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      Critical thinking disposition of medical students in Anhui Province, China: a cross-sectional investigation

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          Abstract

          Objective

          To investigate the critical thinking disposition of medical undergraduates.

          Methods

          This cross-sectional study was performed on 426 students from four majors, including preventive medicine, maternal and children’s health care medicine, health inspection and quarantine, and food quality and safety. The survey was completed in May 2019 using the California Critical Thinking Dispositions Inventory-Chinese version (CTDI-CV).

          Results

          A total of 435 questionnaires were distributed and 426 valid questionnaires were collected, with an effective rate of 97.93%. The CTDI-CV overall average score was 262.02 ± 34.74 points indicating an ambivalent disposition in medical undergraduate students. Only one of the subscales (maturity in judgment) had mean scores of 43.35 ± 8.23 indicating the positive disposition of students. Among them, males scored 257.42 ± 35.06 lower than females’ 264.82 ± 34.32, the difference was statistically significant. The target scores of preventive medicine, maternal and children’s health medicine, health inspection and quarantine, and food quality and safety were 265.17 ± 30.10, 260.26 ± 37.05, 271.73 ± 33.55, and 252.11 ± 39.87, respectively. The difference was statistically significant. Among the three dimensions of seeking truth, open mind, and cognitive maturity, the scores of males were 38.26 ± 7.48, 38.78 ± 6.46 and 41.03 ± 8.69, which were lower than females’ 39.97 ± 7.11, 40.48 ± 6.48 and 44.91 ± 7.60, respectively. The scores of food quality and safety students were 37.23 ± 7.08, 36.61 ± 7.41 and 40.57 ± 8.60, respectively, which were lower than the preventive medicine (39.98 ± 7.07, 40.60 ± 5.96 and 44.44 ± 6.97, respectively).

          Conclusion

          Most medical students were found to have an ambivalent disposition which meant they were not disposed toward critical thinking. These findings suggested that more effective teaching methods should be taken to facilitate critical thinking disposition and problem-solving ability.

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          Most cited references28

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          Critical thinking disposition as a measure of competent clinical judgment: the development of the California Critical Thinking Disposition Inventory.

          Assessing critical thinking skills and disposition is crucial in nursing education and research. The California Critical Thinking Disposition Inventory (CCTDI) uses the Delphi Report's consensus definition of critical thinking as the theoretical basis to measure critical thinking disposition. Item analysis and factor analysis techniques were used to create seven disposition scales, which grouped the Delphi dispositional descriptions into larger, more unified constructs: open-mindedness, analyticity, cognitive maturity, truth-seeking, systematicity, inquisitiveness, and self-confidence. Cronbach's alpha for the overall instrument, the disposition toward critical thinking, is .92. The 75-item instrument was administered to an additional sample of college students (N = 1019). The alpha levels in the second sample remained relatively stable, ranging from .60 to .78 on the subscales and .90 overall. The instrument has subsequently been used to assess critical thinking disposition in high school through the graduate level but is targeted primarily for the college undergraduates. Administration time is 20 minutes. Correlation with its companion instrument, the California Critical Thinking Skills Test, also based on the Delphi critical thinking construct, was measured at .66 and .67 in two pilot sample groups.
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            A meta-analysis of the effects of non-traditional teaching methods on the critical thinking abilities of nursing students

            Background Scientific framework is important in designing curricula and evaluating students in the field of education and clinical practice. The purpose of this study was to examine the effectiveness of non-traditional educational methods on critical thinking skills. Methods A systematic review approach was applied. Studies published in peer-reviewed journals from January 2001 to December 2014 were searched using electronic databases and major education journals. A meta-analysis was performed using Review Manager 5.2. Reviewing the included studies, the California Critical Thinking Dispositions Inventory (CCTDI) and California Critical Thinking Skills Test (CCTST) were used to assess the effectiveness of critical thinking in the meta-analysis. Results The eight CCTDI datasets showed that non- traditional teaching methods (i.e., no lectures) were more effective compared to control groups (standardized mean difference [SMD]: 0.42, 95 % confidence interval [CI]: 0.26–0.57, p < .00001). And six CCTST datasets showed the teaching and learning methods in these studies were also had significantly more effects when compared to the control groups (SMD: 0.29, 95 % CI: 0.10–0.48, p = 0.003). Conclusions This research showed that new teaching and learning methods designed to improve critical thinking were generally effective at enhancing critical thinking dispositions. Electronic supplementary material The online version of this article (doi:10.1186/s12909-016-0761-7) contains supplementary material, which is available to authorized users.
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              Practice and effectiveness of “nursing case-based learning” course on nursing student's critical thinking ability: A comparative study

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                Author and article information

                Contributors
                jinxia.zhai@foxmail.com
                zhsahmu@foxmail.com
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                8 September 2023
                8 September 2023
                2023
                : 23
                : 652
                Affiliations
                [1 ]GRID grid.186775.a, ISNI 0000 0000 9490 772X, Department of Occupational and Environmental Health, School of Public Health, , Anhui Medical University, ; Meishan Rd 81, Hefei, 230032 China
                [2 ]GRID grid.186775.a, ISNI 0000 0000 9490 772X, Marxism School of Anhui Medical University, ; Meishan Rd 81, Hefei, 230032 China
                Article
                4646
                10.1186/s12909-023-04646-x
                10492276
                37684599
                9ec41e67-64ab-4ffc-97e3-700acecbb141
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 10 January 2023
                : 4 September 2023
                Funding
                Funded by: Anhui Medical University quality engineering projects
                Award ID: 2017067
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2023

                Education
                critical thinking,critical thinking disposition,critical thinking skills,california critical thinking dispositions inventory,medical education

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