THEORETICAL BASES OF CRITICAL THINKING IN IBERO-AMERICAN NURSING: INTEGRATIVE LITERATURE REVIEW

Ceolin, Silvana; González, José Siles; Ruiz, Maria del Carmen Solano; Heck, Rita Maria

doi:10.1590/0104-07072017003830016

Brasil

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Original Article • Texto contexto - enferm. 26 (4) • 2017 • https://doi.org/10.1590/0104-07072017003830016 linkcopy

THEORETICAL BASES OF CRITICAL THINKING IN IBERO-AMERICAN NURSING: INTEGRATIVE LITERATURE REVIEW

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: to identify the theoretical bases that underpin the concepts of critical thinking in Ibero-American nursing in the last ten years.

Method: integrative literature review carried out in the PubMed, CUIDEN and SciELO databases, between 2006 and 2015, using the key words nursing and critical thinking.

Results: 32 studies were included, which revealed the presence of nine thinkers as theoretical bases for the concept of critical thinking. It was found that there is no uniformity for the definition of the concept; however, two conceptions of critical thinking differ between authors, which were organized into two groups. Group A, composed of Alfaro-Lefevre, Peter Facione, Scheffer and Rubenfeld, Richard Paul; authors who understand that critical thinking involves skills for clinical reasoning and diagnosis, essential to decision making, and group B, consisting of John Dewey, Donald Schön, Paulo Freire and Jürgen Habermas, who understand critical thinking as an active reflective process, focused on the development of critical consciousness. These thinkers were the basis for the proposal of thought evaluation tools, teaching strategies and a theoretical-methodological nursing framework.

Conclusion: the dynamic perspective of group B strengthens the dialectical character of knowledge construction, from which nursing has the potential to build itself as a social and practical science, committed to the transformation of realities.

DESCRIPTORS: Nursing; thinking; Nursing education; Concept formation; Review

Group	Theoretical bases and concepts	Publications	Applications of concepts in nursing
A	Alfaro-Lefevre Critical Thinking	Crosseti et al., 2014;¹⁹ Crossetti et al., 2009;²⁰ Zuriguel Pérez et al., 2014;²¹ Bittencourt et al., 2013;²² Díaz, et al., 2010;²³ Pegueroles, 2009;²⁴ Morán-Peña, 2007;²⁵ Serrano et al., 2006;²⁶ Lima et al., 2007²⁷	1) Tools for measuring CT skills (California Critical Thinking Disposition Inventory, California Critical Thinking Skills Test, Ennis Weir Critical Thinking Essa Test, Watson-Glaser Critical Thinking Assessment Handbook 2) Teaching strategies (nursing process, conceptual maps, case study, clinical case, model for the teaching of integrated critical thinking in nursing (EPCIE), evidence-based nursing)
	Peter Facione Critical Thinking	Bertacchini et al., 2015;⁹ Vacek, 2009;¹⁰ Crosseti et al., 2014;¹⁹ Bittencourt et al., 2013;²² Morán-Peña, 2007;²⁵ Bittencourt et al., 2013²⁸
	Scheffer e Rubenfeld Critical Thinking	Crosseti et al., 2014;¹⁹ Bittencourt et al., 2013;²² Bittencourt et al 2013;²⁸ Bittencourt et al., 2011;²⁹ Cerullo et al., 2010;³⁰ Isaacs, 2010³¹
	Richard Paul Critical Thinking	Crosseti et al., 2014;¹⁹ Bittencourt et al., 2013;²⁸ Becerril et al., 2015³²
B	John Dewey Reflective Thinking	Piña-Jiménez et al., 2015;³³ Ferreira et al., 2013;³⁴ Valente et al., 2007;³⁵ Valente et al., 2009;³⁶ Mitre et al., 2008;³⁷ Barrios et al., 2012³⁸	1) Methodological theoretical reference (dialectical structural model of care). 2) Conceptual framework (sociocritical nursing, care, health, health education). 3) Teaching strategies (problem-based learning, problem-solving, portfolio, reflective diary, simulation, in-service learning).
	Donald Schön Prática reflexiva Reflective Practise	Piña-Jiménez et al., 2015;³³ Ferreira et al., 2013,³⁴ Valente et al., 2007;³⁵ Valente et al., 2009;³⁶Solano et al., 2013;³⁹ Burgatti et al., 2013;⁴⁰ Fandos, 2008;⁴¹ Moya et al., 2006⁴²
	Paulo Freire Critical Awareness Autonomy	Mitre et al., 2008;³⁷ Martins et al., 2012;⁴³ Alvim et al., 2007⁴⁴
	Jürgen Habermas Critical Thinking Communicative action	Mosqueda-Díaz et al., 2014;¹ Minguez et al., 2014;¹¹ Solano et al., 2013;³⁹Elizondo et al., 2013⁴⁵

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Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
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