Chapter 15: Critical Thinking in Nursing Flashcards
Keep looking for resources until you find successful approach. Not satisfied with minimal effort but works to achieve highest level of care.
Ex: patient unable to speak, nurse finds different communicating approach until an appropriate solution is found. This is what attitude in critical thinking?
Perseverance
Original thinking. Find solutions outside standard routine of care, while staying inside standards of practice. This is what attitude in critical thinking?
Creativity
A.The Scientific Method
The way to solve problems using reasoning.
1. Ex. Problem Solving and Assessment
2.Ex. Checking Labs, X-Rays, and Nutritional Status
3. Ex. Find a relationship between the Data and the Problem to develop a Nursing Diagnosis
4. Ex. Apply intervention after determining Nursing Diagnosis
5. Ex. Reassess the patient and see if you were correct.
- Identifying the Problem
- Collecting Data
- Formulating a Question or Hypothesis
- Testing the Question or Hypothesis
- Evaluating Results of the Test or Study
Honest and willing to admit mistakes or inconsistencies in his or her own behavior, ideas and beliefs. Ex: Nurse tries to follow highest standards of practice. This is what attitude in critical thinking?
Integrity
Challenge the way others think and look for rational and logical answers to problems. Independent thinking and reasoning improve nursing practice by raising important questions. This is what attitude in critical thinking?
Thinking Independently
Does not always have negative outcomes. Willingness to take chances comes from experience with similar problems. This leads to advances in patient care. This is what attitude in critical thinking?
Risk Taking
Favorite question is “why?” Data patterns appear that are not always clear. This is what attitude in critical thinking?
Curiosity
You will rethink situation, learn more, use new information to form opinions and take action. This is what attitude in critical thinking?
Humility
Raises the bar on the responsibility and accountability that a nurse assumes when guaranteeing quality health care to the public. Ex. Criteria used for staging for pressure ulcers. This is what standard for Critical Thinking?
Professional Standards
This helps identify problem accurately and appropriate intervention.
Ex: Patient in pain instead of pain scale you can ask specific questions on character of pain. Such as where does it hurt? What makes it worse? This is what attitude in critical thinking?
Discipline
Intellectual and emotional growth impacts learning new knowledge and refining your ability to think, problem solve, and make judgements.
Thinking and Learning
This is what specific critical thinking competency? EX: patient lost appetite and weight over last month. Nurse reports nutritional problem, she forms nursing diagnosis of imbalanced nutrition that is less than body requirements. You cannot make diagnosis on first meeting with patient. When uncertain of diagnosis continue data collection.
Inference
Look at situation objectively and consider all viewpoints to understand the situation completely before making a decision. Ex: if you do not agree with obesity you do not allow your personal feelings to patient care if they are overweight. This is what attitude in critical thinking?
Fairness
This is a guideline or principle for rational thought. They are applied when using the nursing process. Preciseness, accuracy, consistency must be use to make sure all clinical decisions are sound. This is what standard for Critical Thinking?
Intellectual Standards
Process involving critical appraisal of information that results from recognizing a problem? Is this considered Critical Thinking or Clinical Decision Making?
Clinical Decision Making
Care planning tool that assists in critical thinking and forming associations between a patients nursing diagnosis and interventions.
Concept Map
Formal means to discuss allows a dialogue, deferring viewpoints, and sharing experiences. Much can be learned from hearing others perspectives and experiences to promote reflective critical thinking. What is the name of this practice that develops your critical thinking skills?
Meeting with Colleagues
This is what specific critical thinking competency? EX: patient is light headed with blurred vision and history of diabetes. Nurse observes patterns and themes which include weakness, hunger, visual disturbances. Which suggests hypoglycemia. The nurse makes decision to use food that contains glucose.
Diagnostic Reasoning
Ex. Methodically inspects the infected area of the skin, measures the size of the ulcer, and notes the appearance of any drainage. Asks the patient how she cared for her ulcer to determine if teaching was necessary. Asked her what exactly did she use to wash the ulcer and how often? This is what standard for Critical Thinking?
Intellectual Standards
This is what specific critical thinking competency? Nurse identifies patient problem and selects nursing intervention. This can be improved by knowing patient.
Clinical Decision Making:
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 true and relevant. Is this considered Critical Thinking or Clinical Decision Making?
Critical Thinking
This is what general critical thinking competency? EX: This occurs when the patient decides on health care provider. This leads to informed conclusion that are supported by evidence and reason. Is this considered Critical Thinking or Clinical Decision Making?
Clinical Decision Making
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.
Clinical Decision Making
Process that enables an observer to assign meaning and to classify phenomena in clinical situations by integrating observations and critical thinking.
Diagnostic Reasoning