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Reflection on critical thinking
What is critical thinking
Reflection on critical thinking
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On countless occasions throughout my nursing career, I was privileged to precept senior students and new graduate nurses during their clinical rotation in the Emergency Room where critical thinking is a constant nursing practice. This essential attribute of our profession will serve as a springboard for a comprehensive examination of concept analysis process. Therefore, the initial step in this project should be to establish a definition of concepts which are identified as building blocks of theory. Subsequently, concept analysis is a method of research which " can provide a clarity by investigating these terms through a logical and systematic approach that provides rigorous definitions (Helvig, 2015). That leads me to a brief review of the definition of critical thinking …show more content…
Furthermore, the analysis should also include an overview of various applications allowing to discover other areas of concept’s implementation; for example, in “the fields of social and health science, marketing, engineering, business, and theology as an effective education teaching strategy"(Colln- Appling, 2016, p. 107). The next step of the analysis is the identification of the attributes of my researched concept, and that means to expound on characteristics of critical thinking described as problem recognition, clinical decision-making, prioritization, clinical implementation, reflection (Turkel, 2016). With that in mind, the following part of this analysis is to identify a model case which would reflect the complete example of utilization of critical thinking in a clinical setting. That aspect of concept study allows me to remember the recent interaction with one of my patients who called me complaining of feeling weak and dizzy assuming those symptoms were related to his blood sugar level of 195. However, having ten years of experience in emergency
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.
Health care organizations and the way patient care is delivered is rapidly changing. The ability to manage, promote, and facilitate change is one of the most important skills that nursing leaders need to be successful. Influencing change requires effective communication skills, and the ability to help others see the vision (Curtis, De Vries, & Sheerin, 2011). Nursing leadership can no longer take a top down approach when leading change. During periods of organizational change there is great uncertainty. Nurse leaders are responsible for influencing change by creating an atmosphere where information is shared, there is a reshaping of ideas, and a vision is created (Samela, Eriksson, & Fagerstrom, 2011). Effective communication is an essential
Concept analysis seeks to determine structure, function, attributes, and characteristics of a concept which serves to provide common understanding of the term so that future research endeavors find the concept clearly communicable and increasingly measurable. (Smego, 2010.) Compassion Fatigue (CF) within the nursing profession needs to be probed more critically and monitored for trends among certain subspecialties of nursing. Compassion fatigue or otherwise known as Secondary Traumatic Stress Disorder is clinically defined as, “The emotional residue or strain of exposure to working with those suffering from the consequences of traumatic events. It differs from burn-out, but can co-exist.
Vincent nurses, provides a framework for professional nursing practice guided this research. As the business of healthcare is about taking care of people, the model starts with the patient, and their family, as the central focus. Surrounding the patient, are the concepts of mind, body and spirit, which cause us to think holistically regarding the care provided. Finally, the core values/ faith based practices, guide us in managing our patients in a way that is consist with our culture/ values, supportive of our professional growth, encourages the use of best practices, that result in better outcomes, and makes us productive in a way the encourages giving back outside the hospital as well (Stone, 2011).
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.
Philipe de Freitas C block Mr. Lainer. Mrs. Markham In "Fences," August Wilson explores the intricate dynamics of father-son relationships, showing how generational conflicts, societal pressures, and personal dreams shape these bonds. The play reveals the deep impact of paternal expectations and disappointments on the identities and life choices of the younger generation. Troy Maxson's relationship with his father is marked by a legacy of hardship and abuse, which profoundly influences his own approach to fatherhood. “Sometimes I wish I hadn't known my daddy.
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).
A Review of the Fundamental Patterns of Knowing in Nursing Nursing takes on a different form of learning that reflects several different aspects and abilities that encompass a wide range of skills and forms the ways of knowing in nursing. The article, “The Fundamental Patterns of Knowing in Nursing,” incorporates multiple theories associated with the learning patterns in nursing. It is a review of literature that helps identify and understand the knowledge practiced by nurses and to better understand the nursing profession. The purpose of the paper was to evaluate the expectations of learning within the nursing realm based on the four areas of nursing that include, empirics, esthetics, personal knowledge and ethics. Empirics: The first step in learning is to understand the objective data.
What is not easily recognized is the fact that the very fabric of life is dependent on the ability to think properly and make good decisions. Improper thinking is costly in the quality of life and monetarily. The result of a critical thinker that has worked to cultivate proper thinking skills includes: the ability to ask vital questions and to identify problems with clarity. A critical thinker also collects relevant information while effectively interpreting it, thinks with an open mind, uses alternative systems of thought, and understands how to communicate while working to formulate a strong solution. In summary, critical thinking is self-disciplined, self-monitored, and self-corrective thinking. Above all else, the standards of excellence are rigorous, and it entails the prospect of overcoming the challenge of sociocentrism and
Rodgers, L. & Knafl, K.A. (1993). Concept Development in Nursing: Foundations, Techniques, and Applications. (pp.73-92). Philadelphia, PA: W. B. Saunders.
Nursing theory can be used to empower nurses by giving autonomy and improve skills. With the rise of healthcare, administrative decisions involving nurses could have a negative effect on patient care. There are four concepts that make up the nursing metaparadigm, person, environment, health and nursing and act as the model for nursing care. All theories in the nursing practice proves valuable within the profession but may vary between different theorists depending on what their beliefs are. Some theorists can view the same situation entirely different. Both Rogers and Neuman were theorist that developed theories for viewing and caring for patients but in two different ways. Professionalization, coherence, and enhanced communication are three arguments when determining the importance of theory in nursing. Multi-disciplinary nursing becomes necessary to achieve positive patient
Theory and Conceptual Models The Foundation of Nursing The profession of nursing has been transformed and redefined by preceding nursing theorists who pursued their efforts passionately to lay the groundwork of this profession. Parse (1997) defined a discipline as "a branch of knowledge ordered through the theories and methods evolving from more than one worldview of the phenomenon of concern (as cited in McEwen, M., & Wills, E.M., 2014)". A discipline made up of an ever-changing evolvement of information built upon an existing rooted body of knowledge, undeniably instrumental in defining the subject.
1.The characteristics that intrigued me of the nursing practice was as a patient at the Danbury Medical Center. As a patient, the nurses gave me the most delightful patient care ever received. They took their time to make sure my care was an urgency. When my pain had increased the nurses were there by my side. They had taken the time to make sure the proper dose of medicine was given to me at the correct time. Even though my current status was lying in bed with a fractured femur. They took the time to make sure my needs were met. I had never expected that going to the hospital from flying off a cliff on my skateboard would direct me in my future dream job. The nurses showed me what patient care really and truly was. Patient care is putting others in front of your own needs. Being a great nurse is showing your patient that there is hope. Patient care is not only making sure your patient is satisfied but making sure their family and loved ones are cared for as well.