Critical Thinking, Mind Mapping, Nursing Students
Conditions
Brief summary
This randomized controlled trial aims to evaluate the effectiveness of the mind mapping method in enhancing critical thinking and problem-solving skills among nursing students. The study will be conducted with 65 nursing students enrolled in a "Critical Thinking in Nursing" course at Gazi University during the 2025-2026 academic year. Participants will be assigned to experimental and control groups using stratified randomization based on pre-test scores from the "Marmara Critical Thinking Tendencies Scale" and the "Problem-Solving Inventory." The five-week intervention focuses on five clinical case studies: infection control, medication administration, patient safety, ethical issues, and systematic approaches. While both groups receive the same theoretical content, they follow different practical methodologies: The Control Group will engage in standard case analysis methods. The Experimental Group will work in small teams (4-5 students) to create and present visual mind maps for each case study, using either traditional or digital tools. Following the intervention, both groups will complete post-tests to assess changes in their critical thinking and problem-solving competencies.
Detailed description
Mind maps consist of a network of interconnected concepts designed to uncover creative connections between ideas. As two-dimensional visual learning tools, they bridge a student's prior knowledge with newly acquired information. This note-taking technique emphasizes creativity and visual representation and has increasingly transitioned into computer-based environments with technological advancements. This study employs a randomized controlled experimental design to evaluate the effectiveness of mind mapping in enhancing nursing students' critical thinking and problem-solving skills. A power analysis was performed using the G\*Power Version 3.1.9.7 program based on the 80 students enrolled in the course during the 2025-2026 academic year to determine the sample size. In a similar study in the literature the mean and standard deviation data for the pre-test (94.52 ± 24.11) and post-test (84.26 ± 19.95) for the experimental group, the effect size was determined to be 0.4559608. Based on a 5% margin of error and 95% power parameters, the t-test for dependent groups determined the minimum sample size to be n=54. Taking into account potential data losses that may occur during the study process, a 20% margin was added to the sample group, and the study was planned to begin with a total of 65 participants. Data will be gathered using a "Demographic Information Form," the "Marmara Critical Thinking Tendencies Scale," and the "Problem-Solving Inventory." Researchers developed five distinct case studies covering infection control, medication administration, patient safety/medical errors, ethical issues, and systematic approaches. Each case includes specific questions regarding fundamental nursing roles and risk areas. All students will complete the demographic form and pre-tests. Eligible volunteers will then be randomized into experimental and control groups, stratified by their average pre-test scores.The intervention will span five weeks during the scheduled "Critical Thinking in Nursing" course. Following a 40-50 minute theoretical lecture, the groups will move to separate classrooms: Control Group: Students will continue with the standard curriculum, analyzing the cases using traditional methods under the instructor's guidance. Experimental Group: Students will be divided into small groups (4-5 members) to create visual mind maps for each weekly topic. They will have 20-30 minutes to develop their maps-using either paper and pen or web-based tools-followed by group presentations and discussions. After five weeks, post-tests will be administered to all participants. Data will be analyzed using SPSS version 23, with a significance level set at p \< 0.05.
Interventions
They will create mind maps on five different topics.
Sponsors
Study design
Eligibility
Inclusion criteria
* Students who are enrolling in the Critical Thinking in Nursing course for the first time and * who volunteer to participate in the study
Exclusion criteria
* Students who have previously taken the critical thinking course * The student's refusal to continue participating in the study or failure to complete the data collection forms.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Marmara Critical Thinking Tendencies Scale | one week and five weeks after the intervention | The Marmara Critical Thinking Tendencies Scale, consists of 28 items and 6 subscales. The scale uses a 5-point Likert scale, with responses ranging from 1 = never, 2 = rarely, 3 = sometimes, 4 = usually, to 5 = always. The scale's subscales include: reasoning (items 1, 2, 3, 4, 5, 6), reaching a judgment (items 7, 8, 9, 10, 11, 12), seeking evidence (items 13, 14, 15, 16), truth-seeking (items 17, 18, 19, 20), open-mindedness (items 21, 22, 23, 24), and systematicity (items 25, 26, 27, 28). Scores range from a minimum of 28 to a maximum of 140. A high score on any of the scale's subscales indicates that the individual possesses the trait associated with that subscale, and a total score for critical thinking tendencies can be obtained from the scale. The scale's Cronbach's Alpha value is 0.91. |
| Problem-Solving Inventory | one week and five weeks after the intervention | The Problem-Solving Inventory was developed to measure not only how individuals perceive their own ability to solve problems but also the dimensions of problem-solving methods. In the scoring of the scale, items are rated on a scale from 1 to 6, ranging from "I always behave this way" to "I never behave this way." The lowest possible score on the scale is 32, and the highest is 192. A low score indicates high problem-solving ability, while a high score indicates weak problem-solving ability. The scale is a six-point Likert-type scale consisting of 35 items. The Cronbach's alpha reliability coefficient for the original scale was .90, while the reliability coefficient found in the Turkish adaptation study was .88. |