Based upon those three skills, the nurse can then use clinical reasoning to determine what the problem is. These decisions have to be based upon sound reasoning: Explaining — Clearly and concisely explaining your conclusions. The nurse needs to be able to give a sound rationale for her answers. Self regulating — You have to monitor your own thinking processes. This means that you must reflect on the process that lead to the conclusion. You should self correct in this process as needed.
Be on alert for bias and improper assumptions. Critical Thinking Pitfalls Errors that occur in critical thinking in nursing can cause incorrect conclusions. Student Nurses Clinical Decision-Making As nurses know, seconds can often mean the difference between life and death. Problem-solving focuses on identification and resolution, whereas critical thinking goes beyond this and incorporates asking questions and critiquing solutions.
The concept of clinical decision-making focuses attention on the clinical nature of a problem, but falls short of facilitating understanding of the broader spectrum of the issue. Creative thinking, a combination of imagination and knowledge, can also be helpful in understanding solutions that have failed and coming up with new ideas. There are many skills necessary to be an effective critical thinker.
Decision-making and critical thinking need to happen together in order to produce reasoning, clarification, and potential solutions. To advance nursing practice, it is necessary to develop and evaluate strategies to help new nurses develop these essential critical thinking skills. Critical thinking skills are needed when performing a nursing assessment or intervention, or acting as a patient advocate.
Critical thinking also involves viewing the patient as a whole person — and this means considering his own culture and goals, not just the goals of the healthcare organization.
How would you handle a teenage girl who comes into your clinic asking for information about STDs? Critical thinking forms the foundation of certain nursing specialties, like case management and infection control.
These areas require strategizing, collaborative relationships, and a multi-dimensional approach to tackling a problem like preventing unnecessary hospital readmissions or discovering the source of an infection outbreak, for example. And of course, nurse managers use critical thinking skills every day as they keep their units running smoothly. Nurses are not focused on the trivial or irrelevant.
Nurses who are critical thinkers hold all their views and reasoning to these standards as well as, the claims of others such that the quality of nurse's thinking improves over time thus eliminating confusion and ambiguity in the presentation and understanding of thoughts and ideas. Elements of Reasoned Thinking Reasoning in nursing involves eight elements of thought. Critical thinking involves trying to figure out something; a problem, an issue, the views of another person, a theory or an idea.
To figure things out we need to enter into the thinking of the other person and then to comprehend as best we can the structure of their thinking. This also applies to our own thinking as well. When I read an author I'm trying to figure out what the author is saying; what problem or issue the author is addressing, what point of view or frame of reference he is coming from, what the goal or purpose is of this piece of writing, what evidence, data or facts are being used and what theories, concepts, principles or ideas are involved.
I want to understand the interpretations and claims the author is making and the assumptions that underlie his thinking. I need to be able to follow the author's lines of formulated thought and the inferences which lead to a particular conclusion. I need to understand the implications and consequences of the author's thinking. As I come to understand the author in-depth I will also begin to recognize the strength and weakness of his reasoning.
I will be able to offer my perspective on the subject at hand with a clear understanding of how the author would respond to my ideas on the subject. The Elements of Thought All thinking, if it is purposeful, includes the following elements of thought Paul, The problem, question, concern or issue being discussed or thought about by the thinker. What the thinker is attempting to figure out.
The purpose or goal of the thinking. Why we are attempting to figure something out and to what end. What do we hope to accomplish. The frame of reference, points of view or even world view that we hold about the issue or problem.
You should self correct in this process as needed.
The implications and consequences that follow from the positions we hold on the issue or problem. To figure things out we need to enter into the thinking of the other person and then to comprehend as best we can the structure of their thinking. Using your head to land on your feet: A beginning nurse's guide to critical thinking. A combination of open-mindedness, a solid foundational knowledge of disease processes, and continuous learning, coupled with a compassionate heart and great clinical preceptors, can ensure that every new nurse will be a critical thinker positively affecting outcomes at the bedside. The Socratic Method, where the question and the answer are sought, is a technique in which one can investigate below the surface, recognize and examine the condition, look for the consequences, investigate the multiple data views and distinguish between what one knows and what he simply believes.
This definition essentially covers the nursing process and reiterates that critical thinking builds upon a solid foundation of sound clinical knowledge. What the thinker is attempting to figure out. Learning in a group setting often helps each member achieve more. This means that fewer clinical options are explored and fewer innovative ideas are used.
Integrity Use of critical thinking to mentally intact individuals question their knowledge and beliefs quickly and thoroughly and cause the knowledge of others so that they are willing to admit and appreciate inconsistencies of both their own beliefs and the beliefs of the others.
Critical thinking seldom involves snap judgments; therefore, posing questions and allowing adequate time before soliciting responses helps new nurses understand that they are expected to deliberate and to ponder, and that the immediate response is not always the best response.
I need to understand the implications and consequences of the author's thinking. Critical thinkers think deeply and broadly. For a clear understanding of the situation of the patient, the nurse and the patient should be in agreement with the importance of concepts. Learning in a group setting often helps each member achieve more.