Literature Review
Volume 4 Issue 7 - 2022
Critical Thinking: Narrative Review
Mark E Murdock*
Palmer College of Chiropractic Florida, Port Orange, FL, USA
*Corresponding Author: Mark E Murdock, Palmer College of Chiropractic Florida, Port Orange, FL, USA.
Received: May 18, 2022; Published: June 30, 2022


Introduction: In this narrative review, the author explored concepts of critical thinking: definition, goal, instruments and dimensions. The aim of this article is to synthesize the information from multiple sources into a more detailed process for “critical thinking” (CT) based on the 5 A’s model (Ask, Acquire, Appraise, Apply, Assess) that incorporates the dimensions.

Methods: Literature review was based upon convenience sample of materials used to teach the subject and Pubmed search of “critical thinking” limited to free full text, RCTs, systematic reviews and narrative reports.

Results: Deliverables include a step by step table for the “critical thinking” 5 A’s process with explanations in the body of the paper. Other deliverables include consolidated tables of the information presented in the introduction.

Discussion: Potential areas of concern are introduced including a lack of overall tool for measuring critical thinking and the impracticality of assessing all dimensions of CT.

Conclusion: This provides a resource for beginning to understand the complexities of causation and elucidating features of correlation.

Keywords: Critical Thinking; Literature Search; Appraisal; Evidence Based Medicine; EBM; EBCP; Education


  1. Sackett DL. “Evidence-based medicine and treatment choices”. Lancet9051 (1997): 570.
  2. Sackett DL. “Evidence-based medicine and treatment choices”. Lancet9051 (1997): 570.
  3. Sackett DL. “Evidence-based medicine”. Seminars in Perinatology1 (1997): 3-5.
  4. Fero L., et al. “Critical thinking skills in nursing students: comparison of simulation-based performance with metrics”. Journal of Advanced Nursing10 (2010): 2182-2193.
  5. Fernandez CED PM. “Evidence-Based Health Care in Medical and Chiropractic Education: A Literature Review”. The Journal of Chiropractic Education2 (2004): 103-115.
  6. Rigel F and Crossetti M. “Theoretical frameworks and instruments for evaluation of critical thinking in nursing and education”. Revista Gaucha de Enfermagem 39 (2018): e2017-0097.
  7. De Menezes., et al. “Clinical reasoning in undergraduate nursing education: a scoping review”. Revista da Escola de Enfermagem da USP6 (2015): 1032-1039.
  8. Ahmady S., et al. “Factors related to academic failure in preclinical medical education: A systematic review”. Journal of Advances in Medical Education and Professionalism2 (2019).
  9. Balakrishnan A., et al. “Effectiveness of blended learning in pharmacy education: An experimental study using clinical research modules”. PLOS ONE (2021): 1.
  10. Cusack L., et al. “Educational interventions to improve people’s understanding of key concepts in assessing the effects of health interventions: a systematic review”. Systematic Reviews 7 (2018): 68.
  11. Oxford Languages, Retrieved 5/11/2022 10:28 am via, define critical thinking - Search (, same retrieved from (2022).
  12. com, Retrieved 5/11/2022 10:33 am via google (2022).
  13. D’Antoni A., et al. “Does the mind map learning strategy facilitate information retrieval and critical thinkin in medical students?” 10 (2010): 61.
  14. Daley BJ., et al. “Concept maps: A strategy to teach and evaluate critical thinking”. Journal of Nursing Education 38 (1999): 42-47.
  15. APA: Critical Thinking: A Statement of Expert Consensus for Purposes of Educational Assessment and Instruction. ERIC document: ED (1990): 315-423.
  16. Aglen B. Pedagogical strategies to teach bachelor students evidence-based practice: A systematic review 36 (2016): 255-263.
  17. Lujan M. “Critical Thinking, Based on Bloom’s Taxonomy” Mentoring Minds. Hand held tool sliding tool with question prompts as mastery suggestions for educators (2007).
  18. Zeydani A., et al. “Effect of community-based education on undergraduate nursing students’ skills: a systematic review”, 20 (2021): 233.
  19. Ang RX., et al. “Systematic review of the use of debates in health professions education – does it work?” GMS Journal for Medical Education4 (2019): 2366-5017.
  20. Dean C., et al. “Paranormal beliefs and cognitive function: A systematic review and assessment of study quality across four decades of research”. PLOS ONE (2022): 4.
  21. Feinkohl I., et al. “The Impact of Personality Factors and Preceding User Comments on the Processing of Research Findings on Deep Brain Stimulation: A Randomized Controlled Experiment in a Simulated Online Forum”. Journal of Medical Internet Research 3 (2016): 1-15.
  22. Agostino E and Freudenberg N. “Population Thinking Instruction in High Schools: a Public Health Intervention with Triple Benefits”. The Journal of Urban Health 96 (2019): 902-911.
  23. De Oliveira., et al. “Effectiveness of teaching strategies on the development of critical thinking in undergraduate nursing students: a meta-analysis”. Revista da Escola de Enfermagem da USP2 (2016): 350-359.
  24. Boostel R., et al. “Stress of nursing students in clinical simulation: a randomized clinical trial”. Revista Brasileira de Enfermagem3 (2018): 967-974.
  25. Zhu Z., et al. “Case-based learning combined with science, technology, engineering and math (STEM) education concept to improve clinical thinking of undergraduate nursing students: A randomized experiment”. Nursing Open 8 (2020): 415-422.
  26. Bleske BE., et al. “A randomized crossover comparison of Team-based Learning and lecture format on learning outcomes”. 80.7 (2016): 120.
Citation: Mark E Murdock. “Critical Thinking: Narrative Review”. EC Nursing and Healthcare 4.7 (2022): 44-55.

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