The Influence of Logical Positivism on Nursing Practice

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73387/1/j.1547-5069.1989.tb00151.x.pd

The effect of human patient simulation on critical thinking and its predictors in prelicensure nursing students

UnlabelledHuman patient simulation (HPS) is becoming a popular teaching method in nursing education globally and is believed to enhance both knowledge and critical thinking.ObjectiveWhile there is evidence that HPS improves knowledge, there is no objective nursing data to support HPS impact on critical thinking. Therefore, we studied knowledge and critical thinking before and after HPS in prelicensure nursing students and attempted to identify the predictors of higher critical thinking scores.MethodsUsing a one-group, quasi-experimental, pre-test post-test design, 154 prelicensure nursing students (age 25.7± 6.7; gender=87.7% female) from 3 schools were studied at the same point in their curriculum using a high-fidelity simulation. Pre- and post-HPS assessments of knowledge, critical thinking, and self-efficacy were done as well as assessments for demographics and learning style.ResultsThere was a mean improvement in knowledge scores of 6.5 points (P<0.001), showing evidence of learning. However, there was no statistically significant change in the critical thinking scores. A logistic regression with 10 covariates revealed three variables to be predictors of higher critical thinking scores: greater "age" (P=0.01), baseline "knowledge" (P=0.04) and a low self-efficacy score ("not at all confident") in "baseline self-efficacy in managing a patient's fluid levels" (P=.05).ConclusionThis study reveals that gains in knowledge with HPS do not equate to changes in critical thinking. It does expose the variables of older age, higher baseline knowledge and low self-efficacy in "managing a patient's fluid levels" as being predictive of higher critical thinking ability. Further study is warranted to determine the effect of repeated or sequential simulations (dosing) and timing after the HPS experience on critical thinking gains

Critical Thinking in Nursing Education: Literature Review

The need for critical thinking in nursing has been accentuated in response to the rapidly changing health care environment. Nurses must think critically to provide effective care whilst coping with the expansion in role associated with the complexities of current health care systems. This literature review will present a history of inquiry into critical thinking and research to support the conclusion that critical thinking is necessary not only in the clinical practice setting, but also as an integral component of nursing education programs to promote the development of nurses’ critical thinking abilities. The aims of this paper are: (a) to review the literature on critical thinking; (b) to examine the dimensions of critical thinking; (c) to investigate the various critical thinking strategies for their appropriateness to enhance critical thinking in nurses, and; (d) to examine issues relating to evaluation of critical thinking skills in nursing.</ul

Bibliographies on nursing; books, pamphlets, articles, audio-visual materials.

A replacement for, rather than an addition to, the bibliographies of the former National Organization for Public Health Nursing, the National League of Nursing Education, 1952, and the National League for Nursing, 1954-55.v.13. Administration of hospital nursing services. Curriculum development. Educational administration. Evaluation and guidance. Inservice education. Research.--v.14. Practical nursing.v.1. Anatomy and physiology. Chemistry. Microbiology. Physics.--v.2. Nutrition and diet. Pharmacology.--v.3. Psychology and mental health. Sociology and anthropology.--v.4. Economic and general welfare. Ethics. History and developments in nursing. Legislation. Professional adjustments.--v.5. Fundamental principles and techniques in nursing. Nursing in long-term illness. Posture and body mechanics. Rehabilitation. Team relationships: the health team, the nursing team.--v.6. Medical nursing. Nursing in diseases of the eye, ear, nose, and throat. Tropical disease nursing. Tuberculosis nursing.--v.7. Gynecologic nursing. Nursing during disaster. Orthopedic nursing. Urologic nursing.--v.8. Surgical nursing. Cancer nursing. Communicable disease nursing. Geriatric nursing.--v.8 A. Neurologic and neurosurgical nursing.--v.9. Maternal and child care nursing. 4 pts.--v.10. Psychiatric nursing.--v.11. Public health nursing.--v.12. Occupational health nursing.Mode of access: Internet