Journal Of Nursing Practice
Vol. 10 No. 1 (2026): October

Enhancing Nursing Students' Critical Thinking Skills Through a Pedagogical Learning Model: A Mixed Methods Study

Hilda Mazarina Devi (Faculty of Health Science, University of Tribhuwana Tunggadewi)
Yanti Rosdiana (Faculty of Health Science, University of Tribhuwana Tunggadewi)
Ronasari Mahaji Putri (Faculty of Health Science, University of Tribhuwana Tunggadewi)
Gita Irianingsih (Faculty of Health Science, University of Tribhuwana Tunggadewi)



Article Info

Publish Date
26 Oct 2026

Abstract

Background: Critical thinking is essential for nursing students to make accurate clinical decisions. This study evaluates the Tribhuwana Nursing Student Academic Support Group (TNS-ASG), a four-session case-analysis and problem-based mentoring program designed to enhance critical thinking skills and explore students' learning experiences.Methods: A sequential explanatory mixed-methods design with a single-group pretest–posttest approach was conducted with 34 nursing students at Universitas Tribhuwana Tunggadewi, Malang, who completed the program (from 44 initially recruited; 10 dropped out due to scheduling conflicts). Quantitative data were analyzed using paired t-tests for the total score and Wilcoxon signed-rank tests for subdimensions. Qualitative data from semi-structured interviews, journals, and observations underwent thematic analysis.Results: Participation in the program was significantly associated with improved overall critical thinking scores, with a mean paired change of 5.44 points (t = -2.560, p = .015, d = 0.44). Significant gains were also observed in the subdimensions of interpretation (p = .021), analysis (p = .024), evaluation (p = .032), explanation (p = .015), and self-regulation (p = .016). Qualitatively, students reported an enhanced ability to analyze clinical cases, evaluate articles, and articulately express arguments, although limited time and fear of making mistakes remained key barriers.Conclusion: The TNS-ASG pedagogical model provides promising preliminary evidence for enhancing nursing students' critical thinking competencies, demonstrated

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Journal Info

Abbrev

jnp

Publisher

Subject

Nursing

Description

The Journal Of Nursing Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: • Medical and Surgical Nursing • Emergency • Maternity And Pediatric Nursing • Psychiatric • Family and Community Nursing • ...