Promoting of Critical Thinking Skills in Nursing Students Through Reflective Thinking


  • สุพิมล ขอผล Registered Nurse Senior Professional Level. Boromarajonani College of Nursing
  • จินตวีร์พร แป้นแก้ว Registered Nurse Senior Professional Level. Boromarajonani College of Nursing
  • ธณัชช์นรี สโรบล Registered Nurse Senior Professional Level. Boromarajonani College of Nursing
  • เกศราภรณ์ ชูพันธ์ Registered Nurse Senior Professional Level. Boromarajonani College of Nursing
  • สุมิตรพร จอมจันทร์ พยาบาลวิชาชีพชำนาญการ วิทยาลัยพยาบาลบรมราชชนนี เชียงใหม่


: Critical Thinking skills, Reflective thinking, Nursing students


Critical Thinking is a process of analyzing individual experiences in a situation for decision making. This skill is essential for nursing process and clinical practices. Thus, teaching strategies are needed for enhancing critical thinking in nursing students.This study aimed  to compare the pre-post  critical thinking skill test among nursing students by applying reflective thinking strategy (reflective journal) in psychiatric clinical practices and to find if a reflective thinking strategy would improve nursing students’ critical thinking skills.  A two- group experimental study with a pre-post critical thinking test was conducted. The sample were 3rd year nursing students in Boromrajonani  college of nursing Chiang Mai Thailand. The participants were systematic divided by GPA into an intervention group (n=24) assigned to do reflective journaling after their clinical nursing activities and a control group (n= 24) without reflective journaling, during their psychiatric clinical practices for 4 weeks. The reflective journaling forms based on Gibbs’s Reflective Cycle and the critical thinking test by Sriprai Chaiya with validity of 7.6 were used.The score of pre-post critical thinking test were compared within groups by pair t-test and the post critical thinking test score of control and intervention groups were compared by  Independent t – test

Research finding as follows : 1.The score of pre-post critical thinking skill of both control and intervention groups were in moderate level (  = 49.2 + 1.33 )and Inference skill  was the lowest in the 5 factors of critical thinking skill. 2.The post-test critical thinking score was significant higher than pre-test score in the intervention group ( t = 0.046 , P< 0.05) but no statistically difference in the control group( t = 0.669  , P> 0.05). 3. There is no significant difference of post-test critical thinking score between control and intervention groups( t = 0.654 , P> 0.05). 

Conclusion and suggestion of this study, It was effective to implement reflective thinking strategy in the clinical practice to improve the critical skills in nursing students.  Further teaching strategies should be considered to promote the inference critical thinking skill in nursing students.


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How to Cite

ขอผล ส., แป้นแก้ว จ., สโรบล ธ., ชูพันธ์ เ., & จอมจันทร์ ส. (2019). Promoting of Critical Thinking Skills in Nursing Students Through Reflective Thinking. Nursing Journal CMU, 46(1), 87–101. Retrieved from



Research Article