Volume 10, Issue 2 (12-2024)                   SJNMP 2024, 10(2): 150-167 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sharifi K, Movahedi najafabadi M. Critical Thinking and Educational Methods in Iranian Nursing Students: A Systematic Review. SJNMP 2024; 10 (2) :150-167
URL: http://sjnmp.muk.ac.ir/article-1-631-en.html
1- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
2- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran , m.movahedi2019@gmail.com
Abstract:   (1048 Views)
Background & Aims: Given that critical analysis plays an important role in clinical decision-making and providing high-quality care, this skill is considered a priority in the education of nursing students. The purpose of this study is to review the studies conducted on the relationship between critical thinking and educational methods in nursing in Iran.
Materials & Methods: In this systematic study, articles published From 1996 till 2023 have been reviewed without time limit from PubMed, Science Direct, Scopus, MagIran, SID, Google Scholar, Irandoc, Web of Science databases, in Persian and English languages. After evaluating the quality of the articles, 15 articles (three English articles and 12 Persian articles) were eligible and included in the study.
Results: The results of the results of the findings of the articles showed that 20% of the studies have been investigated. 26.5 percent of the studies showed a positive effect on the conceptual design map, 6.5 percent of the studies showed the effect of the nursing process method on the conceptual design map. Also, 13% of studies have reported the effect of case-based teaching method compared to other teaching methods and 13% of studies have reported the effect of problem-based teaching.
Conclusion: The educational methods of conceptual mapping, based on topics and based on cases, were the most important educational strategies for improving the critical thinking skills of nursing students in Iran
Full-Text [PDF 690 kb]   (289 Downloads)    
Type of Study: Review | Subject: Special
Received: 2024/09/3 | Revised: 2025/01/5 | Accepted: 2024/10/31 | Published: 2024/12/20 | ePublished: 2024/12/20

References
1. Sun Y, Yin Y, Wang J, Ding Z, Wang D, Zhang Y, et al. Critical thinking abilities among newly graduated nurses: A cross‐sectional survey study in China. Nursing Open. 2023;10(3):1383-92. [DOI:10.1002/nop2.1388]
2. Seibert SA. Problem-based learning: A strategy to foster generation Z's critical thinking and perseverance. Teaching and Learning in Nursing. 2021;16(1):85-8. [DOI:10.1016/j.teln.2020.09.002]
3. Willers S, Jowsey T, Chen Y. How do nurses promote critical thinking in acute care? A scoping literature review. Nurse Education in Practice. 2021;53:103074. [DOI:10.1016/j.nepr.2021.103074]
4. Westerdahl F, Carlson E, Wennick A, Borglin G. Bachelor nursing studentś and their educatorś experiences of teaching strategies targeting critical thinking: A scoping review. Nurse Education in Practice. 2022:103409. [DOI:10.1016/j.nepr.2022.103409]
5. İlaslan E, Adıbelli D, Teskereci G, Cura ŞÜ. Development of nursing students' critical thinking and clinical decision-making skills. Teaching and Learning in Nursing. 2023;18(1):152-9. [DOI:10.1016/j.teln.2022.07.004]
6. Firdous S, Khan MH, Akhtar N, Yasmeen S, Mai S. The Impact of Teaching Strategies to Promote Critical Thinking among General Nursing Students. Saudi J Nurs Health Care. 2023;6(6):180-3. [DOI:10.36348/sjnhc.2023.v06i06.003]
7. Shirazi F, Heidari S. The relationship between critical thinking skills and learning styles and academic achievement of nursing students. The journal of nursing research. 2019;27(4):e38. [Persian] [DOI:10.1097/jnr.0000000000000307]
8. Ghanbari A, Monfared A, Hoseinzadeh T, Moaddab F, Sedighi A. The impact of the nursing process education on critical thinking of nursing students. Research in Medical Education. 2017;9(2):33-25. [Persian] [DOI:10.29252/rme.9.2.33]
9. Orujlu S, Hemmati Maslakpak M. Assessing the relationship between critical thinking and self-efficacy of nursing student. Journal of Nursing Education. 2017;5(6):11-7. [Persian] [DOI:10.21859/jne-05062]
10. Rezaei R, Saatsa S, Sharif Nia SH, Molookzadeh S, Beheshti Z. Evaluation of nursing Students, critical thinking skills in mazandaran university of medical sciences. Medical Education Journal. 2014;2(1):29-34. [Persian]
11. Shahbazi S, Heidari M, Bagheri M, Poornazari M. A Comparison of Nursing Students' Critical Thinking Skills and its Components. Educational Development of Judishapur. 2015;6(3):268-74. [Persian]
12. Suprianto B, Wardhono A, Kuntadi C. Factors Influencing Critical Thinking: Problem Base Learning, Discovery Learning, and Project Base Learning. Dinasti International Journal of Digital Business Management. 2023;4(3):54-58.
13. Bilik Ö, Kankaya EA, Deveci Z. Effects of web-based concept mapping education on students' concept mapping and critical thinking skills: A double blind, randomized, controlled study. Nurse education today. 2020;86:104312. [DOI:10.1016/j.nedt.2019.104312]
14. Son HK. Effects of S-PBL in maternity nursing clinical practicum on learning attitude, metacognition, and critical thinking in nursing students: a quasi-experimental design. International Journal of Environmental Research and Public Health. 2020;17(21):7866. [DOI:10.3390/ijerph17217866]
15. Song YA. Effects of integrative simulation practice on nursing knowledge, critical thinking, problem-solving ability, and immersion in problem-based learning among nursing students. Korean journal of women health nursing. 2020;26(1):61-71. [DOI:10.4069/kjwhn.2020.03.15.1]
16. Wu H-Z, Wu Q-T. Impact of mind mapping on the critical thinking ability of clinical nursing students and teaching application. Journal of International Medical Research. 2020;48(3):0300060519893225. [DOI:10.1177/0300060519893225]
17. Cheng Y-C, Huang L-C, Yang C-H, Chang H-C. Experiential learning program to strengthen self-reflection and critical thinking in freshmen nursing students during COVID-19: A quasi-experimental study. International journal of environmental research and public health. 2020;17(15):5442. [DOI:10.3390/ijerph17155442]
18. Yuan H, Williams BA, Fan L. A systematic review of selected evidence on developing nursing students' critical thinking through problem-based learning. Nurse education today. 2008;28(6):657-63. [DOI:10.1016/j.nedt.2007.12.006]
19. Oja KJ. Using problem-based learning in the clinical setting to improve nursing students' critical thinking: an evidence review. Journal of Nursing Education. 2011;50(3):145-51. [DOI:10.3928/01484834-20101230-10]
20. Kong L-N, Qin B, Zhou Y-q, Mou S-y, Gao H-M. The effectiveness of problem-based learning on development of nursing students' critical thinking: A systematic review and meta-analysis. International journal of nursing studies. 2014;51(3):458-69. [DOI:10.1016/j.ijnurstu.2013.06.009]
21. Choi E, Lindquist R, Song Y. Effects of problem-based learning vs. traditional lecture on Korean nursing students' critical thinking, problem-solving, and self-directed learning. Nurse education today. 2014;34(1):52-6. [DOI:10.1016/j.nedt.2013.02.012]
22. Gholami M, Moghadam PK, Mohammadipoor F, Tarahi MJ, Sak M, Toulabi T, Pour AHH. Comparing the effects of problem-based learning and the traditional lecture method on critical thinking skills and metacognitive awareness in nursing students in a critical care nursing course. Nurse education today. 2016;45:16-21. [DOI:10.1016/j.nedt.2016.06.007]
23. Chen H-L, Wu C-T. A digital role-playing game for learning: Effects on critical thinking and motivation. Interactive Learning Environments. 2023;18(5):31. [DOI:10.1080/10494820.2021.1916765]
24. Barta A, Fodor LA, Tamas B, Szamoskozi I. The development of students' critical thinking abilities and dispositions through the concept mapping learning method-A meta-analysis. Educational Research Review. 2022:100481. [DOI:10.1016/j.edurev.2022.100481]
25. Hazaymeh WA, Alomery MK. The effectiveness of visual mind mapping strategy for improving English language learners' critical thinking skills and reading ability. 2022.
26. Lin C, Han C, Huang Y, Chen L, Su C-C. Effectiveness of the use of concept maps and simulated cases as a teaching-learning strategy in enhancing the learning confidence of baccalaureate nursing students: A qualitative approach. Nurse Education Today. 2022;115:105418. [DOI:10.1016/j.nedt.2022.105418]
27. Liu N, Zheng Z, Liao J, Li J, Yang Z, Lai X. The Effectiveness of Student-Led Ward Round Training on Knowledge Acquisition, Critical Thinking Ability, and Self-Confidence of Acute Upper Gastrointestinal Bleeding for Nursing Students. Advances in Medical Education and Practice. 2023:21-30. [DOI:10.2147/AMEP.S381760]
28. Carinanos-Ayala S, Arrue M, Zarandona J, Labaka A. The use of structured debate as a teaching strategy among undergraduate nursing students: A systematic review. Nurse Education Today. 2021;98:104766. [DOI:10.1016/j.nedt.2021.104766]
29. Song YA, Kim M. Effects of a virtual reality simulation integrated with problem-based learning on nursing students' critical thinking ability, problem solving ability, and self-efficacy: a non-randomized trial. Korean Journal of Women Health Nursing. 2023;29(3):229-38. [DOI:10.4069/kjwhn.2023.09.12]
30. Godzik CM, Solomon J, Yacinthus B. Using standardized mental health patient simulations to increase critical thinking and confidence in undergraduate nursing students. Archives of Psychiatric Nursing. 2023;43:76-80. [DOI:10.1016/j.apnu.2022.12.002]
31. Byrne D, Blumenfeld S, Szulewski M, Laske RA. Using simulation to develop clinical judgment in undergraduate nursing students. Home healthcare Now. 2023;41(2):84-9. [DOI:10.1097/NHH.0000000000001143]
32. Chen S-L, Liang T, Lee M-L, Liao I-C. Effects of concept map teaching on students' critical thinking and approach to learning and studying. Journal of Nursing Education. 2011;50(8):466-9. [DOI:10.3928/01484834-20110415-06]
33. Abdoli S, Khajeh Ali T. Compression the effect of clinical concept mapping & nursing process in developing nursing students' critical thinking skills. Iranian Journal of Medical Education. 2012;11(9):1420-9. [Persian]
34. Mirkazehi Rigi Z, Tafazoli M, Karimi Moonaghi H, Taghipour A. The education effect based on concept mapping on critical thinking skills of midwifery students. Biannual Journal of Medical Education. 2019;2020(8):1. [DOI:10.18502/jmed.v14i4.2545]
35. Alkhaqani AL. Application of Strengthening the Reporting of Observational Studies (STROBE) Statement Guideline in Nursing Studies: Analytical Review. Al-Rafidain Journal of Medical Sciences (ISSN 2789-3219). 2022;2:93-100. [DOI:10.54133/ajms.v2i.66]
36. Nejstgaard CH, Boutron I, Chan A-W, Chow R, Hopewell S, Masalkhi M, et al. A scoping review identifies multiple comments suggesting modifications to SPIRIT 2013 and CONSORT 2010. Journal of Clinical Epidemiology. 2023. [DOI:10.1016/j.jclinepi.2023.01.003]
37. Mahmoud MM, Shokry DA, Mowafy MA, Elden NM, Hasan MD. Effect of concept mapping model on critical thinking skills of family medicine residents: A randomized controlled trial. Journal of Family and Community Medicine. 2023;30(3):225-30. [DOI:10.4103/jfcm.jfcm_391_22]
38. Okunuga RO, Awofala A, Osarenren U. Critical thinking acquisition of senior secondary school science students in Lagos state, Nigeria: A predictor of academic achievement. Journal of Curriculum and Instruction. 2020;13(1):44-56.
39. Dehghanzadeh S, Moaddab F. The effect of concept mapping on nursing students' critical thinking skills and nursing care plan design. Research in Medical Education. 2021 Jun 10;13(2):26-35. [Persian] [DOI:10.52547/rme.13.2.26]
40. Aliyari S, Habibi H, Pishgooie SAH. The Effect of Teaching Clinical Reasoning on Critical Thinking of Undergraduate Nursing Students Taking the Course of Emergency Nursing in Disasters and Events: A Preliminary Study. Military Caring Sciences Journal. 2019;6(3):207-14. [Persian] [DOI:10.29252/mcs.6.3.6]
41. Sadeghi H, Shahbazi S, Naseri Borujeni N, Pooiesh V. Comparison of the effects of concept mapping and conventional teaching methods on critical thinking of nursing students. Journal of Nursing Education. 2016;5(4):27-33. [Persian] [DOI:10.21859/jne-05044]
42. Dehkordi AH, Heydarnejad MS. The effects of problem-based learning and lecturing on the development of Iranian nursing students' critical thinking. Pak J Med Sci. 2008;24(5):740-3. [Persian]
43. Sarhangi F, Masoumy M, Ebadi A, SEYYED MM, Rahmani A, Raisifar A. Effect of concept mapping teaching method on critical thinking skills of nursing students. 2011. [Persian]
44. Habibzadeh H, Moradi Y, Rasouli D. The effect of concept mapping teaching method on critical thinking skills of nursing students. J Urmia Nurs Midwifery Faculty. 2014;12:379-85 [Persian].
45. Dehghanzadeh S, Moaddab F. The effect of concept mapping on nursing students' critical thinking skills and nursing care plan design. 2021. [DOI:10.52547/rme.13.2.26]
46. Hassanpour DA, Masoudi R. Effect of Application Context Based Learning (CBL) and Traditional Learning on the Behavior, Attitude, Learning and Critical Thinking of Nursing Students Integration of Theory and Practice. 2015. [Persian]
47. Roshangar F, Azar EF, Sarbakhsh P, Azarmi R. The effect of case-based learning with or without conceptual mapping method on critical thinking and academic self-efficacy of nursing students. Journal of Biochemical Technology. 2020;11(1):37.
48. Ahmady S, Shahbazi S. Impact of social problem-solving training on critical thinking and decision making of nursing students. BMC nursing. 2020;19(1):1-8. [DOI:10.1186/s12912-020-00487-x]
49. Beigi R, Abedini S. The Effect of decision making training on critical thinking in nursing students. Development Strategies in Medical Education. 2014;1(2):18-26. [Persian]
50. Poodineh Moghadam M, Jahantigh Haghighi M, Shahdadi H, Saravani S, Shojaei Shad F. The impact of evidence-based education on nursing students' critical thinking. Journal of Nursing Education. 2015;4(2):9-17. [Persian]
51. Raoufi S, Farhadi A, Sheikhian A. Impact of the team effectiveness design of teaching on critical thinking, self-confidence and learning of nursing students. Journal of Medical Education & Development. 2014;9(2). [Persian]
52. Hajrezayi B, Shahalizade M, Zeynali M, Badali M. Effectiveness of blended learning on critical thinking skills of nursing students. Journal of Nursing Education. 2015;4(1):49-59. [Persian]
53. Moattari M, Abedi HA, Amini A, Fathi Azar E. The Effect of Reflection on Critical Thinking Skills of Nursing Students in Tabriz Medical University. Iranian Journal of Medical Education. 2001;1(4):58-64. [Persian]
54. Sarhangi F, Masoumy M, Ebadi A, SEYYED MM, Rahmani A, Raisifar A. Effect of Concept Mapping Teaching Method on Critical Thinking Skills of Nursing Students. Critical Care Nursing. 2011;3(4):145-50. [Persian]
55. Kameli S, Aliyari S, Habibi H, Pishgooie SAH. The Effect of Teaching Clinical Reasoning on Critical Thinking of Undergraduate Nursing Students Taking the Course of Emergency Nursing in Disasters and Events: A Preliminary Study. Military Caring Sciences. 2019;6(3):207-14. [Persian] [DOI:10.29252/mcs.6.3.6]
56. Al-Najar H, Khalil A, Bakar S, Aziz N. Problem-based learning (PBL) versus lecture based learning (LBL): Effect on the development of critical thinking, problem solving and self directive learning skills in nursing students. Journal of Nursing and Care. 2011;3(8): 11-29.
57. Ma C, Zhou W. Effects of unfolding case-based learning on academic achievement, critical thinking, and self-confidence in undergraduate nursing students learning health assessment skills. Nurse Education in Practice. 2022;60:103321. [DOI:10.1016/j.nepr.2022.103321]
58. Alamrani MH, Alammar KA, Alqahtani SS, Salem OA. Comparing the effects of simulation-based and traditional teaching methods on the critical thinking abilities and self-confidence of nursing students. Journal of Nursing Research. 2018;26(3):152-7. [DOI:10.1097/jnr.0000000000000231]
59. Kaddoura M, Van‐Dyke O, Yang Q. Impact of a concept map teaching approach on nursing students' critical thinking skills. Nursing & health sciences. 2016;18(3):350-4. [DOI:10.1111/nhs.12277]
60. Lee W, Chiang C-H, Liao I-C, Lee M-L, Chen S-L, Liang T. The longitudinal effect of concept map teaching on critical thinking of nursing students. Nurse education today. 2013;33(10):1219-23. [DOI:10.1016/j.nedt.2012.06.010]
61. Asyari M, Al Muhdhar MHI, Susilo H, Ibrohim. Improving critical thinking skills through the integration of problem based learning and group investigation. International journal for lesson and learning studies. 2016;5(1):36-44. [DOI:10.1108/IJLLS-10-2014-0042]
62. Fazriyah N, Supriyati Y, Rahayu W, editors. The effect of integrated learning model and critical thinking skill of science learning outcomes. Journal of Physics: Conference Series; 2017: IOP Publishing. [DOI:10.1088/1742-6596/812/1/012014]
63. Fadilla N, Nurlaela L, Rijanto T, Ariyanto S, Rahmah L, Huda S, editors. Effect of problem-based learning on critical thinking skills. Journal of Physics: Conference Series; 2021: IOP Publishing. [DOI:10.1088/1742-6596/1810/1/012060]
64. Masek A, Yamin S. The effect of problem based learning on critical thinking ability: a theoretical and empirical review. International Review of Social Sciences and Humanities. 2011;2(1):215-21.
65. Nadeak B, Naibaho L. The Effectiveness of Problem-Based Learning on Students'critical Thinking. Jurnal Dinamika Pendidikan. 2020;13(1):1-7.
66. Kowalczyk N. Review of teaching methods and critical thinking skills. Radiologic technology. 2011;83(2):120-32.
67. Saiful A, Utaya S, Bachri S, Sumarmi S, Susilo S. Effect of problem based learning on critical thinking skill and enviromental attitude. Journal for the Education of Gifted Young Scientists. 2020;8(2):743-55. [DOI:10.17478/jegys.650344]
68. Plummer KJ, Kebritchi M, Leary HM, Halverson DM. Enhancing critical thinking skills through decision-based learning. Innovative Higher Education. 2022;47(4):711-34. [DOI:10.1007/s10755-022-09595-9]
69. Cerullo JAdSB, Cruz DdALMd. Clinical reasoning and critical thinking. Revista latino-americana de enfermagem. 2010;18:124-9. [DOI:10.1590/S0104-11692010000100019]
70. van Dongen K, Schraagen JM, Eikelboom A, te Brake G, editors. Supporting decision making by a critical thinking tool. Proceedings of the human factors and ergonomics society annual meeting; 2005: SAGE Publications Sage CA: Los Angeles, CA. [DOI:10.1037/e577392012-063]
71. Helsdingen AS, Van den Bosch K, Van Gog T, van Merriënboer JJ. The effects of critical thinking instruction on training complex decision making. Human factors. 2010;52(4):537-45. [DOI:10.1177/0018720810377069]
72. Angel BF, Duffey M, Belyea M. An evidence-based project for evaluating strategies to improve knowledge acquisition and critical-thinking performance in nursing students. SLACK Incorporated Thorofare, NJ; 2000. p. 219-28. [DOI:10.3928/0148-4834-20000501-07]
73. Simpson E, Courtney M. Implementation and evaluation of critical thinking strategies to enhance critical thinking skills in Middle Eastern nurses. International journal of nursing practice. 2008;14(6):449-54. [DOI:10.1111/j.1440-172X.2008.00719.x]
74. Patricia K-M, Kabwe C, Wamunyima MM, Margaret MM, Dianna JL. Evidence based practice and critical thinking in nursing education and practice: A scoping review of literature. International Journal of Nursing and Midwifery. 2022;14(4): 11-29. [DOI:10.5897/IJNM2022.0511]
75. Huhn K. Effectiveness of a clinical reasoning course on willingness to think critically and skills of self-reflection. Journal of Physical Therapy Education. 2017;31(4):59-63. [DOI:10.1097/JTE.0000000000000007]
76. Carvalho ECd, Oliveira-Kumakura ARdS, Morais SCRV. Clinical reasoning in nursing: teaching strategies and assessment tools. Revista brasileira de enfermagem. 2017;70:662-8. [DOI:10.1590/0034-7167-2016-0509]
77. Silberman D, Carpenter R, Takemoto JK, Coyne L. The impact of team-based learning on the critical thinking skills of pharmacy students. Currents in Pharmacy Teaching and Learning. 2021;13(2):116-21. [DOI:10.1016/j.cptl.2020.09.008]
78. Espey M. Enhancing critical thinking using team-based learning. Higher Education Research & Development. 2018;37(1):15-29. [DOI:10.1080/07294360.2017.1344196]
79. Lee S-Y, Kang S-J. The Effects of Team-Based Learning Education on Critical Thinking, Interpersonal Relationships, Self-Leadership and Academic Major Satisfaction. International Journal of Elderly Welfare Promotion and Management. 2020;4:1-8. [DOI:10.21742/IJEWPM.2020.4.1.02]
80. Niu Y, Xi H, Liu J, Sui X, Li F, Xu H, et al. Effects of blended learning on undergraduate nursing students' knowledge, skill, critical thinking ability and mental health: a systematic review and meta-analysis. Nurse Education in Practice. 2023:103786. [DOI:10.1016/j.nepr.2023.103786]
81. Obied HK, Abo Gad R. Applying self-directed learning strategy to enhance nursing students' critical‎ thinking skills. IOSR J Nurs Health Sci. 2017;6(2):67-77. [DOI:10.9790/1959-0602056777]
82. Garrett M, Schoener L, Hood L. Debate: A teaching strategy to improve verbal communication and critical-thinking skills. Nurse educator. 1996;21(4):37-40. [DOI:10.1097/00006223-199607000-00015]
83. Howard VM. A comparison of educational strategies for the acquisition of medical-surgical nursing knowledge and critical thinking skills: Human patient simulator vs. the interactive case study approach: University of Pittsburgh; 2007.
84. Chang W-L, Yeh Y-c. A blended design of game-based learning for motivation, knowledge sharing and critical thinking enhancement. Technology, Pedagogy and Education. 2021;30(2):271-85. [DOI:10.1080/1475939X.2021.1885482]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Designed & Developed by : Yektaweb