Review Article

Critical Thinking Level among Medical Sciences Students in Iran

Table 1

Features of the studies reviewed about critical thinking in Iranian medical sciences students.

Author name (YP)TitleMethodSampleSampling methodInstrumentResult

Shakurnia and Baniasad (2018) [32]Critical thinking disposition in the first and last year medical students and its association with achievement goal orientationCross-sectionalN = 204
Female: 68%
CensusThe Ricketts critical thinking disposition scaleLow level

YektaKooshali et al. (2018) [33]The relationship between information literacy with critical thinking among students: a cross-sectional studyCross-sectional analyticN = 165
Female: 74.5%
Stratified RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Heidari Gorji et al. (2018) [34]Path analysis of self-efficacy, critical thinking skills, and emotional intelligence for mental health of medical studentsCross-sectionalN = 480
Female: 42%
RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Hasanpour et al. (2018) [35]The relationship between emotional intelligence and critical thinking skills in Iranian nursing studentsCross-sectional correlativeN = 169
Female: 64.5%
Systematic RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Rashidi Fakari et al. (2018) [36]The relationship between critical thinking disposition and self-esteem in midwifery studentsCross-sectionalN = 53CensusCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Taheri et al. (2017) [37]Surveying critical thinking dispositions between freshmen and senior students in school of allied medical sciences in 2012-2013 academic yearCross-sectionalN = 90
Female: 75%
Cluster randomThe Ricketts critical thinking disposition scaleModerate level

Mobasheri et al. (2017) [38]Critical thinking skills among bachelor students at Fasa University of Medical SciencesCross-sectional analyticalN = 150
Female: 71.3%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Jafarzadeh et al (2017) [39]Comparison critical thinking skills among medical and paramedical students in Fasa University of Medical ScienceCross-sectional analyticN = 231
Female: 62.3%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Maleki et al. (2016) [40]Occupational therapy BSc students’ critical thinking skills at Shahid Beheshti University of Medical Sciences, TehranCross-sectional analyticN = 72
Female: 70.8%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Raeisoon et al. (2017) [41]Comparing skills of critical thinking and happiness among students of faculty of medial sciences and other universities of GhaenCross-sectional analyticN = 163
Female: 33.2%
Cluster randomThe Ricketts critical thinking disposition scaleHigher than moderate level

Kuhpayehzadeh Isfahani et al. (2017) [42]The effect of team-based learning on critical thinking of nursing students at Iran University of Medical SciencesQuasiexperimentalN = 80
Female: 56%
RandomWatson–Glaser Critical Thinking Appraisal (WGCTA)High level

Adib-Hajbaghery and Zare (2017) [31]Effect of educational workshop on improving the critical thinking skills in nursing studentQuasiexperimentalN = 32
Female: 62.5%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Shakurnia and Aslami (2017) [43]Critical thinking skills of medical students at Ahvaz Jundishapur University of Medical SciencesCross-sectionalN = 181
Female: 54.5%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Zarabian et al. (2016) [44]Study of critical thinking disposition in virtual graduated students (Tehran University of Medical Sciences)Cross-sectionalN = 100
Female: 44%
Stratified randomCalifornia Critical Thinking Disposition Inventory (CCTDI)Moderate level

Askari et al.(2016) [45]Critical thinking skills among healthcare management college students: a case study in Iran, a study conducted in 2016Cross-sectionalN = 90
Female: 80%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Moderate level

Darban et al (2016) [46]Evaluation of critical thinking skills among medical sciences students in Shahid Beheshti and Tehran University of Medical SciencesCross-sectionalN = 60
Female: 60%
California Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Maleki and Sanisales (2016) [47]Regarding the use of ICT with critical thinking (case study, Shahrkoord University of Medical Sciences)Cross-sectional correlationalN = 130ConvenienceThe Ricketts critical thinking disposition scaleLow level

Mousazadeh et al. (2016) [48]Nursing students’ disposition toward critical thinking and its relationship with their academic performanceCross-sectional correlationalN = 120
Female: 57.1%
ConvenienceThe Ricketts critical thinking disposition scaleHigher than moderate level

Shabouni et al. (2016) [49]The effect of team-based learning in medical information systems course on academic achievement and critical thinking in postgraduate students of Kerman University of Medical Sciences, IranQuasiexperimentalN = 60
Female: 60.0%
CensusCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Moslemi et al. (2016) [50]The relationship between critical thinking skills with mental health and academic achievement of Qom University of Medical Sciences studentsCross-sectional correlationN = 208
Female: 72.6%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Gholamrezai et al. (2016) [51]The predictive role of self-efficacy and metacognitive on students tendency to critical thinkingCross-sectional correlationN = 220
Female: 60.9%
Cluster randomThe Ricketts critical thinking disposition scaleModerate level

Hasanpour et al. (2016) [52]Relationship between nurses’ conflict management styles and critical thinking skills in the clinical settingCross-sectional correlationN = 337
Female: 69%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Mohammadi et al. (2016) [53]The relationship between critical thinking skills with creativity and academic achievement in students Qom University of Medical SciencesCross-sectional correlationN = 303
Female: 72.6%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Azami and Salehiniya (2016) [54]The relationship between critical thinking and information literacy among students of the school of management and medical information sciences of Tehran University of Medical Sciences, IranCross-sectional analyticN = 338
Female: 59.8%
RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Azizi et al. (2016) [55]The correlation of critical thinking disposition and achievement goal orientation with student entrepreneurial characteristicsCross-sectional analyticN = 307
Female: 51%
Stratified randomThe Ricketts critical thinking disposition scaleModerate level

Heidari and Ebrahimi (2016) [15]Examining the relationship between critical thinking skills and decision-making ability of emergency medicine studentsCross-sectional analyticN = 86CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Mafakheri Laleh et al. (2016) [10]Designing a model for critical thinking development in AJA University of Medical SciencesCross-sectionalN = 257
Female: 83%
Stratified randomThe Ricketts critical thinking disposition scaleModerate level

Gholami et al. (2016) [56]Comparing the effects of problem-based learning and the traditional lecture method on critical thinking skills and metacognitive awareness in nursing students in a critical care nursing courseQuasiexperimentalN = 40
Female: 62.5%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Dehghanzadeh and Jafaraghaee (2016) [57]Comparing the effects of traditional lecture and flipped classroom on nursing students’ critical thinking dispositionQuasiexperimentalN = 85
Female: 83.5%
CensusThe Ricketts critical thinking disposition scaleModerate level

Ajam (2015) [58]The role of self-directed learning readiness and critical thinking disposition in students’ interaction in blended learning environmentCross-sectionalN = 260
Female: 70.4%
Stratified randomThe Ricketts critical thinking disposition scaleModerate level

Salehi et al. (2015) [59]Comparison between “problem-based learning” and “question and answer” educational methods on environmental health students’ attitude to critical thinkingQuasiexperimentalN = 27
Female: 100%
CensusCalifornia Critical Thinking Disposition Inventory (CCTDI)Positive

Azizi-Fini et al. (2015) [60]Critical thinking skills in nursing students: a comparison between freshmen and senior studentsCross-sectional comparativeN = 150CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Tanhaye Reshvanlou et al. (2015) [61]Role of professor’s teaching quality on the trend of health students to critical thinkingCross-sectional correlationN = 109
Female: 47.7%
ConvenienceCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Tafazzoli et al. (2016) [62]The relationship between critical thinking dispositions and academic achievement in Iranian midwifery studentsCross-sectional correlationN = 60
Female: 100.0%
CensusCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Poodineh Moghadam et al. (2015) [63]The impact of evidence-based education on nursing students’ critical thinkingQuasiexperimentalN = 43
Female: 60.5%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Hasanpour et al. (2015) [64]Critical thinking skills of nursing studentsCross-sectionalN = 169
Female: 64%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Hajrezayi et al. (2015) [65]Effectiveness of blended learning on critical thinking skills of nursing studentsQuasiexperimentalN = 61
Female: 63.9%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Vahedi et al. (2015) [66]The relationship between emotional intelligence and critical thinking in nursing students of Tabriz University of Medical SciencesCross-sectional correlationN = 200
Female: 50%
RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Rezaeian et al. (2015) [67]Comparison of the critical thinking skills among medical students in different educational levels in Rafsanjan University of Medical SciencesCross-sectionalN = 165
Female: 39.4%
The Ricketts critical thinking disposition scaleModerate level

Penjvini and Hejrani (2015) [68]Critical thinking and clinical decision-making skills in pediatric nursing studentsCross-sectional correlationN = 34CensusWatson–Glaser Critical Thinking Appraisal (WGCTA)Low level

Ghaedi and Toghiann (2014) [69]Correlation between personality traits of critical thinking in nursing students of Isfahan University of Medical SciencesCross-sectional correlationN = 165
Female: 56.4%
Cluster randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Garavand et al. (2014) [70]The role functions of thinking style in self-directed learning readiness and critical thinking dispositionCausal-comparativeN = 214
Female: 73%
Stratified randomThe Ricketts critical thinking disposition scaleModerate level

Shahjooi et al. (2014) [71]Relationship between critical thinking and interpersonal communication skills in nursing students of Azad University Tehran medical branchCross-sectional correlationN = 300CensusCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Noohi et al. (2014) [72]Association of critical thinking with learning styles in nursing students of School of Nursing and Midwifery, Iran.Cross-sectional correlationN = 90
Female: 70.7%
PurposiveCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Taghavi Larijani et al. (2014) [73]Relationship between assertiveness and critical thinking in nursing studentsCross-sectional correlationN = 225
Female: 85.9%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Yasayi et al. (2014) [74]Critical thinking skills among dental students of Shahid Sadoughi University of Medical Sciences: A comparison in 2013Cross-sectionalN = 64
Female: 60.9%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Hemmati Maslak Pak et al. (2014) [75]The effect of problem-based learning training on nursing students’ critical thinking skillsQuasiexperimentalN = 50
Female: 62%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Hosseini et al. (2014) [76]The effect of an active educational method on critical thinking of nursing students in Lorestan University of Medical SciencesQuasiexperimentalN = 60
Female: 78.3%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Rezaei et al. (2014) [77]Evaluation of nursing students, critical thinking skills in Mazandaran University of Medical SciencesCross-sectional analyticN = 245
Female: 55.8%
CensusWatson–Glaser critical thinking testLow level

Khazaei et al. (2014) [78]Compared critical thinking in first year students and senior operating room and anesthesia Birjand University of Medical SciencesCross-sectionalN = 120
Female: 62.5%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Najafianzadeh et al. (2014) [79]Critical thinking skills and their association with stress coping strategies in the students of Arak University of Medical Sciences, IranCross-sectional analyticN = 100
Female: 64%
Stratified randomWatson–Glaser Critical Thinking Appraisal (WGCTA)Low level

Ghazivakili et al. (2014) [80]The role of critical thinking skills and learning styles of university students in their academic performanceCross-sectional correlationN = 216
Female: 52.8%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Ghadampour et al. (2013) [81]Learning style priorities and its role in critical thinking disposition among nursing school students in Mashhad University of Medical SciencesCross-sectionalN = 214
Female: 74.3%
Stratified randomThe Ricketts critical thinking disposition scaleModerate level

Karimi Noghondar et al. (2013) [82]Comparison of critical thinking and clinical decision-making skills among the last semester nursing students and practicing nurses in Sabzevar University of Medical SciencesCross-sectionalN = 35
Female: 41.8%
RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Meibodi et al. (2013) [83]Impact of guided reciprocal peer questioning on the disposition of critical thinking among nursing studentsQuasiexperimentalN = 54California Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Sabouri Kashani et al. (2013) [84]Critical thinking dispositions among medical students in two stages: basic medical sciences and preinternshipCross-sectionalN = 442
Female: 57.2%
CensusCalifornia Critical Thinking Disposition Inventory (CCTDI)Positive inclination

Sheikhmoonesi et al. (2013) [85]Critical thinking abilities among students of medicine in Mazandaran University of Medical Sciences, 2011Cross-sectionalN = 118
Female: 42.3%
Cluster randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Tashi et al. (2013) [86]Evaluating critical thinking skills in medical students, Isfahan University of Medical Sciences, IranCross-sectionalN = 92
Female: 59.8%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Abasi et al. (2013) [87]Critical thinking disposition and its relationship with self-esteem in preclinical and clinical medical students of Kermanshah University of Medical SciencesCross-sectional analyticN = 225
Female: 85.8%
Stratified randomCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Athari et al. (2013) [21]Assessing critical thinking in medical sciences students in two sequential semesters: Does it improve?LongitudinalN = 297RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Kermansaravi et al. (2013) [88]Critical thinking dispositions among junior, senior, and graduate nursing students in IranCross-sectionalN = 120
Female: 62.1%
Stratified randomWatson–Glaser Critical Thinking Appraisal (WGCTA)Low level

Gupta et al. (2012) [89]Validly and reliability of California Critical Thinking Disposition Inventory (CCTDI) in Kermanshah University of Medical SciencesCross-sectional analyticN = 198
Female: 82.8%
California Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Hariri and Bagherinejad (2012) [90]Analysis of the relationship between motivation and critical thinking with intentional internet search behavior case study: students of Mazandaran University of Medical SciencesCross-sectional analyticN = 224
Female: 58.5%
Stratified randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Nasrabadi and Mousavi (2012) [91]The contribution of critical thinking attitude and cognitive learning styles in predicting academic achievement of medical university’s studentsCross-sectional analyticN = 161
Female: 50.31%
Stratified randomCalifornia Critical Thinking Disposition Inventory (CCTDI)Moderate level

Mahmoodabad et al. (2012) [92]Critical thinking ability and its associated factors among preclinical students in Yazd Shaheed Sadoughi University of Medical Sciences (Iran)Cross-sectionalN = 125
Female: 66.4%
Cluster randomWatson–Glaser Critical Thinking Appraisal (WGCTA)Low level

Iranfar et al. (2012) [93]Developing critical thinking disposition in the students of nursing and midwifery through collaborative and individual methods of learningQuasiexperimentalN = 115
Female: 83%
RandomCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Safari et al. (2012) [94]The comparison between critical thinking disposition of teachers and students in Kermanshah University of Medical Sciences, 2011Cross-sectional analyticN = 300
Female: 60.7%
Stratified randomThe Ricketts critical thinking disposition scaleLow level

Paryad et al. (2011) [95]Relationship between critical thinking and clinical decision-making in nursing studentsCross-sectional correlationN = 50CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Khodamoradi et al. (2011) [96]Comparing critical thinking skills of first and last term baccalaureate students of nursing, midwifery, and occupational therapy of medical universities of Tehran cityCross-sectionalN = 426CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Kareshki and Pakmehr (2011) [97]The relationship between self-efficacy beliefs, metacognitive, and critical thinking with mental health in medical sciences studentsCross-sectionalN = 357
Female: 55%
Cluster randomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Haghani et al. (2011) [98]Critical thinking skills and their relationship with emotional intelligence in medical students of introductory clinical medicine (ICM) course in Isfahan University of Medical SciencesCross-sectionalN = 69
Female: 72%
CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Kiany et al. (2012) [99]Comparison of critical thinking skills and dispositions between the nursing students and clinical nurses of selected educational hospitals of Zanjan University of Medical SciencesCross-sectionalN = 100
Female: 63.4%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Barkhordary et al. (2011) [100]Critical thinking dispositions in baccalaureate nursing students of Shahid Sadooghi and Azad University of Medical Sciences in Yazd cityCross-sectionalN = 170
Female: 89.4%
RandomCalifornia Critical Thinking Disposition Inventory (CCTDI)Ambivalent

Eslami Akbar and Maarefi (2010) [101]A comparison of the critical thinking ability in the first and last term baccalaureate students of nursing and clinical nurses of Jahrom University of Medical SciencesCross-sectionalN = 94
Female: 82.1%
CensusWatson–Glaser Critical Thinking Appraisal (WGCTA)Low level

Dehghani et al. (2011) [102]The effect of reflection on clinical journalism on critical thinking skills of nursing students in Shiraz Medical UniversityQuasiexperimentalN = 42
Female: 83.33%
-California Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Athari et al. (2009) [103]Evaluation of critical thinking skills in Isfahan University of Medical Sciences’ students and its relationship with their rank in university entrance exam rankCross-sectionalN = 114RandomCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Gharib et al. (2009) [104]Critical thinking skills and critical thinking dispositions in freshmen and senior students of healthcare managementCross-sectionalN = 60California Critical Thinking Skills Test, Form B (CCTST, FB) and California Critical Thinking Disposition Inventory (CCTDI)Skills: norm
Dispositions: positive inclination

Karimi et al. (2007) [105]The critical thinking skills levels of students enrolled in a four years bachelor program at nursing college in YasoujCross-sectionalN = 72
Female: 72.2%
ConvenienceCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Baba Mohammadi and Khalili (2004) [106]Critical thinking skills of nursing students in Semnan University of Medical SciencesCross-sectionalN = 107CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level

Mirmolaei et al. (2004) [107]Comparison of critical thinking among first and last trimester baccalaureate midwifery studentsCross-sectional comparativeN = 259CensusCalifornia Critical Thinking Skills Test, Form B (CCTST, FB)Low level