Susana Widyaningsih, Y Hastuti, S Mirzah, U Sujianto

Abstract views = 1112 times | views = 76 times


Background: Clinical learning in internship program is a very imperative. Taking care of patients in the clinil will train the students to sharpen their critical thinking. Critical thinking competence among nursing students is important to provide a holistic nursing care. Mind Mapping is a method used in the clinical learning using a creative colorful diagram. It contains a main idea and key data of patients who were taken care of by the students in the medical surgical unit. Objective: This study aims to enhance critical thinking competence among nursing students in the intership program, medical surgical cycle. Method: The design of this study was a quasi experiment with one group pre and post test. The Mind Mapping method was given before the participants started their medical surgical clinical cycle. The guidance to develop the mind mapping (coaching) was given for approximately 60 minutes every week, for a total of 5 weeks clinical practice. The level of critical thinking competence was measured using Critical Thinking Disposition Self-Rating Form (CTDSR) which contains of 20 statements with dicotomous response. Wilcoxon Match Paired Test was used to analyse the data. Result: There 23 students enrolled in this study. Those participants were from 3 different groups. The coaching program was conducted from June-September 2016. The GPA of the respondents was above 3.0. The analysis result showed that the mean rank of post test was significantly higher than the mean rank of the pretest (Z=-2.034, P<0.05). Conclusion: The clinical learning as well as coaching in the internship program using Mind Mapping  method is strongly suggested. This method will enhance the critical thinking competence among students in taking care of their patients.

Key words: Mind Mapping case, Critical Thinking



Full Text:



Alos, S. B., Caranto, L. C., & David, J. H. T. (2015). Factors affecting the academic performance of the student nurses of BSU. International Journal of Nursing Science, 5, 60-65. doi:10.5923/j.nursing.20150502.04

Astin, F., Newton, J., McKenna, L., Moore-Coulson, L. (2005). Registered nurses’ expectations and experiences of first year students’ clinical skills and knowledge. Contemporer Nurse, 18(3):279–91

Benner, P., Hughes, R. G., & Sutphen, M. (2013). Chapter 6: Clinical reasoning, decision making, and action: Thinking critically and clinically. Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

Buzan, T & Buzan. (1993). What is a mind map. retrieved from

Cappelletti, A., Engel, J. K., & Prentice, D. (2014). Systematic Review of Clinical Judgment and Reasoning in Nursing. Journal of Nursing Education, 453-458.

Clynes, M.P., & Raftery, S.E. (2008).. Feedback: An essential element of student learning in clinical practice. Nurse Education Practice, 8, 405-11. doi: 10.1016/j.nepr.2008.02.003.

Dale, B., Leland, A., & Dale, J. G. (2013). What factors facilitate good learning experiences in clinical studies in nursing: Bachelor students’ perceptions. International Scholarly Research Notices, 2013, 7. doi:10.1155/2013/628679

Davies, M. (2010). Concept mapping, mind mapping and argument mapping: What are the differences and do they matter?. High Education, doi: 10.1007/s10734-010-9387-6.

Dunn, S.V., & Hansford, B. (1997). Undergraduate nursing students’ perceptions of their clinical learning environment. Journal of Advanced Nursing, 25(6):1299–306.

Farrand, P., Hussain, F., & Hennessy, E. (2002). The efficacy of the mind map study technique. Medical Education, 36, 426-31.

Feng, R.C., Chen, M.J., Chen, M.C., &Pai, Y.C.(2010). Critical thinking competence and disposition of clinical nurses in a medical center. Journal of Nursing Research, 18(2):77-87. doi: 10.1097/JNR.0b013e3181dda6f6.

Fitzgerald, C., Gordon, R. K., Katz, J., & Hirsch, A. (2012). Advanced practice nursing education: Challenges and strategies. Nursing Research and Practice, 2012, 8 pages.

Hoffman, K. (2007). A comparison of decision-making by "expert" and "novice"nurses in the clinical setting, monitoring-patient haemodynamic status post abdominal aortiw aneurysm surgery.Sydney: University of Technology.

Kaphagawani, N. C., & Useh, U. (2013). Analysis of nursing students learning experiences in clinical practice: Literature review. Ethno Medicine, 7, 181-5.

Kassirer, J. P. (2010). Teaching Clinical Reasoning: Case-Based and Coached. Academic Medicine, 1118-1124.

Kern, C. S., Bush, K.L., & McCleish, J.M. (2006). Mind-mapped care plans: Integrating an innovative educational tool as an alternative to traditional care plans.

Kim, H., Lee, E. K., & Park, S. Y. (2015). Critical Thinking Disposition, Self-Efficacy, and Stress of Korean Nursing Students. Indian Journal of Science and Technology, 8, (18), 1-5 doi: 10.17485/ijst/2015/v8i18/76710.

Levett-Jones, T., Hoffman, K., Dempsey, J., Yeun-Sim Jeong, S., Noble, D., Norton, C. A., et al. (2010). The 'five rights'of clinical reasoning: An educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients. Nurse Education Today, 515-520.

McCarthy, M. (2003). Detecting Acute Confusion in Older Adults: Comparing Clinical Reasoning of Nurses Working in Acute, Long-Term and Community Health Care Environments. Research in Nursing and Health, 26, 203-212.

MacFarlane, E., Milliken, J., Ouellet, L. L., Thrasher, C., Gartner, J., Harder, N.,…Stevenson, K. C. (2007). Overcoming the challenges of providing clinical/practice education.Canadian Nurse, 103, 18-22. 5p.

Park, J.A., & Kim, B. J.(2009). Critical thinking disposition and clinical competence in general hospital nurses. Journal of Korean Academic Nursing, 39(6):840-50doi: 10.4040/jkan.2009.39.6.840.

Mind mapping: Writing center learning guide. (2014). The University of Adelaide. Retrieved from

Mueller, A., Johnston, M., & Bligh, D. (2001). Mind-mapped care plans: A remarkable alternative to traditional nursing care plans. Nurse Education, 26, 75-80.

Mueller, A., Johnston, M., Bligh, D., & Wilkinson. (2008). Joining mind mapping and care planning to enhance student critical thinking and achieve holistice nursing care. International Journal of Nursing Knowledge, 13, 24-27.

Noohi, E., Karimi-Noghandar, M., & Haghdoost, A. (2012). Survey of critical thinking and clinical decision in nursing student of Kerman university. Iran Journal of Nursing and Midwifery Research, 17, 440-44.

Syahreni, Waluyanti..2007.Pengalaman Mahasiswa S1 Keperawatan Program Reguler dalam Pembelajaran Klinik. Jurnal Keperawatan Indonesia Vol 11 No 2. Hal 47-53.

Theory behind mind maps.retrieved from

Tiwaken, S. U., Caranto, L. C., & David, J. J. T. (2015). The real world: Lived experiences of student nurses during clinical practice. International Journal of Nursing Science, 5, 66-75. doi:10.5923/j.nursing.20150502.05

Twentyman, M. (2006). Enhancing support for nursing students in the clinical setting. Nursing Times, 102, 35.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats