Chapter 10 Critical Thinking And The Nursing Process

Presentation on theme: "Chapter 10 Dr. Wajed Hatamleh Critical Thinking and Nursing Practice."— Presentation transcript:

1 Chapter 10Dr. Wajed HatamlehCritical Thinkingand NursingPractice

2 Learning OutcomesDescribe the significance of developing critical-thinking abilities in order to practice safe, effective, and professional nursing care.Explore ways of demonstrating critical thinking in clinical practice.Discuss the skills and attitudes of critical thinking

3 Learning Outcomes (cont'd)
Discuss the relationships among critical thinking, the problem-solving process, and the decision-making process.

4 BEGIN WITH: Questions:
What do I really know about this nursing care situation?How do I know it?What options are available to me?

5 Critical thinking:“is the intellectually disciplined process of actively and skillfully conceptualizing, Appling, analyzing, synthesizing and / or evaluation information gathering from or generated by, observation, experience, reflection, reasoning or communication as guide to belief and action”.

6 Critical Thinking An intentional higher level reasoning process
Essential component of professional accountability and quality nursing careGenerated from a triad of professional, socioeconomic, and ethical/moral needs

7 Creativity is a major component in critical thinking .
•Creativity: is the thinking that results in the development of new idea and products. And is the ability to develop and implement new and better solution

8 Critical Thinking Use clinical reasoning and clinical decision making
to practice safe and effective nursing careto improve clinical systemsto decrease errors in clinical judgment

9 Critical Thinking Skills
AnalyzingApplying standardsDiscriminatingInformation seekingLogical reasoningPredictingTransforming knowledge

10 Techniques in Critical Thinking
Critical analysisInductive and deductive reasoningMaking valid inferencesDifferentiating facts from opinionsEvaluating the credibility of information sourcesClarifying conceptsRecognizing assumptions

11 Attitudes that Foster Critical Thinking
IndependenceFair-mindednessInsightIntellectual courage

12 Attitudes that Foster Critical Thinking (cont'd)

13 Critical Thinking and Nursing
Critical thinking underlies each step of the nursing process, problem-solving process, and decision-making process

14 The Nursing ProcessSystematic, rational method of planning and providing individualized careAssessingDiagnosingPlanningImplementingEvaluating

15 Problem-Solving Process
Clarify the nature of a problem and suggests possible solutionsOne situation contributes to the nurse’s body of knowledge for problem solving in similar situationsCommonly used approachesTrial and ErrorIntuition(is the understanding or learning of things without the conscious uses of reasoning (sixth sense).Research process

16 Decision-Making Process
Decision making: is the critical thinking process for choosing the best action to met the desired goalChoosing the best actions to meet a desired goalMake value decisions (keep client information confidential)Time management decisions (take clean linens in at the same time as giving medications)

17 Decision-Making Process (cont'd)
Choosing the best actions to meet a desired goalScheduling decisions (bathe clients before visiting hours)Priority decisions (most urgent and ones that can be delegated)

18 Steps of Decision making
identify the priorities.set the criteria:what need to be achieved.what need to be preserved.what need to be avoided.weight the criteria( set priority).seek alternative.examine alternative.implement (placed into action).evaluate the outcome


20 Developing Critical Thinking Attitudes and Skills
Self-assessmentTolerating dissonance and ambiguityCreate environments that support critical thinking

21 Figure 10-2 Mind map for critical thinking in nursing
Figure Mind map for critical thinking in nursing. From University of New Mexico College of Nursing. Retrieved from21

22 Box 10-5 Types of Concept Maps

23 Figure 10-3 Types of concept maps: A, hierarchical; B, spider; C, flowchart; D, systems.

Scientifc Problem Solving: 7-systematic problem solving method: (Defne problem, data collection, Formulate hypothesis, plan oF action, hypothesis testing, interpretation oF results, conclusion) Intuitive problem solving (Instincts): direct understanding oF situation based on background oF experience, knowledge, and skill that makes expert decision making possible. Example: A recovery room nurse who realizes that a postoperative patient is deteriorating beFore there are measurable signs to suggest there is a problem. Critical Thinking: Logical, Intuitive or Both? Logical thinking may constrain or block ideas, while intuitive thinking is used alone there are increased risk and less benefts. Pair Logic and Intuitive thinking together!!! Historical Perspective oF The Nursing Process 1955: Hall used term “ Nursing Process” 1960s: Delineated specifc steps in process approach to nursing practice 1967: Yura and Walsh published frst comprehensive book on nursing process 1973: ANA congress For Nursing Practice developed standard oF nursing practice 1982: State Board examinations For proFessional nursing uses nursing process as organizing concept Purpose oF The Nursing Process: (Arms oF Nursing)-To promote health-To prevent illness-To restore health-To Facilitate coping with disability or death ** In Addition to the arms oF nursing: Teach selF-care; provide cost-e±ective, patient centered, quality care**

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