title: Developing critical thinking skills from clinical assignments: a pilot study on nursing students' self-reported perceptions.
abstract: OBJECTIVE
  Clinical assignments in nursing education provide opportunities for students to develop thinking skills vital to the effective delivery of patient care. The purpose of the present study was to examine students' perceived levels of confidence for using thinking skills when completing two types of clinical assignments.
  
  
  BACKGROUND
  Clinical educators and managers are challenged to develop teaching and learning strategies that help students think critically and reflectively and transfer these skills into sound nursing practice.
  
  
  METHODS
  This study is based on the theoretical framework of critical thinking within the nursing process framework. Undergraduate nursing students (n=51) completed surveys indicating their confidence in using seven thinking skills for nursing care.
  
  
  RESULTS
  Students indicated significantly more confidence when implementing the journal format as compared with the care plan format when analysing information, determining relevance, making connections, selecting appropriate information, applying relevant knowledge and evaluating outcomes.
  
  
  CONCLUSIONS
  The findings of the present study propose a new approach for enhancing students' thinking skills. Journaling is an effective strategy for enhancing students' thinking skills.
  
  
  CONCLUSIONS
  Nursing managers are in key organisational positions for supporting and promoting the use of the journal format and building supportive and collaborative learning environments for students to develop thinking skills for managing patient care.
authors.affiliation: Department of Nursing, Saint Joseph's College of Maine, Standish, ME, USA. gmarchig@sjcme.edu
authors.forename: Gail
authors.initials: G
authors.lastname: Marchigiano
authors.forename: Nina
authors.initials: N
authors.lastname: Eduljee
authors.forename: Kimberly
authors.initials: K
authors.lastname: Harvey
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001325:Autobiographies as Topic; D002983:Clinical Competence / Q000592:standards; D003430:Cross-Sectional Studies; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009511:New England; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D009736:Nursing Process / Q000458:organization & administration; D010347:Patient Care Planning; D010865:Pilot Projects; D020377:Self Efficacy; D057566:Self Report; D018709:Statistics, Nonparametric; D013338:Students, Nursing / Q000523:psychology*; D013850:Thinking