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13 Cards in this Set
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Identify the 6 critical thinking skills in nursing. |
Interpretation - Be orderly in data collection; look for patterns to categorize data; clarify any data you are uncertain about.
Analysis - Be open minded as you look at information about a patient; do not make careless assumptions; does the data reveal what you believe is true, or are there other options? Inference - Look at the meaning and significance of the findings, are there relationships between the findings? Does the data about the patient help you see that a problem exists? Evaluation - Look at all situations objectively; use criteria such as expected outcomes, pain characteristics and learning objectives to determine the results of the nursing actions; reflect on your own behavior Explanation - Support your findings and conclusions; use knowledge and experience to choose strategies to use in the care of patients Self-Regulation - reflect on your experiences; identify the ways you can improve your own performance, what will make you believe that you have been successful? pg. 194 |
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Why is critical thinking important to the nursing profession? |
It is important to make sensible judgments using critical thinking in nursing to ensure patients are receiving the best nursing care possible when new sets of symptoms appear in a patient, or when we are faced with an unfamiliar experience. **Use 6 critical thinking skills pg. 192 - 193 |
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Explain the nursing process. |
The nursing process is used in clinical settings t determine individual patient needs. The goal of the nursing process is to organize and deliver patient-centered care. |
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Explain the input of the nursing process |
The input part of the nursing process is considering the patients interaction with the environment by looking at the patients psychological, physiological, developmental, sociocultural, environmental and spiritual state. |
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Define self reflection as it relates to nursing. |
Reflection is the process of purposefully thinking back or recalling a situation to discover it's purpose or meaning and relates to nursing by providing the nurse with a tool to look back at care given by first exploring personal perceptions of the experience and then allowing the nurse to consider what and why a situation occurred, how he/she reacted. what could have been done differently and what knowledge could have been applied. pg. 202 |
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When should a nurse utilize concept mapping in clinical practice? |
A concept map should be utilized when synthesizing relevant data about the patient such as assessment data, nursing diagnoses, health needs, nursing interventions and evaluation measures in an effort to better understand the patients clinical situation. pg. 202 |
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What is a concept map? |
A concept map is a visual representation of patient problems and interventions that show the relationships to each other. |
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Describe the 5 components of a critical thinking model used for clinical decision making. |
Knowledge base - A nurses knowledge base is continually changing as science progresses and it includes information and theory from the basic sciences, humanities, behavioral sciences and nursing. Nurses use their knowledge base in a different way that other health care disciplines because they think holistically about patient problems. Experience - Clinical learning experiences are necessary to acquire clinical decision making skills. Knowledge combined with clinical expertise from experience defines critical thinking. In clinical situations you learn from observing, sensing, talking with patients and families, and by reflecting actively on all experiences. Critical thinking competencies (with an emphasis on the nursing process)- Competency, specifically in the nursing process, is the 3rd component of the critical thinking model. In your practice you will apply critical thinking components, in general as well as specific situations, during each step of the nursing process. Attitudes - The 11 attitudes of critical thinking define the central features of a critical thinker and how successfully the critical thinker approaches a problem Standards - The 5th component of the critical thinking model includes intellectual and professional standards. |
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What are the 11 attitudes of critical thinking? |
Confidence - Learning how to introduce yourself to a patient; speaking with conviction; being well prepared; & encouraging the patient to ask questions. Independent thinking - Read nursing literature, especially when there are opposing views on the same subject; talk with other nurses and share ideas about nursing interventions Fairness - Listen to both sides of any discussion; if a patient or family member complains about a co-worker, listen to the story and then speak with the co-worker as well; if a staff member labels a patient uncooperative, assume the care of the patient with openness and a desire to meet that patients needs. Responsibility & Authority - Ask for help if you are uncertain about how to perform a nursing skill; refer to a policy & procedure manual to review steps of a skill; report any problems immediately; follow the standards of practice in your care. Risk taking - If your knowledge causes you to question a health care providers order, do so; be willing to recommend alternative approaches to nursing care when colleagues are having little success with patients. Discipline - Be thorough in whatever you do; use known scientific & practice based criteria for activities such as assessment & evaluation; take time to be thorough & manage your time effectively. Perseverance - Be cautious of an easy answer, if co-workers give you information about a patient & some facts seem to be missing, clarify the information or talk to the patient directly; if problems of the same type continue to occur on a nursing division, bring co-workers together, look for a pattern and find a soultion. Creativity - Look for different approaches if interventions are not working for a patient. Curiosity - Always ask why. A clinical sign or symptom often indicates a variety of problems; explore and learn more about the patient so as to make appropriate clinical judgments. Integrity - Recognize when your opinion conflicts with those of a patient, review your position and decide how to best proceed to reach outcomes that will satisfy everyone; do not compromise nursing standards or honesty in delivering nursing care. Humility - Recognize when you need more information to make a decision. When you are new to a clinical division, ask for an orientation to the area; ask a RN regularly assigned to the area for assistance with approaches to care. pgs 198- 201; Box 15-3 |
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Why is the critical thinking skill of evaluation so important in the nursing practice? |
The critical thinking skill of evaluation is so important in the nursing practice because it allows the nurse to look at all situations objectively. pg. 194 |
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What is the critical thinking skill of interpretation? |
The critical thinking skill of interpretation is being orderly in data collection, looking for patterns to categorize data and clarifying any data you are uncertain about. pg. 194 |
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What is the relationship between clinical experience and critical thinking? |
With clinical experience, you learn how to creatively seek new knowledge, act quickly when events change and make quality decisions for patients well-being...you learn how to apply critical thinking to your nursing career. pg. 193 |
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How do professional standards influence a nurses clinical decision making? |
Professional standards require a nurse to use critical thinking for the good on individuals or groups and promote the highest level of quality nursing care. pg. 201 |
