When it comes to nursing school and nursing as a career, clinical reasoning and critical thinking go hand in hand. The APA states that critical thinking is defined as, “purposeful, self-regulatory judgment that uses cognitive tools such as interpretation, analysis, evaluation, inference, and explanation of the evidential, conceptual, methodological, criteriological, or contextual considerations on which judgment is based”(as cited in Clinical Reasoning, Decision making, and Action: Thinking Critically and Clinically, Benner,Hughes,Sutphen, 2008). Also stated by the APA, clinical reasoning is defined as, “a situated, practice-based form of reasoning that requires a background of scientific and technological research-based knowledge about general …show more content…
In school I have learned about what level of care is required for certain things such as a low oxygen saturation, a high blood pressure, or a low heart rate. When I am out in the real world these most likely will not be the only problems my patients will have, so I am going to have to think critically in order to prioritize my care. By using clinical reasoning and critically thinking I can break down all the problems my patients are having, rate them on a scale of most demanding to least demanding, and urgent versus not as …show more content…
Especially if the nurse is a new graduate nurse, “today 's new graduate nurses are exposed to increasingly demanding and complex acute care environments that require an ability to effectively think and reason to provide quality patient care,”(Oja, 2011). Many factors can contribute to the complication of certain tasks. Time can be a very complicated aspect in a shift at the hospital. Being a nurse involves helping and caring for people. Depending on the acuity of the nurses workload they could struggle with how exactly they can care for all their patients while being on a schedule. Certain medications are due at certain times, patients need toileting, bathing, feeding, turning, ambulating, and many more tasks need completed. Critical thinking can be used to help with completing these tasks because as a nurse we will have to think about tasks that can only be completed by a Registered Nurse and the certain things that can be delegated to UAP’s such as toileting, bathing, vitals, feeding, and other patient care
The fifteen year battle over the life of Terri Schiavo dominated popular culture in the early 1990’s until her death in 2005. The heated court cases that were to decide this woman’s fate caused a deep fissure to form between her husband Michael Schiavo and her family, the Schindler’s. This decade and a half crusade was propagated by intuitive Christian mind set of the Schindler’s and their supporters as they presented no evidence to support their claim that Terri was living in a broken body besides anecdotal information. They fell victim to confirmation bias as they grasped for any glimmer of hope that their daughter was still alive, buried beneath her own shell of a body, screaming to get out. In the following pages, the anecdotal information will be presented and explained while showing how the methods of critical analysis should have been applied to ascertain the same conclusion reached by the judges but in a more expedient process. To begin, a general overview of the case will be given followed by the presentation of anecdotal evidence such as the video records that “proved” Terri was not in a persistent vegetative state (PVS), the construct of the Schindler’s argument founded in fundamental Christian beliefs, and other pattern seeking/pattern finding behavior that was used to vilify Mr. Schiavo as well as justify much of the observational evidence used to determine causal relationships.
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
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treat fever, etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determine the correct intervention. Include how much autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process was automated, list two instances where a nurse may use “wisdom” to override the automated outcome suggested. Note the risks and benefits of using clinical decision-making systems.
Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents ???
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.
2. The critical-care nurse needs to be alert to the potential problems that may be encountered by the brain-injured patient, who may be at risk of sudden deterioration at any time. This involves taking a holistic view of the
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.
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
Prioritization is to make sure that the patient receives safe and quality care. A nurse would prioritize care of a patient based on their individual needs. The nurse uses critical thinking to determine what issues need to be addressed first, such as assessing the patients respirations, circulation, neurosensory, food and fluid intake, bowel and bladder eliminations, comfort, rest, sleep, safety, activity, hygiene, significant relationships, ego, integrity and sexuality. The first level of prioritizing to makes sure that the patient’s ABC’s are not compromised. ABC’s refer to airway, breathing, and circulation. The nurse is going to take care of a patient who is having trouble breathing or does not...
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
The second assignment on ATI was called Nursing Logic. Under this module, there were four units; knowledge and clinical judgment, nursing concepts, priority setting frameworks, and testing and remediation. These units provided rich explanations to nursing students on how to gain knowledge and obtain the necessary clinical judgment, the importance of prioritizing care in certain situations, and the values of testing and remediation throughout nursing school.
Nurses engage in clinical reasoning in order to provide effective and consistent care. According to Kozier et al (2014) clinical reasoning is “the thought process used to assess a clients evolving situation
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.