Qualitative Article Critique Critical thinking and clinical judgment are important skills that professional nurses use in every day clinical setting. In 2012, a mix method qualitative study by Dr. Jeanne Mann was done to evaluate the effectiveness of educational strategy to develop clinical judgment skills in nursing students. In this study, the population was identified as volunteered Level II baccalaureate nursing students from a Midwest nursing program. The variables identified in this article are the relation between critical thinking and clinical judgment. The title of the article clearly indicated the focus of the study and created an interest in reading the research due to nurses utilize their ability to critical think and clinical judgment in all aspect of their practice. Problem Critical thinking and clinical judgment are vital skills for professional nurses. According to Mann (2012), research has indicated that nearly one-third of the new graduate nurses have adequate critical thinking skills for entry-level practice. The problem identified in this article was that research indicated that majority of graduate nurses were not capable of meeting entry-level expectations for clinical judgment (Mann, 2012). Purpose The purpose of this article was clear and concise. The purpose of this mix method qualitative study was to “evaluate the effectiveness of grand rounds as an educational strategy to develop critical thinking and clinical judgment skills in baccalaureate nursing students” (Mann, 2012, p.27). The Lasater’s Clinical Judgment Rubric was used to assess the nursing students’ clinical judgment (Mann, 2012). The Assessment Technologies Institute’s (ATI) Critical Thinking Assessment (CTA) was utilized to assess the... ... middle of paper ... ...re enthusiastic regarding the strategy supported by their comments related to working in small groups, grouping processing, and learning from each other (Mann, 2012). Conclusion It is important that professional in nursing apply critical thinking and clinical judgment skills in every day practice. These skills are vital to nursing practice and research has shown that many graduate nursing are not competent of meeting entry- level expectations for clinical decision making. This mix method qualitative study indicated no significant relation between critical thinking and clinical judgment. Works Cited Mann, J. (2012, January-February). Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students. The Kansas Nurse, 87(1), 26-31. Retrieved from http://kuscholarworks.ku.edu/dspace/bitstream/1808/6742/1/Mann_ku_0099D_11045_DATA_1.pdf
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treating fever etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determining 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.
As a future nurse, this author will continue to utilize critical thinking skills to be able to clearly and rationally think to avoid harm, keep patients safe at all costs, and deliver patient-centered care. All which can be accomplished by applying the knowledge gained from the program’s content and clinical experience. Lastly, this author will be sure to make sound and safe judgments by critically thinking through challenging
Wayne, D., & Lotz, K. (2013). The simulated clinical environment as a platform for refining critical thinking in nursing students: a pilot program. Nursing Education Perspectives, 34 (3), 163-166.
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
Caring promotes patient health, individual growth, and stimulates coping skills, and therefore must always be emphasized in holistic patient care (Zimmerman & Phillips). In addition to its value in patient care it is also a central component of a nurses critical thinking process (Zimmerman & Phillips, 2000). “According to Brookfield (1987), critical thinking is a process of active inquiry which combines reflective analysis with informed action and has an emotive or affective component that is central to this process”(Zimmerman & Phillips, 2000, p. 223). Thus, when a nurse is aware of their patient’s holistic needs they are better able to care for their patient and in doing so enhance their critical thinking abilities (Zimmerman &
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
Preusser, B. (2008). 4th Ed. Winningham and Preusser’s critical thinking in nursing: Medical-surgical, pediatric, maternity, and psychiatric case studies. New York: Elsevier/Mosby Inc.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
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.
The use of clinical judgement and decision making in nursing is a cognitive process occurring frequently in clinical setting throughout the day (standing, 2008). It requires us to consider the reason why a decision is needed and the alternatives, before concluding what might the best action in the circumstances presented (Reading and Webster, 2014).
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 ???
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.
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
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
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.