Table 2.

Summary of cognitive behavioral reflective training programme.

Time frame	Session	Session goal	Activities	Techniques employed
Wk 1	Session 1: Introduction, cognitive alliance	To introduce the participants and therapists’ names, place, and fixing the treatment programme	Familiarization and building cognitive alliance with the CBRT participants.Introduction of names, place, institution and area of specialization of each participant.Arranging for the programme activities in terms of time and days. Setting rules and regulations. Emphasizing the needs for confidentiality.Familiarizing participants with the objectives of the study.	Building therapeutic relationship, Assertiveness
Wk 2	Session 2: Clinical significance of CBRT in developing critical thinking disposition	To address the significance of CBRT and critical thinking disposition in nursing practice	Addressing the clinical significance of CBRT in enhancing critical thinking disposition in nursing practiceAssigning practice exercises.	ExplanationCognitive disputationCoping skills
Wk 3	Session 3: Meaning, importance and process of critical thinking disposition	To discuss give importance and process of the critical thinking in nursing practice	The meaning, importance and processes of critical thinking were discussed.	ExplanationReinforcement
Wks 4 and 5	Sessions 4 and 5: Skills, patterns and procedures for critical and reflective thinking	To assist the students to master the skills, patterns and procedures for critical and reflective thinking	Addressing how to master the skills, patterns and procedures (problem solving skills, open-minded, flexible in evaluation, honest in facing personal biases, prudent in drawing conclusions, willing to reconsider, clear about issues, logical in complex issues, persistent in searching relevant information, and thoughtful in the selection of criteria) leading to reflective thinking	Behavioural disputationCognitive restructuringReframing techniquePractice exercise
Wks 6 and 7	Sessions 6 and 7:Identification of dysfunctional thoughts linked to poor evaluation decisions	To identify dysfunctional thoughts linked to poor evaluation decisions	Addressing how to identify illogical thinking, distorted assumptions about patients, illogical evaluation of decision (behaviour) associated with knowledge synthesis and analysis of facts in nursing practice.Replacing the automatic thoughts with realistic ones using CBRT principles.Dealing with clinical practice and versus perception.Addressing each participant's problem using CBRT.	Behavioural disputationCognitive restructuringReinforcementReframing techniquePractice exercise
Wks 8 and 9	Sessions 8 and 9: How distorted behaviours can trigger inaccurate judgment and conclusion	To establish relationship between unrealistic thought and poor judgment and manipulation of cognitive skills	Emphasizing the relationship among thought/belief, knowledge and critical thinking disposition, how to gain control over faulty thoughts that often trigger poor judgment and manipulation of cognitive skills to become a reflective and creative thinkers nursing practiceHow poor critical thinking could affect clinical practice of a nurse.	Reframing technique Relaxation techniquesMeditation and yoga SkillCoping skillsPractice exercise
Wks 10 and 11	Sessions 10 and 11		Addressing the collection of clinical learning experiences, and critiquing learning activities.Leading students to discover clinical nursing problems, and practice exercise talking with them face to face about their progress, and deficiencies.Addressing how student-to-students relationship could influence critical thinking disposition.Learning to identify, challenging dysfunctional thinking that could affect clinical experience and practice.Reinforcing improved efforts recorded	Mood monitoring techniques Cognitive restructuringProblem-solving technique Practice exercise
Wk 12	Termination	To terminate the treatment sessions	Revision, review of review of home exercise and termination