Elsevier; 2019.
Simmon B. Clinical reasoning: a concept analysis. J Adv Nurs. 2010;66(5):1151-58. doi: 10.1111/j. 13652648.2010.05262.x.
