The nature of nursing itself compels nurses to play an active role in
advancing best practices in patient care. Professional nursing practice
involves making judgments; without judgments, nursing is merely
technical work (Coles, 2002). Professional judgment is enabled by
critical thinking. Critical thinking has many definitions in the litera-
ture; however, the complexity of the process requires not only defini-
tion but also explanation (Riddell, 2007).
Critical thinking is the complex cognitive process of questioning,
seeking information, analyzing, synthesizing, drawing conclusions
from available information, and transforming knowledge into action
(AACN, 2008). It is a dynamic process, foundational for clinical rea-
soning and decision-making, and, as such, is an essential component
of evidence-based practice (EBP). Every clinical scenario gives the
nurse an opportunity to use acquired knowledge and skills to care
effectively for the particular individual, family, or group (Dickerson,
2005). Regardless of the nature or source of evidence relating to