CRITICAL THINKING in Nursing Practice: chapter 14

1. CRITICAL THINKING in Nursing Practice: chapter 14 ��active, organized, cognitive process used to carefully examine one�s thinking and the thinking of others.� Involves use of MIND Form conclusions Make decisions Draw inferences reflect

2. BEGIN WITH: Questions: What do I really know about this nursing care situation? How do I know it? What options are available to me?

3. THREE INPORTANT ASPECTS REFLECTION: purposefully thinking back /recalling. Requires honest review LANGUAGE: precise & clear resulting in clear message INTUITION: inner sensing that something is so

4. THINKING AND LEARNING LIFELONG PROCESS NURSING PRACTICE ALWAYS CHANGING

5. LEVELS OF CRITICAL THINKING IN NURSING BASIC � CONCRETE, BASED ON SET OF RULES OR PRINCIPLES COMPLEX: �IT DEPENDS� COMMITMENT: CHOOSE AN ACTION & STAND BY IT

6. CRITICAL THINKING COMPETENCIES Scientific method Problem solving Decision making Diagnostic reasoning and inference Clinical decision making

7. �NURSES DO NOT MAKE MEDICAL DIAGNOSES, BUT THEY DO ASSESS AND MONITOR CLIENTS CLOSELY AND COMPARE THE CLIENTS� SIGNS AND SYMPTOMS WITH THOSE THAT ARE COMMON TO A MEDICAL DIAGNOSIS.�

8. Nursing process as a competency Five steps: Assessment Diagnosis Planning Implementation Evaluation

9. SYSTEMATIC APPROACH GATHER DATA CRITICALLY EXAMINE & ANALYZE IDENTIFY RESPONSE DETERMINE PRIORITY ESTABLISH GOALS & EXPECTED OUTCOMES TAKE ACTION EVALUATE

10. Critical thinking model, five components: Knowledge base Experience Competence Attitudes standards

11. ATTITUDES FOR Critical Thinking Confidence Thinking independently Fairness Responsibility & accountability Risk taking Discipline Perseverance Creativity Curiosity Integrity Humility

12. STANDARDS Intellectual standards: preciseness, accuracy, consistency Professional standards: ethical criteria, scientific & practice-based criteria, criteria for professional responsibility �These standards �raise the bar� for the responsibilities and accountabilities that a nurse must assume in guaranteeing quality health care to the public.�