Week 6 - critical thinking Flashcards
critical thinking
knowing how to learn, reason, think creatively, make decisions and solve problems. constantly striving to find a better way. intuition. language skills. diagnostic reasoning. reflection
examples of reflection
post-conference - a round table what worked or didn’t work, could be specific. ex. if student didn’t notice output and the patient needed a bladder scan. journaling is a good way to reflect on what worked or didn’t.
in practice - mortality rounds, or root cause analysis.
language skills
cannot be vague in thinking or communicating. ex - student was caring for patient at risk for oversedation - student said she’s nodding. Patient was fine and said she needs to communicate better. Student should have convey medications, dosing, sedation scale.
diagnostic reasoning (Mina is diagnostic)
higher level skills and experience. repeated exposure to a particular situation. ex. - neuronurse and can tell patient has intercranial pressure. also a little intuition - ex. patient had high fever and didn’t want temp taken - she was going into septic shock. but vital signs were ok.
relevance of critical thinking (the what ifs)
separates nurse from ancillary personal. thinking about the what ifs. The C student might make a better nurse.
strategies to develop critical thinking skills - insight
gain insight - into how you and others and think.
strategies to develop critical thinking skills - acquire specific
and theoretical knowledge related to diagnoses and management of patients and problems.
strategies to develop critical thinking skills - learn strategies that..
promote critical thinking. and practice. ex - practice apical heart rate in lab, then manaquin, then in clinicals on a person.
strategies to develop critical thinking skills - ask for…
feedback. this is why you need good relationships with your colleagues and interpersonal team, or instructor or staff nurse.
question things
if it doesn’t sound right, ask. be assertive.
6 steps in critical thinking (the sink)
1.recognize and define the problem or situation
2. assess all options
3. weigh each option
4. test possible options
5. consider the consequences of the decision
6. make the final decision
ex. temp is 38.3 - assess temp in 1 hour.
clinical reasoning (the reasoning that this applies)
the process of applying (this is the application part) critical thinking to a clinical scenario
clinical judgement (the judge decides the outcome)
“the observed outcome of critical thinking and decision-making.”
how to develop clinical judgement?
more case studies, more extraneous info, prioritizing.
evidence based practice
best research evidence and clinical expertise and patient values. bath w/ water vs. bed bath.
