example of critical thinking in clinical research

Critical thinking in nursing clinical practice, education and research: From attitudes to virtue

Affiliations.

1 Department of Fundamental Care and Medical Surgital Nursing, Faculty of Medicine and Health Sciences, School of Nursing, Consolidated Research Group Quantitative Psychology (2017-SGR-269), University of Barcelona, Barcelona, Spain.
2 Department of Fundamental Care and Medical Surgital Nursing, Faculty of Medicine and Health Sciences, School of Nursing, Consolidated Research Group on Gender, Identity and Diversity (2017-SGR-1091), University of Barcelona, Barcelona, Spain.
3 Department of Fundamental Care and Medical Surgital Nursing, Faculty of Medicine and Health Sciences, School of Nursing, University of Barcelona, Barcelona, Spain.
4 Multidisciplinary Nursing Research Group, Vall d'Hebron Research Institute (VHIR), Vall d'Hebron Hospital, Barcelona, Spain.
PMID: 33029860
DOI: 10.1111/nup.12332

Critical thinking is a complex, dynamic process formed by attitudes and strategic skills, with the aim of achieving a specific goal or objective. The attitudes, including the critical thinking attitudes, constitute an important part of the idea of good care, of the good professional. It could be said that they become a virtue of the nursing profession. In this context, the ethics of virtue is a theoretical framework that becomes essential for analyse the critical thinking concept in nursing care and nursing science. Because the ethics of virtue consider how cultivating virtues are necessary to understand and justify the decisions and guide the actions. Based on selective analysis of the descriptive and empirical literature that addresses conceptual review of critical thinking, we conducted an analysis of this topic in the settings of clinical practice, training and research from the virtue ethical framework. Following JBI critical appraisal checklist for text and opinion papers, we argue the need for critical thinking as an essential element for true excellence in care and that it should be encouraged among professionals. The importance of developing critical thinking skills in education is well substantiated; however, greater efforts are required to implement educational strategies directed at developing critical thinking in students and professionals undergoing training, along with measures that demonstrate their success. Lastly, we show that critical thinking constitutes a fundamental component in the research process, and can improve research competencies in nursing. We conclude that future research and actions must go further in the search for new evidence and open new horizons, to ensure a positive effect on clinical practice, patient health, student education and the growth of nursing science.

Keywords: critical thinking; critical thinking attitudes; nurse education; nursing care; nursing research.

Attitude of Health Personnel*
Education, Nursing / methods
Nursing Process
Nursing Research / methods

Grants and funding

PREI-19-007-B/School of Nursing. Faculty of Medicine and Health Sciences. University of Barcelona

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Critical thinking: what it is and why it counts. 2020. https://tinyurl.com/ybz73bnx (accessed 27 April 2021)

Faculty of Intensive Care Medicine. Curriculum for training for advanced critical care practitioners: syllabus (part III). version 1.1. 2018. https://www.ficm.ac.uk/accps/curriculum (accessed 27 April 2021)

Guerrero AP. Mechanistic case diagramming: a tool for problem-based learning. Acad Med.. 2001; 76:(4)385-9 https://doi.org/10.1097/00001888-200104000-00020

Harasym PH, Tsai TC, Hemmati P. Current trends in developing medical students' critical thinking abilities. Kaohsiung J Med Sci.. 2008; 24:(7)341-55 https://doi.org/10.1016/S1607-551X(08)70131-1

Hayes MM, Chatterjee S, Schwartzstein RM. Critical thinking in critical care: five strategies to improve teaching and learning in the intensive care unit. Ann Am Thorac Soc.. 2017; 14:(4)569-575 https://doi.org/10.1513/AnnalsATS.201612-1009AS

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. https://www.hee.nhs.uk/sites/default/files/documents/multi-professionalframeworkforadvancedclinicalpracticeinengland.pdf (accessed 27 April 2021)

Health Education England, NHS England/NHS Improvement, Skills for Health. Core capabilities framework for advanced clinical practice (nurses) working in general practice/primary care in England. 2020. https://www.skillsforhealth.org.uk/images/services/cstf/ACP%20Primary%20Care%20Nurse%20Fwk%202020.pdf (accessed 27 April 2021)

Health Education England. Advanced practice mental health curriculum and capabilities framework. 2020. https://www.hee.nhs.uk/sites/default/files/documents/AP-MH%20Curriculum%20and%20Capabilities%20Framework%201.2.pdf (accessed 27 April 2021)

Jacob E, Duffield C, Jacob D. A protocol for the development of a critical thinking assessment tool for nurses using a Delphi technique. J Adv Nurs.. 2017; 73:(8)1982-1988 https://doi.org/10.1111/jan.13306

Kohn MA. Understanding evidence-based diagnosis. Diagnosis (Berl).. 2014; 1:(1)39-42 https://doi.org/10.1515/dx-2013-0003

Clinical reasoning—a guide to improving teaching and practice. 2012. https://www.racgp.org.au/afp/201201/45593

McGee S. Evidence-based physical diagnosis, 4th edn. Philadelphia PA: Elsevier; 2018

Norman GR, Monteiro SD, Sherbino J, Ilgen JS, Schmidt HG, Mamede S. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Acad Med.. 2017; 92:(1)23-30 https://doi.org/10.1097/ACM.0000000000001421

Papp KK, Huang GC, Lauzon Clabo LM Milestones of critical thinking: a developmental model for medicine and nursing. Acad Med.. 2014; 89:(5)715-20 https://doi.org/10.1097/acm.0000000000000220

Rencic J, Lambert WT, Schuwirth L., Durning SJ. Clinical reasoning performance assessment: using situated cognition theory as a conceptual framework. Diagnosis.. 2020; 7:(3)177-179 https://doi.org/10.1515/dx-2019-0051

Examining critical thinking skills in family medicine residents. 2016. https://www.stfm.org/FamilyMedicine/Vol48Issue2/Ross121

Royal College of Emergency Medicine. Emergency care advanced clinical practitioner—curriculum and assessment, adult and paediatric. version 2.0. 2019. https://tinyurl.com/eps3p37r (accessed 27 April 2021)

Young ME, Thomas A, Lubarsky S. Mapping clinical reasoning literature across the health professions: a scoping review. BMC Med Educ.. 2020; 20 https://doi.org/10.1186/s12909-020-02012-9

Advanced practice: critical thinking and clinical reasoning

Sadie Diamond-Fox

Senior Lecturer in Advanced Critical Care Practice, Northumbria University, Advanced Critical Care Practitioner, Newcastle upon Tyne Hospitals NHS Foundation Trust, and Co-Lead, Advanced Critical/Clinical Care Practitioners Academic Network (ACCPAN)

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Advanced Critical Care Practitioner, South Tees Hospitals NHS Foundation Trust

example of critical thinking in clinical research

Clinical reasoning is a multi-faceted and complex construct, the understanding of which has emerged from multiple fields outside of healthcare literature, primarily the psychological and behavioural sciences. The application of clinical reasoning is central to the advanced non-medical practitioner (ANMP) role, as complex patient caseloads with undifferentiated and undiagnosed diseases are now a regular feature in healthcare practice. This article explores some of the key concepts and terminology that have evolved over the last four decades and have led to our modern day understanding of this topic. It also considers how clinical reasoning is vital for improving evidence-based diagnosis and subsequent effective care planning. A comprehensive guide to applying diagnostic reasoning on a body systems basis will be explored later in this series.

The Multi-professional Framework for Advanced Clinical Practice highlights clinical reasoning as one of the core clinical capabilities for advanced clinical practice in England ( Health Education England (HEE), 2017 ). This is also identified in other specialist core capability frameworks and training syllabuses for advanced clinical practitioner (ACP) roles ( Faculty of Intensive Care Medicine, 2018 ; Royal College of Emergency Medicine, 2019 ; HEE, 2020 ; HEE et al, 2020 ).

Rencic et al (2020) defined clinical reasoning as ‘a complex ability, requiring both declarative and procedural knowledge, such as physical examination and communication skills’. A plethora of literature exists surrounding this topic, with a recent systematic review identifying 625 papers, spanning 47 years, across the health professions ( Young et al, 2020 ). A diverse range of terms are used to refer to clinical reasoning within the healthcare literature ( Table 1 ), which can make defining their influence on their use within the clinical practice and educational arenas somewhat challenging.

The concept of clinical reasoning has changed dramatically over the past four decades. What was once thought to be a process-dependent task is now considered to present a more dynamic state of practice, which is affected by ‘complex, non-linear interactions between the clinician, patient, and the environment’ ( Rencic et al, 2020 ).

Cognitive and meta-cognitive processes

As detailed in the table, multiple themes surrounding the cognitive and meta-cognitive processes that underpin clinical reasoning have been identified. Central to these processes is the practice of critical thinking. Much like the definition of clinical reasoning, there is also diversity with regard to definitions and conceptualisation of critical thinking in the healthcare setting. Facione (2020) described critical thinking as ‘purposeful reflective judgement’ that consists of six discrete cognitive skills: analysis, inference, interpretation, explanation, synthesis and self–regulation. Ross et al (2016) identified that critical thinking positively correlates with academic success, professionalism, clinical decision-making, wider reasoning and problem-solving capabilities. Jacob et al (2017) also identified that patient outcomes and safety are directly linked to critical thinking skills.

Harasym et al (2008) listed nine discrete cognitive steps that may be applied to the process of critical thinking, which integrates both cognitive and meta-cognitive processes:

Gather relevant information
Formulate clearly defined questions and problems
Evaluate relevant information
Utilise and interpret abstract ideas effectively
Infer well-reasoned conclusions and solutions
Pilot outcomes against relevant criteria and standards
Use alternative thought processes if needed
Consider all assumptions, implications, and practical consequences
Communicate effectively with others to solve complex problems.

There are a number of widely used strategies to develop critical thinking and evidence-based diagnosis. These include simulated problem-based learning platforms, high-fidelity simulation scenarios, case-based discussion forums, reflective journals as part of continuing professional development (CPD) portfolios and journal clubs.

Dual process theory and cognitive bias in diagnostic reasoning

A lack of understanding of the interrelationship between critical thinking and clinical reasoning can result in cognitive bias, which can in turn lead to diagnostic errors ( Hayes et al, 2017 ). Embedded within our understanding of how diagnostic errors occur is dual process theory—system 1 and system 2 thinking. The characteristics of these are described in Table 2 . Although much of the literature in this area regards dual process theory as a valid representation of clinical reasoning, the exact causes of diagnostic errors remain unclear and require further research ( Norman et al, 2017 ). The most effective way in which to teach critical thinking skills in healthcare education also remains unclear; however, Hayes et al (2017) proposed five strategies, based on well-known educational theory and principles, that they have found to be effective for teaching and learning critical thinking within the ‘high-octane’ and ‘high-stakes’ environment of the intensive care unit ( Table 3 ). This is arguably a setting that does not always present an ideal environment for learning given its fast pace and constant sensory stimulation. However, it may be argued that if a model has proven to be effective in this setting, it could be extrapolated to other busy clinical environments and may even provide a useful aide memoire for self-assessment and reflective practices.

Integrating the clinical reasoning process into the clinical consultation

Linn et al (2012) described the clinical consultation as ‘the practical embodiment of the clinical reasoning process by which data are gathered, considered, challenged and integrated to form a diagnosis that can lead to appropriate management’. The application of the previously mentioned psychological and behavioural science theories is intertwined throughout the clinical consultation via the following discrete processes:

The clinical history generates an initial hypothesis regarding diagnosis, and said hypothesis is then tested through skilled and specific questioning
The clinician formulates a primary diagnosis and differential diagnoses in order of likelihood
Physical examination is carried out, aimed at gathering further data necessary to confirm or refute the hypotheses
A selection of appropriate investigations, using an evidence-based approach, may be ordered to gather additional data
The clinician (in partnership with the patient) then implements a targeted and rationalised management plan, based on best-available clinical evidence.

Linn et al (2012) also provided a very useful framework of how the above methods can be applied when teaching consultation with a focus on clinical reasoning (see Table 4 ). This framework may also prove useful to those new to the process of undertaking the clinical consultation process.

Evidence-based diagnosis and diagnostic accuracy

The principles of clinical reasoning are embedded within the practices of formulating an evidence-based diagnosis (EBD). According to Kohn (2014) EBD quantifies the probability of the presence of a disease through the use of diagnostic tests. He described three pertinent questions to consider in this respect:

‘How likely is the patient to have a particular disease?’
‘How good is this test for the disease in question?’
‘Is the test worth performing to guide treatment?’

EBD gives a statistical discriminatory weighting to update the probability of a disease to either support or refute the working and differential diagnoses, which can then determine the appropriate course of further diagnostic testing and treatments.

Diagnostic accuracy refers to how positive or negative findings change the probability of the presence of disease. In order to understand diagnostic accuracy, we must begin to understand the underlying principles and related statistical calculations concerning sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and likelihood ratios.

The construction of a two-by-two square (2 x 2) table ( Figure 1 ) allows the calculation of several statistical weightings for pertinent points of the history-taking exercise, a finding/sign on physical examination, or a test result. From this construct we can then determine the aforementioned statistical calculations as follows ( McGee, 2018 ):

Sensitivity , the proportion of patients with the diagnosis who have the physical sign or a positive test result = A ÷ (A + C)
Specificity , the proportion of patients without the diagnosis who lack the physical sign or have a negative test result = D ÷ (B + D)
Positive predictive value , the proportion of patients with disease who have a physical sign divided by the proportion of patients without disease who also have the same sign = A ÷ (A + B)
Negative predictive value , proportion of patients with disease lacking a physical sign divided by the proportion of patients without disease also lacking the sign = D ÷ (C + D)
Likelihood ratio , a finding/sign/test results sensitivity divided by the false-positive rate. A test of no value has an LR of 1. Therefore the test would have no impact upon the patient's odds of disease
Positive likelihood ratio = proportion of patients with disease who have a positive finding/sign/test, divided by proportion of patients without disease who have a positive finding/sign/test OR (A ÷ N1) ÷ (B÷ N2), or sensitivity ÷ (1 – specificity) The more positive an LR (the further above 1), the more the finding/sign/test result raises a patient's probability of disease. Thresholds of ≥ 4 are often considered to be significant when focusing a clinician's interest on the most pertinent positive findings, clinical signs or tests
Negative likelihood ratio = proportion of patients with disease who have a negative finding/sign/test result, divided by the proportion of patients without disease who have a positive finding/sign/test OR (C ÷ N1) ÷ (D÷N1) or (1 – sensitivity) ÷ specificity The more negative an LR (the closer to 0), the more the finding/sign/test result lowers a patient's probability of disease. Thresholds <0.4 are often considered to be significant when focusing clinician's interest on the most pertinent negative findings, clinical signs or tests.

There are various online statistical calculators that can aid in the above calculations, such as the BMJ Best Practice statistical calculators, which may used as a guide (https://bestpractice.bmj.com/info/toolkit/ebm-toolbox/statistics-calculators/).

Clinical scoring systems

Evidence-based literature supports the practice of determining clinical pretest probability of certain diseases prior to proceeding with a diagnostic test. There are numerous validated pretest clinical scoring systems and clinical prediction tools that can be used in this context and accessed via various online platforms such as MDCalc (https://www.mdcalc.com/#all). Such clinical prediction tools include:

4Ts score for heparin-induced thrombocytopenia
ABCD² score for transient ischaemic attack (TIA)
CHADS₂ score for atrial fibrillation stroke risk
Aortic Dissection Detection Risk Score (ADD-RS).

Conclusions

Critical thinking and clinical reasoning are fundamental skills of the advanced non-medical practitioner (ANMP) role. They are complex processes and require an array of underpinning knowledge of not only the clinical sciences, but also psychological and behavioural science theories. There are multiple constructs to guide these processes, not all of which will be suitable for the vast array of specialist areas in which ANMPs practice. There are multiple opportunities throughout the clinical consultation process in which ANMPs can employ the principles of critical thinking and clinical reasoning in order to improve patient outcomes. There are also multiple online toolkits that may be used to guide the ANMP in this complex process.

Much like consultation and clinical assessment, the process of the application of clinical reasoning was once seen as solely the duty of a doctor, however the advanced non-medical practitioner (ANMP) role crosses those traditional boundaries
Critical thinking and clinical reasoning are fundamental skills of the ANMP role
The processes underlying clinical reasoning are complex and require an array of underpinning knowledge of not only the clinical sciences, but also psychological and behavioural science theories
Through the use of the principles underlying critical thinking and clinical reasoning, there is potential to make a significant contribution to diagnostic accuracy, treatment options and overall patient outcomes

CPD reflective questions

What assessment instruments exist for the measurement of cognitive bias?
Think of an example of when cognitive bias may have impacted on your own clinical reasoning and decision making
What resources exist to aid you in developing into the ‘advanced critical thinker’?
What resources exist to aid you in understanding the statistical terminology surrounding evidence-based diagnosis?

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What is Critical Thinking in Academics – Guide With Examples

Published by Grace Graffin at October 17th, 2023 , Revised On October 17, 2023

In an era dominated by vast amounts of information, the ability to discern, evaluate, and form independent conclusions is more crucial than ever. Enter the realm of “critical thinking.” But what does this term truly mean?

What is Critical Thinking?

Critical thinking is the disciplined art of analysing and evaluating information or situations by applying a range of intellectual skills. It goes beyond mere memorisation or blind acceptance of information, demanding a deeper understanding and assessment of evidence, context, and implications.

Moreover, paraphrasing in sources is an essential skill in critical thinking, as it allows for representing another’s ideas in one’s own words, ensuring comprehension.

Critical thinking is not just an academic buzzword but an essential tool. In academic settings, it serves as the backbone of genuine understanding and the springboard for innovation. When students embrace critical thinking, they move from being passive recipients of information to active participants in their own learning journey.

They question, evaluate, and synthesise information from various sources, fostering an intellectual curiosity that extends beyond the classroom. Part of this involves understanding how to integrate sources into their work, which means not only including information from various places, but also doing so in a cohesive and logical way.

The importance of critical thinking in academics cannot be overstated. It equips students with the skills to discern credible sources from unreliable ones, develop well-informed arguments, and approach problems with a solution-oriented mindset.

The Origins and Evolution of Critical Thinking

The idea of critical thinking isn’t a new-age concept. Its roots reach back into ancient civilisations, moulding the foundations of philosophy, science, and education. To appreciate its evolution, it’s vital to delve into its historical context and the influential thinkers who have championed it.

Historical Perspective on the Concept of Critical Thinking

The seeds of critical thinking can be traced back to Ancient Greece, particularly in the city-state of Athens. Here, the practice of debate, dialogue, and philosophical inquiry was valued and was seen as a route to knowledge and wisdom. This era prized the art of questioning, investigating, and exploring diverse viewpoints to reach enlightened conclusions.

In medieval Islamic civilisation, scholars in centres of learning, such as the House of Wisdom in Baghdad, played a pivotal role in advancing critical thought. Their works encompassed vast areas, including philosophy, mathematics, and medicine, often intertwining rigorous empirical observations with analytical reasoning.

The Renaissance period further nurtured critical thinking as it was a time of revival in art, culture, and intellect. This era championed humanistic values, focusing on human potential and achievements. It saw the rebirth of scientific inquiry, scepticism about religious dogma, and an emphasis on empirical evidence.

Philosophers and Educators Who Championed Critical Thinking

Several philosophers and educators stand out for their remarkable contributions to the sphere of critical thinking:

Known for the Socratic method, a form of cooperative argumentative dialogue, Socrates would ask probing questions, forcing his pupils to think deeply about their beliefs and assumptions. His methodology still influences modern education, emphasising the answer and the path of reasoning that leads to it.

A student of Socrates, Plato believed in the importance of reason and inquiry. His allegory of the cave highlights the difference between blindly accepting information and seeking true knowledge.

He placed great emphasis on empirical evidence and logic. His works on syllogism and deductive reasoning laid the foundation for systematic critical thought.

Al-Farabi And Ibn Rushd (Averroes)

Islamic philosophers, who harmonised Greek philosophy with Islamic thought, emphasised the importance of rationality and critical inquiry.

Sir Francis Bacon

An advocate for the scientific method, Bacon believed that knowledge should be based on empirical evidence, observation, and experimentation rather than mere reliance on accepted truths.

A modern proponent of critical thinking, Dewey viewed it as an active, persistent, and careful consideration of a belief or supposed form of knowledge. He emphasised that students should be taught to think for themselves rather than just memorise facts.

Paulo Freire

Recognised for his ideas on “problem-posing education,” Freire believed that students should be encouraged to question, reflect upon, and respond to societal issues, fostering critical consciousness.

Characteristics of Critical Thinkers

Critical thinkers are not defined merely by the knowledge they possess, but by the manner in which they process, analyse, and use that knowledge. While the profile of a critical thinker can be multifaceted, certain core traits distinguish them. Let’s delve into these characteristics:

1. Open-mindedness

Open-mindedness refers to the willingness to consider different ideas, opinions, and perspectives, even if they challenge one’s existing beliefs. It allows critical thinkers to avoid being trapped in their own biases or preconceived notions. By being open to diverse viewpoints, they can make more informed and holistic decisions.

Listening to a debate without immediately taking sides.
Reading literature from different cultures to understand various world views.

2. Analytical Nature

An analytical nature entails the ability to break down complex problems or information into smaller, manageable parts to understand the whole better. Being analytical enables individuals to see patterns, relationships, and inconsistencies, allowing for deeper comprehension and better problem-solving.

Evaluating a research paper by examining its methodology, results, and conclusions separately.
Breaking down the components of a business strategy to assess its viability.

3. Scepticism

Scepticism is the tendency to question and doubt claims or assertions until sufficient evidence is presented. Skepticism ensures that critical thinkers do not accept information at face value. They seek evidence and are cautious about jumping to conclusions without verification.

Questioning the results of a study that lacks a control group.
Doubting a sensational news headline and researching further before believing or sharing it.

4. Intellectual Humility

Intellectual humility involves recognising and accepting the limitations of one’s knowledge and understanding. It is about being aware that one does not have all the answers. This trait prevents arrogance and overconfidence. Critical thinkers with intellectual humility are open to learning and receptive to constructive criticism.

Admitting when one is wrong in a discussion.
Actively seeking feedback on a project or idea to enhance it.

5. Logical Reasoning

Logical reasoning is the ability to think sequentially and make connections between concepts in a coherent manner. It involves drawing conclusions that logically follow from the available information. Logical reasoning ensures that decisions and conclusions are sound and based on valid premises. It helps avoid fallacies and cognitive biases.

Using deductive reasoning to derive a specific conclusion from a general statement.
Evaluating an argument for potential logical fallacies like “slippery slope” or “ad hominem.”

The Difference Between Critical Thinking and Memorisation

In today’s rapidly changing educational landscape, there is an ongoing debate about the importance of rote memorisation versus the significance of cultivating critical thinking skills. Both have their place in learning, but they serve very different purposes.

Nature Of Learning

Rote Learning: Involves memorising information exactly as it is, without necessarily understanding its context or underlying meaning. It’s akin to storing data as-is, without processing.
Analytical Processing (Critical Thinking): Involves understanding, questioning, and connecting new information with existing knowledge. It’s less about storage and more about comprehension and application.

Depth of Engagement

Rote Learning: Often remains at the surface level. Students might remember facts for a test, but might forget them shortly after.
Analytical Processing: Engages deeper cognitive skills. When students think critically, they’re more likely to retain information because they’ve processed it deeper.

Application in New Situations

Rote Learning: Information memorised through rote often does not easily apply to new or unfamiliar situations, since it is detached from understanding.
Analytical Processing: Promotes adaptability. Critical thinkers can transfer knowledge and skills to different contexts because they understand underlying concepts and principles.

Why Critical Thinking Produces Long-Term Academic Benefits

Here are the benefits of critical thinking in academics.

Enhanced Retention

Critical thinking often involves active learning—discussions, problem-solving, and debates—which promotes better retention than passive memorisation.

Skill Development

Beyond content knowledge, critical thinking develops skills like analysis, synthesis, source evaluation , and problem-solving. These are invaluable in higher education and professional settings.

Adaptability

In an ever-evolving world, the ability to adapt is crucial. Critical thinkers are better equipped to learn and adapt because they don’t just know facts; they understand concepts.

Lifelong Learning

Critical thinkers are naturally curious. They seek to understand, question, and explore, turning them into lifelong learners who continually seek knowledge and personal growth.

Improved Decision-Making

Analytical processing allows students to evaluate various perspectives, weigh evidence, and make well-informed decisions, a skill far beyond academics.

Preparation for Real-World Challenges

The real world does not come with a textbook. Critical thinkers can navigate unexpected challenges, connect disparate pieces of information, and innovate solutions.

Steps in the Critical Thinking Process

Critical thinking is more than just a skill—it is a structured process. By following a systematic approach, critical thinkers can navigate complex issues and ensure their conclusions are well-informed and reasoned. Here’s a breakdown of the steps involved:

Step 1. Identification and Clarification of the Problem or Question

Recognizing that a problem or question exists and understanding its nature. It’s about defining the issue clearly, without ambiguity. A well-defined problem serves as the foundation for the subsequent steps. The entire process may become misguided without a clear understanding of what’s being addressed.

Example: Instead of a vague problem like “improving the environment,” a more specific question could be “How can urban areas reduce air pollution?”

Step 2. Gathering Information and Evidence

Actively seeking relevant data, facts, and evidence. This might involve research, observations, experiments, or discussions. Reliable decisions are based on solid evidence. The quality and relevance of the information gathered can heavily influence the final conclusion.

Example: To address urban air pollution, one might gather data on current pollution levels, sources of pollutants, existing policies, and strategies employed by other cities.

Step 3. Analysing the Information

Breaking down the gathered information, scrutinising its validity, and identifying patterns, contradictions, and relationships. This step ensures that the information is not just accepted at face value. Critical thinkers can differentiate between relevant and irrelevant information and detect biases or inaccuracies by analysing data.

Example: When examining data on pollution, one might notice that certain industries are major contributors or that pollution levels rise significantly at specific times of the year.

Step 4. Drawing Conclusions and Making Decisions

After thorough analysis, formulating an informed perspective, solution, or decision-based on the evidence. This is the culmination of the previous steps. Here, the critical thinker synthesises the information and applies logic to arrive at a reasoned conclusion.

Example: Based on the analysis, one might conclude that regulating specific industries and promoting public transportation during peak pollution periods can help reduce urban air pollution.

Step 5. Reflecting on the Process And The Conclusions Reached

Take a step back to assess the entire process, considering any potential biases, errors, or alternative perspectives. It is also about evaluating the feasibility and implications of the conclusions. Reflection ensures continuous learning and improvement. Individuals can refine their approach to future problems by evaluating their thinking process.

Example: Reflecting on the proposed solution to reduce pollution, one might consider its economic implications, potential industry resistance, and the need for public awareness campaigns.

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The Role of Critical Thinking in Different Academic Subjects

Critical thinking is a universal skill applicable across disciplines. Its methodologies might differ based on the subject, but its core principles remain consistent. Let us explore how critical thinking manifests in various academic domains:

1. Sciences

Hypothesis Testing: Science often begins with a hypothesis—a proposed explanation for a phenomenon. Critical thinking is essential in formulating a testable hypothesis and determining its validity based on experimental results.
Experimental Design: Designing experiments requires careful planning to ensure valid and reliable results. Critical thinking aids in identifying variables, ensuring controls, and determining the best methodologies to obtain accurate data.
Example: In a biology experiment to test the effect of light on plant growth, critical thinking helps ensure variables like water and soil quality are consistent, allowing for a fair assessment of the light’s impact.

2. Humanities

Analysing Texts: Humanities often involve studying texts—literature, historical documents, or philosophical treatises. Critical thinking lets students decode themes, discern authorial intent, and recognise underlying assumptions or biases.
Understanding Contexts: Recognizing a text or artwork’s cultural, historical, or social contexts is pivotal. Critical thinking allows for a deeper appreciation of these contexts, providing a holistic understanding of the subject.
Example: When studying Shakespeare’s “Othello,” critical thinking aids in understanding the play’s exploration of jealousy, race, and betrayal, while also appreciating its historical context in Elizabethan England.

3. Social Sciences

Evaluating Arguments: Social sciences, such as sociology or political science, often present various theories or arguments about societal structures and behaviours. Critical thinking aids in assessing the merits of these arguments and recognising their implications.
Understanding Biases: Since social sciences study human societies, they’re susceptible to biases. Critical thinking helps identify potential biases in research or theories, ensuring a more objective understanding.
Example: In studying economic policies, critical thinking helps weigh the benefits and drawbacks of different economic models, considering both empirical data and theoretical arguments.

4. Mathematics

Problem-Solving: Mathematics is more than just numbers; it is about solving problems. Critical thinking enables students to identify the best strategies to tackle problems, ensuring efficient and accurate solutions.
Logical Deduction: Mathematical proofs and theorems rely on logical steps. Critical thinking ensures that each step is valid and the conclusions sound.
Example: In geometry, when proving that two triangles are congruent, critical thinking helps ensure that each criterion (like side lengths or angles) is met and the logic of the proof is coherent.

Examples of Critical Thinking in Academics

Some of the critical thinking examples in academics are discussed below.

Case Study 1: Evaluating A Scientific Research Paper

Scenario: A research paper claims that a new herbal supplement significantly improves memory in elderly individuals.

Critical Thinking Application:

Scrutinising Methodology:

Was the study double-blind and placebo-controlled?
How large was the sample size?
Were the groups randomised?
Were there any potential confounding variables?

Assessing Conclusions:

Do the results conclusively support the claim, or are there other potential explanations?
Are the statistical analyses robust, and do they show a significant difference?
Is the effect size clinically relevant or just statistically significant?

Considering Broader Context:

How does this study compare with existing literature on the subject?
Were there any conflicts of interest, such as funding from the supplement company?

Critical analysis determined that while the study showed statistical significance, the effect size was minimal. Additionally, the sample size was small, and there was potential bias as the supplement manufacturer funded the study.

Case Study 2: Analysing a Literary Text

Scenario: A reading of F. Scott Fitzgerald’s “The Great Gatsby.”

Understanding Symbolism:

What does the green light represent for Gatsby and in the broader context of the American Dream?
How does the Valley of Ashes symbolise societal decay?

Recognising Authorial Intent:

Why might Fitzgerald depict the characters’ lavish lifestyles amid underlying dissatisfaction?
What critiques of American society is Fitzgerald potentially making?

Contextual Analysis:

How does the era in which the novel was written (Roaring Twenties) influence its themes and characters?

Through critical analysis, the reader recognises that while “The Great Gatsby” is a tale of love and ambition, it’s also a poignant critique of the hollowness of the American Dream and the societal excesses of the 1920s.

Case Study 3: Decoding Historical Events

Scenario: The events leading up to the American Revolution.

Considering Multiple Perspectives:

How did the British government view the colonies and their demands?
What were the diverse perspectives within the American colonies, considering loyalists and patriots?

Assessing Validity of Sources:

Which accounts are primary sources, and which are secondary?
Are there potential biases in these accounts, based on their origins?

Analysing Causation and Correlation:

Were taxes and representation the sole reasons for the revolution, or were there deeper economic and philosophical reasons?

Through critical analysis, the student understands that while taxation without representation was a significant catalyst, the American Revolution was also influenced by Enlightenment ideas, economic interests, and long-standing grievances against colonial policies.

Challenges to Developing Critical Thinking Skills

In our complex and rapidly changing world, the importance of critical thinking cannot be overstated. However, various challenges can impede the cultivation of these vital skills.

1. Common Misconceptions and Cognitive Biases

Human brains often take shortcuts in processing information, leading to cognitive biases. Additionally, certain misconceptions about what constitutes critical thinking can hinder its development.

Confirmation Bias: The tendency to search for, interpret, and recall information that confirms one’s pre-existing beliefs.
Anchoring Bias: Relying too heavily on the first piece of information encountered when making decisions.
Misconception: Believing that critical thinking merely means being critical or negative about ideas, rather than evaluating them objectively.

These biases can skew perception and decision-making, making it challenging to objectively approach issues.

2. The Influence of Technology and Social Media

While providing unprecedented access to information, the digital age also presents unique challenges. The barrage of information, the immediacy of social media reactions, and algorithms that cater to user preferences can hinder critical thought.

Information Overload: The sheer volume of online data can make it difficult to discern credible sources from unreliable ones.
Clickbait and Misinformation: Articles with sensational titles designed to generate clicks might lack depth or accuracy.
Algorithmic Bias: Platforms showing users content based on past preferences can limit exposure to diverse viewpoints.

Relying too heavily on technology and social media can lead to superficial understanding, reduced attention spans, and a narrow worldview.

3. The Danger of Echo Chambers and Confirmation Bias

An echo chamber is a situation in which beliefs are amplified or reinforced by communication and repetition inside a closed system, cutting off differing viewpoints.

Social Media Groups: Joining groups or following pages that only align with one’s beliefs can create a feedback loop, reinforcing existing opinions without challenge.
Selective Media Consumption: Only watching news channels or reading websites that align with one’s political or social views.

Echo chambers reinforce confirmation bias, limit exposure to diverse perspectives, and can polarise opinions, making objective, critical evaluation of issues challenging.

Benefits of Promoting Critical Thinking in Education

When cultivated and promoted in educational settings, critical thinking can have transformative effects on students, equipping them with vital skills to navigate their academic journey and beyond. Here’s an exploration of the manifold benefits of emphasising critical thinking in education:

Improved Problem-Solving Skills

Critical thinking enables students to approach problems methodically, breaking them down into manageable parts, analysing each aspect, and synthesising solutions.

Academic: Enhances students’ ability to tackle complex assignments, research projects, and unfamiliar topics.
Beyond School: Prepares students for real-world challenges where they might encounter problems without predefined solutions.

Enhanced Creativity and Innovation

Critical thinking is not just analytical but also involves lateral thinking, helping students see connections between disparate ideas and encouraging imaginative solutions.

Academic: Promotes richer discussions, more creative projects, and the ability to view topics from multiple angles.
Beyond School: Equips students for careers and situations where innovative solutions can lead to advancements in fields like technology, arts, or social entrepreneurship.

Better Decision-Making Abilities

Critical thinkers evaluate information thoroughly, weigh potential outcomes, and make decisions based on evidence and reason rather than impulse or peer pressure.

Academic: Helps students make informed choices about their studies, research directions, or group projects.
Beyond School: Prepares students to make sound decisions in personal and professional spheres, from financial choices to ethical dilemmas.

Greater Resilience in the Face of Complex Challenges

Critical thinking nurtures a growth mindset. When students think critically, they are more likely to view challenges as opportunities for learning rather than insurmountable obstacles.

Academic: Increases perseverance in difficult subjects, promoting a deeper understanding rather than superficial learning. Students become more resilient in handling academic pressures and setbacks.
Beyond School: Cultivates individuals who can navigate the complexities of modern life, from career challenges to societal changes, with resilience and adaptability.

Frequently Asked Questions

What is critical thinking.

Critical thinking is the objective analysis and evaluation of an issue to form a judgment. It involves gathering relevant information, discerning potential biases, logically connecting ideas, and questioning assumptions. Essential for informed decision-making, it promotes scepticism and requires the ability to think independently and rationally.

What makes critical thinking?

Critical thinking arises from questioning assumptions, evaluating evidence, discerning fact from opinion, recognising biases, and logically connecting ideas. It demands curiosity, scepticism, and an open mind. By continuously challenging one’s beliefs and considering alternative viewpoints, one cultivates the ability to think clearly, rationally, and independently.

What is the purpose of critical thinking?

The purpose of critical thinking is to enable informed decisions by analysing and evaluating information objectively. It fosters understanding, problem-solving, and clarity, reducing the influence of biases and misconceptions. Through critical thinking, individuals discern truth, make reasoned judgments, and engage more effectively in discussions and debates.

How to improve critical thinking?

Cultivate curiosity by asking questions.
Practice active listening.
Read widely and diversely.
Engage in discussions and debates.
Reflect on your thought processes.
Identify biases and challenge assumptions.
Solve problems systematically.

What are some critical thinking skills?

Analysis: breaking concepts into parts.
Evaluation: judging information’s validity.
Inference: drawing logical conclusions.
Explanation: articulating reasons.
Interpretation: understanding meaning.
Problem-solving: devising effective solutions.
Decision-making: choosing the best options.

What is information literacy?

Information literacy is the ability to find, evaluate, and use information effectively. It encompasses understanding where to locate information, determining its credibility, distinguishing between facts and opinions, and using it responsibly. Essential in the digital age, it equips individuals to navigate the vast sea of data and make informed decisions.

What makes a credible source?

Authorship by experts or professionals.
Reliable publisher or institution backing.
Transparent sourcing and references.
Absence of bias or clear disclosure of it.
Recent publications or timely updates.
Peer review or editorial oversight.
Clear, logical arguments.
Reputability in its field or domain.

How do I analyse information critically?

Determine the source’s credibility.
Identify the main arguments or points.
Examine the evidence provided.
Spot inconsistencies or fallacies.
Detect biases or unspoken assumptions.
Cross-check facts with other sources.
Evaluate the relevance to your context.
Reflect on your own biases or beliefs.

Reasoning processes in clinical reasoning: from the perspective of cognitive psychology

Hyoung seok shin.

Department of Medical Education, Korea University College of Medicine, Seoul, Korea

Clinical reasoning is considered a crucial concept in reaching medical decisions. This paper reviews the reasoning processes involved in clinical reasoning from the perspective of cognitive psychology. To properly use clinical reasoning, one requires not only domain knowledge but also structural knowledge, such as critical thinking skills. In this paper, two types of reasoning process required for critical thinking are discussed: inductive and deductive. Inductive and deductive reasoning processes have different features and are generally appropriate for different types of tasks. Numerous studies have suggested that experts tend to use inductive reasoning while novices tend to use deductive reasoning. However, even experts sometimes use deductive reasoning when facing challenging and unfamiliar problems. In clinical reasoning, expert physicians generally use inductive reasoning with a holistic viewpoint based on a full understanding of content knowledge in most cases. Such a problem-solving process appears as a type of recognition-primed decision making only in experienced physicians’ clinical reasoning. However, they also use deductive reasoning when distinct patterns of illness are not recognized. Therefore, medical schools should pursue problem-based learning by providing students with various opportunities to develop the critical thinking skills required for problem solving in a holistic manner.

Introduction

It is hard to describe clinical reasoning in a sentence, because it has been studied by a number of researchers from various perspectives, such as medical education, cognitive psychology, clinical psychology, and so forth, and they have failed to reach an agreement on its basic characteristics [ 1 ]. Accordingly, clinical reasoning has been defined in various ways. Some researchers defined clinical reasoning as a crucial skill or ability that all physicians should have for their clinical decision making, regardless of their area of expertise [ 2 , 3 ]. Others focused more on the processes of clinical reasoning; thus, they defined it as a complex process of identifying the clinical issues to propose a treatment plan [ 4 - 6 ]. However, these definitions are not so different. Taking this into account, it can be concluded that clinical reasoning is used to analyze patients’ status and arrive at a medical decision so that doctors can provide the proper medical treatment.

In reality, properly working clinical reasoning requires three domains of knowledge: diagnostic knowledge, etiological knowledge, and treatment knowledge [ 6 ]. From the perspective of cognitive psychology, structural knowledge is needed to integrate domain knowledge and find solutions based on the learner’s prior knowledge and experience [ 7 ], and structural knowledge can be constructed as a form of mental model by understanding the relations between the interconnected factors involved in clinical issues [ 8 , 9 ]. In this cognitive process, critical thinking skills such as causal reasoning and systems thinking can play a pivotal role in developing deeper understanding of given problem situations. Causal reasoning is the ability to identify causal relationships between sets of causes and effects [ 10 ]. Causality often involves a series or chain of events that can be used to infer or predict the effects and consequences of a particular cause [ 10 - 13 ]. Systems thinking is a thinking paradigm or conceptual framework where understanding is defined in terms of how well one is able to break a complex system down into its component parts [ 14 , 15 ]. It is based on the premise that a system involves causality between factors that are parts of the system as a whole [ 14 ]. Systems thinking is a process for achieving a deeper understanding of complex phenomena that are composed of components that are causally interrelated [ 14 - 16 ]. As a result, causal reasoning and systems thinking are skills that can help people to better understand complex phenomena in order to arrive at effective and targeted solutions that address the root causes of complex problems [ 10 , 12 , 15 ].

If cognitive skills work properly, one can make correct decisions all of the time. However, human reasoning is not always logical, and people often make mistakes in their reasoning. The more difficult the problems with which they are presented, the more likely they are to choose wrong answers that are produced by errors or flaws in the reasoning process [ 17 , 18 ]. Individual differences in reasoning skills—such as systems thinking, causal reasoning, and thinking processes—may influence and explain observed differences in their understanding. Therefore, to better assist learners in solving problems, instructors should focus more on facilitating the reasoning skills required to solve given problems successfully.

In this review paper, the author focuses on the reasoning processes involved in clinical reasoning, given that clinical reasoning is considered as a sort of problem-solving process. Therefore, this paper introduces concepts related to the reasoning processes involved in clinical reasoning and their influences on novices and experts in the field of medical education from the perspective of cognitive psychology. Then, based on the contents discussed, the author will be able to propose specific instructional strategies associated with reasoning processes to improve medical students’ reasoning skills to enhance their clinical reasoning.

Concepts and nature of reasoning processes

Generally, reasoning processes can be categorized into two types: inductive/forward and deductive/backward [ 19 ]. In an inductive reasoning process, one observes several individual facts first, then makes a conclusion about a premise or principle based on these facts. Yet there may be the possibility that a conclusion is not true even though a premise or principle in support of that conclusion is true, because the conclusion is generalized from the facts observed by the learner, but the learner does not observe all relevant examples [ 20 ].

In general, in a deductive reasoning process, according to Johnson-Laird [ 20 ], one establishes a mental model or a set of models to solve given problems considering general knowledge and principles based on a solid foundation. Then, one makes a conclusion or finds a solution based on the mental model or set of models. To verify a mental model, one needs to check the validity of the conclusions or solutions by searching for counterexamples. If one cannot find any counterexamples, the conclusions can be accepted as true and the solutions as valid. Consequently, the initial mental model or set of models can be used for deductive reasoning.

Anderson [ 17 ] proposed three different ways of solving complex problems: means-ends analysis, working backward, and planning by simplification. A means-ends analysis is a process that gets rid of differences between the current state and the ideal state in order to determine sub-goals in solving problems, and the process can be repeated until the major goal is achieved [ 21 - 23 ]. It can be considered an inductive reasoning process, because the distinct feature of means-ends analysis where it achieves sub-goals in consecutive order is similar to inductive reasoning. Working backward is addressed as an opposite concept to means-ends analysis [ 17 ], because it needs to set up a desired result to find causes by measuring the gap between the current state and the ideal state; then, this process is repeated until the root causes of a problem are identified. According to Anderson [ 17 ], means-ends analysis (inductive reasoning) is more useful in finding a solution quickly when a limited number of options are given or many sub-goals should be achieved for the major goal; whereas working backward (deductive reasoning) spends more time removing wrong answers or inferences to find the root causes of a problem. In conclusion, inductive and deductive reasoning processes have different features and can play different roles in solving complex problems.

The use of reasoning processes

A number of researchers across different fields have used inductive and deductive approaches as reasoning processes to solve complex problems or complete tasks. For example, Scavarda et al. [ 24 ] used both approaches in their study to collect qualitative data through interviews with experts, and they found that experts with a deductive approach used a top-down approach and those with an inductive approach used a bottom-up approach to solve a given problem. In a study of Overmars et al. [ 25 ], the results showed that a deductive approach explicitly illustrated causal relations and processes in 39 geographic contexts and it was appropriate for evaluating various possible scenarios; whereas an inductive approach presented associations that did not guarantee causality and was more useful for identifying relatively detailed changes.

Sharma et al. [ 26 ] found that inductive or deductive approaches can both be useful depending on the characteristics of the tasks and resources available to solve problems. An inductive approach is considered a data-driven approach, which is a way to find possible outcomes based on rules detected from undoubted facts [ 26 ]. Therefore, if there is a lot of available data and an output hypothesis, then it is effective to use an inductive approach to discover solutions or unexpected and interesting findings [ 26 , 27 ]. An inductive approach makes it possible to directly reach conclusions via thorough reasoning that involves the following procedures: (1) recognize, (2) select, and (3) act [ 28 ]. These procedures are recurrent, but one cannot know how long they should be continued to complete a task, because a goal is not specified [ 26 ]. Consequently, an inductive approach is useful when analyzing an unstructured data set or system [ 29 ].

On the other hand, a deductive approach sets up a desired goal first, then finds a supporting basis—such as information and rules—for the goals [ 26 ]. For this, a backward approach, which is considered deductive reasoning, gradually gets rid of things proved unnecessary for achieving the goal while reasoning; therefore, it is regarded as a goal-driven approach [ 28 ]. If the output hypothesis is limited and it is necessary to find supporting facts from data, then a deductive approach would be effective [ 26 , 28 ]. This implies that a deductive approach is more appropriate when a system or phenomenon is well-structured and relationships between the components are clearly present [ 29 ]. Table 1 shows a summary of the features and differences of the inductive and deductive reasoning processes.

Features of Inductive and Deductive Reasoning Processes

The classification according to the reasoning processes in the table is dichotomous, but they do not always follow this classification absolutely. This means that each reasoning process shows such tendencies.

Considering the attributes of the two reasoning processes, an inductive approach is effective for exploratory tasks that do not have distinct goals—for example, planning, design, process monitoring, and so on, while a deductive approach is more useful for diagnostic and classification tasks [ 26 ]. In addition, an inductive approach is more useful for discovering solutions from an unstructured system. On the other hand, a deductive approach can be better used to identify root causes in a well-structured context. While both reasoning approaches are useful in particular contexts, it can be suggested that inductive reasoning is more appropriate than deductive reasoning in clinical situations, which focus on diagnosis and treatment of diseases rather than on finding their causes.

Reasoning processes by novices and experts

As mentioned above, which reasoning process is more effective for reaching conclusions can be generally determined depending on the context and purpose of the problem solving. In reality, however, learners’ choices are not always consistent with this suggestion, because they are affected not only by the problem itself, but also by the learner. Assuming that learners or individuals can be categorized into two types, novices and experts, based on their level of prior knowledge and structural knowledge, much research has shown that novices and experts use a different reasoning process for problem solving. For example, in a study of Eseryel et al. [ 30 ], novice instructional designers who possessed theoretical knowledge but little experience showed different patterns of ill-structured problem solving compared to experts with real-life experience. Given that each learner has a different level of prior knowledge relating to particular topics and critical thinking skills, selecting the proper reasoning process for each problem is quite complex. This section focuses on which reasoning process an individual uses depending on their content and structural knowledge.

Numerous studies have examined which reasoning processes are used by experts, who have sufficient content and structural knowledge, and novices, who have little content and structural knowledge, for problem solving. The result of a study of Hong et al. [ 31 ] showed that children generally performed better when using cause-effect inferences (inductive approach) than effect-cause inferences (considered a deductive approach). According to Anderson [ 17 ], people are faced with some difficulties when they solve problems using induction. The first difficulty is in formulating proper hypotheses and the second is that people do not know how to interpret negative evidence when it is given and reach a conclusion based on that evidence [ 17 ]. Nevertheless, most students use a type of inductive reasoning to solve problems that they have not previously faced [ 32 ]. Taken together, the studies suggest that novices generally prefer an inductive approach to a deductive approach for solving problems because they may feel comfortable and natural using an inductive approach but tend to experience difficulties during problem-solving processes. From these findings, it can be concluded that novices are more likely to use inductive reasoning, but it is not always productive.

Nevertheless, there is still a controversy about which reasoning processes are used by experts or novices [ 33 ]. For example, experts in specific domains use an inductive approach to solving problems, but novices, who have a lower level of prior knowledge in specific domains, tend to use a deductive approach [ 23 ]. In contrast, according to Smith [ 34 ], studies in which more familiar problems were used concluded that experts preferred an inductive approach, whereas in studies that employed relatively unfamiliar problems that required more time and effort to solve, experts tended to prefer a deductive approach. In line with this finding, in solving physics problems, experts mostly used inductive reasoning that was faster and had fewer errors for problem solving only when they encountered easy or familiar problems where they could gain a full understanding of the situation quickly, but novices took more time to deductively reason by planning and solving each step in the process of problem solving [ 35 ].

Assuming that an individual’s prior knowledge consists of content knowledge such as knowledge of specific domains as well as structural knowledge such as the critical thinking skills required for problem solving in the relevant field, it seems experts use an inductive approach when faced with relatively easy or familiar problems; while a deductive approach is used for relatively challenging, unfamiliar, or complex problems. In the case of novices, it may be better to use deductive reasoning for problem solving considering that they have a lower level of prior knowledge and that even experts use deductive reasoning to solve complex problems.

Inductive and deductive reasoning in clinical reasoning

In medicine, concepts of inductive and deductive reasoning apply to gathering appropriate information and making a clinical diagnosis considering that the medical treatment process is a form of problem solving. Inductive reasoning is used to make a diagnosis by starting with an analysis of observed clinical data [ 36 , 37 ]. Inductive reasoning is considered as scheme-inductive problem solving in medicine [ 36 ], because in inductive reasoning, one first constructs his/her scheme (also considered a mental model) based on one’s experiences and knowledge. It is generally used for a clinical presentation-based model, which has been most recently applied to medical education [ 38 ].

In contrast, deductive reasoning entails making a clinical diagnosis by testing hypotheses based on systematically collected data [ 39 ]. Deductive reasoning is considered an information-gathering method, because one constructs a hypothesis first then finds supporting or refuting facts from data [ 36 , 40 ]. It has been mostly used for discipline-based, system-based, and case-based models in medical education [ 38 ].

Inductive and deductive reasoning by novice and expert physicians

A growing body of research explores which reasoning processes are mainly used by novices and experts in clinical reasoning. Novice physicians generally use deductive reasoning, because limited knowledge restricts them from using deductive reasoning [ 1 , 38 ]. Also, it is hard to consider deductive reasoning as an approach generally used by experts, since they do not repeatedly test a hypothesis based on limited knowledge in order to move on to the next stage in the process of problem solving [ 38 ]. Therefore, it seems that deductive reasoning is generally used by novices, while inductive reasoning is used by expert physicians in general. However, this may be too conclusive and needs to be further examined in the context of clinical reasoning.

In clinical reasoning, inductive reasoning is more intuitive and requires a holistic view based on a full understanding of content knowledge, including declarative and procedural knowledge, but also structural knowledge; thus, it occurs only when physicians’ knowledge structures of given problems are highly organized [ 38 ]. Expert physicians recognize particular patterns of symptoms through repeated application of deductive reasoning, and the pattern recognition process makes it possible for them to apply inductive reasoning when diagnosing patients [ 10 ]. As experts automate a number of cognitive sequences required for problem solving in their own fields [ 35 ], expert physicians automatically make appropriate diagnoses following a process of clinical reasoning when they encounter patients who have familiar or typical diseases. Such a process of problem solving is called recognition-primed decision making (RPDM) [ 41 , 42 ]. It is a process of finding appropriate solutions to ill-structured problems in a limited timeframe [ 10 ]. In RPDM, expert physicians are aware of what actions should be taken when faced with particular situations based on hundreds of prior experiences [ 10 ]. These prior experiences are called illness scripts in diagnostic medicine [ 10 ], and this is a concept similar to a mental model or schema in problem solving.

However, expert physicians do not always use inductive reasoning in their clinical reasoning. Jonassen [ 10 ] categorized RPDM into three forms of variations in problem solving by experts, and the first form of variation is the simplest and easiest one based on inductive reasoning, as mentioned above. The second type of variation occurs when an encountered problem is somewhat atypical [ 10 ]. Even expert physicians are not always faced with familiar or typical diseases when treating patients. Expert physicians’ RPDM does not work automatically when faced with atypical symptoms, because they do not have sufficient experiences relevant to the atypical symptoms. In this case, it can be said that they have weak illness scripts or mental models of the given symptoms. In the second variation, experts need more information and will attempt to connect it to their prior knowledge and experiences [ 10 ]. Deductive reasoning is involved in this process so that problem solvers can test their hypotheses in order to find new patterns and construct new mental models based on the newly collected data and previous experiences. The third variation of RPDM is when expert physicians have no previous experience or prior knowledge of given problem situations; in other words, no illness script or mental model [ 10 ]. Jonassen [ 10 ] argued that a mental simulation is conducted to predict the consequences of various actions by experts in the third variation. This process inevitably involves repetitive deductive reasoning to test a larger number of hypotheses when making a diagnosis.

Similarly, from the perspective of dual process theory as a decision-making process, decision making is classified into two approaches based on the reasoning style: type 1 and type 2 (or system 1 and system 2) [ 43 , 44 ]. According to Croskerry [ 44 ], the type 1 decision-making process is intuitive and based on experiential-inductive reasoning, while type 2 is an analytical and hypothetico-deductive decision-making process [ 44 , 45 ]. A feature that distinguishes the two processes is whether a physician who encounters a patient’s symptoms succeeds in pattern recognition. If a physician recognizes prominent features of the visual presentation of illness, type 1 processes (or system 1) are operated automatically, whereas type 2 (or system 2) processes work if any distinct feature of illness presentation is not recognized [ 44 ].

Only experienced expert physicians can use RPDM [ 10 , 46 ] or type 1 and 2 processes [ 43 ], because it can occur solely based on various experiences and a wide range of prior knowledge that can be gained as a result of a huge amount of deductive reasoning since they were novices. Consequently, it can be concluded that expert physicians generally use more inductive reasoning when they automatically recognize key patterns of given problems or symptoms, while sometimes they also use deductive reasoning when they additionally need processes of hypothesis testing to recognize new patterns of symptoms.

From the perspective of cognitive processes, clinical reasoning is considered as one of the decision-making processes that finds the best solutions to patients’ illnesses. As a form of decision making for problem solving, two reasoning processes have been considered: inductive and deductive reasoning. Deductive reasoning can be used to make a diagnosis if physicians have insufficient knowledge, sufficient time, and the ability to analyze the current status of their patients. However, in reality, it is inefficient to conduct thorough deductive reasoning at each stage of clinical reasoning because only a limited amount of time is allowed for both physicians and patients to reach a conclusion in most cases. A few researchers have suggested that using deductive reasoning is more likely to result in diagnostic errors than inductive reasoning, because evidence-based research, such as deductive reasoning, focuses mainly on available and observable evidence and rules out the possibility of any other possible factors influencing the patient’s symptoms [ 37 , 38 ]. However, when a physician encounters unfamiliar symptom and the degree of uncertainty is high, deductive reasoning is required to reach the correct diagnosis through analytical and slow diagnostic processes by collecting data from resources [ 44 ]. Taken together, in order to make the most of a limited timeframe and reduce diagnostic errors, physicians should be encouraged to use inductive reasoning in their clinical reasoning as far as possible given that patterns of illness presentation are recognized.

Unfortunately, it is not always easy for novice physicians to apply inductive or deductive reasoning in all cases. Expert physicians have sufficient capabilities to use both inductive and deductive reasoning and can also automate their clinical reasoning based on inductive reasoning, because they have already gathered the wide range of experiences and knowledge required to diagnose various symptoms. Novice physicians should make a greater effort to use inductive reasoning when making diagnoses; however, it takes experiencing countless deductive reasoning processes to structure various illness scripts or strong mental models until they reach a professional level. As a result, teaching not only clinical reasoning as a whole process but also the critical thinking skills required for clinical reasoning is important in medical schools [ 47 ]. For this, medical schools should pursue problem-based learning by providing students with various opportunities to gain content knowledge as well as develop the critical thinking skills —such as data analysis skills, metacognitive skills, causal reasoning, systems thinking, and so forth—required for problem solving in a holistic manner so that they can improve their reasoning skills and freely use both inductive and deductive approaches in any context. Further studies will be reviewed to provide detailed guidelines or teaching tips on how to develop medical students’ critical thinking skills.

Acknowledgments

Conflicts of interest

No potential conflict of interest relevant to this article was reported.

Author contributions

All work was done by HS.

The Value of Critical Thinking in Nursing

How Nurses Use Critical Thinking
How to Improve Critical Thinking
Common Mistakes

Some experts describe a person’s ability to question belief systems, test previously held assumptions, and recognize ambiguity as evidence of critical thinking. Others identify specific skills that demonstrate critical thinking, such as the ability to identify problems and biases, infer and draw conclusions, and determine the relevance of information to a situation.

Nicholas McGowan, BSN, RN, CCRN, has been a critical care nurse for 10 years in neurological trauma nursing and cardiovascular and surgical intensive care. He defines critical thinking as “necessary for problem-solving and decision-making by healthcare providers. It is a process where people use a logical process to gather information and take purposeful action based on their evaluation.”

“This cognitive process is vital for excellent patient outcomes because it requires that nurses make clinical decisions utilizing a variety of different lenses, such as fairness, ethics, and evidence-based practice,” he says.

How Do Nurses Use Critical Thinking?

Successful nurses think beyond their assigned tasks to deliver excellent care for their patients. For example, a nurse might be tasked with changing a wound dressing, delivering medications, and monitoring vital signs during a shift. However, it requires critical thinking skills to understand how a difference in the wound may affect blood pressure and temperature and when those changes may require immediate medical intervention.

Nurses care for many patients during their shifts. Strong critical thinking skills are crucial when juggling various tasks so patient safety and care are not compromised.

Jenna Liphart Rhoads, Ph.D., RN, is a nurse educator with a clinical background in surgical-trauma adult critical care, where critical thinking and action were essential to the safety of her patients. She talks about examples of critical thinking in a healthcare environment, saying:

“Nurses must also critically think to determine which patient to see first, which medications to pass first, and the order in which to organize their day caring for patients. Patient conditions and environments are continually in flux, therefore nurses must constantly be evaluating and re-evaluating information they gather (assess) to keep their patients safe.”

The COVID-19 pandemic created hospital care situations where critical thinking was essential. It was expected of the nurses on the general floor and in intensive care units. Crystal Slaughter is an advanced practice nurse in the intensive care unit (ICU) and a nurse educator. She observed critical thinking throughout the pandemic as she watched intensive care nurses test the boundaries of previously held beliefs and master providing excellent care while preserving resources.

“Nurses are at the patient’s bedside and are often the first ones to detect issues. Then, the nurse needs to gather the appropriate subjective and objective data from the patient in order to frame a concise problem statement or question for the physician or advanced practice provider,” she explains.

Top 5 Ways Nurses Can Improve Critical Thinking Skills

We asked our experts for the top five strategies nurses can use to purposefully improve their critical thinking skills.

Case-Based Approach

Slaughter is a fan of the case-based approach to learning critical thinking skills.

In much the same way a detective would approach a mystery, she mentors her students to ask questions about the situation that help determine the information they have and the information they need. “What is going on? What information am I missing? Can I get that information? What does that information mean for the patient? How quickly do I need to act?”

Consider forming a group and working with a mentor who can guide you through case studies. This provides you with a learner-centered environment in which you can analyze data to reach conclusions and develop communication, analytical, and collaborative skills with your colleagues.

Practice Self-Reflection

Rhoads is an advocate for self-reflection. “Nurses should reflect upon what went well or did not go well in their workday and identify areas of improvement or situations in which they should have reached out for help.” Self-reflection is a form of personal analysis to observe and evaluate situations and how you responded.

This gives you the opportunity to discover mistakes you may have made and to establish new behavior patterns that may help you make better decisions. You likely already do this. For example, after a disagreement or contentious meeting, you may go over the conversation in your head and think about ways you could have responded.

It’s important to go through the decisions you made during your day and determine if you should have gotten more information before acting or if you could have asked better questions.

During self-reflection, you may try thinking about the problem in reverse. This may not give you an immediate answer, but can help you see the situation with fresh eyes and a new perspective. How would the outcome of the day be different if you planned the dressing change in reverse with the assumption you would find a wound infection? How does this information change your plan for the next dressing change?

Develop a Questioning Mind

McGowan has learned that “critical thinking is a self-driven process. It isn’t something that can simply be taught. Rather, it is something that you practice and cultivate with experience. To develop critical thinking skills, you have to be curious and inquisitive.”

To gain critical thinking skills, you must undergo a purposeful process of learning strategies and using them consistently so they become a habit. One of those strategies is developing a questioning mind. Meaningful questions lead to useful answers and are at the core of critical thinking .

However, learning to ask insightful questions is a skill you must develop. Faced with staff and nursing shortages , declining patient conditions, and a rising number of tasks to be completed, it may be difficult to do more than finish the task in front of you. Yet, questions drive active learning and train your brain to see the world differently and take nothing for granted.

It is easier to practice questioning in a non-stressful, quiet environment until it becomes a habit. Then, in the moment when your patient’s care depends on your ability to ask the right questions, you can be ready to rise to the occasion.

Practice Self-Awareness in the Moment

Critical thinking in nursing requires self-awareness and being present in the moment. During a hectic shift, it is easy to lose focus as you struggle to finish every task needed for your patients. Passing medication, changing dressings, and hanging intravenous lines all while trying to assess your patient’s mental and emotional status can affect your focus and how you manage stress as a nurse .

Staying present helps you to be proactive in your thinking and anticipate what might happen, such as bringing extra lubricant for a catheterization or extra gloves for a dressing change.

By staying present, you are also better able to practice active listening. This raises your assessment skills and gives you more information as a basis for your interventions and decisions.

Use a Process

As you are developing critical thinking skills, it can be helpful to use a process. For example:

Ask questions.
Gather information.
Implement a strategy.
Evaluate the results.
Consider another point of view.

These are the fundamental steps of the nursing process (assess, diagnose, plan, implement, evaluate). The last step will help you overcome one of the common problems of critical thinking in nursing — personal bias.

Common Critical Thinking Pitfalls in Nursing

Your brain uses a set of processes to make inferences about what’s happening around you. In some cases, your unreliable biases can lead you down the wrong path. McGowan places personal biases at the top of his list of common pitfalls to critical thinking in nursing.

“We all form biases based on our own experiences. However, nurses have to learn to separate their own biases from each patient encounter to avoid making false assumptions that may interfere with their care,” he says. Successful critical thinkers accept they have personal biases and learn to look out for them. Awareness of your biases is the first step to understanding if your personal bias is contributing to the wrong decision.

New nurses may be overwhelmed by the transition from academics to clinical practice, leading to a task-oriented mindset and a common new nurse mistake ; this conflicts with critical thinking skills.

“Consider a patient whose blood pressure is low but who also needs to take a blood pressure medication at a scheduled time. A task-oriented nurse may provide the medication without regard for the patient’s blood pressure because medication administration is a task that must be completed,” Slaughter says. “A nurse employing critical thinking skills would address the low blood pressure, review the patient’s blood pressure history and trends, and potentially call the physician to discuss whether medication should be withheld.”

Fear and pride may also stand in the way of developing critical thinking skills. Your belief system and worldview provide comfort and guidance, but this can impede your judgment when you are faced with an individual whose belief system or cultural practices are not the same as yours. Fear or pride may prevent you from pursuing a line of questioning that would benefit the patient. Nurses with strong critical thinking skills exhibit:

Learn from their mistakes and the mistakes of other nurses
Look forward to integrating changes that improve patient care
Treat each patient interaction as a part of a whole
Evaluate new events based on past knowledge and adjust decision-making as needed
Solve problems with their colleagues
Are self-confident
Acknowledge biases and seek to ensure these do not impact patient care

An Essential Skill for All Nurses

Critical thinking in nursing protects patient health and contributes to professional development and career advancement. Administrative and clinical nursing leaders are required to have strong critical thinking skills to be successful in their positions.

By using the strategies in this guide during your daily life and in your nursing role, you can intentionally improve your critical thinking abilities and be rewarded with better patient outcomes and potential career advancement.

Frequently Asked Questions About Critical Thinking in Nursing

How are critical thinking skills utilized in nursing practice.

Nursing practice utilizes critical thinking skills to provide the best care for patients. Often, the patient’s cause of pain or health issue is not immediately clear. Nursing professionals need to use their knowledge to determine what might be causing distress, collect vital information, and make quick decisions on how best to handle the situation.

How does nursing school develop critical thinking skills?

Nursing school gives students the knowledge professional nurses use to make important healthcare decisions for their patients. Students learn about diseases, anatomy, and physiology, and how to improve the patient’s overall well-being. Learners also participate in supervised clinical experiences, where they practice using their critical thinking skills to make decisions in professional settings.

Do only nurse managers use critical thinking?

Nurse managers certainly use critical thinking skills in their daily duties. But when working in a health setting, anyone giving care to patients uses their critical thinking skills. Everyone — including licensed practical nurses, registered nurses, and advanced nurse practitioners —needs to flex their critical thinking skills to make potentially life-saving decisions.

Meet Our Contributors

Crystal Slaughter, DNP, APRN, ACNS-BC, CNE

Crystal Slaughter is a core faculty member in Walden University’s RN-to-BSN program. She has worked as an advanced practice registered nurse with an intensivist/pulmonary service to provide care to hospitalized ICU patients and in inpatient palliative care. Slaughter’s clinical interests lie in nursing education and evidence-based practice initiatives to promote improving patient care.

Jenna Liphart Rhoads, Ph.D., RN

Jenna Liphart Rhoads is a nurse educator and freelance author and editor. She earned a BSN from Saint Francis Medical Center College of Nursing and an MS in nursing education from Northern Illinois University. Rhoads earned a Ph.D. in education with a concentration in nursing education from Capella University where she researched the moderation effects of emotional intelligence on the relationship of stress and GPA in military veteran nursing students. Her clinical background includes surgical-trauma adult critical care, interventional radiology procedures, and conscious sedation in adult and pediatric populations.

Nicholas McGowan, BSN, RN, CCRN

Nicholas McGowan is a critical care nurse with 10 years of experience in cardiovascular, surgical intensive care, and neurological trauma nursing. McGowan also has a background in education, leadership, and public speaking. He is an online learner who builds on his foundation of critical care nursing, which he uses directly at the bedside where he still practices. In addition, McGowan hosts an online course at Critical Care Academy where he helps nurses achieve critical care (CCRN) certification.

What is Critical Thinking in Nursing? (With Examples, Importance, & How to Improve)

Successful nursing requires learning several skills used to communicate with patients, families, and healthcare teams. One of the most essential skills nurses must develop is the ability to demonstrate critical thinking. If you are a nurse, perhaps you have asked if there is a way to know how to improve critical thinking in nursing? As you read this article, you will learn what critical thinking in nursing is and why it is important. You will also find 18 simple tips to improve critical thinking in nursing and sample scenarios about how to apply critical thinking in your nursing career.

What Is Critical Thinking In Nursing?

4 reasons why critical thinking is so important in nursing, 1. critical thinking skills will help you anticipate and understand changes in your patient’s condition., 2. with strong critical thinking skills, you can make decisions about patient care that is most favorable for the patient and intended outcomes., 3. strong critical thinking skills in nursing can contribute to innovative improvements and professional development., 4. critical thinking skills in nursing contribute to rational decision-making, which improves patient outcomes., what are the 8 important attributes of excellent critical thinking in nursing, 1. the ability to interpret information:, 2. independent thought:, 3. impartiality:, 4. intuition:, 5. problem solving:, 6. flexibility:, 7. perseverance:, 8. integrity:, examples of poor critical thinking vs excellent critical thinking in nursing, 1. scenario: patient/caregiver interactions, poor critical thinking:, excellent critical thinking:, 2. scenario: improving patient care quality, 3. scenario: interdisciplinary collaboration, 4. scenario: precepting nursing students and other nurses, how to improve critical thinking in nursing, 1. demonstrate open-mindedness., 2. practice self-awareness., 3. avoid judgment., 4. eliminate personal biases., 5. do not be afraid to ask questions., 6. find an experienced mentor., 7. join professional nursing organizations., 8. establish a routine of self-reflection., 9. utilize the chain of command., 10. determine the significance of data and decide if it is sufficient for decision-making., 11. volunteer for leadership positions or opportunities., 12. use previous facts and experiences to help develop stronger critical thinking skills in nursing., 13. establish priorities., 14. trust your knowledge and be confident in your abilities., 15. be curious about everything., 16. practice fair-mindedness., 17. learn the value of intellectual humility., 18. never stop learning., 4 consequences of poor critical thinking in nursing, 1. the most significant risk associated with poor critical thinking in nursing is inadequate patient care., 2. failure to recognize changes in patient status:, 3. lack of effective critical thinking in nursing can impact the cost of healthcare., 4. lack of critical thinking skills in nursing can cause a breakdown in communication within the interdisciplinary team., useful resources to improve critical thinking in nursing, youtube videos, my final thoughts, frequently asked questions answered by our expert, 1. will lack of critical thinking impact my nursing career, 2. usually, how long does it take for a nurse to improve their critical thinking skills, 3. do all types of nurses require excellent critical thinking skills, 4. how can i assess my critical thinking skills in nursing.

• Ask relevant questions • Justify opinions • Address and evaluate multiple points of view • Explain assumptions and reasons related to your choice of patient care options

5. Can I Be a Nurse If I Cannot Think Critically?

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Critical Thinking in Clinical Research: Applied Theory and Practice Using Case Studies (1)

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21 Design and Analysis of Surveys

Published: March 2018
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This chapter discusses the most important aspects of designing, administrating, and analyzing surveys in clinical research. It highlights the different topics of the main stages of survey research. It reviews the design and planning phase, especially focusing on the definition of the survey research question. It discusses the process of instrument design, from planning and development to pre-test and validation, types of sampling, and methods for survey administration. It also reviews the importance of the data analysis plan and report. Furthermore, it refers to potential problems and pitfalls, as well as legal and ethical issues encountered when conducting surveys, and strategies to address them. Finally, it includes a case study and explores different questions to be addressed when using surveys in clinical research.

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2.4 Critical Thinking and Clinical Reasoning

Prioritization of patient care should be grounded in critical thinking rather than just a checklist of items to be done. Critical thinking is a broad term used in nursing that includes “reasoning about clinical issues such as teamwork, collaboration, and streamlining workflow.” [1] Certainly, there are many actions that nurses must complete during their shift, but nursing requires adaptation and flexibility to meet emerging patient needs. It can be challenging for a novice nurse to change their mindset regarding their established “plan” for the day, but the sooner a nurse recognizes prioritization is dictated by their patients’ needs, the less frustration the nurse might experience. Prioritization strategies include collection of information and utilization of clinical reasoning to determine the best course of action. Clinical reasoning is defined as, “A complex cognitive process that uses formal and informal thinking strategies to gather and analyze patient information, evaluate the significance of this information, and weigh alternative actions.” [2]

When nurses use critical thinking and clinical reasoning skills, they set forth on a purposeful course of intervention to best meet patient-care needs. Rather than focusing on one’s own priorities, nurses utilizing critical thinking and reasoning skills recognize their actions must be responsive to their patients. For example, a nurse using critical thinking skills understands that scheduled morning medications for their patients may be late if one of the patients on their care team suddenly develops chest pain. Many actions may be added or removed from planned activities throughout the shift based on what is occurring holistically on the patient-care team.

Additionally, in today’s complex health care environment, it is important for the novice nurse to recognize the realities of the current health care environment. Patients have become increasingly complex in their health care needs, and organizations are often challenged to meet these care needs with limited staffing resources. It can become easy to slip into the mindset of disenchantment with the nursing profession when first assuming the reality of patient-care assignments as a novice nurse. The workload of a nurse in practice often looks and feels quite different than that experienced as a nursing student. As a nursing student, there may have been time for lengthy conversations with patients and their family members, ample time to chart, and opportunities to offer personal cares, such as a massage or hair wash. Unfortunately, in the time-constrained realities of today’s health care environment, novice nurses should recognize that even though these “extra” tasks are not always possible, they can still provide quality, safe patient care using the “CURE” prioritization framework. Rather than feeling frustrated about “extras” that cannot be accomplished in time-constrained environments, it is vital to use prioritization strategies to ensure appropriate actions are taken to complete what must be done. With increased clinical experience, a novice nurse typically becomes more comfortable with prioritizing and reprioritizing care.

Klenke-Borgmann, L., Cantrell, M. A., & Mariani, B. (2020). Nurse educator’s guide to clinical judgment: A review of conceptualization, measurement, and development. Nursing Education Perspectives, 41 (4), 215-221. https://doi.org/10.1097/01.nep.0000000000000669 ↵

A broad term used in nursing that includes “reasoning about clinical issues such as teamwork, collaboration, and streamlining workflow.”

A complex cognitive process that uses formal and informal thinking strategies to gather and analyze patient information, evaluate the significance of this information, and weigh alternative actions.

Leadership and Management of Nursing Care Copyright © 2022 by Kim Belcik and Open Resources for Nursing is licensed under a Creative Commons Attribution 4.0 International License , except where otherwise noted.

Critical Thinking

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In today’s dynamic and fast-paced world, critical thinking stands out as an essential competency, seamlessly bridging the gap between soft and hard skills . As we navigate complex challenges and make informed decisions, the ability to think critically enhances our overall skill set. Critical thinking stands at the core of effective decision-making and problem-solving in today’s complex world. It involves analyzing information, evaluating evidence, and considering multiple perspectives to make informed judgments. In a society flooded with information, the ability to think critically ensures that individuals can distinguish between credible sources and misinformation. It empowers people to approach challenges logically and creatively, fostering innovation and resilience. By honing critical thinking skills, individuals enhance their capacity to navigate personal and professional landscapes with clarity and confidence.

What is Critical Thinking?

Critical thinking is the process of actively and skillfully analyzing, evaluating, and synthesizing information gathered from various sources, including observations , experiences, and communication. It involves using logic and reasoning to identify connections, draw conclusions, and make informed decisions, while remaining open-minded and aware of potential biases.

Critical Thinking Examples

Analyzing News Reports : Evaluating the credibility of sources, checking for biases, and verifying facts before accepting news stories as true.
Problem-Solving in the Workplace : Identifying the root cause of a problem, considering multiple solutions, and weighing the pros and cons before deciding on the best course of action.
Scientific Research : Formulating hypotheses, designing experiments to test them, analyzing data objectively, and drawing conclusions based on evidence.
Budgeting : Assessing income and expenses, prioritizing spending, and making informed decisions to stay within budget while saving for future needs.
Reading Literature : Interpreting themes, symbols, and character motivations in a novel or poem, and considering how they relate to broader societal issues.
Debating : Constructing logical arguments, anticipating counterarguments, and using evidence to support one’s position while also listening to and understanding opposing views.
Medical Diagnosis : Doctors evaluating symptoms, considering possible conditions, ordering tests, and interpreting results to make accurate diagnoses and treatment plans.
Educational Assessment : Teachers designing fair and effective assessments that measure student understanding and skills, and using the results to improve teaching strategies.
Ethical Decision-Making : Weighing the moral implications of actions, considering the impact on stakeholders, and making choices that align with ethical principles.
Legal Analysis : Lawyers analyzing case law, statutes, and evidence to build strong legal arguments and anticipate the strategies of opposing counsel.
Marketing Strategy : Analyzing market trends, customer needs, and competitor actions to develop effective marketing campaigns that resonate with target audiences.
Programming : Writing efficient code by understanding the problem, breaking it into smaller parts, and testing and debugging to ensure it works correctly.
Urban Planning : Evaluating the needs of a community, considering environmental impact, and planning sustainable and functional urban spaces.
Historical Analysis : Examining historical events, considering the context, and understanding the causes and effects while avoiding presentism (judging the past by today’s standards).
Personal Decision-Making : Weighing the benefits and drawbacks of significant life choices, such as career changes or moving to a new city, and making decisions based on careful consideration and long-term goals.

For Students

Activity : Organize debates on current events or controversial topics.
Example : Have students debate the pros and cons of renewable energy sources versus fossil fuels.
Activity : Present students with complex problems to solve in groups.
Example : Task students with designing a plan to reduce plastic waste in their school.
Activity : Analyze case studies relevant to their subjects.
Example : In a business class, analyze a company’s decision-making process during a crisis.
Activity : Conduct Socratic seminars where students discuss philosophical or ethical questions.
Example : Discuss the ethical implications of artificial intelligence in society.
Activity : Facilitate brainstorming sessions to generate creative solutions to problems.
Example : Brainstorm ideas for a community service project to help local residents.
Activity : Assign research projects requiring critical analysis of sources.
Example : Research the impact of social media on teenage mental health and present findings.
Activity : Engage students in role-playing exercises to explore different perspectives.
Example : Role-play a historical event, with each student taking on the role of a key figure.
Activity : Use logic puzzles and games to develop reasoning skills.
Example : Solve Sudoku puzzles or play strategy games like chess.
Activity : Encourage students to write reflectively about their learning experiences.
Example : Write an essay on how their views on a topic have changed after a class discussion.
Activity : Analyze the techniques used in advertisements to influence consumers.
Example : Evaluate an advertisement’s claims and discuss the strategies used to persuade the audience.

In the Workplace

Problem Solving : Analyzing the root cause of a recurring issue in production and developing a sustainable solution.
Decision Making : Evaluating the pros and cons of two potential suppliers based on cost, quality, and reliability.
Strategic Planning : Assessing market trends to develop a new product line that meets future consumer demands.
Conflict Resolution : Mediating a disagreement between team members by understanding both perspectives and finding common ground.
Process Improvement : Reviewing workflow inefficiencies and implementing new procedures to increase productivity.
Risk Management : Identifying potential risks in a project and devising strategies to mitigate them.
Customer Service : Addressing a customer complaint by understanding the underlying issue and providing a satisfactory resolution.
Innovation : Brainstorming and evaluating new ideas for improving a product or service.
Performance Evaluation : Analyzing employee performance data to provide constructive feedback and development plans.
Budgeting : Reviewing and adjusting the department budget to ensure financial efficiency without compromising quality.

In the Classroom

Critical Reading : Analyzing a text to understand the author’s argument, purpose, and use of evidence.
Scientific Inquiry : Designing and conducting experiments to test hypotheses and draw conclusions based on data.
Mathematical Problem Solving : Applying logical reasoning to solve complex math problems and explaining the solution process.
Historical Analysis : Evaluating historical events and their impact from multiple perspectives.
Debate : Constructing and defending arguments on various topics using evidence and reasoning.
Project-Based Learning : Developing a research project by identifying a problem, gathering information, and presenting findings.
Creative Writing : Critiquing peers’ work to provide constructive feedback and suggestions for improvement.
Ethical Dilemmas : Discussing moral questions and justifying decisions based on ethical principles.
Literary Analysis : Interpreting themes, symbols, and character development in literature.
Collaborative Learning : Working in groups to solve problems, share ideas, and reach consensus.

In Everyday Life

Financial Planning : Creating a budget to manage expenses, savings, and investments.
Nutrition and Health : Analyzing dietary choices to improve overall health and wellness.
Time Management : Prioritizing tasks and activities to make efficient use of time.
Consumer Decisions : Comparing product reviews and prices before making a purchase.
Home Maintenance : Troubleshooting and fixing household issues, such as plumbing or electrical problems.
Travel Planning : Researching destinations, comparing travel options, and creating itineraries.
Parenting : Making informed decisions about children’s education, health, and activities.
Conflict Resolution : Resolving disputes with family or friends by understanding different viewpoints and finding compromises.
Personal Development : Setting and pursuing personal goals, such as learning a new skill or improving fitness.
Community Involvement : Analyzing community issues and participating in local initiatives to address them.

In Healthcare

Diagnosis : Interpreting patient symptoms and medical history to diagnose conditions accurately.
Treatment Planning : Developing individualized treatment plans based on patient needs and evidence-based practices.
Ethical Decision-Making : Addressing ethical dilemmas in patient care, such as end-of-life decisions.
Patient Communication : Explaining complex medical information to patients and families clearly and compassionately.
Interdisciplinary Collaboration : Working with other healthcare professionals to provide comprehensive care.
Medical Research : Designing and conducting research studies to advance medical knowledge and treatments.
Healthcare Policy Analysis : Evaluating healthcare policies and their impact on patient care and outcomes.
Clinical Judgment : Assessing and prioritizing patient care needs in emergency situations.
Quality Improvement : Implementing strategies to improve patient safety and care quality.
Continuing Education : Staying updated on medical advancements and integrating new knowledge into practice.

In Business

Market Analysis : Evaluating market trends and consumer behavior to make informed business decisions.
Strategic Planning : Developing long-term goals and strategies to achieve business objectives.
Financial Management : Analyzing financial statements to make sound investment and budgeting decisions.
Risk Assessment : Identifying and mitigating potential business risks.
Negotiation : Using persuasive arguments and data to negotiate contracts and deals.
Product Development : Assessing customer needs and market gaps to create new products.
Customer Feedback Analysis : Collecting and analyzing customer feedback to improve products and services.
Supply Chain Management : Optimizing supply chain processes to reduce costs and increase efficiency.
Leadership : Making decisions that motivate and guide employees toward achieving company goals.
Corporate Social Responsibility : Evaluating the social and environmental impact of business practices and implementing sustainable strategies.
Research Projects : Conducting independent research, analyzing data, and presenting findings.
Critical Essays : Writing essays that critically analyze texts, arguments, and ideas.
Group Projects : Collaborating with classmates to complete assignments and solve problems.
Class Discussions : Participating in discussions by presenting well-reasoned arguments and listening to others.
Case Studies : Analyzing real-world scenarios to understand complex issues and propose solutions.
Exam Preparation : Developing study plans and strategies to prepare for exams effectively.
Internships : Applying classroom knowledge to real-world situations during internships and reflecting on experiences.
Time Management : Balancing academic, social, and personal responsibilities.
Library Research : Using library resources to find credible sources for research papers.
Extracurricular Activities : Engaging in activities that develop leadership, teamwork, and problem-solving skills.

Critical Thinking scenarios

Here are some critical thinking scenarios along with questions and answers to help you practice and enhance your critical thinking skills:

Scenario 1: Workplace Conflict

Scenario: You are a manager at a company. Two of your team members, John and Lisa, have been having frequent disagreements. These conflicts are starting to affect the team’s productivity and morale.

What steps would you take to address the conflict between John and Lisa?
How would you ensure that the resolution is fair and satisfactory for both parties?
What strategies would you implement to prevent similar conflicts in the future?
Schedule a private meeting with John and Lisa to discuss the issue.
Listen to both sides without taking sides to understand the root cause of the conflict.
Facilitate a mediation session where both parties can express their concerns and work towards a resolution.
Agree on specific actions that both parties will take to avoid future conflicts.
Ensure that both John and Lisa feel heard and respected during the mediation process.
Identify common ground and mutual interests to build a foundation for resolution.
Set clear expectations and follow-up actions for both parties.
Monitor the situation and provide support to ensure the conflict does not resurface.
Foster an open and inclusive team culture where concerns can be raised early.
Provide regular team-building activities to strengthen relationships.
Implement conflict resolution training for all team members.
Establish clear communication channels and protocols for addressing grievances.

Scenario 2: Ethical Dilemma

Scenario: You are a journalist working on a high-profile story. You discover that one of your sources has provided you with information that could harm their reputation if published. However, this information is crucial to your story and serves the public interest.

What factors would you consider before deciding whether to publish the information?
How would you balance the public interest with the potential harm to your source?
What steps would you take to verify the accuracy of the information before publication?
The significance of the information to the public interest.
The potential consequences for the source if the information is published.
The ethical guidelines and professional standards of journalism.
Any possible legal implications of publishing the information.
Evaluate whether the public’s right to know outweighs the potential harm to the source.
Consider anonymizing the source or redacting sensitive details to protect their identity.
Seek advice from colleagues or an ethics committee to make an informed decision.
Cross-check the information with other reliable sources.
Review any documentation or evidence provided by the source.
Conduct interviews with other individuals who can corroborate the information.
Ensure that the information is presented in context to avoid misrepresentation.

Scenario 3: Environmental Impact

Scenario: Your company is planning to build a new factory in a rural area. This project promises economic growth and job creation but also raises concerns about environmental impact and the displacement of local wildlife.

What are the potential environmental impacts of the new factory?
How would you address the concerns of the local community and environmental groups?
What measures would you implement to minimize the environmental impact of the factory?
Air and water pollution from factory emissions and waste.
Habitat destruction and displacement of local wildlife.
Increased traffic and noise pollution in the area.
Strain on local resources such as water and energy.
Organize community meetings to discuss the project and listen to concerns.
Collaborate with environmental groups to assess the impact and find solutions.
Provide transparent information about the factory’s operations and mitigation plans.
Offer compensation or relocation assistance to affected residents if necessary.
Implement eco-friendly technologies and practices to reduce emissions and waste.
Develop a comprehensive environmental management plan.
Create buffer zones and wildlife corridors to protect local habitats.
Invest in renewable energy sources to power the factory.
Improved Problem Solving: Critical thinking helps in analyzing problems systematically and making better decisions.
Enhanced Communication: It allows for clear expression and understanding of ideas.
Better Decision Making: Critical thinking leads to more informed and logical choices.
Adaptability: It enables individuals to adapt to new situations and challenges effectively.
Informed Opinions: Critical thinkers can form well-grounded opinions and defend them logically.

What are the critical thinking skills?

Analysis: Breaking down complex information into smaller parts to understand it better.
Interpretation: Understanding and explaining the meaning of information or an event.
Inference: Drawing logical conclusions from available information.
Evaluation: Assessing the credibility and relevance of information and arguments.
Explanation: Clearly and concisely articulating your reasoning and evidence.
Self-Regulation: Reflecting on and adjusting one’s own thought processes and biases.

Concepts of critical thinking

Clarity: Ensuring that the information and arguments are clear and understandable.
Accuracy: Ensuring that information is true and free from errors.
Precision: Providing enough detail to understand the specific context.
Relevance: Ensuring that information and arguments are directly related to the issue at hand.
Depth: Addressing the complexities and underlying factors of an issue.
Breadth: Considering different perspectives and alternatives.
Logic: Ensuring that the reasoning is coherent and follows a logical sequence.
Fairness: Being open-minded and impartial in evaluating information and arguments.
Identify the Problem or Question: Clearly define what you are trying to solve or understand.
Gather Information: Collect relevant data, evidence, and viewpoints.
Analyze the Information: Break down the information to understand the relationships and implications.
Evaluate the Evidence: Assess the quality, credibility, and relevance of the evidence.
Formulate Conclusions: Draw reasoned conclusions based on the analysis and evaluation.
Communicate the Conclusion: Clearly express your findings and reasoning.
Reflect and Reassess: Continuously reflect on the process and outcomes to improve your critical thinking skills.

Basics of critical thinking

Open-Mindedness: Being willing to consider new ideas and perspectives.
Curiosity: Having a strong desire to learn and understand.
Skepticism: Questioning the validity of information and not taking things at face value.
Objectivity: Striving to remain unbiased and impartial.
Rationality: Basing decisions on logical reasoning rather than emotions.
Socratic Questioning: Asking a series of probing questions to explore complex ideas and uncover underlying assumptions.
Mind Mapping: Visually organizing information to see connections and relationships.
Brainstorming: Generating a wide range of ideas and solutions without immediate judgment.
Role Playing: Considering different perspectives by imagining oneself in another person’s position.
SWOT Analysis: Evaluating the strengths, weaknesses, opportunities, and threats related to a particular situation or decision.
Thought Experiments: Imagining hypothetical scenarios to explore potential outcomes and implications.

How to Practice and Use Critical Thinking

The critical thinking process incorporates various other logical soft skills that will help you analyze and interpret all the information to create an informed decision. These soft skills include observational skills, problem-solving, communication skills, and analytical thinking. If you sharpen all of these elements and characteristics you will inadvertently enhance your critical thinking.

Step 1: Practice One’s Observational and Perception Skills

We use our senses to perceive the world around us, whether it would be sight, smell, a, and sensations. One should practice utilizing these senses to create logical inferences and deductions that will help out brain unconsciously absorb and analyze these types of information. The more one practices their senses the better their thinking process will be.

Step 2: Enhance One’s Problem-Solving Skills

Logic and problem-solving allow the person to deduce and connect information that the environment or circumstance presents to the said person. You need to practice your problem-solving skills via puzzles, logical reasoning tests, and ethical dilemmas. Practicing one’s problem-solving skills will allow the person to efficiently establish cause-and-effect reasoning or properly create logical decisions.

Step 3: Prepare and Practice One’s Communication Skills

Communication is a pivotal skill we often use when interacting with other people. This type of skill includes body language , assertive communication , concise language, and other communication skills. In critical thinking, a person must be able to properly communicate their thoughts and thinking process to other people, which will create a collaborative environment. Other times, the perfect solution might not be present without the need for communication.

Step 4: Practice Analysis of the Situation

One’s analytical thinking skills allow the person to take note of various elements and characteristics of the situation and analyze these elements’ contribution to the current situation or circumstance. You need to practice your analytical thinking to properly process the current situation or circumstance you find yourself in.

Why Do Employers Value Critical Thinking Skills?

Employers value critical thinking skills because they enable employees to analyze situations, make informed decisions, and solve problems effectively. Critical thinkers can evaluate information from various sources, identify logical connections, and foresee potential consequences, which leads to better strategic planning and innovation. These skills also enhance communication and collaboration, as critical thinkers can present their ideas clearly and consider different perspectives. Ultimately, critical thinking contributes to improved productivity, adaptability, and competitiveness in the workplace.

What is critical thinking?

Critical thinking involves analyzing and evaluating information to make reasoned, logical decisions, and judgments. It emphasizes evidence-based reasoning and problem-solving.

Why is critical thinking important?

Critical thinking enhances decision-making, problem-solving, and the ability to analyze complex situations. It is crucial for personal and professional growth.

How can I improve my critical thinking skills?

Improve critical thinking by questioning assumptions, seeking diverse perspectives, practicing problem-solving, and engaging in reflective thinking regularly.

What are the key components of critical thinking?

Key components include analysis, evaluation, inference, explanation, and self-regulation. These skills help in understanding and assessing arguments and evidence.

How does critical thinking benefit students?

Students benefit from critical thinking by improving academic performance, enhancing research skills, and fostering independent thinking and creativity.

What role does critical thinking play in the workplace?

In the workplace, critical thinking aids in decision-making, innovation, conflict resolution, and improving productivity and efficiency.

Can critical thinking be taught?

Yes, critical thinking can be taught through targeted educational programs, exercises, and practice that focus on developing analytical and evaluative skills.

What is an example of critical thinking in everyday life?

An example is evaluating news sources for credibility before accepting information as true. This involves analyzing evidence and assessing biases.

How does critical thinking relate to problem-solving?

Critical thinking is integral to problem-solving as it involves analyzing the problem, evaluating options, and making reasoned decisions based on evidence.

What are common barriers to critical thinking?

Common barriers include cognitive biases, emotional influences, lack of relevant information, and social pressures. Overcoming these requires awareness and deliberate practice.

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The Most Important Logical Thinking Skills (With Examples)

Logical Skills
Promotional Skills
Bookkeeping Skills
Typing Skills
Sales Skills
Science And Math Skills
Physical Strength And Dexterity Skills
Customer Service Skills
Instructional Skills
Logical-Thinking Skills
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Find a Job You Really Want In

Logical thinking skills like critical-thinking, research, and creative thinking are valuable assets in the workplace. These skills are sought after by many employers, who want employees that take into account facts and data before deciding on an important course of action. This is because such solutions will ensure the organization’s processes can continue to operate efficiently.

So, if you’re a job seeker or employee looking to explore and brush up on your logical thinking skills, you’re in luck. This article will cover examples of logical thinking skills in the workplace, as well as what you can do to showcase those skills on your resume and in interviews.

Key Takeaways:

Logical thinking is problem solving based on reasoning that follows a strictly structured progression of analysis.

Critical thinking, research, creativity, mathematics, reading, active listening, and organization are all important logical thinking skills in the workplace.

Logical thinking provides objectivity for decision making that multiple people can accept.

Deduction follows valid premises to reach a logical conclusion.

It can be very helpful to demonstrate logical thinking skills at a job interview.

The Most Important Logical Thinking Skills

What is logical thinking?

10 examples of logical thinking skills, examples of logical thinking in the workplace, what is deductive reasoning, logical thinking in a job interview, logical thinking skills faq, final thoughts.

Logical thinking is the ability to reason out an issue after observing and analyzing it from all angles . You can then form a conclusion that makes the most sense. It also includes the ability to take note of reactions and feedback to aid in the formation of the conclusion.

Logical thinking skills enable you to present your justification for the actions you take, the strategies you use, and the decisions you make. You can easily stand in front of your clients, peers, and supervisors and defend your product, service, and course of action if the necessity arises.

Logical thinking is an excellent way of solving complex problems. You can break the problem into smaller parts; solve them individually in a sequence, then present the complete solution. However, it is not infallible.

So, when a problem in the workplace feels overwhelming, you may want to think about it logically first.

Logical thinking skills are a skill set that enables you to reason logically when solving problems. They enable you to provide well-reasoned answers to any issues that arise. They also empower you to make decisions that most people will consider rational.

Critical-thinking skills. If you are a critical thinker, then you can analyze and evaluate a problem before making judgments. You need to improve your critical thinking process to become a logical thinker.

Your critical thinking skills will improve your ability to solve problems. You will be the go-to employee concerning crises. People can rely on you to be reasonable whenever an issue arises instead of letting biases rule you.

Research skills. If you are a good researcher , then you can search and locate data that can be useful when presenting information on your preferred subject.

The more relevant information you have about a particular subject, the more accurate your conclusions are likely to be. The sources you use must be reputable and relevant.

For this reason, your ability to ferret out information will affect how well you can reason logically.

Creative thinking skills. If you are a creative thinker , then you can find innovative solutions to problems.

You are the kind of person that can think outside the box when brainstorming ideas and potential solutions. Your thinking is not rigid. Instead, you tend to look at issues in ways other people have not thought of before.

While logical thinking is based on data and facts, that doesn’t mean it is rigid. You can creatively find ways of sourcing that data or experimenting so that you can form logical conclusions. Your strategic thinking skills will also help enable you to analyze reactions or collect feedback .

Mathematical skills. If you are skilled in mathematics , then you can work well with numbers and represent mathematical ideas using visual symbols. Your brain must be able to compute information.

Business is a numbers game. That means you must have some knowledge of mathematics. You must be able to perform basic mathematical tasks involving addition, subtractions, divisions, multiplications, etc.

So, to become a logical thinker, you must be comfortable working with numbers. You will encounter them in many business-related complex problems. And your ability to understand them will determine whether you can reach an accurate logical conclusion that helps your organization.

Reading skills. If you are a good reader , then you can make sense of the letters and symbols that you see. Your ability to read will determine your competency concerning your logical thinking and reasoning skills.

And that skill set will come in handy when you are presented with different sets of work-related statements from which you are meant to conclude. Such statements may be part of your company policy, technical manual, etc.

Active listening skills. Active listening is an important communication skill to have. If you are an active listener, then you can hear, understand what is being said, remember it, and respond to it if necessary.

Not all instructions are written. You may need to listen to someone to get the information you need to solve problems before you write it down. In that case, your active listening skills will determine how well you can remember the information so that you can use it to reason things out logically.

Information ordering skills. If you have information ordering skills, then you can arrange things based on a specified order following the set rules or conditions. These things may include mathematical operations, words, pictures, etc.

Different organizations have different business processes. The workflow in one organization will be not similar to that of another organization even if both belong to the same industry.

Your ability to order information will depend on an organization’s culture . And it will have a major impact on how you can think and reason concerning solutions to your company problems.

If you follow the wrong order, then no matter how good your problem-solving techniques are your conclusions may be wrong for your organization.

Persuasion skills. Logical thinking can be useful when persuading others, especially in the workplace.

For example, lets say one of your co-workers wants to take a project in an impulsive direction, which will increase the budget. However, after you do your research, you realize a budget increase would be impossible.

You can then use your logical thinking skills to explain the situation to your co-worker , including details facts and numbers, which will help dissuade them from making an uninformed decision.

Decision making skills. Decision making skills go hand and hand with logical thinking, as being able to think logically about solutions and research topics will make it far easier to make informed decisions.

After all, no one likes making a decision that feels like a shot in the dark, so knowing crucial information about the options aviable to you, and thinking about them logically, can improve your confidence around decision making.

Confidence skills. Confidence that stems from an emotional and irrational place will always be fragile, but when you have more knowledge available to you through logical thinking, you can be more confident in your confidence skills.

For instance, if an employee asked you to answer an important question, you will have a lot more confidence in your answer if you can think logically about it, as opposed to having an air of uncertainty.

To improve your logic skills, it would be wise to practice how to solve problems based on facts and data. Below are examples of logical thinking in the workplace that will help you understand this kind of reasoning so that you can improve your thinking:

The human resource department in your organization has determined that leadership skills are important for anyone looking to go into a senior management position. So, it decides that it needs proof of leadership before hiring anyone internally. To find the right person for the senior management position , every candidate must undertake a project that involves a team of five. Whoever leads the winning team will get the senior managerial position.

This example shows a logical conclusion that is reached by your organization’s human resource department. In this case, your HR department has utilized logical thinking to determine the best internal candidate for the senior manager position.

It could be summarized as follows:

Statement 1: People with excellent leadership skills that produce winning teams make great senior managers. Statement 2: Candidate A is an excellent leader that has produced a winning team. Conclusion: Candidate A will make an excellent senior manager .

A marketing company researches working women on behalf of one of their clients – a robotics company. They find out that these women feel overwhelmed with responsibilities at home and in the workplace. As a result, they do not have enough time to clean, take care of their children, and stay productive in the workplace. A robotics company uses this research to create a robot cleaner that can be operated remotely . Then they advertise this cleaner specifically to working women with the tag line, “Working women can do it all with a little bit of help.” As a result of this marketing campaign, their revenues double within a year.

This example shows a logical conclusion reached by a robotics company after receiving the results of marketing research on working women. In this case, logical thinking has enabled the company to come up with a new marketing strategy for their cleaning product.

Statement 1: Working women struggle to keep their homes clean. Statement 2: Robot cleaners can take over cleaning duties for women who struggle to keep their homes clean. Conclusion: Robot cleaner can help working women keep their homes clean.

CalcX. Inc. has created a customer survey concerning its new finance software. The goal of the survey is to determine what customers like best about the software. After reading through over 100 customer reviews and ratings, it emerges that 60% of customers love the new user interface because it’s easy to navigate. CalcX. Inc. then decides to improve its marketing strategy. It decides to train every salesperson to talk about the easy navigation feature and how superior it is to the competition. So, every time a client objects to the price, the sales rep could admit that it is expensive, but the excellent user interface makes up for the price. At the end of the year, it emerges that this strategy has improved sales revenues by 10%.

The above example shows how logical thinking has helped CalcX. Sell more software and improve its bottom line.

Statement 1: If the majority of customers like a particular software feature, then sales reps should use it to overcome objections and increase revenues. Statement 2: 60% of the surveyed customers like the user interface of the new software, and; they think it makes navigation easier. Conclusion: The sales reps should market the new software’s user interface and the fact that it is easy to navigate to improve the company’s bottom line.

A political candidate hires a focus group to discuss hot-button issues they feel strongly about. It emerges that the group is torn on sexual reproductive health issues, but most support the issue of internal security . However, nearly everyone is opposed to the lower wages being paid due to the current economic crisis. Based on the results of this research, the candidate decides to focus on improving the economy and security mechanisms in the country. He also decides to let go of the sexual productive health issues because it would potentially cause him to lose some support.

In this case, the political candidate has made logical conclusions on what topics he should use to campaign for his seat with minimal controversies so that he doesn’t lose many votes.

This situation could be summarized as follows:

Statement 1: Most people find sexual reproductive health issues controversial and cannot agree. Statement 2: Most people feel that the internal security of the country is in jeopardy and something should be done about it. Statement 3: Most people want higher wages and an improved economy. Statement 4: Political candidates who want to win must avoid controversy and speak up on things that matter to people. Conclusion: To win, political candidates must focus on higher wages, an improved economy, and the internal security of the country while avoiding sexual reproductive health matters.

Deductive reasoning is an aspect of logical reasoning. It is a top-down reasoning approach that enables you to form a specific logical conclusion based on generalities. Therefore, you can use one or more statements, usually referred to as premises, to conclude something.

For example:

Statement 1: All mothers are women Statement 2: Daisy is a mother. Conclusion: Daisy is a woman.

Based on the above examples, all mothers are classified as women, and since Daisy is a mother, then it’s logical to deduce that she is a woman too.

It’s worth noting though, that deductive reasoning does not always produce an accurate conclusion based on reality.

Statement 1: All caregivers in this room are nurses. Statement 2: This dog, Tom, is a caregiver . Conclusion: This dog, Tom, is a nurse .

From the above example, we have deduced that Tom, the dog, is a nurse simply because the first statement stated that all caregivers are nurses. And yet, in reality, we know that dogs cannot be nurses. They do not have the mental capacity to become engaged in the profession.

For this reason, you must bear in mind that an argument can be validly based on the conditions but it can also be unsound if some statements are based on a fallacy.

Since logical thinking is so important in the workplace, most job interviewers will want to see you demonstrate this skill at the job interview. It is very important to keep in mind your logical thinking skills when you talk about yourself at the interview.

There are many ways in which an interviewer may ask you to demonstrate your logical thinking skills. For example:

You may have to solve an example problem. If the interviewer provides you a problem similar to one you might find at your job, make sure to critically analyze the problem to deduce a solution.

You may be asked about a previous problem or conflict you had to solve. This classic question provides you the opportunity to show your skills in action, so make sure to highlight the objectivity and logic of your problem solving.

Show your logic when talking about yourself. When given the opportunity to talk about yourself, highlight how logic comes into play in your decision making. This could be in how you picked the job position, why you choose your career or education, or what it is about yourself that makes you a great candidate.

Why is it important to think logically?

It’s important to think logically because it allows you to analyze a situation and come up with a logical solution. It allows for you to reason through the important decisions and solve problems with a better understanding of what needs to be done. This is necessary for developing a strong career.

Why is logic important?

Logic is important because it helps develop critical thinking skills. Critical thinking skills are important because they help you analyze and evaluate a problem before you make a decision. It also helps you improve your problem-solving skills to allow you to make better decisions.

How do you improve your logical thinking skills?

When improving your logical thinking skills make sure you spend time on a creative hobby and practice questioning. Creative hobbies can help reduce stress levels, and lower stress leads to having an easier time focusing on tasks and making logical thinking. Creative hobbies can include things like drawing, painting, and writing.

Another way to improve your logical thinking is to start asking questions about things. Asking questions allows for you to discover new things and learn about new topics you may not have thought about before.

What are logical thinking skills you need to succeed at work?

There are many logical thinking skills you need to succeed in the workplace. Our top four picks include:

Observation

Active Listening

Problem-solving

Logical thinking skills are valuable skills to have. You need to develop them so that you can become an asset to any organization that hires you. Be sure to include them in your resume and cover letter .

And if you make it to the interview, also ensure that you highlight these skills. You can do all this by highlighting the career accomplishments that required you to use logical thinking in the workplace.

It’s Your Yale – Consider Critical Thinking Skills to Articulate Your Work Quality

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Roger Raber has been a content writer at Zippia for over a year and has authored several hundred articles. Having retired after 28 years of teaching writing and research at both the high school and college levels, Roger enjoys providing career details that help inform people who are curious about a new job or career. Roger holds a BA in English from Cleveland State University and a MA from Marygrove college.

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OpenSAFELY: Effectiveness of COVID-19 vaccination in children and adolescents

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Background Children and adolescents in England were offered BNT162b2 as part of the national COVID-19 vaccine roll out from September 2021. We assessed the safety and effectiveness of first and second dose BNT162b2 COVID-19 vaccination in children and adolescents in England.

Methods With the approval of NHS England, we conducted an observational study in the OpenSAFELY-TPP database, including a) adolescents aged 12-15 years, and b) children aged 5-11 years and comparing individuals receiving i) first vaccination with unvaccinated controls and ii) second vaccination to single-vaccinated controls. We matched vaccinated individuals with controls on age, sex, region, and other important characteristics. Outcomes were positive SARS-CoV-2 test (adolescents only); COVID-19 A&E attendance; COVID-19 hospitalisation; COVID-19 critical care admission; COVID-19 death, with non-COVID-19 death and fractures as negative control outcomes and A&E attendance, unplanned hospitalisation, pericarditis, and myocarditis as safety outcomes.

Results Amongst 820,926 previously unvaccinated adolescents, the incidence rate ratio (IRR) for positive SARS-CoV-2 test comparing vaccination with no vaccination was 0.74 (95% CI 0.72-0.75), although the 20-week risks were similar. The IRRs were 0.60 (0.37-0.97) for COVID-19 A&E attendance, 0.58 (0.38-0.89) for COVID-19 hospitalisation, 0.99 (0.93-1.06) for fractures, 0.89 (0.87-0.91) for A&E attendances and 0.88 (0.81-0.95) for unplanned hospitalisation. Amongst 441,858 adolescents who had received first vaccination IRRs comparing second dose with first dose only were 0.67 (0.65-0.69) for positive SARS-CoV-2 test, 1.00 (0.20-4.96) for COVID-19 A&E attendance, 0.60 (0.26-1.37) for COVID-19 hospitalisation, 0.94 (0.84-1.05) for fractures, 0.93 (0.89-0.98) for A&E attendance and 0.99 (0.86-1.13) for unplanned hospitalisation. Amongst 283,422 previously unvaccinated children and 132,462 children who had received a first vaccine dose, COVID-19-related outcomes were too rare to allow IRRs to be estimated precisely. A&E attendance and unplanned hospitalisation were slightly higher after first vaccination (IRRs versus no vaccination 1.05 (1.01-1.10) and 1.10 (0.95-1.26) respectively) but slightly lower after second vaccination (IRRs versus first dose 0.95 (0.86-1.05) and 0.78 (0.56-1.08) respectively). There were no COVID-19-related deaths in any group. Fewer than seven (exact number redacted) COVID-19-related critical care admissions occurred in the adolescent first dose vs unvaccinated cohort. Among both adolescents and children, myocarditis and pericarditis were documented only in the vaccinated groups, with rates of 27 and 10 cases/million after first and second doses respectively.

Conclusion BNT162b2 vaccination in adolescents reduced COVID-19 A&E attendance and hospitalisation, although these outcomes were rare. Protection against positive SARS-CoV-2 tests was transient.

Competing Interest Statement

BG has received research funding from the Laura and John Arnold Foundation, the NHS National Institute for Health Research (NIHR), the NIHR School of Primary Care Research, NHS England, the NIHR Oxford Biomedical Research Centre, the Mohn-Westlake Foundation, NIHR Applied Research Collaboration Oxford and Thames Valley, the Wellcome Trust, the Good Thinking Foundation, Health Data Research UK, the Health Foundation, the World Health Organisation, UKRI MRC, Asthma UK, the British Lung Foundation, and the Longitudinal Health and Wellbeing strand of the National Core Studies programme; he is a Non-Executive Director at NHS Digital; he also receives personal income from speaking and writing for lay audiences on the misuse of science. BMK is also employed by NHS England working on medicines policy and clinical lead for primary care medicines data. IJD has received unrestricted research grants and holds shares in GlaxoSmithKline (GSK).

Funding Statement

The OpenSAFELY Platform is supported by grants from the Wellcome Trust (222097/Z/20/Z); MRC (MR/V015757/1, MC_PC-20059, MR/W016729/1); NIHR (NIHR135559, COV-LT2-0073), and Health Data Research UK (HDRUK2021.000, 2021.0157). In addition, this research used data assets made available as part of the Data and Connectivity National Core Study, led by Health Data Research UK in partnership with the Office for National Statistics and funded by UK Research and Innovation (grant ref MC_PC_20058). BG has also received funding from: the Bennett Foundation, the Wellcome Trust, NIHR Oxford Biomedical Research Centre, NIHR Applied Research Collaboration Oxford and Thames Valley, the Mohn-Westlake Foundation; all Bennett Institute staff are supported by BG's grants on this work. The views expressed are those of the authors and not necessarily those of the NIHR, NHS England, UK Health Security Agency (UKHSA) or the Department of Health and Social Care.

Funders had no role in the study design, collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

This study was approved by the Health Research Authority (REC reference 20/LO/0651) and by the London School of Hygeine and Tropical Medicine Ethics Board (reference 21863).

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Data Availability

All data were linked, stored and analysed securely using the OpenSAFELY platform, https://www.opensafely.org/ , as part of the NHS England OpenSAFELY COVID-19 service. Data include pseudonymised data such as coded diagnoses, medications and physiological parameters. No free text data was included. All code is shared openly for review and re-use under MIT open license [ https://github.com/opensafely/vaccine-effectiveness-in-kids ]. Detailed pseudonymised patient data is potentially re-identifiable and therefore not shared. Primary care records managed by the GP software provider, TPP were linked to ONS death data and the Index of Multiple Deprivation through OpenSAFELY.

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OpenSAFELY: Effectiveness of COVID-19 vaccination in children and
Competing Interest Statement. BG has received research funding from the Laura and John Arnold Foundation, the NHS National Institute for Health Research (NIHR), the NIHR School of Primary Care Research, NHS England, the NIHR Oxford Biomedical Research Centre, the Mohn-Westlake Foundation, NIHR Applied Research Collaboration Oxford and Thames Valley, the Wellcome Trust, the Good Thinking ...

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