Concept mapping in a critical care orientation program: a pilot study to develop critical thinking and decision-making skills in novice nurses

J Contin Educ Nurs. 2013 Oct;44(10):455-60. doi: 10.3928/00220124-20130916-79. Epub 2013 Sep 23.

Abstract

Background: Newly graduated registered nurses who were hired into a critical care intensive care unit showed a lack of critical thinking skills to inform their clinical decision-making abilities.

Methods: This study evaluated the effectiveness of concept mapping as a teaching tool to improve critical thinking and clinical decision-making skills in novice nurses. A self-evaluation tool was administered before and after the learning intervention.

Results: The 25-item tool measured five key indicators of the development of critical thinking skills: problem recognition, clinical decision-making, prioritization, clinical implementation, and reflection. Statistically significant improvements were seen in 10 items encompassing all five indicators.

Conclusion: Concept maps are an effective tool for educators to use in assisting novice nurses to develop their critical thinking and clinical decision-making skills.

MeSH terms

  • Concept Formation*
  • Critical Care Nursing / education*
  • Decision Making*
  • Humans
  • Inservice Training / methods*
  • Pilot Projects
  • Preceptorship / methods*
  • Teaching / methods*
  • Thinking
  • United States