WKU Nursing_ Critical Thinking (little nursing process mixed in)[1].txt

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WKU Nursing_ Critical Thinking (little nursing process mixed in)[1].txt
2013-12-02 20:16:00
critical thinking

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    • author "Leslie"
    • fileName "WKU Nursing: Critical Thinking (little nursing process mixed in)"
    • tags ""
    • description ""
    • Define: Critical Thinking
    • Critical thinking for decision making is the ability to think in a systematic and logical manner with an openness to questions, used to ensure safe nursing practice and quality patient care.
  1. Is the bility of the nurse to use critical thinking skills in the ever-changing clinical environment. it should include the " context and concerns of the patient and family"
    Clinical reasoning
  2. Clinical judgment
    is " an interpretation or conclusion about a patient's needs, concerns, or health problems, and/ or decision to take action, use or modify standard approaches, new ones as deemed appropriate by the patient's response
  3. Clinical imagination
  4. clinical reflection
  5. Interpretation
    The orderly and data collection. Look for patterns to categorize data. Clearify any data you are uncertain about.
  6. Analysis
    Examine in detail; spearting or breaking up into parts to discover the nature, function, or relationship
  7. Inference
    Tentative conclusions based on observed data or interpretation of cues; looking at the meaning and significance of the findings
  8. Evaluation
    Looking at the situation objectively. Requires you to assess the credibility of the sources of your information the strength of your evidence, relevance, significance, or value of your information.
  9. explanation
    Support your findings and conclusions
  10. self regulation/ reflection
    The purpose for thinking back recalling a situation to discover its purpose or meaning
  11. The act of knowing
  12. Thinking is an:
    Active, organized, purposeful mental process
  13. Intellectual and emotional growth involves learning:
    New knowledge, as well as the ability to think, solve problems, and make judgments
  14. Intuition
    Knowing something without evidence- gut feeling
  15. Concepts for a critical thinker
    • Truth seeking
    • open mindedness
    • analytic approach
    • systematic approach
    • Self confidence
    • inquisitiveness
    • maturity
  16. Levels of critical thinking:
    Basic, complex, commitment
  17. Learner trust the experts have the right answers for every problem
  18. Learner begins to develop new thoughts or ideas based on experience/ knowledge
  19. Making choices without assistance for others/ accepts accountability for one's actions
  20. Three competencies a critical thinking
    General critical thinking, specific critical thinking in clinical situations, specific critical thinking in nursing
  21. Scientific method
    Problem identification, collect data, formulate question, test hypothesis, evaluate results
  22. Problem solving traditional approach
    Clearify the problem, analyze causes, identify alternatives, assess each alternative, select one, implement it, and evaluate if the problem was solved
  23. Decision making
    Focuses on how to solve a problem when you need to choose a course of action from several options
  24. Clinical interference
    Making a tentative conclusion based on observed data
  25. Diagnostic reasoning
    Use of positive thinking and assessment of the situation
  26. Clinical decision-making
    focuses on selecting the treatment after forming diagnostic conclusions
  27. the nursing process is a five-step what type of approach
    Clinical decision-making approach
  28. The five components of critical thinking in nursing
    • Knowledgebase in nursing
    • experience
    • Critical thinking competencies
    • Attitudes for critical thinking
    • Standards for critical thinking
  29. Confidence
    Recognize the balance between what you know and what you don't know
  30. thinking independently
    Challenge the system
  31. Fairness
    assess all view points
  32. Responsibility and accountability
  33. Risk taking
    Try different ways to solve a problem, if your knowledge causes you to question a healthcare providers order, do so
  34. Perseverance
  35. Discipline
    Orderly approach
  36. Creativity
    original thinking
  37. curiosity, integrity, and humility
    • Question and test your own beliefs. recognize when your opinions conflict with those of a patient
    • admit your limitations
  38. INtellectual standards: guidelines or principles for rational thought.
    • Clarity
    • Accuracy
    • Relevance
    • Logical
    • Broad
    • Precision
    • Significance
    • Completeness
    • Fairness
    • Depth
  39. Professional standards
    Based on ethical criteria, evidence based criteria, and criteria for professional responsiblilty
  40. Nurse practice acts, institutional guidelines, policy and procedures, and professional organizations standards of practice
    Professional standards
  41. Explain, make clear
  42. Exact, correct
  43. Significant, important
  44. Logical
    Sound, valid, sensible
  45. Broad
    Range, extnet, span
  46. Exactness, meticulous
  47. Completeness
    Wholeness, entirety, totality
  48. Fairness
  49. Depth
    Strength, intensity, power
  50. Strategies to build critical thinking skills
    • Evaluates and corrects one's own thinking
    • Anticiptes questions other might ask
    • Maintains a questioning attitude
    • Develops good habits of inquiry
    • Maintains a sense of inquisitiveness
    • Turns errors into learning opportunities
  51. Reflective journalling
    Tool used to clarify concepts through reflection by thinking back or recalling situations
  52. Concept mapping
    Visual representation of patient problems and interventions that illustrates on an interrelationship
  53. Focus on specific patients and provide information about hteir symptoms, their medical history and their diagnoses
    Case study
  54. Expression of inquiry that invites or calls for a reply, an interrogative sentence, phrase, or gesture
  55. Socratic questioning
    Probing questioning to analyzean individual's thinking
  56. Type of Diagnosis: Within scope of nursing practice, identify responses to health and illness, can change from day to day
    Nursing diagnosis
  57. Type of Diagnosis: Within scope of medical practice, focuses on curing pathology, stays the same as longs as disease is present
    Medical Diagnosis
  58. Nursing diagnosis consists of three parts: Name them
    Problem (Diagnostic Label), Etiology, Defining characteristics
  59. Types of Nursing Diagnoses:
    Actual, risk, wellness or health promotion
  60. SMART
    Specific, measurable, attainable, relevant, time blood
  61. Three types of interventions
    Independent (nurse-initiated)

    Dependent (Physician initiated)

    Collaborative (nursing actions performed jointly)
  62. Steps of implementation
    Reassessment, determine need for assistance, implementing nursing intervention, supervise the delegate care, document and record nursing interventions and responses from patient
  63. Basic leveling thinking skills
    Identifying signs and symptoms

    Recalling knowledge about diagnostic tests

    Understanding physiology of body systems
  64. Critical thinking skills: Gathering data
    • Assessing systematically and comprehensively
    • Checking accuracy and reliability
    • Clustering accuracy reliability
    • Clustering related information
    • Collaborating with co-workers

    • Determining importance of information
    • Distinguishing relevant from irrelevant information
    • Gathering complete and accurate data and then acting on that data
    • Judging how much ambiguity is acceptable

    • Recognizing inconsistencies
    • Using diagnostic reasoning
  65. Providing nursing care: skills needed
    • Applying the nursing process to develop a treatment plan
    • Communicating effectively
    • Predicting and managing potential complications
    • Resolving conflicts
    • Setting priorities
    • Delegating
    • Teaching others