The Effects of Reflective Thinking Technique use in Home visit Practice on Cognitive Skills among Nursing Students


  • chanakan sangkhamkul 082-4026115
  • Sireewat Ar-yuwat
  • Suphawan Yodprong
  • Supanat Suwannakit


reflective thinking, home visit, cognitive skills, nursing students


This quasi-experimental research with one group pretest-posttest design aimed to examine the effects of reflective thinking technique use in home visit practice oncognitive skills among nursing students. Participants included64 third-year undergraduate nursing students who recruited by purposive sampling. The intervention included 6 cycles of the Gibbs's Reflection Techniques. The data collection tool was acognitive skill test, which its content validity was assessed by 3 experts and reliability was evaluated by Cronbach's Alpha coefficient with the reliability of 0.94. Data were analyzed using descriptive statistics, and hypotheses were tested using the Wilcoxon Signed Ranks Test and the Kruskal-Wallis Test.Results showed that the mean scores of cognitive skills after the intervention was significantly higher than that before the intervention (z = 2.14, p<.05). Therefore, the useof reflection techniques in home visit practice could improve the cognitive skills of nursing students.


Download data is not yet available.


Announcement of the Ministry of Education. (2017). Bachelor's degree qualifications of Nursing Science 2017. Retrieved 15 April 2020 from [In Thai]

Ar-yuwat, S., Sangkamkul, Ch., & Buaprachum, A. (2019). The effects of home visit practice by using Gibbs’s refection techniques on critical thinking of nursing students. Journal of Nursing and Education, 12(3), 43-57. [In Thai]

Bulman, C. (2013). Reflective Practice in Nursing (5th ed). Oxford: Blackwell Science.

Chidnayee, S. (2017). Cognitive apprenticeship: Instructional model to construct knowledge. Boromarajonani College of Nursing, Uttaradit Journal, 9(2), 13-25. [In Thai].

Gibbs, G. (1988). Learning by doing: A guide to teaching learning methods. London: FEU.

Jirojanakul, P., Nipathatapong, S., Sukcharoen, P., Techangkul, L., & Nantasenee, S. (2019). Service-learning and cultural awareness development of nursing students: Reflection of Thai and oversea students. Kuakarun Journal of Nursing, 26(2), 1-10. [In Thai].

Kanhadilok, S., Punsumreung, Tr., & Pookpan, S. (2017). The integrated clinical teaching methods on reflective thinking, and clinical judgment in 3rd year nursing students in maternal infant and midwife nursing practicum course I. HCU. Journal of Health Science, 20(40), 87-99. [In Thai].

Kattakamon, P. (2019). Effect of reflective learning base on GIBBS' reflection cycle model affect to learning achievement in languages communication and information technology course of general education program. Journal of Graduate Studies ValayaAlongkron Rajabhat University, 13(2), 1-13. [In Thai].

Kittiboonthawal, P., Cheanchum, J., Srithanya, S., & Umereweneza, S. (2018). Reflection: Transformation from valuable experiences. Journal of Health Science Research, 29(1), 1-10. [In Thai].

Mueannadon, R., Tirapaiwong, Y., Srichairattanakull, J., & Yutthayong, S. (2019). Learning development through reflection. Journal of Health and Nursing Research, 35(2), 13-25. [In Thai].

Phormpayak, D., Sattayawong, W., Rattana-Umpa, J., Hamtanon, P., & Rungkavat, V. (2019). The effects of using simulation based learning and reflective thinking skill promoting on nursing students’ reflective thinking behavior and clinical decision-making abilities. The Journal of Baromarajonani College of Nusing, Nakhonratchasima, 25(2), 57-71. [In Thai].

Suworawatanakul, W., Nartchamnong, S., Leaungsomnapa, Y. (2015). The effects of developing reflective thinking skills and levels of reflection using reflective thinking learning program on nursing student, Boromarajonani College of Nursing Changwat Nonthaburi. Journal of Phrapokklao Nursing College, 27(1), 61-71. [In Thai].

Sinthucha, S., Dejpituksirikul, S., & Yoksuriyan, P. (2018). Reflective practice in nursing education. Journal of The Royal Thai Army Nurses, 19(2).15-23. [In Thai].

Wanchai, A., Saengpak, Ch., & Leaungsomnapa, Y. (2017). Learning and teaching methods by using reflective thinking technique in nursing education. Journal of Health Science Research, 11(2), 105-115. [In Thai].




How to Cite

sangkhamkul, chanakan, Ar-yuwat, S. ., Yodprong, S. ., & Suwannakit, S. . (2020). The Effects of Reflective Thinking Technique use in Home visit Practice on Cognitive Skills among Nursing Students. NU Journal of Nursing and Health Sciences, 14(2), 115–125. Retrieved from