Development of an Australian nursing critical thinking tool using a Delphi process

Journal article


Jacob, Elisabeth, Duffield, Christine and Jacob, Darren. (2018) Development of an Australian nursing critical thinking tool using a Delphi process. Journal of Advanced Nursing. 74(9), pp. 2241 - 2247. https://doi.org/10.1111/jan.13732
AuthorsJacob, Elisabeth, Duffield, Christine and Jacob, Darren
Abstract

Aim To develop a critical thinking assessment tool for Australian undergraduate nurses. Background Critical thinking is an important skill but difficult to assess in nursing practice. There are often many responses a nurse can make to a clinical problem or situation. Some responses are more correct than others and these decisions have an impact on a patient's care and safety. Differences in a response can relate to the depth of knowledge, experience and critical thinking ability of the individual nurse. Design This study used a Delphi process to develop five clinical case studies together with the most appropriate clinical responses to 25 clinical questions. Method The Delphi technique was undertaken using the Qualtrics survey tool between October 2016–January 2017. A panel of 13 nursing experts from various geographical locations in Australia participated in the study to review the case scenarios and answers to questions posed. Four rounds of participation were required to achieve a minimum of 80% agreement between participants. Participants were asked to rank answers for 25 multi‐choice questions based on the correct nursing management of case scenarios provided and provide feedback as to the accuracy and relevance of the scenarios and answers. Results Four rounds of Delphi questions were required to reach consensus on the correct wording and answers for the scenarios. Five case studies have been developed with nursing responses to patient management in rank order from most correct to least correct. Conclusion Use of the tool should provide confidence that a nurse has met a certain level of critical thinking ability.

Keywordsassessment; critical thinking; Delphi technique; instrument development; nurse
Year2018
JournalJournal of Advanced Nursing
Journal citation74 (9), pp. 2241 - 2247
PublisherBlackwell Publishing Ltd
ISSN0309-2402
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.13732
Scopus EID2-s2.0-85050856957
Page range2241 - 2247
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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