Review of Knowledge (ROK) NR224 – Fundamentals of Nursing I Unit 1 Concepts NR 224 Exam 1 Key Concepts Chapters 15, 16, 28,29,38, & 39.

Chapter 15: Critical Thinking in Nursing 1. Discuss the importance of critical thinking in nursing practice.  Be able to think in a systematic and logical manner  Having open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant.  Analyzing information and evaluating and drawing conclusions  Using evidence- based knowledge in critical thinking  Basically using the nursing process ... 2. Discuss the factors that need to be considered when making clinical decisions. i. Discuss the levels of the critical thinking model. Basic, Complex, Commitment Basic Critical ThinkingBasic critical think level - the learner trusts that expert have the right answers for every problem.  They are likely to follow the procedure step by step without adjusting it to meet a patient’s unique needs  Inexperienced  Typically has weak competencies  Inflexible attitudes Ex: positioning to minimize the patient’s pain or mobility restrictions. For example: Referring to hospital policy and procedure for guidelines in inserting a Foley catheter. May not be able to modify for patients with unique needs.  Answers to complex problems as either right or wrong.  Learns to accept the diverse opinions and values or experts.  Inexperience, weak competencies, inflexible attitudes restrict a person’s ability to move to the next level of critical thinking. Complex Critical Thinking –  Begin to rely less on experts and trust their own decisions more. Ex: rather than using a procedure manual, you analyze the clinical situation and examine choices more Dr. CA 1 Atlanta Campus Exam 1 Key Concepts independently.  A complex thinker considers different options from routine procedures.  More experience than basic  Uses different approaches for same therapy Commitment –  You anticipate when to make choices without assistance from others and accept accountability for decision made.  You choose an action or belief that is based on the available alternatives and support it.  You consider the results of the decision and determine whether it was appropriate. 3. List the critical thinking attitudes. Confidence-  Gaining more experience in reasoning and decision making, does not hesitate to disagree and be troubles, thereby acting as a role model to colleagues.  Speaks with conviction to a patient when you begin an intervention  Do not lead the patient to think you are unable to perform a task. Thinking independently-  Be open minded about different interventions.  Talk with other nurses to share ideas about nursing interventions. Fairness-  Listen to both side of a discussion. Responsibility and authority –  Ask for help if you are uncertain about a nursing skill  Responsible for correctly performing nursing care activities on the basic standard of practice Risk Taking-  If your knowledge causes you to question a healthcare providers order, do so  Be willing to recommended alternative approaches to nursing care when colleagues are having little success with patients. Disciple  Be through in whatever you do  Used known scientific and practice-based criteria for activities such as assessment and evaluation. Mange your time effectively.  Perseverance: Determined to find effective solutions  Creativity: Original thinking.  Curiosity: Always ask "why?"  Integrity: Continually test your own knowledge and beliefs.  Humility: Admit to personal limitations in knowledge and skill. 4. List and provide an example of each critical think