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Critical Thinking in Nursing

Critical Thinking in Nursing. Definition. Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others. Why do we need to think critically?. Need to make accurate and appropriate clinical decisions

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Critical Thinking in Nursing

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  1. Critical Thinking in Nursing

  2. Definition • Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others.

  3. Why do we need to think critically? • Need to make accurate and appropriate clinical decisions • Need to solve problems and find solutions • Need to plan care for each unique client and client problem • Need to seek knowledge and use it to make clinical decisions and problem solve • Need to be able to think creatively when planning care for clients

  4. Aspects of Critical Thinking • To develop into an expert critical thinker the nurse needs to use: • Reflection • Language • Intuition

  5. Levels of Critical Thinking • Basic Critical Thinking • Complex Critical Thinking • Commitment

  6. Critical Thinking Competencies • General critical thinking competencies used by many disciplines, in many everyday situations. • Scientific method • Problem solving • Decision making

  7. Critical Thinking Competencies • Specific critical thinking in clinical situations used by physicians, nurses, and other health care professionals. • Diagnostic reasoning/ Clinical inference • Clinical decision making

  8. Critical Thinking Competencies • Specific critical thinking competency used in nursing practice • Nursing Process • Assessment • Analysis (Nursing Diagnosis) • Planning • Implementation • Evaluation

  9. Critical Thinking Model • The model helps to explain how nurses make clinical judgments/ decisions in their clinical practice that result in safe, effective, nursing care. There are 5 components in this model of critical thinking: • Knowledge base • Experience in nursing • Critical thinking competencies • Attitudes for critical thinking • Standards for critical thinking

  10. Critical Thinking Attitudes • Confidence • Thinking independently • Fairness • Responsibility and accountability • Risk taking • Discipline

  11. Critical Thinking Attitudes • Perserverance • Creativity • Curosity • Integrity • Humility

  12. Standards • Intellectual Standards- • 14 intellectual standards (Paul,1993) Nurses use these when using the nursing process: • 1. Confidence 7. Perseverance • 2. Independence 8. Creativity • 3. Fairness 9. Curiosity • 4. Responsibility 10. Integrity • 5. Risk taking 11. Humility • 6. Discipline

  13. Standards • Professional standards • Sound ethical standards • When critically thinking must have a sense of their own values, beliefs, feelings and their clients/ client’s family’s values, beliefs, feelings • Scientifically based practice with standards developed by experts • Evidenced based practice • Standards developed as a result of evidence • These are minimum requirements that are necessary to give quality effective care

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