The four critical thinking process that I would like to improve are analyzing, logical reasoning, confidence, and creativity.
1. Analyzing – is separating or breaking a whole into parts to discover their nature, function and relationships (Scheffer & Rubenfeld, 2000).
Although I believe that I am somewhat deficient in analyzing, I have dependably strived to show signs of improvement in analyzing or examining the circumstance in any given situation. I have made some change a week ago that I believe will assist me in enhancing my analyzing abilities/skills. An example of how I have used analyzing to facilitate the diagnostic reasoning process was exhibited the other day when an experienced nurse floated to my unit, and one of her assigned patients was in distress. When assessing the patient, all of her vital signs were elevated, BP 234/190, P 98, RR 45, T 98.9F, 02 sat 92% on BIPAP, glucose 121, she voiced feeling of chest pain, severe headache, difficulty breathing and severe anxiety. The nurse inferred that the patient was having a panic attack and that the severe anxiety is what is causing the other symptoms to be elevated. She called the MD and request for stat Ativan order. Knowing this patient, I calmly approached her and explained to her that these signs and symptoms are new and that I believe the patient is most likely having a hypertensive crisis. She rejects my nursing judgements and voiced “what do you know? you just got here” I have 15 years of experience and I’m
Organizational effectiveness depends upon the internal components of a business. For a hospital or a health care organization the internal components are the nurses and healthcare workers within the hospital. Business rely on their employees to make the business successful. For a healthcare organization of any kind to be successful their nurses must have and maintain critical thinking skills. Critical thinking skills often evolve over time with past experiences. This is why there must be a nice blend of new and old employees within a unit to make the organization effective and to keep the patients safe.
Critical reflection is vital to develop evidence based practice for safe and quality approaches to professional nursing practice. Nursing professionals should critically reflect on events to identify what health professionals might do to improve their practice and reduce the risk of a similar error. Reflective practice can help to learn from their mistakes, be empowered and most importantly to deliver best possible care to patient as nurses must work closely with their patients to develop a therapeutic relationship. Critical reflection is a valuable skill to ensure patient centred care. This practice promotes personal development by enhancing students’ self-awareness, their sense of community, and their sense of their own capacities for
Over the course of the last six weeks, I have come to realize that critical thinking is an important asset as I continue my journey in life. I have found this course to be both challenging and rewarding. Most importantly, I find myself viewing problems and conversations in a completely different light. While I would not consider myself an expert at critical thinking, I would assess myself in as a Beginner Thinker. Paul and Elder point out in the beginning thinker stage an individual actively begins to take command of their thinking process across multiple facets of their life (Paul and Elder, 2012). Furthermore, we recognize that there are problems in the way we think and begin to consciously attempt to better understand we can improve our thinking.
Critical reflection is an indispensable tool used in evidence based nursing practice. Critical reflection is often a difficult concept to define as all health professionals interpret it in diverse ways. However, one definition of critical reflection is the revision of nursing practice experience so that it can be described, analysed and evaluated to use that knowledge to improve on future practice (Bulman & Schutz, 2013). Critical reflection is essential for nursing practice because it ensures patient safety and provides holistic care. This assignment will discuss in further detail a description of an event, a reflection of thoughts and feelings and an evaluation of the positive and negative sides of the incident from both the nurse's and the patient's viewpoint and the consequences. Followed by an analysis of what can be taken away from the event to further improve future nursing practice as well as what can be done to improve one's own learning and develop an action plan using new knowledge.
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.
Critical thinking refers to the ability to think rationally and clearly. It enables one be able to think well and be able to solve problems in a systematic manner. It also plays a role in evaluating ideas and acts as a tool for self evaluation. In nursing, critical thinking for clinical decision making refers to the process of thinking in a logical and systematic manner. Nursing practitioners who are critical thinkers strive to be clear, accurate, significant, precise and logic when carrying out their daily activities ADDIN EN.CITE Mateo2009451(Mateo & Kirchhoff, 2009)4514516Mateo, M. A.Kirchhoff, K. T.Research for advanced practice nurses: From evidence to practice. 2009New York, NYSpringer( HYPERLINK l "_ENREF_6" o "Mateo, 2009 #451" Mateo & Kirchhoff, 2009). Critical thinking in nursing involves some elements of thought. It involves being able to figure out a problem, issue or views of somebody else. The goal of thinking is to figure out what one hopes to accomplish ADDIN EN.CITE Sheridan19841096(Sheridan, Vredenburgh, & Abelson, 1984)1096109617Sheridan, John E.Vredenburgh, Donald J.Abelson, Michael A.Contextual Model of Leadership Influence in Hospital UnitsThe Academy of Management JournalThe Academy of Management Journal57-782711984Academy of Management00014273http://www.jstor.org/stable/255957( HYPERLINK l "_ENREF_7" o "Sheridan, 1984 #1096" Sheridan, Vredenburgh, & Abelson, 1984). Critical
interactions act as a whetstone for the critical mind. Authors, Elaine Simpson RN and Mary Courtney RN state
How often, and under what circumstances, do you ask questions that start with “But what if…?” or “It depends…?”
I agree with you that critical thinking, nursing practice, and scholarship are closely related. As you pointed out, I really don't think you can have one without the other two, and be a successful nurse. Like you, I also look up diagnoses, if I am not familiar with it or haven't had a patient with a certain diagnosis in a while, I will print information out, put it in the chart for other staff members to look at as well. I have been thanked many times for doing this even by MD. It is installed in our training early on, even as a new nurse. Benner describes the novice nurse as a "rule follower" or "tell me what I need to do and I'll do it" (Benner,2011). Although I think this is true to some extent, I also think new nurses are taught how to
In this paper, I am going to discuss past and present nursing concepts, and how these theories have evolved. The initial paper by J. Fawcett (1984) describes the fundamental concepts of nursing including person, environment, health and nursing, (Fawcett, 1984 p.84) The author further describes ideas that are discussed and compared by various nursing scholars and how they are related to one another. In the second paper by Newman, Smith, et al, (2008) they explore the current theories and how more advanced these are, and where the studies are in their scholarly journey. The authors describe the “history of nursing epistemology” (Newman, et all 2008) and the phases that have been part of its journey of development. The initial article is very limited, and focuses particularly on nursing systems. It does not allow for expansion and growth for nursing theory. Dr. Fawcett does, however, establish the basis for nursing theory and organizes the process through her four basic areas of concepts (Brodie, 1984). The latter article envelops the growth and development of nursing theory towards “Unitary-transformative (UT) paradigm” (Newman et al, 2008). The concepts evolve and establish the process of holistic thinking, and viewing the person as a whole in your assessment. I will also include personal reflection from my own nursing practice and how these concepts
According to Creasia and Friberg (2011) there are a multitude of nursing theories and frameworks available. These theories and frameworks guide professional nurses in making decisions and in critical thinking endeavors (Creasia & Friberg, 2011). The previous is generally the rationale behind using any nursing theory or framework. One conceptual nursing model is Neuman’s Systems Model. This model views the patient as an open system that acts and interacts with both the internal and external world (Creasia & Friberg, 2011). The patient is composed of the interrelationships of the following variables: physiological, psychological, developmental, sociocultural, and spiritual variables (Creasia & Friberg, 2011). Health is viewed as systems stability (homeostasis) in this model (Creasia & Friberg, 2011). Stressors cause illness (Creasia & Friberg, 2011).
The Royal College of Nursing defines reflection as the process of thinking deeply with the purpose of understanding (RCN 2013). Reflection is a way people recollect, think and evaluate their knowledge which is a vital part of learning. (Boud et al cited in Royal College of Nursing). Reflection allows us to be conscious of any form of discrimination. It enables learning from mistakes and prevents future occurrence (RCN 2013). In addition, Jasper et al (2013) looks at reflection as a way professionals learn through various experiences in their role. They also went further to say, for development to happen in our roles as professionals, there is the need for continuous process of building our knowledge.
Critical thinking and clinical reasoning are terms often used interchangeably throughout the history of nursing. However, they are not the same, and distinguishing the difference amongst them is important. The purpose of this paper is to define critical thinking and clinical reasoning, discuss each concepts similarities and differences, as well as share this author’s perspective on how critical thinking and clinical reasoning have developed and evolved throughout my own career, guiding my clinical practice decisions.
Critical thinking is defined as a disciplined, self directed thinking that meets appropriate intellectual standards within a particular mode or domain of thinking (Paul and Elder, 2014). In Nursing, the possession of this important skill helps a nurse to assess a given situation, identify the main problem, determine a perfect solution and implement an effective method of dealing with the problem.
Since the first day of the course, I have learned a lot about creativity and critical thinking. It has opened my eyes to brand new ways of how to express my creativity more efficiently; By thinking through problems and coming up with the best solutions possible; About different methods of critical thinking and how to be as successful as a student. In this reflection, I am going to express what I have learned in more detail. Starting with how I learned how to solve problems, the strategy I used successfully completed this course with what I learned, how this Course helped make connections to ‘real world’ and other courses in CWI, and lastly, how I put all that I learned into the ‘Final In-Class Project-The Wallet Project.’