describe critical thinking in nursing
CT is an active, orderly, well thought-out reasoning process that guides a nurse in various approaches to making a
... [Show More] nursing judgement. (use knowledge, experience, problem-solving, logic, reasoning and decision making.)
name the components of critical thinking
knowledge, experience, critical thinking competencies, attitudes, and intellectual and professional standards.
Critical thinking evolves through 3 levels. Name the 3 levels
Basic
Complex
Commitment
Reflection
purposefully thinking back or recalling a situation to discover its meaning and gain insight into the event.
Language's role in CT
Clear, concise language demonstrates focused thinking and communicating unambiguous messages and expectations.
Intuition
Inner sensing that something is so
Intuition should spark the nurse to search the data to confirm or disprove the feeling.
Basic CT
Trust the experts
Results from limited knowledge and experience and inadequate CT experience.
Complex CT
Beginning to express autonomy by analyzing and examining data
Results from an increase in nursing knowledge, experience, intuition, and more flexible attitudes.
Commitment CT
the nurse expects to make choices without the help from others and fully assumes responsibility for those choices.
Results from expert level of knowledge, experience, developed intuition and reflective, flexible attitudes.
Knowledge component of CT
info specific for nursing
Basic nursing education
Continuing Education
Advanced degrees and certifications
Experience component of CT
Decision-making ability derived from opportunities to observe, sense, and interact with clients followed by active reflection.
Understand clinical situations
Recognizes and analyze cues for relevance
Incorporates experience into intuition
Competence component of CT
Cognitive processes a nurse uses to make nursing judgements.
Name CT Skills used in Assessment/Data Collection
Observe
Use correct technique
Differentiate between relevant and irrelevant data
Organize, validate, categorize data
Interpret assessment data and draw a conclusion
Purpose-identify needs and identify additional data to collect based on findings.
CT Skills used in Analysis/Data Collection (Diagnose)
Identify clusters and cues
Detect inferences
Recognize an actual or potential problem or risk
Avoid making judgements
Purpose-interpret collected data and diagnose and provide direction for nursing care.
CT Skills used in Planning
Identify goals and outcomes
Set Priorities
Determine Appropriate strategies and interventions for plan of care and teaching
take knowledge and apply it to more than one situation.
Create Outcome criteria
Theorize
Consider the consequences of implementation
Purpose - Establish priorities and outcomes of care to measure and evaluate. Then, select nursing interventions to inc. in plan of care.
CT skills used in Implementation
Use Knowledge base.
Use appropriate skills/teaching strategies
Test theories
Delegate and supervise nursing care
Communicate appropriately in response to a situation
Purpose - Provide care based on assessment data, analysis, and the plan of care.
CT skills used in Evaluation
Determine accuracy of theories
Evaluate outcomes based on scientific criteria
Determine understanding of teaching
Purpose-Examine a clients response to nursing interventions and form a clinical judgement about meeting goals and outcomes.
CT Attitudes
Confidence
Independence
Fairness
Responsibility
Risk Taking
Discipline
Perseverance
Creativity
Curiosity
Integrity
Humility
Confidence
Feels sure of abilities
Independence
Analyzes ideas for logical reasonin
Fairness
Is objective, nonjudgemental
Responsibility
Adheres to standards of practice
Risk Taking
Takes calculated chances in finding better solutions to problems.
Discipline
Develops a systematic approach to thinking
Perseverance
Continues to work at a problem until there's a resolution
Creativity
Uses imagination to find solutions to unique client problems.
Curiosity
Requires more information about clients and problems
Integrity
Practices truthfully and ethically
Humility
Acknowledges weaknesses.
Standards
Model for comparing care to determine acceptability, excellence, and appropriateness.
Intellectual Standards
ensure the thorough application of CT.
Professional Standards
Nursing judgement based on ethical criteria
Evaluation that relies on EBP
Demonstration of professional responsibility
Diagnostic Reasoning
process of using the data you gather, forming inferences, and then logically explaining a clinical judgement.
Series of clinical judgements that result in informal or formal diagnoses.
Clinical Decision Making
End point of critical thinking that leads to problem resolution.
Selecting appropriate treatment after forming diagnostic conclusions.
Choosing the options for the best pt outcomes.
scientific method
Foundation for research.
Process that moves from observable facts from an experience to a reasonable explanation of those facts. [Show Less]