Critical Thinking In Nursing

Improved Essays
Critical thinking is a tool used every day by nurses and other healthcare professionals. It is vital to the successful care of patients in all healthcare units, and it was evident in the Complex Continuing Care Unit. The nurses use critical thinking on a daily basis to ensure the care of their patients is done correctly and to limit the number of incidents that could occur. Critical thinking is needed in every aspect of patient care, to ensure the safety of the patient and the healthcare professionals. This was seen on the Complex Continuing Care Unit, throughout all of the shifts I was there. This was seen when my nurse was explain to me the care plan for some of her patients. As she was going through them, she seemed to get lost in thought …show more content…
A nurses critical thinking skills are a vital part in their practice; “Nurses ' thinking processes extend beyond rules and procedures as participants used patient data and interdisciplinary professional knowledge to provide safe and effective care” (Eisenhauer, Hurley, & Dolan, …show more content…
When this is done incorrectly, it results in it being the most common reason for a competence notification to the Nursing Council (Cook, 2014). Some factors that can lead to administering of medication errors are loss of concentration, interruptions, not following the proper procedure, stress in the workplace, being understaffed and the nurses health status (Cook, 2014). It is why critical thinking is needed to avoid these errors in medication, but also in patient care. Her understanding of nursing practices allowed her to question the soundness of the care plan change, and realize that it made no sense in the circumstances. Having observant nurses, that take care to understand their patients care plans and treatments, protects the patients from mistakes that can occur in such a large organization. I will be able to implement what I learned on a daily basis during my clinical experience and my career as a nurse. Critical thinking is vital to the safety of patients and my nurse demonstrated this through finding the mix up in patient care plans through attempting to understand the reasoning behind the then unknown accidental

Related Documents

  • Superior Essays

    If I were the hospital administrator, chief of the medical staff or the chief of nursing, I would implement stringent standards to follow that provide maximum protection which would ensure that the administering of medication is performed safely and efficiently. The most common errors reported by healthcare providers, are those that have to do with medication errors. The fact that nurses are often front line providers who are required to administer medication to patients (at the direction of doctors), it is imperative that instructions be followed to the letter and practices and procedures carefully executed to avoid medication errors, serious injury or loss of life. Some of the following practices could be seen as causes of medication errors; failure to notate an order change, negligence with giving injections, failure to administer the appropriate medication, medications with similar sounding names, the wrong dosage, the failure to cease or discontinue medication and administering medication to the wrong patient. According to Showalter (2017), Negligence occurs when a person fails to live up to accepted standards of behavior.…

    • 1455 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Throughout the clinical day, I found myself critically thinking about numerous situations. A situation that involved critical thinking, although it did not comprise of skills or competencies, focused on therapeutic communication and relationships. The situation involved a resident who speaks very softly and disorganized, causing most staff and resident to ignore his voice. I had witnessed this resident that past two clinical days, but never really took the time to speak to him. Today, a nurse asked my partner and I to take this resident into the dining hall for lunch, assisting him to the correct spot and preparing his food.…

    • 615 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Medication errors compromise patient safety. Factors that relate specifically to nursing medication errors include acuity of patients and workload of nurses, distractions, and interruptions that can occur during medication administration. Medication errors underlying causes are inadequate staffing, time restraints, unit atmosphere, and exhaustion. Administering medications is one of numerous responsibilities of a registered nurse and is regularly fraught with disruptions. It was reported that every medication pass was disturbed because of other staff members, absent medications, and further patient care requirements.…

    • 1386 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    In the Practicum Change Project setting, one of the safety or quality issues arising includes medication errors. Medication administration errors constitute one of the most common forms of patient safety incidents likely to result in adverse effects. Notably, it is possible for nurses to be responsible for medication errors prompting the need to understand the various consequences of mistakes and ways of preventing them (Härkänen, Turunen, Saano, & Vehviläinen-Julkunen, 2013). Nurses are responsible for administering medication to a patient and thus are the appropriately placed in monitoring and reporting medication errors.…

    • 281 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    21). The purpose of critical thinking in nursing arises from the complex nature of client care; often the client is unable to articulate the underlying reason of their condition, which will require the nurse to provide a solution with limited information (Coutts, 2014). The rise in patient complexities presents increasing pressure and accountability for nurses to make informed decisions (Coutts, 2014; Lauri & Salantera, 1995). Due to the ambiguous nature of nursing and complex client diagnoses, nurses must apply insightful reasoning, intuition, theoretical knowledge, and previous experiences as their guide to making a decision (Banning, 2008; Blum, 2010; Coutts, 2014; Gillespie & Paterson, 2009; Lauri & Salantera, 1995; Payne, 2015; Tanner,…

    • 1764 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    American Sentinel University The Use of Clinical Reasoning in Advanced Physical Assessment The advancement of medicine, complexity of diseases, and the nurses’ ability in becoming increasingly autonomous, requires nurses to be prompt in solving problems. The expectations of the health care industry and society of shortened hospital stay, the need for nurses to do more in less time, and the overall intensity of the nursing care provided to patients continues to affect how nurses think and deliver patient care. The constantly changing world of health care mandates nurses to utilize clinical reasoning to guide their practice. The purpose of this paper is to discuss the relationship between clinical reasoning and clinical decision making, consider clinical reasoning in advance physical assessment and identify the nurses’ use of critical thinking, clinical reasoning, and clinical judgment.…

    • 893 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    I believe what you said about rushing around and not feeling like you have the time for critical thinking holds true for a lot of nurses. I too have felt this way any times, especially when I was just starting out. I think though that even though we may not have the time to sit and think about what we are doing, we are building our critical thinking skills without even knowing it. As we rush around we are still learning and making connections. I think that in time critical thinking will be more automatic to us and will be something that we incorporate into our daily routine with ease.…

    • 152 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    The New Nurse Graduate

    • 1286 Words
    • 6 Pages

    Several articles emphasized different type of errors including medication errors, patient falls and etc. Few articles emphasized critical thinking skills development for the new nurse graduate. The research by S. Wahl & A. Thompson “Concept mapping in a critical care orientation program: a pilot study to develop critical thinking and decision-making skills in novice nurses” was made with newly graduated registered nurses hired into intensive care. The study concluded that newly graduated nurses make poor clinical decisions and lack critical thinking. Study offered concept mapping as a tool for improvement.…

    • 1286 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    This Journal is based off a study that was done on frontline nurses. The nurses were emailed or mailed a survey about their perception about how and why medication errors occur. The article states that most frequently identified errors that occurs in healthcare comes from the United states and only 5 percent or less are reported. The main purpose was to examine their perceptions of why and how errors occur and to gain information about their personal experiences with medical errors. There are 5 reasons medication errors occur; distractions and interruptions during medication administration, inadequate staffing and high nurse/ patient ratios, illegible written medication, incorrect dosage calculations, and similar drug names and packaging.…

    • 139 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Improving Critical Thinking in Clinical Practice In Enhancing Critical Thinking in Clinical Practice, (Shoulders, Follett, & Eason,2014), Investigates the concept of Critical Thinking and how it can provide strategies to improve ways of critical thinking in life-threatening and acute care environments. Critical Thinking interpreted different ways In the article, (Shoulders, Follett, & Eason, 2014), spoke of how Peter Facione construed with a group of experts from various specialties his own definition of critical thinking, “Delphi Report” (Facione, 1990). It stated the characterized model critical thinker as “habitually inquisitive, well-informed, trustful of reason, diligent in seeking relevant information, and persistent in seeking results” (Facione, 1990).…

    • 404 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The healthcare setting is an ever-changing and unpredictable environment, challenging nurses to various situations that come about in clinical practice (Caldwell & Grobbel, 2013). In such situations, the ability of the registered nurse to demonstrate effective clinical reasoning and critical thinking skills is an essential component of nursing competence (Pinnock & Welch, 2014). The following essay will explore the experience of a registered nurse during a time of clinical decision-making and patient interaction. With reference to the Levett-Jones et al. , (2010) Clinical Reasoning Cycle, the progression of critical thinking will be demonstrated during this process, utilizing the eight steps involved in the cycle.…

    • 759 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Interruptions affect nurses’ ability to think, causing a lack of focus. This increases the nurse to be stress and feel frustrated. Another form of distraction that led to errors was the unavailability of medications at the time of administration, requiring the nurse to move away from the patient to look for the medication in a stock cupboard (Agyemang & While, 2010). Poor communication among team members is a contributing factor to medication administration errors. As a healthcare team communication is important, miscommunication among the doctors, pharmacists, and nurses can cause medical errors.…

    • 1862 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    Nurse Medication Errors

    • 671 Words
    • 3 Pages

    Frith et al. (2012) found the most common errors were due to not following protocol, the omission of dose, and improper dosage. Also, the discussion supported the data that as the RN’s number of hours worked per day increase, the medication errors decreased. In contrast, as the LPN’s number of hours worked per day increased, the medications errors increased. Thus, indicating that adequate nurse staff is vital to improving patient safety to from medication errors.…

    • 671 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Critical thinking involves identifying the problem, determining the solution and the best way to reach that solution. So a person who thinks critically concern about an event that was it effective and might have done in a better way. However as a nurse, should have the ability to make clear and correct decisions even at an immediate situation. Therefore it is vital to develop those skills in nurse’s education where some critical thinking skills come naturally. For instance when a nurse undergoing with a treatment of patient, wound treatment nurses are able to make instant decisions under pressure.…

    • 1570 Words
    • 7 Pages
    Great Essays
  • Great Essays

    Critical thinkers in nursing exhibit these habits of the mind: confidence, contextual perspective, creativity, flexibility, inquisitiveness, intellectual integrity, intuition, open-mindedness, perseverance, and reflection. Critical thinkers in nursing practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge. Based on Benner’s theory, every nurse should be a critical thinker. The theory also helps nurses understand to solve the critical problems with smartly.…

    • 2853 Words
    • 12 Pages
    Great Essays