Effectiveness of Mind Mapped Care Plans (MMCP) in evaluating Critical Thinking Skill on patient care in Nursing practice and the Attitude among nursing students in selected Nursing Institutions

Jaya Thanga Selvi, G (2012) Effectiveness of Mind Mapped Care Plans (MMCP) in evaluating Critical Thinking Skill on patient care in Nursing practice and the Attitude among nursing students in selected Nursing Institutions. Doctoral thesis, The Tamilnadu Dr. M.G.R. Medical University, Chennai.


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A study was done to evaluate the Effectiveness of Mind Mapped Care Plans (MMCP) in evaluating Critical thinking skill on patient care and the Attitude towards care plan among nursing students in the selected institution of Tamil Nadu for the award of the degree of Doctor of Philosophy in Nursing to The Tamil Nadu Dr. M.G.R. Medical University, Chennai during the year 2012. INTRODUCTION: “Intuitive mind is a sacred gift and the rational mind is a faithful servant” - Albert Einstein. As nurse's roles change in response to the dynamics of managed care and an increase in use of biotechnology in health care, more is expected of them both in terms of psychomotor and cognitive skills. Critical thinking skill is currently a highly valued educational outcome throughout the educational spectrum, especially in relation to higher and professional education. Nursing education worldwide is also embracing the construct critical thinking skill as a desirable educational outcome and realizes the importance of eliciting the evidence of critical thinking in nurse's reasoning process. Creating an environment that engages students in the learning journey to promote critical thinking skill is not always easy. Mind mapping in nursing is a brilliant way for all nursing students to understand their lessons better and absorb difficult medical concepts easily. Therefore, mind maps are developed to provide a visual description of the thinking process. AIM AND OBJECTIVES: The present study is aimed to evaluate the effectiveness of Mind Map Care Plan as an instructional approach to develop critical thinking skill and change the attitude of nursing students towards the nursing care plan. The objectives of this study were to: (1) determine the effectiveness of MMCP on critical thinking skill of nursing students (2) find out the relationship between critical thinking skill of nursing students and their attitude towards care plan. The adapted conceptual framework in this study was on Daniel L. Stufflebeam (1971) CIPP (Context, Input, Process and Product) model. METHODS: The study used a quasi- experimental study of before and after control group design. A total of 257-III year B.Sc. Nursing degree students from six nursing institutions were included as interventional group (n=132) and control group (n=125) through purposive sampling technique. The orientation of this new approach was 4 weeks. On the first week, following the pre- assessment, the interventional group was given an introductory lecture on how to prepare Mind Mapped Care Plan (MMCP) as an innovative instructional approach. Followed by, this new approach was reviewed for remaining 3 consecutive weeks where the participants were given a same case study scenario every week to prepare nursing care plans using mind map. Finally, both the groups were again assessed for the critical thinking skills at three points of time. Data collection tools included a (1) demographic variables,(2) check list on critical thinking skill based on nursing process, (3) 5- Point Likert scale on attitude of nursing students towards nursing care plan and (4) Teaching module on “Mind Mapped Care Plan”. RESULTS: The scores of critical thinking skill were compared between the two groups by unpaired ‘t’ test. The findings revealed a significant difference between control 3rd - post and interventional 1st, 2nd, 3rd post-test critical thinking skill scores with the obtained overall ‘t’ value 39.73 was greater than statistical table value and ‘P’ value was 0.000 at P < 0.001 level. Thus, it infers that the interventional group had higher score as compared to the control group. These findings proved that there is a significant increase in the level of critical thinking skill among students in the MMCP group than those who did not participate. With regard to post- test correlation score, this study had an unexpected finding. The result shows that the obtained coefficient correlation value in the control (r = 0.074) and the interventional(r = 0.03) group indicate that there was possibly no correlation between critical thinking skill and attitude, since the value was not statistically significant at P < 0.001 level. This study concluded that MMCP might be an effective approach compared to a traditional care plan approach for educating nursing students in terms of improving critical thinking skill in the clinical settings. RECOMMENDATIONS: The study recommended the following: (1) As for the result of this study, it is recommended that the MMCP can be encouraged to utilize in clinical settings as a teaching approach to enhance learners’ critical thinking skills.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: Effectiveness, Mind Mapped Care Plans (MMCP), Critical Thinking Skill, patient care, Nursing practice, Attitude, nursing students, selected Nursing Institutions.
Subjects: NURSING > Community Health Nursing
Depositing User: Subramani R
Date Deposited: 23 Jan 2022 13:24
Last Modified: 23 Jan 2022 13:24
URI: http://repository-tnmgrmu.ac.in/id/eprint/19070

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