The nursing critical thinking in clinical practice questionnaire for nursing students: A psychometric evaluation study |
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| Affiliation: | 1. Department of Knowledge Management and Evaluation, Vall d′Hebron University Hospital, Passeig Vall d′Hebron 119-129, 08035 Barcelona, Spain;2. Multidisciplinary Nursing Research Group, Vall d′Hebron Research Institute (VHIR), Barcelona, Spain;3. Department of Psychosocial and Mental Health Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Carrer de la Feixa Llarga, s/ n, L′Hospitalet de Llobregat, 08907 Barcelona, Spain;4. Department of Fundamental and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Carrer de la Feixa Llarga, s/ n, L′Hospitalet de Llobregat, 08907 Barcelona, Spain;5. Department of Mental Health Nursing, Campus Docent Sant Joan de Déu, School of Nursing, University of Barcelona, Carrer Miret i Sans 10-16, 08034 Barcelona, Spain;6. Campus Docent Sant Joan de Déu, School of Nursing, University of Barcelona, Research Group in Nursing Education and Society (GIES), Carrer Miret i Sans 10-16, 08034 Barcelona, Spain;7. Department of Nursing, Faculty of Medicine, Autonomous University of Barcelona, Research Group on Vulnerability and Health (GRIVIS), Avda, Can Domènech s/n, Bellaterra, 08193 Barcelona, Spain;8. Hospitalization nurse at the Vall d′Hebron General Hospital, Vall d′Hebron University Hospital, Passeig Vall d′Hebron 119-129, 08035 Barcelona, Spain;1. School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Thomas Street, Ultimo 2007, Sydney, Australia;2. School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Thomas Street, Ultimo 2007, Sydney, Australia;3. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Western Avenue, Camperdown 2050, Sydney, Australia;4. Faculty of Information Technologies, Monash University, 25 Exhibition Walk, Clayton, Melbourne 3800, Victoria, Australia;1. University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Belgium;2. Staff member of Nursing Department Ghent University Hospital, Ghent, Belgium;3. Expertise Unit Health Innovation, University Colleges Leuven Limburg, Leuven, Belgium;1. School of Nursing, College of Nursing, Taipei Medical University; Department of Nursing, Far Eastern Memorial Hospital, Taiwan;2. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;3. Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan;4. School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan;5. Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;6. School of Nursing and Midwifery, Western Sydney University, New South Wales, Australia;1. The First Affiliated Hospital of China Medical University, Shenyang, China;2. Jinzhou Medical University, Jinzhou, China |
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| Abstract: | AimTo adapt and validate the N-CT-4 Practice for use with Spanish nursing students.BackgroundPromoting critical thinking is one of the primary objectives of nursing education programs all over the world. Using reliable and valid instruments to measure critical thinking is essential. The Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice) is used internationally to assess critical thinking in nursing practice. However, little is known about the possible applications of this instrument in the context of nursing education.MethodsTwo-phase study: Phase I, adaptation of the N-CT-4 Practice for use with nursing students and verification of its content validity; phase 2, cross-sectional study to validate its psychometric properties in a sample of 331 nursing students from three university nursing schools. A subsample of 34 students completed the questionnaire on two occasions, with a time interval of two weeks. The construct validity and reliability of the instrument were tested using confirmatory factor analysis, convergent validity, internal consistency reliability and test-retest reliability. The STROBE guidelines and the COSMIN checklist were followed.ResultsAll items obtained optimal content validity values. The model fit indices obtained from the confirmatory factor analysis supported the hypothesis of the four-dimensional structure on which the original questionnaire was based. Cronbach's alpha of 0.96 indicated high reliability. The correlations between the total score and the scores for the dimensions were statistically significant, positive and high, with values above r = 0.78 (p < 0.05). Lin's concordance correlation coefficient was 0.6 (p < 0.001).ConclusionsThe adapted version of the N-CT-4 Practice is suitable for measuring critical thinking skills in the educational context of the degree course in nursing in Spain. Its psychometric validation yielded satisfactory results. |
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| Keywords: | Critical thinking Instrument Nursing education Nursing student Psychometrics |
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