COPA Competencies
The COPA competencies presented in this scenario include, the assessment and intervention skill, the critical thinking skill, the
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.…
A clinical nurse leader (CNL) provides leadership at the clinical level by evaluating, coordinating delegating and implementing the care a healthcare team provides to a patient and can also actively participate in the care of that patient when called for (American Association of Colleges of Nursing [AACN], 2017). AACN proposed and developed this role with the hope of improving healthcare outcomes and increasing the quality of care. CNLs thrive and focus on an interdisciplinary, teamwork-type of methodology in their primary goal of designing, delegating and implementing the most effective care across various clinical settings. With these outlined responsibilities, CNLs need to be articulate and effective in communicating while collaborating with other experts, health care…
This journey is meaningful to my nursing practice because it has ensured my success in clinical placements. Also, through the development of this skill, I am confident to say that I am ready for the transition to professional practice and I understand that critical thinking is not a standard nursing competency but a recurring theme that runs through various competencies. For my future practice, I hope to utilize critical thinking to study ad pass my NCLEX examination. Using this strategy will provide a framework for thinking through test questions and picking out correct choices (Ward & Morris,…
As a registered nurse, I have been able to effectively communicate with patients, families, and members of the healthcare team including physicians, nurse practitioners, and therapists. Registered nurses in the intensive care unit have much more autonomy than many other registered nursing positions, including titrating medications and equipment as needed. These types of autonomous decisions have helped build leadership characteristics that…
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,…
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.…
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).…
They, therefore, need enough training to be able to deliver services such as thoracentesis and be able to extricate a casualty from a car that was involved in a tragic accident. Proper education makes out of them highly skilled practitioners, diverse in response to out of hospital patient presentations. This paper aims at presenting a variety of cognitive skills fundamental for a standard paramedic. A good paramedic demonstrates expertise in critical thinking. This is evident in synthesis, a reflection of their learning and analysis of the implications for the professional studies.…
These authors also believe that a critically thinking nurse will delay a decision and will not take someone else’s position on a subject if they cannot support it with valid reasoning. The authors also believe a nurse can change their on stance on a subject once they have adequate evidence to back up their thinking. According to Chan (2013), critical thinking involves the ability to consider a bigger picture and understand the thinking process, predict up coming events and situations, and know what to do next. Whereas, Naber, Hall and Schalder (2014) stated a nurse using critical thinking is able to weight the possible nursing measures or options, consider the feelings of the patient and their circumstance, and recognizes when it is appropriate for the health care team the change a patients treatment plan.…
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.…
The nursing profession places great emphasis on the application of critical thinking skills. Explain why critical thinking skills are essential to the nursing profession. Discuss how you define critical thinking and what you see as the building blocks toward the development of these skills. Select one evaluation method (paper, participation, critique, oral presentation, poster) and describe how critical thinking would be measured. Critical thinking is not easy for students or nurses because critical thinking needs many thinks, such as applying, synthesis, objective analysis, assessment and judgments.…
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.…
Being a Pediatric Nurse requires a multitude of qualities and skills. These include: Critical- thinking skills. Nurses must be able to diagnose a patient’s illness/injury and proper treatment Compassion. When caring for a patient, you have to be able to be caring and sympathetic. Detail-oriented.…
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.…
In nursing practice decision-making is pivotal to delivery of quality patient care. Nurses are trained to make critical decisions that can often save a life. The NMC Code 2015 emphasises on decision making skills when it states that” make sure that peoples physical, social and psychological needs are assessed and responded to. The people left in nurse’s care rely and trust that decisions made regarding their care are in their best interests. Nurses make decisions on a daily basis from the most basic actions to complex and often difficult decision.…