Critical thinking


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Critical thinking

  1. 1. NUR 568 Master program 2013 Presented by : AlJuhara AlMarzoog Reem Alshehry Critical thinking skills in the advanced nursing practice
  2. 2. outlines Definition Critical thinking skills Critical thinking in nursing Pitfalls in critical thinking Closed - mindedness Holistic approach Formula for , aspect and levels of critical thinking  Case study
  3. 3. Introduction To become a professional nurse require that to learn how to think . So, what makes the thinking of a nurse different from a doctor , a dentist or an engineer ?
  4. 4. Introduction To think like a professional nurse requires that we learn the content of nursing ; the ideas , concepts and theories of nursing and develop our intellectual capacities and skills so that we become disciplined , self-directed , critical thinkers .
  5. 5. Definition  Critical thinking for clinical decision-making is the ability to think in a systemic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care .
  6. 6. Definition  An active , organized , cognitive process used to carefully examine one’s thinking and thinking of others : * recognize that an issue exist * analyzing information about issue
  7. 7. Critical thinking skills  skills are applied to patient care through the framework called the Nursing Process 1- Interpretation : the ability to understand and explain the meaning of information or an event . 2- Analysis : the investigation of a
  8. 8. Critical thinking skills 3- Evaluation : the process of assessing the value of the information obtained . Is it credible , reliable , and relevant ? This skill is also applied in determining if desired outcome have been reached .
  9. 9. Critical thinking skills 4- Explanation : The ability to clearly and concisely explain one’s conclusions . The nurse should be able to provide sound rational for his/her answer .
  10. 10. Critical thinking skills 5- Self – regulation : Involves monitoring one’s own thinking . This means reflecting on the process leading to the conclusions . The individual should self-correct the thinking process as needed , being alert for biases and incorrect
  11. 11. Critical thinking in nursing Critical thinking are essential in nursing because they are basis for learning to prioritize and make decisions .  Because nurses provide care for patients 24/7 , a nurse’s critical thinking skills can literally mean
  12. 12. Critical thinking in nursing  Critical thinkers strive to be clear , accurate , precise , logical , complete , and fair when they listen , speak and act .  Nurses use language to clearly communicate in-depth information that is significant to nursing care .
  13. 13. Pitfalls in critical thinking  Errors in the critical thinking process may result in illogical or biased thinking and incorrect conclusions .  In nursing , the incorrect conclusion can lead to an incorrect action .
  14. 14. Closed – mindedness 1- the closed – minded individuals ignores alternative of view . 2- Input from experts , patients , and significant others ignored . 3- This results in limited options and the decreased use of innovative ideas .
  15. 15. Holistic approach 1- Disciplined, self-directed thinking which implies the perfection of thinking appropriate to a particular mode or domain of thinking. 2- Thinking that displays master of intellectual skills and abilities.  3- The art of thinking about your thinking while you are thinking in order to make your thinking better: more clear, more accurate, or more defensible
  16. 16. FORMULA OF CRITICAL THINKING Start Thinking Why Ask Why Ask the Right Questions Are you an expert?
  17. 17. ASPECT OF CRITICALTHINKING Reflection Language Intuition
  18. 18. LEVELS OF CRITICAL THINKING Basic Complex Commitment
  19. 19. CASE STUDY  Mrs. Lutz is a 78 yr old woman who has undergone radiation therapy and three surgeries for cancer. She is not responding well, cannot eat, and is losing weight. The physician has decided to place a subclavian catheter to administer total parenteral nutrition. The nurse takes the informed consent form to the patient to sign and explains to her that “the doctor will place a small tube in your vein to give you more nutrients to help you regain your strength and heal”. Mrs. Lutz says, “I’m so tired of all this pain. I’m not sure I want anything else done, and I surely don’t want to be hurt again .”
  20. 20. CASE STUDY What factors does the nurse need to assess that might affect Mrs. Lutz’s ability to consent? Before she signs the consent form, how can the nurse be certain that her consent was truly “informed”?
  21. 21. CASE STUDY The nurse replies to Mrs. Lutz: “Now, now, your doctor has ordered this to make you well. Don’t worry, we’ll make sure you don’t feel a thing. Your doctor will be here soon and he will expect this consent to be signed. Won’t you please sign it now?”