Summary NR 224 CRITICAL THINKING IN NURSING PRACTICE_NR224 Study Guide Exam 1.

NR224 Study Guide Exam 1 Critical Thinking Scenarios / Nursing process Chapter 15 1. Outline the steps of the nursing process (pg197) • Assessment – collecting and analysis of data (subjective, objective) • Diagnosis – problem identification • Planning– determining course of actions / treatment to be taken before implementation of nursing care. Formulating and documenting measurable, realistic and client-focused goals • Implementation – actions necessary to fulfill the goals for optimal health · Evaluation – the process of analyzing changes experienced by the individual interventions. 2. Components of critical thinking Specific Knowledge Base 1. Nursing education, e.g. college degrees, continuing education. 2. Nursing literature & scientific research. 3. Basic Sciences, e.g. behavioral. Experience Nursing is a practice discipline. Patient clinical experience + knowledge = critical thinking Competencies General Critical Thinking Scientific Method Problem Solving Decision Making Specific Critical Thinking in clinical situations Diagnostic Reasoning and Inference Clinical Decision Making Competencies Specific Critical Thinking in The Nursing Process Nursing process Attitudes (11) Confidence, thinking independently, fairness, responsibility and accountability, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility Standards for Critical Thinking Intellectual Standards (14) Clear, precise, specific, accurate, relevant, plausible, consistent, logical, deep, broad, complete, significant, adequate, fair Professional Standards 1 Ethical Criteria for nursing judgements 2 Evidence-based criteria for evaluation 3 Criteria for professional responsibility 3. Critical Thinking Skills / nursing implications TABLE 15-1 pg 193 SKILL NURSING PRACTICE APPLICATIONS Interpretation Be orderly in data collection. Look for patterns to categorize data (e.g., nursing diagnoses [see Chapter 17]). Clarify any data you are uncertain about. Analysis Be open-minded as you look at information about a patient. Do not make careless assumptions. Do the data reveal what you believe is true, or are there other options? Inference Look at the meaning and significance of findings. Are there relationships between findings? Do the data about the patient help you see that a problem exists? Evaluation Look at all situations objectively. Use criteria (e.g., expected outcomes, pain characteristics, learning objectives) to determine results of nursing actions. Reflect on your own behavior. Explanation Support your findings and conclusions. Use knowledge and experience to choose strategies to use in the care of patients. Self-regulation Reflect on your experiences. Identify the ways you can improve your own performance. What will make you believe that you have been successful? 4. Critical Thinking Behaviors / Client Scenarios TABLE 15-2 Concepts for a Critical Thinker pg 194 CONCEPT CRITICAL THINKING BEHAVIOR Truth seeking Seek the true meaning of a situation. Be courageous, honest, and objective about asking questions. Open-mindedness Be tolerant of different views; be sensitive to the possibility of your own prejudices; respect the right of others to have different opinions. Analyticity Analyze potentially problematic situations; anticipate possible results or consequences; value reason; use evidence-based knowledge. Systematicity Be organized, focused; work hard in any inquiry. Self-confidence Trust in your own reasoning processes. Inquisitiveness Be eager to acquire knowledge and learn explanations even when applications of the knowledge are not immediately clear. Value learning for learning's sake. Maturity Multiple solutions are acceptable. Reflect on your own judgments; have cognitive maturity.