Evidence map›Paper›PMID 41324106›Full record

ReviewHealth science reports2025

Applying Critical Thinking Frameworks in Public Health: A Systematic Review of Strategic Approaches to Enhance Decision-Making and Policy Development.

Hussien Saber Hussein, Kaveh Bahmanpour, Mohammad Fathi, Adel Fatemi

Abstract readReview
In one paragraph

Review in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hussien Saber HusseinDepartment of Health care management, Faculty of Medical Sciences and Technologies Islamic Azad University, Research and Sciences branch Tehran Iran.
Kaveh BahmanpourDepartment of Nursing, School of Medical Sciences, Sanandaj branch Islamic Azad University Sanandaj Iran.ORCID https://orcid.org/0000-0003-0196-8374
Mohammad FathiDepartment of Nursing, School of Medical Sciences, Sanandaj branch Islamic Azad University Sanandaj Iran.ORCID https://orcid.org/0000-0002-5419-1004
Adel FatemiDepartment of Nursing, School of Medical Sciences, Sanandaj branch Islamic Azad University Sanandaj Iran.ORCID https://orcid.org/0000-0003-4896-0126

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Critical thinking play a vital role in enhancing public health decision-making by enabling professionals to assess interventions, address complex challenges, and formulate effective policies. This systematic review aims to evaluate the application of structured critical thinking frameworks in public health, highlighting their effectiveness in improving evidence-based decision-making and policy development. Methods: A systematic review was conducted following PRISMA 2020 guidelines. Electronic databases including PubMed, Scopus, Web of Science, and Google Scholar were searched for peer-reviewed studies published between 1990 and 2024. Studies were eligible if they focused on the application of critical thinking frameworks-specifically Socratic Questioning, Root Cause Analysis, Delphi Method, Scenario Planning, or the Paul-Elder Critical Thinking Framework-in public health contexts. Data extraction and quality assessment were performed independently by two reviewers using the CASP checklist. Results: Eighty-six studies were included. Five major frameworks were identified and synthesized: Socratic Questioning promotes analytical dialog and stakeholder engagement; the Paul-Elder Framework enhances structured reasoning and policy analysis; Scenario Planning supports long-term adaptive policy development; Root Cause Analysis identifies systemic failures and guides targeted interventions; and the Delphi Method fosters expert consensus in complex decision-making. These frameworks collectively support improved reasoning, inclusivity, and strategic planning in public health policy and practice. Conclusion: Structured critical thinking frameworks contribute significantly to strengthening public health decision-making and policy formulation. Their integration into public health systems and training programs can enhance policy adaptability, equity, and effectiveness. Future research should explore their long-term impact across diverse cultural and organizational contexts.

Indexed as

critical thinkingDelphi MethodPaul‐Elder Frameworkpolicy developmentpublic healthRoot Cause AnalysisScenario planningSocratic questioning

Identifiers

PMID41324106
PMCPMC12657626

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.