Chapter 15: Critical Thinking in Nursing Practice Flashcards
Critical thinking is:
The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process
Critical thinking is a ______ ______
continuous process characterized by
Open-mindedness
Continual inquiry
Perseverance
Combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant
Critical thinking is recognizing…
that an ISSUE EXISTS
analyzing information
evaluating information
drawing conclusions
Reflection is:
the ability to act on the basis of critical thinking comes with experience
turning over a subject in mind and thinking about it seriously
Not intuitive
purposeful thinking back or recalling a situation
Improves accuracy of making diagnostic conclusions
Lessens likelihood reasoning is based on assumptions/guess work
Critical thinking and clinical judgment skills (6)
Interpretation
Analysis
Inference
Evaluation
Explanation
Self-regulation
Concepts for a critical thinker (7)
Truth seeking
Open-mindedness
Analyticity
Systematicity
Self-confidence
Inquisitiveness
Maturity
3 Levels of critical thinking:
Basic
Complex
Commitment
Basic critical thinking:
Learner trusts that experts have the right answer for every problem
Thinking is concrete and based on a set of RULES and PRINCIPLES
Tendency to think that one right answer usually exists for every problem
Complex critical thinkers:
begin to separate themselves from experts
Each solution is weighed for benefits and risks
Willing to consider different options from routine procedures
Commitment thinkers:
Anticipate when to make choices WITHOUT assistance from other and ACCEPT accountability for decisions made
Choose an action/belief that is based on available alternatives and SUPPORT it
Critical Thinking Competencies (2)
General Critical Thinking
- Scientific method
- Problem solving
- Decision making
Specific critical thinking
- Diagnostic reasoning and inference
- Clinical decision making
Nursing Process as a competency (ADPIE)
Assessment
Diagnosis
Planning
Implementation
Evaluation
Scientific Method Steps (5)
Identify the problem
Collect data
Formulate a question or hypothesis
Evaluate results of the test or study
Critical thinking model for clinical decision making (5)
Specific knowledge base
Experience
Nursing process competency
Attitudes for critical thinking
Professional standards
Diagnostic reasoning:
Analytical process for determining a patient’s health problems
Helps health care providers pinpoint the nature of a problem more quickly and select proper therapies
Diagnostic reasoning begins when:
you interact with a patient or make physical or behavioral observations
Inference:
Process of drawing conclusions from related pieces of evidence and previous experience with the evidence.
Form patterns of information from data before making a diagnosis
Clinical decision making requires:
careful reasoning choosing the options for the best patient outcomes on the basis of a patient’s condition and the priority of the problem
Knowing the patient is:
central to individualizing nursing care so a patient feels cared for and cared about
The purpose of the nursing process is:
to diagnose and treat human responses (patient symptoms, need for knowledge) to actual or potential health problems
Components of Critical Thinking in nursing (5)
Specific knowledge base in nursing
Experience
Critical thinking competencies
- General
- Specific
- Specific critical thinking in nursing: nursing process
Attitudes for critical thinking
- Confidence
- independence
- fairness
- responsibility
Standards for critical thinking
- Intellectual standards
- -Clear
- -Precise
- -Specific
- Professional Standards:
- Ethical criteria for nursing judgment
- criteria for evaluation
- professional responsibility
Standards for Critical thinking (2):
Intellectual standards
- Clear
- Precise
- Specific
Professional Standards
- Ethical criteria for nursing judgment
- Criteria for evaluation
- Professional responsibility
Critical Thinking Attitudes: (11)
Confidence
Thinking independently
Fairness
Responsibility and authority
Risk taking
Discipline
Perseverance
Creativity
Curiosity
Integrity
Humility
Developing Critical Thinking Skills (3)
Reflective Journaling
-Define and express clinical experiences in own words
Meeting with colleagues
-discuss and examine work experiences and validate decisions
Concept mapping
- visual representation of patient problems and interventions that shows their relationships to one another
