Thursday, 15 July 2010
Learning Objective 1: explore the perceptions of new graduate nurses of what helps develop their CT throughout their critical care orientation programs and preceptorship experiences in hospitals.
Learning Objective 2: Identify the teaching and lerning strategies that might foster or limit critical thinking development of new graduate nurses in their critical care nursing programs.
It is essential for nurses to develop critical thinking (CT) to ensure their ability to provide safe and effective care to patients with complex and variable needs in ever changing clinical environments. To date, very few studies have been conducted to examine nursing orientation programs and the process used in preceptorship to develop CT of novice critical care nurses. The purpose of this study was to explore the perceptions of new graduate nurses of what helped develop their CT throughout their six-month critical care orientation programs and preceptorship experiences in the intensive care units. A convenient non-probability sample of 16 new graduate nurses was selected from a hospital which used a didactic New Graduate in Critical Care Program and a hospital which used an online Essentials of Critical Care Orientation program. The data was collected by demographic questionnaires and semi-structured interviews. An exploratory qualitative research method with content analysis was used to analyze the data. The study findings revealed that new graduate nurses educated by both programs and preceptorship experiences perceived that they developed CT that improved throughout their training although there were differences in the two programs. This study has crucial implications on nursing education, practice, administration, and research. The findings could influence the development and implementation of future nursing programs. They can be used as guidelines to promote CT of new graduate nurses and further advance innovative strategies for the enhancement of nurses’ CT. It may also have benefits in nurses’ retention and satisfaction. Many recommendations were suggested including developing hybrid nursing orientation programs to adopt learner-centered approaches, whereby new graduates are taught how to think and not what to think.
Kaddoura, M.(2009). New Graduate Nurses’ Perception of Critical
Thinking Development in Critical Care Nursing Training Programs (Doctoral Dissertation), Simmons College, Boston, MA. Kaddoura, Mahmoud (2009-08-05). http://dspace.nitle.org/handle/10090/9654