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Critical thinking skills and reflection
Critical thinking skills and reflection
Evidence based practice used in clinical settings
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Gestational Diabetes – Concept Map Concept maps are tools that offer a framework for healthcare professionals to analyze and problem solve to improve the quality of care and patient outcomes. Concept maps can assist individual healthcare professionals or interprofessional teams to improve patient-centered care. Furthermore, concept maps allow healthcare professionals to communicate and incorporate evidenced-based knowledge and interventions to improve the quality of care in a holistic approach to ensure positive patient outcomes (Aein & Aliakbari, 2017).
The relevance of a Concept Map The concept map adds relevance and value in the nursing practice, which improves the quality of care and patient outcomes. The concept map has been demonstrated in studies to improve patient outcomes by cultivating critical thinking skills to encompass all the evidence to gain an insightful understanding of the problem to be solved and the interventions to solve the problem (Aein & Aliakbari, 2017; Moattari, Soleimani, Moghaddam, & Mehbodi, 2014). Also, the concept map encourages patient
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The concept map has the advantage of allowing healthcare professionals to brainstorm and develop treatment plans that are disease specific and patient-specific (Aberdeen, 2015b). Furthermore, the concept map permits the healthcare professionals and the patient to manipulate and visualize the map to gain a deeper understanding of how a goal must be addressed to accomplish the desired outcomes. This promotes learning and encourages patient participation and compliance, which improves patient outcomes (Aberdeen, 2015b). However, the GMD patient must invest in the ideas of the concept map, choose to participate, and follow through with the interventions to improve the quality of care, and patient outcomes (Green, Fettes, & Aarons,
One of the most crucial health problems affecting the people of Kern County is diabetes. The risk factors include: being over the age of 45 years old, having high blood pressure, having pre-diabetes, coming from an ethnic minority or low income household, smoking, being overweight or obese, physical inactivity, and eating less than five fruits and vegetables a day. Diabetes is a chronic medical condition where people identify themselves with irregular quantities of blood glucose, which can be a cause from deficiencies in the making of insulin. There are two types of diabetes that people are diagnosed with. The first one is known as Type 1 diabetes, which has to do with influences in your genetics, and Type 2 diabetes, which is brought on by choices in your daily routine. Gestational diabetes occurs while you are pregnant, and if it is not monitored well pregnant women can develop Type 2 diabetes within 5-10 years (Diabetes in C...
Weaver , K., & Mitcham, C. (2008). Nursing Concept Analysis in North America State of the
Diabetes develops when the body can't efficiently produce or use insulin made by the pancreas. Insulin is a hormone made by the pancreas that lets cells change glucose into fuel. When glucose accumulates in the blood in large amounts, it means that cells aren't getting the fuel they need. Gestational diabetes (GD) is a type of diabetes that can develop in a pregnant woman who did not necessarily have diabetes before becoming pregnant. This condition is caused by changes in a pregnant woman’s metabolism and hormone production where the body does not produce enough insulin to deal with the increased blood sugar of pregnancy. Symptoms of GD can include excessive thirst, more frequent urination, vaginal infections, and high blood pressure. GD almost always disappears once the baby is born and is usually not an indicator of the child developing diabetes later in life.
Relate personal learning style to preparation for the NCLEX-RN: Critical thinking and being able to work together with the healthcare team is a key to be a successful nurse and providing the best care to the patients. A nurse should understand the disease process to fully understand how to care and organize a plan to care for assigned patient. This concept will also help me learn and understand better and eventually apply this knowledge toward NCLEX as well. My goal is to exhibit the use of my critical thinking skills throughout assessing, diagnosing, planning, implementing and evaluating nursing care (ADPIE). Much of the nursing school courses specially medical- Surgery centered around evidenced based which now I can see how to relate them into capstone course and eventually helping me to pass NCLEX.
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)
In order to identify a more precise understanding of concept analysis, several articles were reviewed that utilized differing methods for analysis. The first article “Missed nursing care: a concept analysis” by Kalisch et al.
In recent years, diabetes education has become an integral part of diabetes treatment (Piccinino et al, 2015). The 2012 National Standards for Diabetes Self-Management Education (DSME) defines education as an exchange of knowledge, tools and practices that will address client needs. Patients need information about their illness, side effects, complications and how to care for it. Diabetes education must be effective and accurate in quality, content, and method (Atak & Arslan, 2005). Diabetes education should happen concurrently with diagnosis and throughout treatment for a patient and should involve a structured program.
The 'Standard' of the 'Standard'. Gestational Diabetes. Retrieved from http://www.babycenter.com/0_gestational-diabetes_2058.bc. Bennett, L.B., Bolem, S., Wilson, L.M., Bass, E.B., Nicholson, W.K. (2009). The 'Standard' of the 'Standard'.
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
One of the most essential aspects of doing a job well, no matter what job it is, is the ability to think critically about a situation. Finn (2011) defines critical thinking as “the ability and willingness to assess claims and make objective judgments on the basis of well-supported reasons and evidence rather than emotion or anecdote”. The difference between assessing a certain situation critically and assessing it without any evidence to corroborate your claims is that when you look at something critically, you are using your ability to “come up with the alternative explanations for events, think of research findings and apply new knowledge to social and personal problems” (Finn, 2011). When you can come up with other explanations using evidence, you can also create an alternative way of enhancing the situation. Critical thinking skills are especially important to nurses in a fast-paced setting. Nursing is a very demanding and rewarding field to enter into; it becomes enjoyable when you are good at it. In order to be good at their jobs, nurses need to learn the skills required to think critically and also, relate those skills to their everyday routines. This is known as evidence-based practice. Evidence-based practice is defined as “using the best scientific evidence available to guide clinical decisions and interventions with the goals of fostering self-management skills and improving health outcomes” (Miller, 2011). This paper examines the skills required for critical thinking, how to learn these skills, and how to apply them in clinical settings. (Miller, 2011; Finn, 2011; Noonan, 2011; Lunney, 2010; Wangensteen, Johansson, Bjorkstrom & Nordstrom, 2010; Chitty & Black, 2011).
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.
These tools are helpful in framing my practice into interventions that are evidenced based and effective. However, I’ve found that allowing patients and their families to be the guide for the treatment plan gives then much needed control over their lives as a uncertainty and lack of control have become the norm for them. It also keeps me honestly engaged in intentional and active listening to the patient. I am always looking to them for cues on ways to join them on their journey. Listening to my patient from a person-centered perspective cures my need to solve everything for the patient. Many of them have the solutions and we are partners in discovering the road to those solutions. Even when a patient may be full of despair and feeling low, they continually express that they are more than a diagnosis. They are a person who has many influences that may greatly impact their illness experience. As their therapist, my role is to respect their desires and goals, and help them maintain optimal functioning in this
Diabetes is a common disease, which can be a serious, life-long illness caused by high levels of glucose in the blood. This condition is when the body cannot produce insulin or lack of insulin production from the beta cells in the islet of Langerhans in the pancreas. Diabetes can cause other health problems over time. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complications, the purposes of teaching a plan for diabetes patients are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.
Gestational diabetes is a form of diabetes that occurs during pregnancy. Although it usually goes away after the baby is born, it does bring health risks for both the mother and baby. When you’re pregnant, pregnancy hormones make it harder for insulin to move glucose from your blood into the cells. If your body can’t produce enough insulin to overcome the effects of insulin resistance, you’ll develop gestational diabetes. (IHC, 2013)