Nurses must also be able to critically think through each situation and make a clinical judgement when it comes time to activate…
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.…
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.…
3801NRS Advanced Clinical Decision Making Student Name: Rebekah Stanley Student Number: S2929435 Essay/Report Title: Case Study Essay Assessment Item 1 WORD COUNT: TBA Clinical decision making and reasoning can be seen as one of the most important roles taken on board by the registered nurse within the healthcare setting (Pinnock & Welch, 2014).…
Effective clinical reasoning skills are essential in nursing; an estimated half of all clinical adverse events are attributed to errors in clinical decision-making (Levett-Jones et al., 2013). Tanner (2006) defined clinical reasoning as the process via which nurses arrive at clinical decisions by weighing evidence, pattern recognition, using intuition, selecting from alternatives and patient safety. This clinical reasoning cycle (CRC) consists of 8 cyclical steps namely, consideration of the patient’s situation; collecting of cues and information; processing of information; identification of problems and issues; establishing objectives; taking action; evaluation of outcomes; and reflecting on processes and new learning (Levett-Jones, et al.,…
Nurses use evidence informed practise which is the method of gathering evidence and incorporating clinical expertise, patient preference, expert opinion and other resources (Canadian Nurses Association, 2010). In addition, nurses will use Carper's ways of knowing as describe above and will bring their practical knowledge brought in from clinical experience. This clinical experience is a valuable asset as they understand the environment and can incorporate it into their own experience of practise. Lastly, praxis is the "practice, as distinguished from theory; application or use, as of knowledge or skills" (Myers, 2009, p. 1497) During this project, I have been able to use my knowledge acquired throughout the nursing program and apply it…
When analyzing concepts, determining the essential characteristics that make up a concept is a fundamental step. By establishing defining characteristics associated with a concept, one may have a greater understanding of it. If one fails to identify the proper attributes of a concept, than the results of the analysis may limit the ability to expand nursing theories (Walker, & Avant, 2011, p. 162). Distinguishing between types of cases will allow one to categorize concepts and understand how they are in relation to one another, resulting in clearer theory outcomes. The model case is the “pure concept of the case” and possesses all the defining attributes that are found within the concept (Walker, & Avant, 2011, p. 163).…
Introduction Beneficence is at the core of nursing and it surfaces every time a health care provider take over the care of a patient. As providers, the corporate mission to personify is to act in such a way that decisions are guided by knowledge and driven by a professional level of ethical principles at all times. The utilitarianism conceptual framework will be discussed in this paper as it relates to doing what is expected as a health care professional dealing with aborting care when the prognosis is poor. The purpose of this paper evaluates the utilitarian framework, beneficence, and ethical reasoning in decision-making when escalating care is not feasible. Utilitarian Framework in an Ethical Dilemma…
Comparing and Contrasting Four Grand Theories of Nursing Ogechi K. Nebeolisa Maryville University As nurses, we use theories to help us develop nursing care that serves as the backbone for our clinical decision making in the field. In order for nurses to achieve their goals of providing the exceptional care to their patients, we reference theories to provide an outline for interventions, help predict outcomes, understand and explain rationales for problem-solving challenges. Meleis (2012) defines nursing theory as “a conceptualization of some aspect of reality (invented or discovered) that pertains to nursing”. It is articulated for the purpose of describing, explaining, predicting or prescribing nursing care” (pg. 32). Nursing…
Critical thinking, the ability and willingness to think clearly of claim and make objective judgements based on rational and supported evidence rather than emotion or personal bias, does not only improve individual’s comprehension and problem-solving abilities, expressing ideas, self -reflection (justify and reflect values and decisions), its skills (analysis, reasoning, interpretation and creativity) are essential in domains as health science and education. Applying critical thinking skills in healthcare administration can improve care quality and provide a safe, comfortable environment for patients. In Papathanasiou et al. view, because nurses interact with people from different religions, cultures, social economic levels and different…
Using critical thinking/clinical reasoning is challenging and it does not happen serendipitously. However, the three effective ways to approach the NBCOT test questions include (1) Practice NBCOT test questions to help make prudent decisions about challenging clinical questions. (2) Knowing factual information such as diagnoses and symptoms to help one draw conclusions. (3) Know OT academic coursework and entry-level self-assessment tool.…
Decision-making involves critical thinking and critical analysis they are important as they make the nurses into competent management skills Jones (1996). In my practise setting I was given the…
It also is a helpful model when evaluation critical thinking and the decision-making process of nursing practice (Schaffer et al.…
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.…
7. CLINICAL REASONING Clinical reasoning is a skill that needs to be acquired by nurses to render safe and quality care. It requires that the nurse engage in reflective activities to gain insight. This is not a theoretical thing but an empirical way of reasoning and asking questions.…