Critical thinking in the nursing process can be described as the “intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to belief and action.” ("The Critical Thinking Community," n.d, para. 3) It is that mode of thinking that improves the quality of thoughts by skillfully taking charge of the structures inherent in thinking and imposing intellectual standards upon them ("The Critical Thinking Community," n.d, para. 10). Critical thinking is essential in the nursing process as it assist nurses in identifying and defining a problem, and formulating procedures to achieve expected outcomes or results through assessing relevant information to attain solutions. The five stages of critical thinking in the nursing process are assessment, diagnosis, planning, implementation, and evaluation as stated by (Yildirim & Özkahraman, 2011, p. 261).
My critical thought process was utilized while taking care of a 65 year old male patient who was admitted on the post-surgical floor for left hip total arthroplasty. On post op day 2, I observed the patient to be highly confused, agitated, and having a hard time following commands or cues. His oxygen saturation kept falling below 90% on room air and he now needed two people to assist with transfers who previously required minimal to moderate
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.
A.M. Tomey (Eds.) Nursing Theory: Utilization & Application (3rd ed., pp 43-65). St. Louis: Mosby.
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
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,
The co-operative nursing assignment has given me the opportunity to use my critical thinking, decision-making, leadership, and clinical nursing expertise learned throughout the RN-BSN program. “The fostering of critical thinking as one of the terminal learning goals of nursing education based on the idea that critical thinking is important not only in the nursing workplace, but also in nursing education” (Shin, Jung, Shin & Kim, 2006, p. 233). My
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.
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
Thelma Riddell, MScN, RN, COHN(C) believes there is no singular definition of critical thinking, but rather terms of components involved. Terms such as reflection, inquiry, interpretation and analysis, and reasoning and judgment are all terms that result in a change in belief or course of action. The first step in critical thinking is examining assumptions. This is not a simple task, and is most effective when a nurse uses critical questioning. Critical questioning allows the nurse to development reflective analysis, and encourage them to develop independent habits of critical reflection. Critical questioning must be specific to the event. The next step is reflective thought. During reflective though the nurse is aware of his or her own assumptions and how he or she is influenced by life experiences and culture. This is the key element in gaining critical thinking.
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
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.
The nursing process and Watson’s theory both provide a framework to promote critical thinking by the nurse so conclusions can be made and they can have a caring moment. This is completed by “assessment, plan, intervention, evaluation.” (Nursing Theories, 2012, p.4) The theory is well organized, not complex and “can be used to guide and improve practice.”(Nursing Theories, 2012, p.4)
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.
Critical thinking skills, decision-making and problem-solving are attributes that nurses must have in today's healthcare environment. Strategies such as the use of nursing theories are sometimes implemented in education of nurses (Oldenburg & Hung, 2010). When examining the decision making and problem solving utilization within nursing theories, the reason behind