Critical Thinking Chapter_08 - 1

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Chapter 8 Critical Thinking


Objectives Describe characteristics of a critical thinker. Discuss the nurse’s responsibility in making clinical decisions. Describe how reflection improves clinical decision making. Describe the components of a critical thinking model for clinical decision making. Discuss critical thinking skills used in nursing practice.


Objectives Explain the relationship between clinical experience and critical thinking. Discuss the critical thinking attitudes used in clinical decision making. Explain how professional standards influence a nurse’s critical thinking. Discuss the relationship of the nursing process to critical thinking.

Clinical Decisions in Nursing Practice:

Clinical Decisions in Nursing Practice Clinical decision making requires critical thinking. Clinical decision-making skills separate professional nurses from technical and ancillary staff . Patients often have problems for which no textbook answers exist. Nurses need to seek knowledge, act quickly, and make sound clinical decisions.

Critical Thinking Defined:

Critical Thinking Defined Critical thinking is: A continuous process characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant. Recognizing that an issue exists, analyzing information, evaluating information, and making conclusions

Critical Thinking Defined (Cont.):

Critical Thinking Defined (Cont.) Critical thinking skills Interpretation Analysis Inference Evaluation Explanation Self-regulation

Critical Thinking Defined (Cont.):

Critical Thinking Defined (Cont.) Concepts for a Critical Thinker Truth seeking Open-mindedness Analytic approach Systematic approach Self-confidence Inquisitiveness Maturity

Critical Thinking Defined (Cont.):

Critical Thinking Defined (Cont.) Reflection P urposefully thinking back or recalling a situation to discover its purpose or meaning. Language U se language precisely and clearly Intuition A n inner sensing or “gut feeling ” C ombine with objective, scientific evidence

Thinking and Learning:

Thinking and Learning Learning is a lifelong process . Intellectual and emotional growth involves learning new knowledge, as well as refining the ability to think, solve problems, and make judgments. The science of nursing continues to grow. Nurses need to be flexible and open to new information.

Levels of Critical Thinking in Nursing:

Levels of Critical Thinking in Nursing Kataoka-Yahiro and Saylor’s c ritical thinking model for nursing judgment

Critical Thinking Competencies:

Critical Thinking Competencies General Specific Scientific method Diagnostic reasoning and inference Problem solving Clinical decision making Decision making Nursing process as a competency

Five-Step Nursing Process Model:

Five-Step Nursing Process Model

A Critical Thinking Model:

A Critical Thinking Model The Five Components of Critical Thinking Knowledge Base Experience Competence Attitudes Standards

Attitudes for Critical Thinking:

Attitudes for Critical Thinking Confidence Independence Fairness Responsibility Risk taking Discipline

Attitudes for Critical Thinking (Cont.):

Attitudes for Critical Thinking (Cont.) Perseverance Creativity Curiosity Integrity Humility

Developing Critical Thinking Skills:

Developing Critical Thinking Skills Reflective Journaling: A tool used to clarify concepts through reflection by thinking back or recalling situations Concept Mapping: A visual representation of patient problems and interventions that illustrates an interrelationship

Critical Thinking Synthesis:

Critical Thinking Synthesis A reasoning process used to reflect on and analyze thoughts, actions, and knowledge Requires a desire to grow intellectually Requires the use of nursing process to make nursing care decisions

Critical Thinking Synthesis:

Critical Thinking Synthesis


Assignment Compare and contrast scientific method and nursing process. Scientific method pg 107 of text Essentials of Nursing Nursing process pg 107 of text Essentials of Nursing


The use of diagnostic reasoning involves a rigorous approach to clinical practice and demonstrates that critical thinking cannot be done A. Logically. B. Haphazardly. C. Independently. D. In a vacuum. Quick Quiz!


The nursing process organizes your approach while delivering nursing care . To provide the best professional care to patients, nurses need to incorporate the nursing process and A. Decision making. B. Problem solving. C. Intellectual standards. D. Critical thinking skills . Quick Quiz!

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