Critical Thinking In Health Care Essay

Critical thinking is a term you will often here in regards to nursing education and the ability to be a successful nurse. Critical thinking is one of the most important skills of a nurse. Nurses must be able to constantly asses and analyze situations in order to prioritize what is the most important task to accomplish next. This is an ever changing situation in health care and especially in the Intensive Care Units.

Castledine, G (2010) in Critical thinking is crucial in British Journal of Nursing 19 (4) pp271

Alfaro-LeFevre, R. (2013). Critical thinking, clinical reasoning, and clinical judgment : A practical approach (Fifth ed.).

Critical thinking does requires the application of knowledge and experience to identify patient’s problems and to direct clinical judgment and actions resulting in positive patient’s outcomes. Nurses use critical thinking skills when they reflect on knowledge derivative from other interdisciplinary subject areas such as the biophysical and behavioral sciences and the humanities in order to provide holistic nursing care. These skill are cultivate by nurses who display the virtues of critical thinking including independence of thought, curiosity, courage, humility, empathy and fair

As the nurses who participated in a study (Jones & Cheek, 2003) overwhelmingly advised, there is no such thing as a typical day for a nurse. Nurses face new situations everyday and it is important that they can adjust their knowledge and skills accordingly. Critical thinking and reflection are essential skills because they can enhance nurses’ ability to solve problems and make sound decisions. Critical thinking skills enable nurses to identify multiple possibilities in clinical situations and alternatives to interventions; weigh the consequences of alternate actions; and make sound judgement and decisions (Brunt, 2005). Through reflection, nurses can examine their practice, explore feelings and reactions and connect new meanings to past experience (Brunt). Reflection can enhance self-awareness, foster professional satisfaction and growth and increase the possibility for change and improvement in nursing practice and therapeutic relationships (Thorne & Hayes, 1997).

In addition to these characteristics, nursing also involves critical thinking. "Critical thinking is the active, organized, cognitive process used to carefully examine one's thinking and the thinking of others. It involves the use of the mind in forming conclusions, making decisions, drawing inferences, and reflecting" (Perry,

160) Knowledge elevates the power of critical thinking. Critical thinking is very essential to work in areas such as Intensive Care Units, Emergency Care Units. Assessment, diagnosis, planning, implementation and evaluation are best done by a BSN than an ADN because of the power of critical thinking. The skills of critical thinking, better problem solving, and development of clinical judgment are important for increase patient acuity. Since BSN is better in critical thinking and evidence based practice, they lower mortality rate significantly. (Aiken, 2003)

Critical thinking is a nursing process that includes reflective practice, problem solving and decision making which are connected to one another. The definition of critical thinking is transferring and applying knowledge and skills in a new situation. The critical thinking is needed in a lot of aspects of the nurses’ job such as when the nurses need to provide the precise identification in the specific problems had by the patients. They need to be in detail and also critical to themselves in every time in order to be able to provide identification precisely. When you have the profession in nursing, it is important to be critical thinker. The nurses have the high responsibilities and their responsibilities are increasing from time to time.

Underlying both the clinical decision-making process and the nursing process is the skill of critical thinking. Critical thinking has been described as the ability to gather and process data in such a way as to arrive at the best conclusion using the filters of prior knowledge, experience and external resources to overcome personal emotions, biases, and assumptions. (This description was developed during NUR/300 class, University of Phoenix, S. Colorado, March 16, 2006) Note that critical thinking is described as a

The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.

In other words, critical thought is a skill acquired through experience; in this instance, it is gained from clinical practice. I envision myself using critical thinking when assessing my clients, administering medication, enacting physician orders, and reviewing nursing recommendations.

The major study variables in this investigation were critical thinking and clinical judgment skill of nursing students. Critical thinking was operationally defined with the ATI Critical Thinking Test and clinical judgment was operationally defined with the Lasater’s Clinical Judgment Rubric (Mann, 2012). The independent variable was identified as the Level II baccalaureate nursing students. The dependent variable was identified as the critical thinking and clinical judgment skills of the nursing students. The demographic variables included the gender and age of the

The main concepts presented in the article are the varying definitions of each author on the concept of critical thinking. The information the author uses are definitions which are the opinions of varied authors and are similar in foundation in that to apply critical thinking one must be able to identify a problem, pose a question(s), provide valid supporting evidence, and come to a conclusion. Although the author’s definitions do not identify a problem, questions, evidence, or conclusions, the relationship Petress (2004) shows is that the reader must apply this process themselves as it is not always given. The information used does appear to be relevant, significant, and valid. The references the author listed does provide enough information for me to come to this conclusion. Since this work is a literature review and not a case study, numerical data are not necessary to determine validity of the information.

Critical thinking and clinical reasoning are similar in the fact that each term represents a set of methods that guide the nurse to reliable evidence-based practice while delivering care. Critical thinking and clinical reasoning are centered on knowledge base that is associated with the discipline of nursing. With each concept, the nurse must have an existing developed knowledge base in which to apply each concept to. Nurses apply critical thinking and clinical reasoning skills when patient care decisions are made. With both critical thinking and clinical reasoning, information about the patient is collected and examined. They work together to produce clinical judgment. They both direct nursing care to meet patients’ needs resulting in higher quality of care and better patient outcomes.

In this essay, I will share my experience when I was still a novice in the nursing profession and how my understanding of critical thinking has radically transformed, the importance of critical thinking skills in this profession and useful ways on how to develop this specific skill.