1. Self reflection < Ans > The process of purposefully thinking back or recalling a
situation to discover its purpose or meaning. Reflection is necessary for self-evaluation
and improvement of nursing practice.
CNO Quality Assurance Program
-Reflect on Practice
Nursing Theory
-Reflect on your own Self Concept
2. Critical thinking < Ans > A process and as a set of skills; an active, organized,
cognitive process used to carefully examine one's thinking and the thinking of others. Use
of logic and reasoning to make accurate clinical judgements and decisions Purposeful and
reflective
Examine ideas, beliefs, assumptions, principles etc.
Develops over time (experience, knowledge)
3. Nursing Process < Ans > Assessment, Diagnosis, Planning, Implementation, Evalua-
tion.
A problem-solving approach to identifying, diagnosing, and treating the health issues of
patients.
Systematic approach to delivering nursing care
Allows nurses to think critically
4. Best practice guideline < Ans > are evidence informed and contain
recommendations for developing and sustaining collaborative practice models and leadershi
,5. CriticalThinking Level 1 - Basic < Ans > Thinking is concrete and based on
rules/guide- lines
6. Critical Thinking Level 2 - Complex < Ans > -Consider other options in addition to
the basic
-More creative and innovative
-Weigh benefits and risks
7. Critical Thinking Level 3 - Commitment < Ans > -Make choices on your own, take
full responsibility
-Anticipate needs
8. 5 components of Critical Thinking < Ans > 1. Specific Knowledge Base < Ans >
-Education (sciences, theory, humanities, behavioural, nursing sciences)
-Important to admit limitations in your knowledge
,2. Experience < Ans >
-Clinical experiences (nursing school and professional employment)
-Other work experiences
3. Competencies < Ans >
-Cognitive processes
a) General - Scientific Method, Problem Solving, Decision Making
b) Specific-Diagnostic reasoning and Clinical decision making.
-Determining health status of patient after you have gathered all important assess- ments
(physical, social, psychological)
c) Nursing Process
-Five step clinical decision making approach
4. Attitudes < Ans >
Need certain attitudes to think 'critically'
Curious, open minded, discipline, perseverance, honesty, fairness, aware of knowl- edge gap
self-aware and reflective (bias, beliefs, assumptions)
5. Standards
Intellectual Standard < Ans > guideline for rational thought (thoroughness, accuracy, preci-
sion)
Professional Standards < Ans > ethical, evidence informed, and within professional respon-
sibility
, Ex. Provide care that is safe, competent, compassionate, preserves dignity and confidentiali
promotes justice, maintains clients sense of self
See CNO Professional Standards
9. *Practice Question*
You are teaching a 12-year-old boy how to self-administer insulin. After dis- cussing
the techniques and demonstrating an injection, you ask him to try it. After two attemp
it is obvious that he does not understand how to prepare the correct dose.You review
your approach with the patient carefully and ask