CHAPTER 2: CRITICAL THINKING AND NURSING PROCESS Flashcards
nursing
involves thinking, doing and caring
critical thinking
is a combination of reasoned thinking, openness to alternatives, an ability to reflect and a desire to seek truth
skills
refer to the cognitive (intellectual) processes used in complex thinking operations such as problem-solving and decision making
attitudes
feelings and traits of mind
comorbidities
concurrently occurring health problems
individual differences
type of illness, culture and age
culture
influence how people define illness, at what point they seek healthcare, what type of healthcare provider they see and the type of treatment they consider acceptable
client’s roles
influence when, how and they a person seek healthcare
ex: a single mother with young children may ask to be discharged from the hospital early to meet the needs of her family
model
put concepts (ideas) together to explain something
theoretical knowledge
consists of information, facts, principles and evidence-based theories in nursing and related disciplines (ex:anatomy and physiology)
practical knowledge
knowing what to do and how to do it
self-knowledge
self-understanding. You must be aware of your beliefs, values and cultural and religious biases
ethical knowledge
knowledge of obligation or right and wrong
nursing process
is a systematic problem-solving process that guides all nursing action, its a type of thinking and doing nurses use
assessment
first phase: data gathering
diagnosis
second phase: analyze all your data, synthesize and cluster information, and hypothesize about your client’s health status
planning
third and fourth phase: planning (prediction) outcomes and planning interventions
planning outcomes
work with the client to decide goals for care
planning interventions
develop a list of possible interventions based on your nursing knowledge and then choose those most likely to help client to achieve the stated goals
implementation
the action phase: carry out to delegate the actions you planned
evaluation
final phase: determine whether the outcomes have been achieved and judge whether your actions have successfully treated or prevented the client’s health problems
cyclical
nursing process is cyclical rather than linear. It can be repeated
concurrent
some steps may occur at the same time
caring
involves personal concern for people, events, projects and things