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| Mehtodical, systematic approach to explore conditions and develop solutions, including analysis of data, determination of causitive factors, and selection of appropriate actions to reverse or elimation of a problem. |
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| a product of critical thinking that focuses on problem resolution. |
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| Process that enables an observer to assign meaning to and classify phenomena in clinical situations by intergrating observations and critical thinking |
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| the process of drawing conclusions from related pieces of evidence and previous experience with the evidence. Involves forming patterns of imformation from data before making a diagnosis. |
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| Problem- Solving approach that nurses use to define patient problems and select appropriate treatment. |
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Sytematic problem-solving method by which nurses individualize care for each patient. The five steps of the nursing process are
- assessements
- diagnosis
- planning
- implementation
- evaluation
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| Learn how to introduce yourself to a patient; speack with conviction when you begin a treatment or procedure. Do NOT lead a patient to believe you are unable to perform care safely. Always be well prepared before performing a nursing activity |
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| Learn to consider all sides of a situation. you challenge the way others think and look for rational and logical answers to a problem |
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| Listen to both sides to any discussion. If a patient or family member complains about a co-worker, listen to the story and then speak w a co-worker as well. If a staff member lables a patient uncooperative, assume the care of that patient w openess and a desire to meet that patients needs |
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| Responsibilty and Authority |
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| Ask for help if you are uncertain about how to perform a nursing skill. Refer to a policy and procedure manual to review steps of a skill. Report any problems immediatily. Follow standards of practice in your care. |
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| If your knowledge causes you to question health care provider's order, do so. Be willing to recommend alternative approaches to nursing care when colleagues are having little success w patients |
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| Be thorough in whatever you do. Use known scientific and practice based criteria for activites such as assessment and evaluation. Take time to be thorough and manage your time effectively. |
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| Be cautious of an easy answer. If co-workers give you information about a patient and some fact seems to be missing, clarify the info or talk to the patient directly. If problems of some type continue to occur on a nursing division, bring co-workers together, look for a pattern, find a solution. |
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| Look for different approaches if interventions are not working for a patient. For example, a patient in pain may need a different positioning or distaction technique. When appropriate, involve patient in adapting your approaches to care methods used at home. |
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| Always ask why. A clinical sign or symptom often indicates a variety of problems. Explore and learn more about the patient so as to make appropriate clinical judgements |
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| Recognize when your opinions conflict w those of a patient; review your position, and decide how to best to proceed to reach outcomes that will satisfy everyone. Do NOT compromise nursing standards or honesty in delivering nursing care |
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| Recognize when you need more info to make a decision. When you are new to a clinical divison, ask for a orientation to the area. Ask RN's regularly assigned to the area for assistance |
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the process of purposefully thinking back or recalling a situation to discover its purpose or meaning
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| a visual representation of a patients problems and interventions that shows their relationships to one another. |
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A way to solve problems using resoning.
1. identifying the problem
2. collecting data
3. Formulating hypothesis
4. test hypothesis
5. Evaluate Results |
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At this level in critical thinking a nurse anticipates when to make choices w/o assistance from others and accepts accountability for decisions made
you choose action on belief based on the available alternatives and support it. |
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| Complex Critical Thinking |
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| Analyze and examine choices more independently thinkin becomes more creative and innovative |
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| Thinking is concrete and based on a set of rules or principles. |
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| Levels of critical thinking |
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Level 3 (commitment)
Level 2 (Complex)
Level 1 (Basic)
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| Components of critical thinking |
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specific knowledge base
experience
competentencies
attitudes
standards |
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| be eager to acquire knowledge and learn explanations even when applications of knowledge are not immediatly clear |
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| Multiple solutions are acceptable. Reflect on your own judgments have cognitive maturity |
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| Be organized and focused; work hard in any inquiry |
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| Trust in your own reasoning process |
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| Analyze potentially problematic solutions; anticipate possible results or consequences value reason; Use evidence based knowledge |
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| Be tolerant of different views; be sensitive to the possibility of your own prejudices; respect the right of others to have different opinions |
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| Seek the true meaning of a situation. Be courageous, honest and objective about asking questions |
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| Reflect on your experiences. Identify the ways you can improve your own performance. What will make you believe that you have been successful. |
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| Support your findings and conclusions. Use knowledge ans experiences to choose strategies to use in the care of patients |
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| Look at all situations objectively use criteria expected outcomes, pain charateristics, learning to determine results of nursing actions. reflex on your own behavior |
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| Look at all the meaning and significance of findings . Are there relationships between findings? Do the data about the patient help you see that a problem exists? |
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| Be open-minded as you look at info about the patient. Do not make careless assumptions. Do the data reveal what you believe is true, or are the other options? |
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| Being orderly in data collection. Look for patterns to categorize data. Clarify any data you are uncertain about |
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| Knowledge based on research or clinical expertise, makes you an informed critical thinker |
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| A continuous process characterized by open mindness continued inquiry and perseverance. Combined w a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant. |
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