Lecture 6 - The Nursing Process
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Skills for Nursing Practice (3)
• Interpersonal Skills • Psychomotor Skills • Cognitive Skills
What type of skill is critical thinking?
Cognitive Skill
Critical Thinking Definition
the use of knowledge and reasoning to make accurate clinical judgements and decisions - requires purposeful and reflective erasoning to examine ideas, assumptions and beliefs, principles, conclusions, and actions, within the contect of the situation - needed for nursing assessments
Developing Critical Thinking Skills (3)
• Care-Based Learning • Reflective Writing • Concept Mapping
Care Based Learning
strategy that allows you to explore complex problems and engage in decision making without the risk of harming a patient - case studies, problem-based learning, simulation, virtual reality - allows practice of psychomotor skills in a controlled environment to gain confidence and feedback without risk of harm
Reflective Writing
tool for developing critical thought that uses the process of reflection to purposefully recall a situation in order to discover its purpose or meaning - identify how previously acquired knowledge can be applied in another situation, and to monitor your competence in nursing practice
Concept Mapping
visual representation of patient health problems and interventions that depicts their relationships to one another
Components of Critical Thinking in Nursing Judgement (5)
• Specific Knowledge Base • Experience • Competencies • Attitudes • Standards
Specific knowledge Base
nurses possess a sound knowledge base to think critically, formulate accurate clinical judgements and decisions, and improve clinical practice - information and theories - demands that nurses develop strong information literacy skills
Experience
educational and clinical experience learned by observing, sensing, talking with patients and families, and reflecting actively on experiences
Competencies (3)
critical thinking competencies are unique to nursing (3) 1. General 2. Specific in Clinical Situations 3. Specific in Nursing
Scientific Method (General Competency)
systematic, ordered approach to gathering data and solving problems, research incorporated
Problem Solving (General Competency)
evaluating situations and potential solutions to ensure effectiveness
Attitudes
Standards
Critical Thinking Model for Nursing Judgement (functions)
helps explain what is involved as the nurse makes clinical decisions and judgements about their patients and defines the outcome of critical thinking - used for applying critical thinking during the nursing process
Critical Thinking Model for Nursing Judgement (levels)
Level 1: Basic Critical Thinking level 2: Complex Critical Thinking Level 3: Commitment Critical Thinking
Level 1: Basic Critical Thinking
Level 2: Complex Critical Thinking
Level 3: Commitment Critical Thinking
The Nursing Process (steps)
The Assessment
Types of Data