EDUCATION: PDF OnlyClinical Journal A Tool to Foster Critical Thinking for Advanced Levels of CompetenceDegazon, Cynthia E. Ph.D., R.N.; Lunney, Margaret Ph.D., R.N., C.S. Author Information CYNTHIA E. DEGAZON is an associate professor at Hunter-Bellevue School of Nursing, where she teaches nursing administration and community health nursing. She has held several key positions in nursing service administration. She works closely with CNSs. MARGARET LUNNEY is an associate professor at Hunter-Bellevue School of Nursing, a coordinator of the Masters in community health nursing, and a certified clinical specialist in community health nursing. She writes a commentary on critical thinking for the You Make the Diagnosis column of Nursing Diagnosis. Clinical Nurse Specialist: September 1995 - Volume 9 - Issue 5 - p 270-274 Buy Abstract RAPID CHANGES IN the health care system and the challenge of meeting complex patient care needs require that nurses function at the competent, or higher, levels of expertise. Advanced levels of competence Eire facilitated through development and application of critical thinking abilities. Journal writing is a tool that can be used by CNSs and other nurses to improve basic thinking abilities and application of critical thinking for clinical decision making. Guidelines are presented for writing this type of clinical journal and for providing feedback to others. © Williams & Wilkins 1995. All Rights Reserved.