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Critical Thinking In
            Nursing
 What is critical
  thinking?
  “In nursing, critical thinking for
   clinical decision-making is the
   ability to think in a systematic
   and logical manner with
   openness to question and reflect
   on the reasoning process used to
   ensure safe nursing practice

   and quality care” (Heaslip,

   1993).
Nursing Diagnosis
  Interpretation of the data for
  problem identification



  analysis of assessment data to
  determine the client’s actual
  and potential health
  problems by the RN.
 Planning
  Reflective and reasonable
  thinking that focused on
  deciding what to belience or do

  development of a plan of action
  to reduce, resolve, or prevent
  potential problems, establish
  priorities, formulating
  goals/expected outcomes by the
  RN, and planning nursing
  actions while documenting the
  nursing care plan.
 Implementation
  Putting plan in to action

  The delivery of nursing
  care, performing the
  planned nursing
  interventions while
  continuing to collect data
  about the client
Skills used in
 Critical
 Thinking
  Information gathering
  Focusing
  Remembering
  Organizing
  Analyzing
  Generating
  Integrating
  evaluating
What are some
 examples of
 Critical
 thinking?
  What decision did you
   make today that
   involved critical
   thinking?
  How did you decide to
   make that decision?
  Did you evaluate the
   outcome of your
   decision?
Nursing
 assistant
 approaches the
 nurse and says a
 patient’s Blood
 Pressure is
 84/58.
  What is the first thing you
   would do?
  Using the SBAR, what would
   you report to the doctor?
  What aspects would you re-
   evaluate?
 Pt. complains of
  being short of
  breath and having
  pain in mid-chest
  area
   What is the first thing
    you would ask this
    patient
   How would you
    determine the difference
    between indigestion or
    Heart Attack?
   Using SBAR, what
    would you report to the
    doctor?
What is your opinion
 of using good critical
 thinking skills?
  Give a scenario using
  critical thinking.

  How do you measure
  your critical thinking?

  What can a person do to
  improve how they use
  critical thinking?
When you
 encountered a
 problem, do not jump
 in quickly to ask
 others for answers
 without figuring it out
 yourself.
After understanding
 the
 situation, information
 gathered must be
 verified for accuracy
 so that informed
 decision can be made
"I cannot teach
anybody anything, I
can only make them
       think."

 - Socrates, Greek
    philosopher
  (469-399 BCE)

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Critical care class

  • 2.  What is critical thinking?  “In nursing, critical thinking for clinical decision-making is the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care” (Heaslip, 1993).
  • 3. Nursing Diagnosis  Interpretation of the data for problem identification  analysis of assessment data to determine the client’s actual and potential health problems by the RN.
  • 4.  Planning  Reflective and reasonable thinking that focused on deciding what to belience or do  development of a plan of action to reduce, resolve, or prevent potential problems, establish priorities, formulating goals/expected outcomes by the RN, and planning nursing actions while documenting the nursing care plan.
  • 5.  Implementation  Putting plan in to action  The delivery of nursing care, performing the planned nursing interventions while continuing to collect data about the client
  • 6. Skills used in Critical Thinking  Information gathering  Focusing  Remembering  Organizing  Analyzing  Generating  Integrating  evaluating
  • 7. What are some examples of Critical thinking?  What decision did you make today that involved critical thinking?  How did you decide to make that decision?  Did you evaluate the outcome of your decision?
  • 8. Nursing assistant approaches the nurse and says a patient’s Blood Pressure is 84/58.  What is the first thing you would do?  Using the SBAR, what would you report to the doctor?  What aspects would you re- evaluate?
  • 9.  Pt. complains of being short of breath and having pain in mid-chest area  What is the first thing you would ask this patient  How would you determine the difference between indigestion or Heart Attack?  Using SBAR, what would you report to the doctor?
  • 10. What is your opinion of using good critical thinking skills?  Give a scenario using critical thinking.  How do you measure your critical thinking?  What can a person do to improve how they use critical thinking?
  • 11. When you encountered a problem, do not jump in quickly to ask others for answers without figuring it out yourself. After understanding the situation, information gathered must be verified for accuracy so that informed decision can be made
  • 12. "I cannot teach anybody anything, I can only make them think." - Socrates, Greek philosopher (469-399 BCE)

Editor's Notes

  1. These skills have been defined as information gathering, focusing, remembering, organizing, analyzing, generating, integrating and evaluating. http://www.criticalthinking.org/pages/critical-thinking-and-nursing/834 (Penny Heaslip, 1993, Revised 2008 Thompson Rivers University, Box 3010, 900 McGill Road, Kamloops, BC Canada, V2C 5N3 pheaslip@tru.ca )
  2. Mervyn Goh2012/01/16Self Improvement by Learning the ways to Boost Critical Thinkinghttp://practice.ezinemark.com/empowering-ways-to-boost-critical-thinking-7d32ebcad827.html
  3. http://www.procon.org/view.resource.php?resourceID=001926ProCon.org. (2012, June 20). Quotes about Critical Thinking. ProCon.org. Retrieved from http://www.procon.org/view.resource.php?resourceID=001926