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Critical Thinking in Nursing

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Page 1: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking in Nursing

Page 2: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Definition

Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others.

Page 3: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Why do we need to think critically? Need to make accurate and appropriate

clinical decisions Need to solve problems and find solutions Need to plan care for each unique client

and client problem Need to seek knowledge and use it to

make clinical decisions and problem solve Need to be able to think creatively when

planning care for clients

Page 4: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Aspects of Critical Thinking

To develop into an expert critical thinker the nurse needs to use: Reflection

Language

Intuition

Page 5: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Levels of Critical Thinking

Basic Critical Thinking

Complex Critical Thinking

Commitment

Page 6: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking Competencies

General critical thinking competencies used by many disciplines, in many everyday situations.

Scientific method Problem solving Decision making

Page 7: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking Competencies

Specific critical thinking in clinical situations used by physicians, nurses, and other health care professionals.

Diagnostic reasoning/ Clinical inference

Clinical decision making

Page 8: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking Competencies

Specific critical thinking competency used in nursing practice

Nursing Process Assessment Analysis (Nursing Diagnosis) Planning Implementation Evaluation

Page 9: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking Model The model helps to explain how nurses make

clinical judgments/ decisions in their clinical practice that result in safe, effective, nursing care. There are 5 components in this model of critical thinking: Knowledge base Experience in nursing Critical thinking competencies Attitudes for critical thinking Standards for critical thinking

Page 10: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking Attitudes

Confidence Thinking independently Fairness Responsibility and accountability Risk taking Discipline

Page 11: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Critical Thinking Attitudes

Perserverance Creativity Curosity Integrity Humility

Page 12: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Standards

Intellectual Standards- 14 intellectual standards (Paul,1993) Nurses use

these when using the nursing process: 1. Confidence 7. Perseverance 2. Independence 8. Creativity 3. Fairness 9. Curiosity 4. Responsibility 10. Integrity 5. Risk taking 11. Humility 6. Discipline

Page 13: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Standards Professional standards

Sound ethical standards When critically thinking must have a sense of their

own values, beliefs, feelings and their clients/ client’s family’s values, beliefs, feelings

Scientifically based practice with standards developed by experts Evidenced based practice Standards developed as a result of evidence These are minimum requirements that are

necessary to give quality effective care

Page 14: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

Page 15: Critical Thinking in Nursing. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the

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