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Fundamentals of Nursing Chapter 15
Critical thinking in Nursing practice
39
Nursing
Undergraduate 2
01/30/2010

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Term
What is critical thinking according to Di vito-thomas?
Definition
an active, organized, cognitive process used to carefully examine one's thinking and the thinking of others. It involves recognizing that an issue exists, analyzing information about the issue, evaluating information, and making conclusions.
Term
What are the skills associated with critical thinking?
Definition
Interpretation, Analysis, Inference, evaluation, explanation, self-regulation
Term
What is interpretation?
Definition
Looking for patterns and orderly data collection.
Term
What are the 7 concepts for critical thinking?
Definition
Truth Seeking, Open-Mindedness, analyticity, systematicity, self-confidence, inquisitiveness, Maturity.
Term
What is analyticity?
Definition
analyze potentially problematic situationsl anticipate possible results or consequences, value reason, use evidence-based knowledge.
Term
Why is maturity an important part of critical thinking?
Definition
multiple solutions are acceptable, reflect upon your own judgements, have cognitive maturity.
Term
What are some questions you can ask yourself to stay in a critical state of mind with a patient?
Definition
What is the clien'ts status now? How might it change nad why? What do I know ot improive the client's condition? in what way will a specific therapy affect the client?
Term
What is the basis of being a basic critical thinker?
Definition
The acceptance that there is more than one answer to a problem.
Term
What are some things that keep a person from going to the complex critical thinking stage?
Definition
Inexperience, weak competencies, and inflexible attitudes restrict a person's ability to move to the next level
Term
What is the first thing complex critical thinkers do?
Definition
SEPERATE THEMSELVES FROM AUTHORITY
:D (to those reading this, I love that idea!)
Term
At the Commitment level what does a person do?
Definition
Anticipates the need to make choices without assistance from others.
Term
What are the critical thinking competencies?
Definition
Scientific method, Problem solving, decision making, diagnostic reasoning and inference, clinical decision making, nursing process as a competency.
Term
What are the five steps of scientific method?
Definition
1) Problem identification
2) collection of data
3) Formulation of research questions or hypothesis
4) testing the question or hypothesis
5) evaluating results of the test or study
Term
What does a person have to do to make a decision?
Definition
1) recognize and define the problem or situations.
2) assess all options.
3) weigh each option against a set of criteria
4)test possible options
5)consider the consequences of the decision
6) make a final decision.
Term
What is diagnostic reasoning?
Definition
It is a process of determining a client's health status after you assign meaning to the behaviors, physical signs, and symptoms presented by the client.
Term
What is inference?
Definition
the process of drawing conclusions from related pieces of evidence.
Term
What is clinical decision making?
Definition
a problem solving activity that focues on defining client problems and selecting appropriate treatment.
Term
How would you improve your clinical decision making?
Definition
by knowing your clients.
Term
In clinical decision making what is the selection of nursing therapy based on?
Definition
The indentified status and situation of the client
Knowledge about the clinical variables involved in the situation and how the varables are linked togehter
a Judgnment about the likely course of events and outcomes of the diagnosed problem, considering any health risks the client has, including knowledge about usual patterns of any diagnosed problem or prognosis
any addition relevant data about requirements in the client's daily living, functional capactiy, and social resources.
Knowledge about the nursing therapy options avialable and the way in which specific interventiosnn will predicatbly affect the client's situation.
Term
What is the purpose of the nursing process?
Definition
diagnose and treat human responses to actual or potential health problems.
Term
What is in the center of the 5 step nursing process model?
Definition
Analysis
Term
What happens before a nursing diagnosis and after it?
Definition
Before: assessment
After: Planning
Term
What comes before and after evaluation in the 5 step critical thinking process?
Definition
Before: Implementation
After: ASsessment
Term
What is the first component of the criticla thinking model for a nurse?
Definition
Specific Knowledge base,
Term
What are the attitudes for critical thinking?:
Definition
Confidence, thinking independently, fairness, responsibility and authority, risk taking, discipline, persecerance, creativity, curiosity, integrity, humility
Term
Why should a nurse be confident?
Definition
Because if you are not confident in completing a nursing skill, you focus on your feelings of anxiety in not knowing what to do.
Term
Why should a nurse think independently?
Definition
by considering all sides of the situation it allows you to consider and/or challenge another persons opinion aobut a problem. This allows the best option for the patient.
Term
Why should a nurse be fair?
Definition
A critical thinker deals with situations justly, do not let your own opinions influence the decision for a patient, walk a mile in their shoes....
Term
Why should a nurse be responsible or accountable?
Definition
because a good nurse is capable at recognizing when nursing care is ineffective.
Term
Why should a nurse be a risk taker?
Definition
Because often times a better procedure comes out, it allows the advancement of medicine.
Term
Why should a nurse be disciplined?
Definition
So that he never misses details and follows a systematic approach to problems.
Term
Why should a nurse persevere?
Definition
Because many problems are re-occurring and various approaches may be needed before the correct on is found.
Term
Why should a nurse be creative?
Definition
Because we are awesome like that ;)
But really, so that various solutions to problems can be brain stormed and put into effect.
Term
What is a critical thinkers favorite question?
Definition
Why?
Term
What is a person if they have integrity?
Definition
a nurse with integrity has honesty and is willing to admit to mistakes or inconsistencies in his or her own behavior, ideas, and beliefs.
Term
Why should a nurse have humility?
Definition
because a clients welfare and safety are at risk when you don't admit to not knowing how to do something.
HAVE HUMILITY, ASK SOMEONE WHEN YOU DON'T KNOW.
Term
What is an intellectual standard?
Definition
an intellectual standard is a giudeline or principle for rational though.
Term
What are some ways to become a better critical thinker?
Definition
Reflective journaling,
Term
What are some things you should ask yourself in your reflective journal?
Definition
What experience, situation, or information in your clinical experience seems confusing, difficult, or interesting?
What is the meaning of the experience, feelings you had?
Do the feelings, guesses or questions remind you of any experience from the past or present?
What are the connections between what is being described and what you have learned about nursing science, research and theory?
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