An evolved perspective on critical thinking in health care managers: A concept analysis
Critical thinking in health care managers
DOI:
https://doi.org/10.22122/cdj.v12i1.870Keywords:
Health Care Management, Concept Analysis, Critical ThinkingAbstract
Background: Leaders are tasked with making decisions that have substantial impact on an organization's well-being. Decision making requires critical thinking. Clinical environments are becoming more complex and demanding nowadays. Acquisition of critical thinking skills seems crucial in order to provide effective and safe services in these climates. There are various general definitions regarding critical thinking in the context of health care management which mostly have no positive correlation with clinical performance. The aim of this study is to provide an evolved perspective on critical thinking in health care managers.
Methods: Eight-step Rodgers’ concept analysis approach was adopted in this analysis to provide a clear definition about critical thinking in health care managers as well as searching and analyzing online databases. The inclusion criterion included articles published during 2005-2022 in English and Persian languages (just in English or in Persian). Finally, 57 articles, 3 dissertations, were included in the analysis.
Results: The extracted attributes of critical thinking were as follows: responsibility for strategic planning and thinking, making accurate and hesitant decisions and problem solving skills, using professional and inter professional communication skills, applying knowledge in managing clinical settings, organizing human and financial resources, growing of mindsets and disposition for better performances in health care managers, and supervision for insurance of health quality. Provision of critical thinking leads to positive outcomes such as effective and patient-centered care, creativity, evidence-based practices, and professionalism.
Conclusion: A clear and comprehensive definition of critical thinking in health care management context was developed. This definition can correct many misconceptions and conceptual misuses about critical thinking in health care managers.
References
Bahmanpour K, Navipour H, Ahmadi F, Kazemnejad A. Critical thinking in clinical nursing: A content analysis. Cukurova Med J. 2018; 43(1): 172-9.
Shaw A, Ou L, Gu L, Kardonova E, Chirikov I, Li G, et al. Thinking critically about critical thinking: Validating the Russian HEIghten® critical thinking assessment. Stud High Educ 2020; 45(9): 1933-48.
Purvis CA. Factors that influence the development of critical thinking skills in associate degree nursing students [PhD Thesis]. Athens, GA: University of Georgia; 2009.
Zori S, Nosek LJ, Musil CM. Critical thinking of nurse managers related to staff RNs' perceptions of the practice environment. J Nurs Scholarsh. 2010; 42(3): 305-13.
Dinsmore DL, Fryer LK. Critical thinking and its relation to strategic processing. Educ Psychol Rev. 2023; 35(1): 36.
Rodgers BL, Jacelon CS, Knafl KA. Concept analysis and the advance of nursing knowledge: State of the science. J Nurs Scholarsh. 2018; 50(4): 451-9.
Tajvidi M, Ghiyasvandian S, Salsali M. Probing concept of critical thinking in nursing education in Iran: a concept analysis. Asian Nurs Res (Korean Soc Nurs Sci). 2014; 8(2): 158-64.
Bahmanpour K, Navipour H, Ahmadi F, Kazemnejad A. A concept analysis of critical thinking in clinical nursing. Sci J Kurdistan Univ Med Sci. 2017; 22(2): 96-109.
Sharples JM, Oxman AD, Mahtani KR, Chalmers I, Oliver S, Collins K, et al. Critical thinking in healthcare and education. BMJ. 2017; 357: j2234.
Salmon MH. Introduction to Logic and Critical Thinking. Wadsworth, OH: Cengage Learning; 2012.
Reid H. The Correlation between a general critical thinking skills test and a discipline specific critical thinking test for associate degree nursing students [PhD Thesis]; Denton, TX. University of North Texas; 2000.
Tucker RW. Less than critical thinking, Part II. Adult Assessment Forum. Phoenix, AZ: Phoenix Institute; 1996.
Colucciello ML. Critical thinking skills and dispositions of baccalaureate nursing students-a conceptual model for evaluation. J Prof Nurs. 1997; 13(4): 236-45.
Wagner D, Bear M. Patient satisfaction with nursing care: a concept analysis within a nursing framework. J Adv Nurs. 2009; 65(3): 692-701.
Carbogim FC, Oliveira LB, Puschel VA. Critical thinking: concept analysis from the perspective of Rodger's evolutionary method of concept analysis. Rev Lat Am Enfermagem. 2016; 24: e2785.
Burls A. What Is Critical Appraisal? London, UK: Hayward Medical Communications; 2014.
Chao SY, Liu HY, Wu MC, Clark MJ, Tan JY. Identifying critical thinking indicators and critical thinker attributes in nursing practice. J Nurs Res. 2013; 21(3): 204-11.
Cottrell S. Critical thinking skills: Developing effective analysis and argument. London, UK: Macmillan Education UK; 2011.
Facione P. Critical thinking: What It is and why it counts. Millbrae, CA: The California Academic Press; 2013.
Akpur U. Critical, reflective, creative thinking and their reflections on academic achievement. Think Skills Creat. 2020; 37: 100683.
Walker LO, Avant KC. Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson/Prentice Hall; 2005.
Utami B, Probosari RM, Saputro S, Ashadi, Masykuri M. Empowering critical thinking skills with problem solving in higher education. J Phys: Conf Ser. 2019; 1280(3): 032047.
Haase FA. Categories of critical thinking in information management. A study of critical thinking in decision making processes. Nomadas Critical Journal of Social and Juridical Sciences. 2010; 27(3): 1-20.
Li Y, Li K, Wei W, Dong J, Wang C, Fu Y, et al. Critical thinking, emotional intelligence and conflict management styles of medical students: A cross-sectional study. Think Skills Creat. 2021; 40: 100799.
Madadkhani Z, Nikoogoftar M. Critical thinking in nurses: Predictive role of emotional intelligence. Hayat. 2015; 20(4): 77-88.
Hester JP. Building relationships and resolving conflicts: Infusing critical thinking into workplace practices. J Values Based Leadersh. 2021; 14(1): 7.
Ricci FA. Cultivating critical thinking within organizations. Proceedings of SOCIOINT14-International Conference on Social Sciences and Humanities; 2014 Aug 4-7; Athens, Greece.
Matthews M. Connecting creativity and critical thinking to the campaign planning process. Commun Teach. 2011; 25(1): 61-7.
Profetto-McGrath J. Critical thinking and evidence-based practice. J Prof Nurs. 2005; 21(6): 364-71.
Indrašienė V, Jegelevičienė V, Merfeldaitė O, Penkauskienė D, Pivorienė J, Railienė A, et al. Linking critical thinking and knowledge management: A conceptual analysis. Sustainability. 2021; 13(3): 1476.
Earl M. Knowledge management strategies: Toward a taxonomy. J Manag Inf Syst. 2001; 18(1): 215-33.
Brooks KL, Shepherd JM. The relationship between clinical decision-making skills in nursing and general critical thinking abilities of senior nursing students in four types of nursing programs. J Nurs Educ. 1990; 29(9): 391-9.
Profetto-McGrath J, Hesketh KL, Lang S, Estabrooks CA. A study of critical thinking and research utilization among nurses. West J Nurs Res. 2003; 25(3): 322-37.
Bittner NP, Gravlin G. Critical thinking, delegation, and missed care in nursing practice. J Nurs Adm. 2009; 39(3): 142-6.
Castledine G. Critical thinking is crucial. Br J Nurs. 2010; 19(4): 271.
Brudvig T, Dirkes A, Dutta P, Rane K. The acquisition of critical thinking skills in health professional students: A systematic review. J Phys Ther Educ. 2013; 27(3): 12-25.
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