Ch 15 Flashcards
Care planning tool that assists in critical thinking and forming associations between a patient’s nursing diagnoses and interventions
Concept map
The problem-solving approach that nurses use to define patient problems and select appropriate treatment
Clinical decision making
Active, purposeful, organized, cognitive process used to carefully examine one’s thinking and the thinking of other individuals
Critical thinking
Process involving critical appraisal of information that results from recognizing a problem and ends with generating, testing, and evaluating a conclusion. Comes at the end of critical thinking
Decision making
Process that enables an observer to assign meaning to and classify phenomena in critical situations by integrating observations and critical thinking
Diagnostic reasoning
Evidence base knowledge
Knowledge that is derived from the integration of heart research, clinical expertise, and patient values
Inference
1) judgement or interpretation of informational cues
2) taking one proposition as a given and guessing that another proposition follows
Nursing process
Systematic problem-solving method by which nurses individualize care for each patient.
Five steps:
Assessment, diagnosis, planning, implementation, evaluation
Methodical, systematic approach to explore conditions and develop solutions
(Includes analysis of data, causative factors, and selection of appropriate actions actions to reverse or eliminate the problem
Problem solving
Reflection
Process of thinking back or recalling an event to discover the meaning or purpose of that event. Useful in critical thinking
Scientific method
Codified sequence of steps used in the formulation, testing, evaluation, and reporting of scientific ideas
(A way to solve problems using reasoning to look for the truth or verify that a set of facts agrees with reality)
Steps of the scientific method:
1-Identify the problem 2-Collect data 3-Formulating a question/hypothesis 4-Testing the question/hypothesis 5-Evaluating the results of the test/study
Levels of critical thinking:
Basic critical thinking
Complex critical thinking
Commitment
Basic critical thinking
Learners trust that experts have the right answers for every problem
Complex critical thinking
Analyze and examine choices more independently
Commitment level of critical thinking
A person anticipates when to make choices without assistance from others and accepts accountability for decisions made
A continuous process characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are try and relevant
Critical thinking
How do you develop critical thinking skills?
Education and experience
Clinical decision making involves
Judgment that includes critical and reflective thinking and action and application of scientific and practical logic
Following a procedure step-by-step without adjusting to a patient’s unique needs is an example of…?
Basic critical thinking
The critical thinking model for clinical decision making combines a nurse’s…
Knowledge base,
experience,
competence in the nursing process, attitudes, and
standards
…to explain how nurses make clinical judgments that are necessary for safe, effective nursing care
An intellectual standard is…
A guideline or principal for rational
Clear, precise, specific, accurate, relevant, plausible, consistent, logical, deep, broad, complete, significant, adequate (for purpose), fair
14 intellectual standards for critical thinking
Clear. precise.
specific. accurate.
relevant. plausible
consistent. logical
deep. broad
complete. significant
adequate. fair
Professional standards for critical thinking referred to
Ethical criteria for nursing judgements,
evidence-based criteria used for evaluation,
and criteria for professional responsibility