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Importance of critical thinking in the nursing process
Importance of critical thinking in the nursing process
Importance of critical thinking in the nursing process
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The article “Promoting the 6Cs of Nursing in Patient Assessment” by Clarke (2014), is one that covers the different elements of patient assessment, how critical thinking is required in assessment and how nurses can integrate caring into their nursing process, primarily during patient assessment. Patient assessment is the first part of the nursing process and requires the nurse to collect objective and subject information for analysis that can be then attributed to a nursing diagnosis (Potter et al., 2014). Even after a diagnosis has been made, nurses must continue to assess and analyze their patients in order to ensure the patient is in good condition and that treatment is going as planned (Potter et al., 2014). In the case of critical thinking, it is “a complex phenomenon that can be defined as a process and as a set of skills” and often focuses on sound logic and reasoning (Potter et al., 2014, p. 141). The definition of Caring differs somewhat depending on the theorist, but in essence it boils down to a concept central to nursing that requires the nurse to support the patient in their health, …show more content…
Yes, the article lists it within the table on page 56, but only one concrete example is given on how the two exactly come together. Clarke explains how “reaching out to hold the patient’s hand while greeting him or her enables introductions to be made, consent to be gained and brief assessment of peripheral warmth, while the patient’s response allows for immediate assessment of the airway” (Clarke, 2014, p. 55-56), which is a great example of how assessment and caring come together. For the other sections of ISBAR we are left to imagine ourselves how the different Cs come into play, which while a good thinking exercise, is frustrating as a novice wanting more examples. Overall though the article was great at what it set out to
Monitoring a health and social care team’s performance is essential so that any threats to its service delivery, are identified early and corrective actions taken. There are two dimensions of team functioning: the tasks the team are required to do, and the social climate that impacts on how they operate. The social climate will determine how team members cope with diversity of opinions, accept difference and resolve conflict.
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
Critical Thinking is the thought process where the client’s problem is defined, evidence based practice in caring is examined, and then choices for the delivery of patient’s care are made.
The purpose of the paper is to discuss the activities involved during the evaluation of a patient. Evaluation of a patient can be seen as the process of examining a patient critically. It comprises of gathering and analyzing data about a patient and the illness (Allan, 2012). The core reason is to make judgment about the disease one is suffering from. Such judgment will guarantee proper treatment and diagnosis. Typically, gathering of information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient.
According to Bandman & Bandman (1995), critical thinking is defined as the rational examination of ideas, inferences, assumptions, principles, arguments, conclusions, issues, statements, beliefs and actions. In this subject ‘Critical Thinking in Nursing’ has emphasized critical thinking as an essential nursing skill and its definition of critical thinking have evolved over the years. In short, the general definition of critical thinking is self-directed, self-disciplined, self-monitored and self-corrective thinking. Every nurses must cultivate rigorous standards for critical thinking, however they cannot avoid completely the situatedness and structures of the clinical traditions and practices. They must make decisions and act quickly according to
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.
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.
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
Nursing is a profession that I have always been fascinated with. Nursing is defined as "health promotion, health maintenance, health restoration and providing care to the sick and dying" (Kozier and Erb). There are five values essential to nursing, which include altruism, autonomy, human dignity, integrity and social justice (AACN). Nursing is a profession in which the nurse uses caring as a central concept. Some other characteristics of the nursing profession include art, science, advocacy, and offering holistic care. Nurses use critical thinking in order to problem solve because every patient is unique. The nursing process when assessing a patient includes, data collection, analysis, planning, implementing, and evaluation. Nurses need to be able to deal with change in stressful, fast paced, hectic environments. The treatments and technology is constantly changing therefore nurses need to be able to make quick and important decisions.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
When I became a nurse, in my heart, I knew that I was a caring person; however, I did not have a caring theory driving my practice. After studying Watson’s Human Caring Science Theory, the theory is consistent with my values, which emphasizes a holistic approach with mind, body, and spirit through a caring nurse patient relationship in an environment that promotes healing, comfort, and dignity. Human Caring Science gives the privilege of viewing human life with wonder, respect, and appreciates small and large miracles, which allows the inner world of the patient and nurse to come together in a unique human relationship, in the here and now moment (Watson, 2012, p. 24).
Upper Saddle River, NJ: Prentice Hall. Kozier, B., Erb, G., Berman, A., Snyder, S. J., Buck, M., Yiu, L., & Stamler, L. L. (2014). fundamentals of nursing : caring and clinical judgment. 3rd ed.
It is an essential part of the nursing care plan. The Deliberative Nursing Process consists of five stages: assessment, diagnosis, planning, implementation, and evaluation. These stages focus on creating patient improvement or positive outcomes for patients (Wayne, 2014). The entire process is cyclical, individualized, and flexible, as you can determine whether to continue or modify the plan of care, or terminate the plan of care if the goals were achieved. All five steps are interrelated and depend on the accuracy of each of the preceding steps. The stages are collaborative as well. The nurse is required to communicate with the patient, their family, and other members of the healthcare team to provide quality, patient-centered care. In addition, the nurse uses critical thinking skills throughout the process. Research by Butts and Rich (2015) support Orlando’s theory is considered a middle
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.