Aug 2026· Nurse Educator· 0 citations· 23 references
Medicine
TL;DR
The Modified Illness-Wellness Continuum model effectively bridges foundational medical knowledge with nursing practice, fostering critical thinking and clinical judgment in undergraduate nursing students.
Abstract
Background
As health care evolves, nursing faculty need to continuously update the curriculum. Theories and models help students grasp abstract critical thinking concepts that underpin clinical reasoning.
Purpose
To evaluate how integrating the Illness-Wellness Continuum model into the nursing curriculum affects undergraduate students' critical thinking and clinical judgment.
Methods
This was a study of 127 students in a medical-surgical nursing course using the Critical Thinking Self-Assessment Scale and a clinical judgment tool.
Results
Clinical judgment scores improved significantly (P < .001) from course start (4.87 ± 0.60) to end (5.38 ± 0.49), as did critical thinking scores (4.47 ± 0.67; 4.96 ± 0.70). Age and gender showed no significant effects, although the relationship between critical thinking and clinical judgment strengthened significantly (Fisher z = 2.64, P = .014).
Conclusions
The Modified Illness-Wellness Continuum model effectively bridges foundational medical knowledge with nursing practice, fostering critical thinking and clinical judgment in undergraduate nursing students.
Comparing critical thinking abilities among students in the Diploma III, Bachelor of Nursing, and Professional Nursing programs at Institut Kesehatan Payung Negeri Pekanbaru suggests that the three programs had similar critical thinking profiles at the time of measurement.
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BACKGROUND
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