Critical Thinking and Clinical Decision Making
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10 terms
Terms | Definitions |
|---|---|
 Critical Thinking | • Systematic way to form & shape thinking • Logical • Scientific • Evidence-based • Goal-directed thinking • Attitude of inquiry • Requires knowledge • Contextual • Builds on problem solving • Reflective |
| Why is critical thinking important? | • For sound diagnostic reasoning • To make sound clinical judgments • To make the "best" decisions • To ensure safe and competent nursing care |
| Benner's theory of Novice to Expert | 5 levels of nursing proficiency: Novice Advanced beginner: most of us are here! Competent Proficient Expert |
| Maslows Heirarchy of needs | Self Actualization Esteem Social Safety Physiological |
| Clinical Decision Making | • Practical application of critical thinking • Decision-making is imbedded in the problem solving process • Systematic, goal-directed process • Identify and evaluate alternatives: Must evaluate ethics involved • Fiscally responsible |
| Pitfalls in decision making | • Inaccurate data and communication: Bias, Narrow focus • Lack of knowledge • Lack of skill • Ineffective critical thinking • Failure to utilize resources • Does "trial & error" problem solving work in nursing |
| Scientific Problem Solving | • Problem Identification • Data Collection • Hypothesis Formulation • Plan of Action • Hypothesis Testing • Interpretation of Results • Evaluation |
| Critical thinking is not | 1. Common sense 2. spontaneous responses 3. regular or normal thinking 4. being critical or judgmental 5. disorganized 6. task-oriented 7. working in isolation 8. lack of concern with motives, facts, underlying reasons 9. being competitive 10. inability to communicate with others 11. emotion-driven |
| Reasons why critical thinking is important in nursing | 1. guided by stds, policies, procedures, ethics, and laws 2. reflective, reasonable thinking about nursing problems 3. reflective practice 4. clinical decision making or professional judgement |
| Steps in concept map care planning | 1. develop a basic skeleton diagram 2. analyze and categorize data 3. analyze nursing diagnoses relationships 4. identify goals, outcomes, and interventions 5. evaluate patient's responses |
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