150-Wk2 Critical Thinking In Nursing Practice - Jesse Mcknight

Front 1

What does critical thinking for nurses involve?

Back 1

-the use of logic and reasoning to make accurate clinical judgements/decisions
-recognize an issue exists, analyze info, draw conclusions
-consider what's important in a situation, imagine & explore alternative solutions, consider ethical problems, make informed decision on how to proceed

Front 2

The use of _______ makes you an informed critical thinker.

Back 2

Evidence-informed knowledge

Front 3

Requirements of critical thinking/thinkers

Back 3

cognitive skills (ie. interpretation, analysis, inference, evaluation, explanation, self-regulation), a nurse's habit to ask questions, be well informed, to be honest in facing personal biases, and to always be willing to reconsider and think clearly about issues

Front 4

3 levels of critical thinking

Back 4

1. Basic Critical Thinking
2. Complex Critical Thinking
3. Commitment

Front 5

What is Basic Critical Thinking?

Back 5

-the first level of critical thinking (ie. beginning nursing student)
-trust that experts have the right answers for every problem
-Thinking is concrete and based on a set of rules or principles
-At this level, answers to complex problems are seen to be either right or wrong

Front 6

What is Complex Critical Thinking?

Back 6

-begin to separate own thinking processes from those of authorities and analyze and examine choices more independently
-begin to realize that there can be several solutions to a complex problem
-weigh benefits vs. risks of each potential solution before making a final decision

Front 7

What is the Commitment level of Critical Thinking?

Back 7

-you anticipate the nee to make choices without assistance from other professionals
-assume accountability for your decisions
-choose an action or belief on the basis of the alternative solutions available, and you stand by your choice

Front 8

5 components of a critical thinking model:

Back 8

1. specific knowledge base
2. experience
3. competenies
4. qualities
5. standards

Front 9

component #1: specific knowledge base:

Back 9

-includes info and theory from the basic sciences, humanities, behavioural sciences, and nursing
-a nurse's broad knowledge base offers a physical, psychological, social, moral, ethical, and cultural view of clients and their health concerns

Front 10

compent #2: experience

Back 10

-learn from observing, sensing, talking with clients and families, and then reflecting actively on your experiences
-learn to accommodate the setting, the unique qualities of the client, and the experience you gained from caring for previous clients
-begin to understand clinical situations, recognize cues of clients' health patterns, interpret cues as relevant or irrelevant

Front 11

What does critical thinking for nurses involve?

Back 11

-the use of logic and reasoning to make accurate clinical judgements/decisions
-recognize an issue exists, analyze info, draw conclusions
-consider what's important in a situation, imagine & explore alternative solutions, consider ethical problems, make informed decision on how to proceed

Front 12

The use of _______ makes you an informed critical thinker.

Back 12

Evidence-informed knowledge

Front 13

Requirements of critical thinking/thinkers

Back 13

cognitive skills (ie. interpretation, analysis, inference, evaluation, explanation, self-regulation), a nurse's habit to ask questions, be well informed, to be honest in facing personal biases, and to always be willing to reconsider and think clearly about issues

Front 14

3 levels of critical thinking

Back 14

1. Basic Critical Thinking
2. Complex Critical Thinking
3. Commitment

Front 15

What is Basic Critical Thinking?

Back 15

-the first level of critical thinking (ie. beginning nursing student)
-trust that experts have the right answers for every problem
-Thinking is concrete and based on a set of rules or principles
-At this level, answers to complex problems are seen to be either right or wrong

Front 16

What is Complex Critical Thinking?

Back 16

-begin to separate own thinking processes from those of authorities and analyze and examine choices more independently
-begin to realize that there can be several solutions to a complex problem
-weigh benefits vs. risks of each potential solution before making a final decision

Front 17

What is the Commitment level of Critical Thinking?

Back 17

-you anticipate the nee to make choices without assistance from other professionals
-assume accountability for your decisions
-choose an action or belief on the basis of the alternative solutions available, and you stand by your choice

Front 18

5 components of a critical thinking model:

Back 18

1. specific knowledge base
2. experience
3. competenies
4. qualities
5. standards

Front 19

component #1: specific knowledge base:

Back 19

-includes info and theory from the basic sciences, humanities, behavioural sciences, and nursing
-a nurse's broad knowledge base offers a physical, psychological, social, moral, ethical, and cultural view of clients and their health concerns

Front 20

compent #2: experience

Back 20

-learn from observing, sensing, talking with clients and families, and then reflecting actively on your experiences
-learn to accommodate the setting, the unique qualities of the client, and the experience you gained from caring for previous clients
-begin to understand clinical situations, recognize cues of clients' health patterns, interpret cues as relevant or irrelevant

Front 21

What does critical thinking for nurses involve?

Back 21

-the use of logic and reasoning to make accurate clinical judgements/decisions
-recognize an issue exists, analyze info, draw conclusions
-consider what's important in a situation, imagine & explore alternative solutions, consider ethical problems, make informed decision on how to proceed

Front 22

The use of _______ makes you an informed critical thinker.

Back 22

Evidence-informed knowledge

Front 23

Requirements of critical thinking/thinkers

Back 23

cognitive skills (ie. interpretation, analysis, inference, evaluation, explanation, self-regulation), a nurse's habit to ask questions, be well informed, to be honest in facing personal biases, and to always be willing to reconsider and think clearly about issues

Front 24

3 levels of critical thinking

Back 24

1. Basic Critical Thinking
2. Complex Critical Thinking
3. Commitment

Front 25

What is Basic Critical Thinking?

Back 25

-the first level of critical thinking (ie. beginning nursing student)
-trust that experts have the right answers for every problem
-Thinking is concrete and based on a set of rules or principles
-At this level, answers to complex problems are seen to be either right or wrong

Front 26

What is Complex Critical Thinking?

Back 26

-begin to separate own thinking processes from those of authorities and analyze and examine choices more independently
-begin to realize that there can be several solutions to a complex problem
-weigh benefits vs. risks of each potential solution before making a final decision

Front 27

What is the Commitment level of Critical Thinking?

Back 27

-you anticipate the nee to make choices without assistance from other professionals
-assume accountability for your decisions
-choose an action or belief on the basis of the alternative solutions available, and you stand by your choice

Front 28

5 components of a critical thinking model:

Back 28

1. specific knowledge base
2. experience
3. competenies
4. qualities
5. standards

Front 29

component #1: specific knowledge base:

Back 29

-includes info and theory from the basic sciences, humanities, behavioural sciences, and nursing
-a nurse's broad knowledge base offers a physical, psychological, social, moral, ethical, and cultural view of clients and their health concerns

Front 30

compent #2: experience

Back 30

-learn from observing, sensing, talking with clients and families, and then reflecting actively on your experiences
-learn to accommodate the setting, the unique qualities of the client, and the experience you gained from caring for previous clients
-begin to understand clinical situations, recognize cues of clients' health patterns, interpret cues as relevant or irrelevant

Front 31

component #3: qualities

Back 31

-interpreting, evaluating, and making judgements abot the adequacy of various arguments and available data
-qualities define how a successful critical thinker approaches a problem or a situation that necessitates decision making
-knowing when you need more info, knowing when ifo is misleading, recognizing your own knowledge limits and personal biases

Front 32

component #4: standards

Back 32

1. Intellectual Standards
-a guideline or principle for rational thought
-thoroughness, preciseness, accuracy, consistency
2. Professional Standards
-refers to ethical crieria for nursing judgements, evidence informed criteria used for evaluation, and criteria for professional responsibility

Front 33

component #5: competencies (general competencies)

Back 33

A. General Competencies
1. Scientific Method
-ID problem, collect data, formulate hypothesis, test hypothesis, evualuate results
2. Problem Solving
-obtain info and use info, in addition to what you already know, to find a solution
-evualuate the solution over time to be sure that it's still effective
3. Decision Making
-product of critical thinking that focuses on problem resolution
-steps: recognize and define the problem, assess all options, weigh each option against a set of criteria, test possible options, consider the consequences of the decision, make a final decision

Front 34

component #5: competencies (specific competencies)

Back 34

B. Specific Competencies
1. Diagnostic reasoning and inference
-diagnostic reasoning: process of determining a client's health status after you make physical and behavioural observations, and after you assign meaning to the behaviours, physical signs, and symptoms the client exhibits. This info leads to a diagnosis of the client's condition
-clinical inference: process of drawing conclusions from related pieces of evidence, involves forming patterns of info from data before making a diagnosis
2. Clinical Decision Making
-problem-solving activity that focuses on defining client problems and selecting appropriate treatments
-includes 4 components: noticing or grasping the situation; interpreting or developing a sufficient understanding of the situation to respond; responding or deciding on a course of action; reflecting on the actions taken and their outcomes
3. Nursing Process
-5 step decision making process: assessment, diagnosis, planning, implementation, and evaluation

Front 35

What can you use to develop critical thinking skills?

Back 35

-reflective journal writing
-concept mapping

Front 36

What is involved in reflective journal writing?

Back 36

-reflection is the process of purposefully thinking back or recalling a situation to discover its purpose or meaning
-reflective journal writing is a tool for developing critical thought and reflection through clarifying concepts
-the "circle of meaning" model encourages reflection, concept clarification, and a search for meaning in nursing practice
-in your journal, desribe in detail what you thought, felt, and did. Analyze your experience by considering thoughts, feelings, and possible meanings for you and the client, challenge any preconceived ideas you have when you look at actual clinical situations, describe the significance of the experience

Front 37

What is involved in concept mapping?

Back 37

-concept map is a visual representation of clinet problems and interventions that depicts their relationships to another
-primary purpose is to synthesize relevant data about a client, including assessment data, nursing diagnoses, health needs, nursing interventions, and evaluation measures
-helps you learn to organize or link info in a unique way so that the diverse info you have about a client begins to connect to form meaningful patterns