Chapter 15 Critical Thinking in Nursing Practice Mosby

Clinical Decision in Nursing Practice Clinical decision-making skills separate professional nurses from technical and ancillary staff. Clients have problems for which no textbook answers exist. Nurses need to seek knowledge, act quickly, and make sound clinical decisions. Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Critical Thinking Defined Chaffee (2002) An active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others Settersten and Lauer (2004) Recognizing an issue exists, analyzing information, evaluating information, and making conclusions Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Thinking and 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. Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Levels of Critical Thinking Kataoka-Yahiro and Saylor (1994) Critical Thinking Model Basic critical thinking Complex critical thinking Commitment Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Critical Thinking Competencies Scientific method Problem solving Decision making Diagnostic reasoning and inference Clinical decision making Nursing process as a competency Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Critical Thinking Model for Decision Making Models serve to explain concepts and help nurses make decisions and judgments about patients. Kataoka-Yahiro and Saylor (1994) Define the outcome of critical thinking as nursing judgment that is relevant to nursing problems in a variety of settings. Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Five Components of Critical Thinking Knowledge base Experience Nursing process competencies Attitudes Standards Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

Critical Thinking Attitudes Independence of thought Fair-mindedness Insight Intellectual humility and suspension of judgment Courage Integrity Perseverance Confidence in reason Interest in exploration Curiosity Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

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 client problems and interventions that illustrates an interrelationship Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.

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 Mosby items and derived items © 2009, 2005 by Mosby, Inc. , an affiliate of Elsevier Inc.