Paper
Friday, 21 July 2006
This presentation is part of : Evidence-Based Nursing Implementation Initiatives
Using Narrative Research to Explore the Development and Presentation of Critical Thinking in Professional Nursing Career
Su C. Chiou, RN, BS, NSP, Nursing Department, Chang Gang Memorial Hospital at Kaohsiung, Kaohsiung County, Taiwan
Learning Objective #1: know what certain characteristics and essential skills of the critical thinkers were presented in the life storys of professional nurses.
Learning Objective #2: reliaze how to use effective pedagogies that incorporate critical thinking to assist the clinical nurses from novice to expert.

Background: Critical thinking is considered a desirable professional attribute for nurses in the new millennium. Nursing administrators and educators are obliged to assist students and nursing staff in developing the proficiency in critical thinking and making efficient judgments in the rapidly evolving clinical situation.


Purpose: Exploring the development and presentation of critical thinking in the clinical situation.

Methods: Theoretical saturation was achieved after five senior nurses were interviewed. Face-to-face, audio taped, interviews and a semi-structured, topical outline for each interview were used. Narratives were analyzed with the aid of "from novice to expert" as the conceptual framework (Benner, 1991) to emphasize the overall plot type of their stories

Result: Analysis revealed the critical thinking of senior nurses which would be manifested by certain characteristics such as the motivation, the capacity to overcome obstacles, critical judgment, lifelong enthusiasm for learning, insight and the essential skills for critical thinking such as reflecting, communicating, negotiating, and decision making. More characteristics and skills come in handy, more mature the professional nursing career will come to be. Motivation and the capacity to overcome obstacles are the prerequisites for developing critical thinking. The pedagogies such as writing clinical logs, literature reading & writing and relaying of experience will be used to build up the capability of critical thinking.

Conclusions: These narratives could provide original material for the  nursing administrators and educators to assist students and nursing staff in developing critical thinking.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)