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Sample case studies for critical thinking
How to be a critical thinker
How to be a critical thinker
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This chapter define critical thinking and explain the importance of critical thinking in nursing. It is important for the RN to make decisions based on what she has learned, her experience, and skill. Critical thinking is a skills that must be learn throughout our nursing career. Also the chapter discuss about many features of critical thinking which include the practical features of critical thinking. According to the chapter, critical thinking can be defined as “a purposeful, goal directed process of inquiry that utilizes available facts, principles, theories, and abstractions to analyze, make inferences, solve problems, or arrive at decisions.” Also to think critically we have to think RED which means Recognize symptoms, Evaluate arguments,
and Draw conclusions. Critical thinking is the skill the RN have to understand and put it into practice. In clinical judgment, the nurse decisions are based on changing observations and collecting data. The standard of care indicates that nurses should assess, analyze, plan, implement, and evaluate the plan of care for individual patient. A lot of thinking skills supports the critical thinking process, which are cultivated thinking, and deductive and inductive reasoning. The RN will use the nursing process to collect her assessments and gather relevant data which will identify the actual and possible problem. Taking general assessment data by the nurse, drawing conclusions from the data, to identified problems at hand, and preparing a care of plan are the deductive reasoning process. On the other hand, the nurse uses inductive reasoning when the patient came with problems that the nurse has seen already. Due to the assessment data collected, the RN then makes conclusion, asked additional questions and come up with decisions. Acquiring experience in this area will enable the nurse to become better in the use of cues from the patient and the environment to make accurate decisions. In order for the RN to be successful in both personal and professional life, we must practice the process of critical thinking.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-surgical nursing: Critical thinking in patient care (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
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 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.
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.
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.
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
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).
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.
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
Chris had just been promoted as an Executive Assistant for Pat the CEO, Chief Executive Officer, of Faith Community Hospital. Pat had given Chris her very first assignment on her first day of work as an executive assistant and that was to gather information so that Pat can present the issues to the board of directors. Faith Hospital is faced with issues that needed attention and the board of directors must be notified of the issues so that a solution can be remedy to help the hospital stay in business.
While the semester is over and the deadline has expired, I thought I would write this to express my true intended thoughts.
In his essay Critical Thinking: What Is It Good For? (In Fact, What Is It), Howard Gabennesch explains the importance of critical thinking by drawing attention to how its absence is responsible for societies many ills including, but not limited to, the calamity in Vietnam. Yet, at the end of his essay, Gabennesch also mentions that, despite “the societal benefits of critical thinking, at the individual level, uncritical thinking offers social and psychological rewards of its own.”(14). Similarly, it is these rewards that, like the bait on a fishhook, often make individuals hesitant to engage in critical thinking despite the resulting harm to both them and society.
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.