Volume 20, Issue 4 (Winter 2026)
jmed 2026, 20(4): 1360-1369 |
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malmir M, Yahosseini A R, Akbari A. Challenges of Applying Critical Thinking in Clinical Decision-Making of Emergency Department Nurses: A Narrative Review Study. jmed 2026; 20 (4) :1360-1369
URL: http://jmed.ssu.ac.ir/article-1-1609-en.html
URL: http://jmed.ssu.ac.ir/article-1-1609-en.html
University of Rehabilitation Sciences and Social Health , aakbari4973@gmail.com
Abstract: (27 Views)
Introduction: Critical thinking is a core competency in nursing that enables accurate assessment and evidence-based decision-making for the best patient care. Conversely, failure to understand the challenges of developing this skill directly negatively impacts safe professional practice and the quality of patient outcomes. This study aimed to identify the challenges of applying critical thinking in clinical decision-making among emergency department nurses.
Method: The present study is a non-systematic narrative review. A search was conducted in quantitative and qualitative sources published until December 17, 2025 in Persian and English languages, without time limits. The evaluation of studies was done by the researchers' judgment based on relevance, quality, and suitability to the research objective. The international databases including Google Scholar, Web of Science, Scopus and PubMed were searched with the keywords; Challenge, Critical Thinking, Clinical Decision Making, and Emergency Department, as well as other databases including Magiran, Ovid and SID with the corresponding Persian keywords.
Results: The results showed seven main challenges including; "various ethical challenges", "lack of time", "beginner nurses", "deficits in emotional self-awareness", "traditional educational strategy", "first line of confronting the epidemic", "lack of structural and human resources".
Conclusion: Addressing the challenges facing emergency nurses including ethical issues, time constraints, and resource constraints, is essential to improving the quality of provided care. Focusing on addressing these key factors is the main path to improve performance of this group.
Method: The present study is a non-systematic narrative review. A search was conducted in quantitative and qualitative sources published until December 17, 2025 in Persian and English languages, without time limits. The evaluation of studies was done by the researchers' judgment based on relevance, quality, and suitability to the research objective. The international databases including Google Scholar, Web of Science, Scopus and PubMed were searched with the keywords; Challenge, Critical Thinking, Clinical Decision Making, and Emergency Department, as well as other databases including Magiran, Ovid and SID with the corresponding Persian keywords.
Results: The results showed seven main challenges including; "various ethical challenges", "lack of time", "beginner nurses", "deficits in emotional self-awareness", "traditional educational strategy", "first line of confronting the epidemic", "lack of structural and human resources".
Conclusion: Addressing the challenges facing emergency nurses including ethical issues, time constraints, and resource constraints, is essential to improving the quality of provided care. Focusing on addressing these key factors is the main path to improve performance of this group.
Type of Study: Review |
Subject:
Nursing
Received: 2025/12/21 | Accepted: 2026/02/23 | Published: 2026/04/4
Received: 2025/12/21 | Accepted: 2026/02/23 | Published: 2026/04/4
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