Abstract
to validate the Nursing Critical Thinking in Clinical Practice Questionnaire regarding cultural aspects and metric properties. a methodological research carried out through cross-cultural adaptation, face and content validity, dimensional construct and known groups validity, test-retest reliability and internal consistency. 511 nurses from four hospitals participated in the study, of which 54 participated in retest. the instrument validation for Brazilian Portuguese maintained equivalences, according to the original version. The dimensional validity demonstrated adjustment to the tetrafactorial structure of the original version (GFI=0.69). There were statistically significant differences in critical thinking skills between nurses with graduate degrees and who undertook training, reading articles, developing research and working in an institution with a longer time implementation of the Nursing Process. The instrument showed temporal stability (ICC 073-0.84; p<0.001) and adequate internal consistency (α=0.97). the instrument proved to be valid and reliable for the studied population.
Highlights
Study design, period, and locationThe social, political, economic and cultural aspects have changed with globalization, impacting the nursing work process evolution
Before developing Critical thinking (CT), it is necessary to identify the level of thought presented and what skills need to be developed
The methodology proposed by Ferrer and collaborators was used[10]
Summary
Period, and locationThe social, political, economic and cultural aspects have changed with globalization, impacting the nursing work process evolution. A scenario with greater complexity of care, linked to technological innovations and greater demands in relation to quality of care, requires changes in the curriculum proposal, with a training of professionals with a profile in which greater reflection, self-criticism and professional responsibility develop[1]. Nurses must maintain a level of skills and competencies essential to their performance[2]. This requires professionals to be active, purposeful, creative, analytical, flexible, with logical reasoning and able to continuously update information used effectively to solve health problems[3]. Critical thinking (CT) consists of skills that enable nurses to develop the ability to interpret and analyze problems and situations, assess and make inferences, foresee results and implement effective actions[4]. Using instruments that assess CT is a starting point for interventions that promote its development[5]
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