Fundamentals Chapter 15

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what is critical thinking?

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A continuous process characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevantRecognizing that an issue exists, analyzing information, evaluating information, and making conclusions

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Clinical Decisionsin Nursing Practice

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Clinical decision making requires critical thinking.Clinical decision-making skills separate professional nurses from technical and ancillary staff.Patients often have problems for which no textbook answers exist.Nurses need to seek knowledge, act quickly, and make sound clinical decisions.

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what are critical thinking skills?

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Thinking and Learning

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Learning is a lifelong process.Intellectual and emotional growth involves learning new knowledge, as well as refining the ability to think, solve problems, and make judgments. The science of nursing continues to grow. Nurses need to be flexible and open to new information.

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Concepts for a Critical Thinker

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Truth seeking Open-mindednessAnalytic approachSystematic approachSelf-confidenceInquisitivenessMaturity

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critical thinking competencies

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five components of critical thinking

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NursingProcess

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Attitudes a Nurse Needs

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Attitudesa Nurse NeedsA5A1C}

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Developing Critical Thinking Skills

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Critical Thinking and Delegation

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Effective communication is needed between registered nurses (RNs) and nursing assistive personnel (NAP) for giving feedback and clarifying tasks and patient status.When patients’ clinical conditions change, warranting attention by RNs, clear directions are necessary to avoid missed care.Applying critical thinking can help an RN make the decision about when to appropriately delegate care

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Reflective Journaling

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Front 15

Caring for Groups of Patients

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Identify the nursing diagnoses and collaborative problems of each patient.Decide which are most urgent.Consider the time it will take to care for those patients. Consider the resources that you have to manage each problem.Consider how to involve the patients as participants in care.Decide how to combine activities.Decide which nursing care procedures to delegate.Discuss complex cases with the health care team

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Meeting With Colleagues

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When nurses have a formal means to discuss their experiences such as a staff meeting or a unit practice council, the dialogue allows for questions, differing viewpoints, and sharing of experiences.When nurses are able to discuss their practices, the process validates good practice and offers challenges and constructive criticism.

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five step nursing process method

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Components of Critical Thinking in Nursing

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I. Specific knowledge base in nursingII. ExperienceIII. Critical thinking competenciesIV. Attitudes for critical thinkingV. Standards for critical thinkingA. Intellectual standardsB. Professional standards

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Synthesis of Critical Thinking With the Nursing Process Competency

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Critical Thinking Synthesis

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A reasoning process used to reflect on and analyze thoughts, actions, and knowledge Requires a desire to grow intellectually Requires the use of nursing process to make nursing care decisions

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