TOPIC 5 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 more than just problem solving…
It is a continuous attempt to improve how to apply yourself when faced with problems in patient care.
What are the levels of critical thinking
- Basic
- Complex
- Commitment
what are the components of critical thinking
specific knowledge base
experience
competencies
attitudes
standards
basic level of critical thinking
a learner trusts that experts have the right answers for every problem. Thinking is concrete and based on a set of rules or principles.
complex critical thinkers
begin to separate themselves from experts and analyze the clinical situation and examine choices more independently. In complex critical thinking, each solution has benefits and risks that you weigh before making a final decision
commitment level of critical thinking
nurses anticipate when to make choices without assistance from others and accept accountability for decisions made.
scientific method
a systematic, ordered approach to gathering data and solving problems.
five steps of the scientific method
identify the problem
collect data
formulate a question or hypothesis
test the question or hypothesis
evaluate results of the test or study
what are the two components of clinical decision making?
-a nurse’s understanding of a specific patient
-a nurse’s subsequent selection of interventions.
what are some important aspects of knowing your patient
-spend more time during initial patient assessment (determine what is important to them)
-PERSONAL CONVO rather than task-oriented convo
-listen to patients experience with illness
-check on patients consistently
-ask for the same patient over consecutive days
reflective journaling
o Define and express clinical experiences in your own words
meeting with colleagues
o Discuss and examine work experiences and validate decisions
concept mapping
o Visual representation of patient problems and interventions that shows their relationships to one another
assess
Gather information about the patient’s condition
diagnosis
identify the patients problem
plan
set goals of care and desires outcomes and identify appropriate nursing actions
implement
perform the nursing actions identified in planning
evaluate
determine if goals and expected outcomes are achieved and were effective
Assessment involves collecting information from…
the patient
secondary sources
interpreting and validating information to form a complete database
when is a Patient-centered interview conducted
during a nursing history
when are periodic assessments conducted
during ongoing contact with patients
when are physical examinations conducted
during a nursing history and at any time a patient presents a symptom
cue
is information that you obtain through use of the senses