Enhancing Critical Thinking in Nursing Practice
Developing critical thinking skills is crucial for nurses to make sound clinical decisions that directly impact patient care. This involves analyzing information, evaluating options, and making informed judgments. The ability to think critically helps nurses separate themselves from other healthcare professionals and provide effective care in complex and dynamic situations.
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Critical Thinking & Managing Patient Care 1
Clinical Decision in Nursing Practice Clinical decision-making skills separate professional nurses from technical and ancillary staff. Clients have problems for which no textbook answers exist. Nurses need to seek knowledge, act quickly, and make sound clinical decisions.
Decision Making Product of critical thinking Focuses on problem resolution Define the problem Assess all options Determine pros and cons Make final decision Knowledge 3
Critical Thinking Defined Chaffee (2002) An active, organized, cognitive process used to carefully examine one s thinking and the thinking of others Settersten and Lauer (2004) Recognizing an issue exists, analyzing information, evaluating information, and making conclusions
Thinking and Learning 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.
Levels of Critical Thinking Kataoka-Yahiro and Saylor (1994) Critical Thinking Model Basic critical thinking Complex critical thinking Commitment
Critical Thinking Competencies Scientific method Problem solving Decision making Diagnostic reasoning and inference Clinical decision making Nursing process as a competency
Critical Thinking Model for Decision Making Models serve to explain concepts and help nurses make decisions and judgments about patients. Kataoka-Yahiro and Saylor (1994) Define the outcome of critical thinking as nursing judgment that is relevant to nursing problems in a variety of settings.
Five Components of Critical Thinking Knowledge base Experience Nursing process competencies Attitudes Standards
Eleven Attitudes Confidence Thinking Independently Fairness Responsibility & Accountability Risk Taking Discipline Perservance Creativity Curiosity Integrity Humility 10
Developing Critical Thinking Skills Reflective journaling A tool used to clarify concepts through reflection by thinking back or recalling situations Concept mapping A visual representation of client problems and interventions that illustrates an interrelationship
Chapter 21 Entry Level Nurse Competencies Building A Nursing Team An empowered nursing team begins with the nurse executive. The nurse executive, nurse manager, and staff nurse work collaboratively to create an empowering work environment Magnet Hospitals 12
Nursing Care Delivery Models Team nursing: Team members provide care under the supervision of an RN. Total client care: The RN works directly with the client. Primary nursing: RN assumes a caseload of clients during their entire stay. Case management: RN maintains responsibility for client care from admission to discharge.
Decentralized Decision Making Occurs at the unit level Includes responsibility, autonomy, authority, and accountability Staff involvement: Shared governance Nurse-physician collaborative practice Interdisciplinary collaboration Communication Education
Leadership Skills for Nursing Students Clinical decision making Priority setting Organizational skills Use of resources Time management Evaluation Team communication Delegation
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