During a clinical rotation I was assigned a client hospitalized for pancytopenia associated with chemotherapy treatment for lung cancer and a history of subcutaneous (discoid) lupus. This client was suffering from extensive open wounds of the bilateral upper extremities, face, neck, chest, back, breasts, and abdomen including a platelet count of 61th/mm3. Medical treatment plan recommended treating as a burn patient for treatment of the extensive open wounds.
Implementation of nursing process (assess, diagnose, plan, implement, and evaluate) is the foundation of the way nurses think. Research done on critical thinking that mirrors the nursing process can make it easier to cognitively integrate critical thinking into routine nursing care—as
The guidelines’ first focus is the definition of sepsis, which makes sense, because there is no way to effectively treat sepsis without an accurate and categorical definition of the term. The guidelines define sepsis as “the presence (probable or documented) of infection together with systemic manifestations of infection”. Such systemic manifestations can include fever, tachypnea, AMS, WBC >12k, among others; these manifestations are listed in full in Table 1 of the guidelines. The definition for severe sepsis builds on to the definition of sepsis, bringing organ dysfunction and tissue hypoperfusion (oliguria, hypotension, elevated lactate) into the picture; full diagnostic criteria is listed in Table 2. The guidelines recommend that all
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
Rubenfeld, M. G., & Scheffer, K. B. (2015). Critical thinking tactics for nurses: Achieving the IOM competencies (3rd ed.). [VitalSource Bookshelf Version]. http://dx.doi.org/9781284059571
This is a practice that provides a thinking framework through the provision of nursing skills to an organization. It is a useful, flexible tool in nursing practices that allows one to think and develop more creativity. Nursing process involves five phases in which when combined
The symptoms experienced by Carlton are in the group of the cardinal signs of inflammation that have been identified for centuries (Grossman & Porth, 2014). Carlton’s wound is in the first stage, the inflammatory phase, of acute inflammation, which is the beginning of a complex, regulated, and critical process of immunologic events (Rosique, Rosique, & Farina Junior, 2015). There are two main types of stimuli that cause this kind of biological and immunological reaction: physical injury and microbial infection (Qian et al., 2016).
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
Yildirim, B. & Ozkahraman, S. (2011). Critical Thinking in Nursing and Learning Styles. 1. Retrieved from http://www.ijhssnet.com/journals/Vol_1_No_18_Special_Issue/15.pdf
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Lunney, M. (2010). Use of critical thinking in the diagnostic process. International Journal Of Nursing Terminologies & Classifications,21(2), 82-88. doi:10.1111/j.1744-618X.2010.01150.x
Sorensen, H. J., & Yankech, L. (2008). Precepting in the Fast Lane: Improving Critical Thinking in New Graduate Nurses. Journal Of Continuing Education In Nursing, 39(5), 208.
In the 21st century, growing health care needs, development in medical technology, patient safety issues and emerging new diseases are currently areas of concern among healthcare systems worldwide. Taking into consideration these, along with the shortages of nursing personnel, have led to significant shifts into more complex nursing role. As a consequence, nurses are constantly required, by means of academic education, to equip themselves with critical thinking skills in order to deliver high-quality nursing care and achieve better patient outcomes (Scheckel, 2009). Therefore, nursing educational institutions are challenged to prepare and produce high educated nurses to meet those demands. Moreover, nursing students are expected to be able and ready to apply the lesson learned from their education into practice in various clinical settings after graduating.
Critical thinking is the key to preventing and resolving a problem which centers not only on answering questions, but also questioning answers. It requires specific skills such as questioning, probing, and judging (LeFevre, 2012). Critical thinking is an important skill to have when working in the medical field. To be a nurse, a person will need a lot of critical thinking skills to be successful in their job. It’s very demanding that’s why it’s hard job to do. A person does not only need to work hard, but he also needs to work efficiently. However, to work effectively a person will need to use his critical thinking skills. This paper will discuss the critical thinking attributes that I have, and will use when I become a nurse.
Critical thinking was important for both the care of the patient and for evidence based research. The artifact that best represents my growth in the critical inquiry outcome of the program is my Colleagueship Analysis paper. The colleagueship paper was the base to creating our policy paper for NURS 450. To create the colleagueship paper, I pulled in all the knowledge I learned throughout nursing school about how to collect evidence through research. Forming the paper contained of using my critical thinking of how I would use the evidence I had and utilize it in the paper to explain and make known what issue I was focusing on. I researched several articles and gathered information from personal interviews. As I attained evidence of my policy issue, putting the information together was critical in order to portray the importance of the issue. The research process that began with the colleagueship paper vital for the formation for the final policy analysis in NURS 450. During the process, I found growth in my ability to research and comprehend the evidence I found that related to my
...s expressed by most treating physicians if best treatment is not possible. Most of those wound are sadly sent to a community nurse for dressing change without the patient coming back to the treating physician for assessment of "maintenance wound" treatment.
In the healthcare setting, a systematic process to ensure maximum care and maximum recovery in patients is needed, which is called the nursing process. This process consists of four steps: assessment, diagnosis, planning, implementation, and evaluation (Walton, 2016). The nursing process is important to ensure quality care and to get the preferred outcome. In the nursing process, critical thinking is used to recognize the issue and come up with a logical solution to solving it. One important aspect of the nursing process is that the plan is not set in stone; it is meant to be manipulated in order to better suit the patient. Nurses must be able to think critically in order to recognize the issue, develop a way to correct it, and be able to communicate the issue to others. Throughout the nursing process, critical thinking is used to determine the best plan of care for a patient based on their diagnosis.