CrithinkCritical Thinking Implementing nursing is more than just storing up facts, memorizing data.
In day-to-day practice nurses use information to make decisions and solve problems.
Nurses are involved in complex situations and we must view ourselves as thinkers.
We cannot just be doers in nursing.
Critical thinking is the key to resolving problems.
Nurses who do not think critically become part of the problem, not the solution.
Sloppy, superficial thinking leads to poor practice.
What is critical thinking? Critical thinking is an attitude and a skill.
It is a disciplined reasoning process.
In nursing, critical thinking for clinical decision-making is thinking in a systematic and logical manner.
It is maintaining openness to questions and willingness to reflect on the decision process.
It ensures safe nursing practice and quality thinking is purposeful, informed reasoning.
Critical thinking/clinical reasoning ability involves: critical thinking attitudes, intellectual skills (theory, knowledge), interpersonal skills, professional standards and experience.
It is deliberate processes used to make judgments.
There are four core competencies for thinking critically.1.Cognitive ability to reason.2.Technical ability to perform a skill.3.Interpersonal ability to work together, exchange ideas.4.Ethical/Legal considering whether or not an action is morally and legally right.
Characteristics of critical thinking and the critical thinker include:
- ability to conceptualize or form a mental image of the situation.
- ability to base thinking on reasons, not prejudice, preferences, fears.
- reflection, collecting data and weighing facts.
- an inquiring attitude.
- independent or autonomous thinking.
- fairness, without bias.
- drawing a conclusion, making a decision.
Nine key critical thinking questions;
- What major outcomes (results) do I/we hope to achieve?
- What problems or issues must be addressed to achieve the major outcomes?
- What are the circumstances (what is the context)?
- What knowledge is required?
- How much room is there for error?
- How much time do I have?
- What resources can help?
- Whose perspectives must be considered?
Clinical Judgment: Includes use of critical thinking/clinical reasoning in the clinical setting to make patient care decisions.
Involves grasp of the big picture and integration of theory and experience.
Evidence-Based Practice: Process through which scientific evidence is identified, appraised and applied in health care interventions to meet patient outcomes.
Integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care
Critical Thinking In Nursing Process And Education
International Journal of Humanities and Social Science Vol. 1 No. 13 [Special Issue – September 2011] 257 Critical Thinking in Nursing ... (ijhssnet.com)
Critical Thinking And The Nursing Process
2/22/2010 2 A client reports feeling hungry, but does not eat when food is served. Using critical-thinking skills, the nurse should perform which of the following? (sunyrockland.edu)
Critical Thinking - Sinclair Community College
It is a disciplined reasoning process. In nursing, critical thinking for clinical decision-making is thinking in a systematic and logical manner. (sinclair.edu)
SINCLAIR COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM
SKILLS in CRITICAL THINKING Page #1 Skill Definition Example
Interpretation Method of giving meaning or value to information or data.Look for patterns to categorize data.Clarify any data about which you are uncertain.
The student uses the Assessment Map in the Nursing Process Tool to cluster data about her patient.Analysis Application of a set of questions to a particular situation or idea to determine essential information.
Uses the process of inductive reasoning going from specific observations to generalizations.Do not make assumptions carelessly.Do the data reveal what you believe is true? Are there other options?
The student uses the Assessment Map to look for similarities in findings and to identify human resource Inference Process of drawing a conclusion based on current knowledge.
Uses the process of deductive reasoning going from a general premise to a specific conclusion.Look at the meaning and significance of findings.Are there relationships between findings? Do the data allow a conclusion about patient needs? Evaluation Systematic determination of the effectiveness of a process or event.
Use criteria to determine results of nursing actions.Look at all situations objectively.
Reflect on your own behavior.The nurse turns the patient every 2 hours instead of every 30 minutes.He is using evidence found in research articles to come to this conclusion.
Explanation Clarification of idea, cause, consequence of an event or plan.Support your findings and conclusions.
Believe that well-reasoned thinking leads to trustworthy conclusions.
The nurse calls the physician with a patient concern and is rebuffed for calling so late at night.He is not deterred and advocates for the patient confident in his assessment.Self-regulation Awareness of the limits of your own knowledge and biases that may affect judgment.Reflection on personal performance and effectiveness of that performance.
Admit a lack of knowledge.Know when to ask for additional assistance.Review your own actions with thoughts of revising or improving.
The nurse might admit a lack of knowledge about a new medication and look it up before giving the medication.ASSOCIATE DEGREE NURSING PROGRAM SINCLAIR COMMUNITY COLLEGE
Page #2 ATTITUDES that FOSTER CRITICAL THINKING
Attitude Definition Example Confidence
Cultivation of an attitude of self-confidence in the reasoning process.Believe that well-reasoned thinking leads to trustworthy conclusions.The nurse calls the physician with a patient concern and is rebuffed for calling so late at night.She is not deterred and advocates for the patient, confident in her assessment.Thinking independently Thinking for yourself.
The nurse is open minded about considering new techniques for providing a dressing change.Fairness Unbiased in judgment.Treating all without prejudice.
Consider opposing points of vi
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