Week Four Flashcards
Clinical Decisions in Nursing Practice
Clinical decision-making skills separate professional nurses from technical and ancillary staff.
Clients have problems for which no textbook answers exist.
Nurses need to seek knowledge, act quickly, and make sound clinical decisions.
Thinking and Learning
Learning is a lifelong process.
Intellectual and emotional growth involves learning new knowledge, as well as refining the ability to think, solve problems, and make judgements.
Critical Thinking
Recognizing an issue exists, analyzing information, evaluating information, and making conclusions
Dispositions that lead to Critical Thinking
Ability to ask questions
Be well informed
Be honest in facing personal biases
Be willing to reconsider and think clearly about issues
Dispositions of Critical Thinkers
Truth-seeking Open-mindedness Analyticity Systematicity Self-confidence Inquisitiveness Maturity
Critical Thinking Skills
Interpretation
Analysis
Evaluation
Inference
Explanation
Self-regulation
Kataoka-Yahiro and Saylor
Critical Thinking Model
In 1994 defined the outcome of critical thinking as nursing judgement that is relevant to nursing problems in a variety of settings
Defined three levels of critical thinking:
Basic - relying on experts
Complex - combination
Commitment - relying on own expertise
Five Components of Critical Thinking in Nursing
1⃣specific knowledge base 2⃣experience in nursing 3⃣critical thinking (nursing process) competencies 4⃣qualities for critical thinking 5⃣standards for critical thinking
Critical Thinking (nursing process) Competencies
A. General critical thinking competencies (scientific method, problem solving, and decision making)
B. Specific critical thinking competencies in clinical situations (diagnostic reasoning, clinical inference, and clinical decision making)
C. Specific critical thinking competency in nursing (use of nursing process)
Nursing Process
Assessment Diagnosis Planning Implementation Evaluation
Reflective Journaling
A tool used to clarify concepts through reflection by thinking back or recalling situations
Concept Mapping
A visual representation of client problems and interventions that illustrates an interrelationship
Critical Social Theory
Critical theories are founded on the belief that a progressive development of knowledge occurs through an ongoing critique of the status quo and orientated toward the continuous reconstruction of a more just, equitable and humane society
The central value of critical social theory is the goal of emancipation from the constraints of domination and an unreflected consciousness.
Critical social theory can be used by nurses to expand their own awareness of the values and belief that determine their interactional patterns…
The major aim of curriculum from the perspective of the critical paradigm is to foster a spirit of what Maxine Greene (1978) calls “Wide Awakeness”.
Critical social theory is a potentially fruitful framework within which to analyze ethical issues in family and community health
What are the three levels of critical thinking?
Basic (rely on expert)
Complex (have some critical, independent ideas, see complexity of solutions)
Commitment (making choices with own profession discretion)