Critical Thinking

Topics: Domestic violence, Abuse, Child abuse Pages: 14 (2327 words) Published: September 12, 2013
Critical Thinking
I. What is critical thinking?
a. Combination of reasoned thinking, openness o alternatives, and ability to reflect and desire to seek truth. II. Critical thinkers ask questions. Inquiring minds what to know. a. What am I taking for granted

b. Did I explore all points of view
c. Do I understand the question
d. What information do I need
e. Do I need to report anything
f. What complications should I anticipate
g. Which is my highest priority
h. Are there ethical or cultural issues I should consider III. What is health assessment?
a. The collection of data about an individual’s health state IV. Assessment: Data Collection
a. History: subjective data
b. Physical exam: objective data
c. Samples of objective vs. subjective data
i. Sore shoulder
ii. Unconscious
iii. Blood in the urine
iv. Dizziness
v. Sore throat
vi. Weight gain
vii. Elevated temperature
V. Nursing Process
a. Definition: a systematic problem solving process that guides all nursing actions b. Purpose: to help the nurse provide goal directed. Client centered care c. Assessment
i. Collect data
1. Review of the clinical record
2. Interview/ Health history
3. Physical exam
4. Functional assessment
5. Consultation
6. Review of the literature (evidence based practice) d. Nursing Process: Diagnosis
i. Interpret data
1. Identify cluster of cues
2. Make inferences
ii. Validate inferences (conclusion drawn from the evidence or reasoning iii. Compare clusters of cues with definitions and defining characteristics iv. Identify related factors

v. Document the diagnosis
e. Outcome Identification
i. Identify expected outcomes
ii. Individualize to patient
iii. Ensure outcomes are realistic and measurable iv. Include a time frame
f. Planning
i. Prioritize nursing diagnoses (Maslow’s Hierarchy) ii. Identify and write outcomes and goal
iii. Develop specific interventions
iv. Record plan
v. Communicate to other members of health care team g. Interventions/Implementation (client focused)
i. Executing/ carry out the plan
ii. Necessary skills
iii. Continual assessment
iv. Psychomotor
v. Interpersonal
vi. Critical thinking
vii. Communication: writing, reporting, revising h. Evaluation
i. Evaluate the goals
1. Met, not met, partially met?
ii. Reassess
iii. Make necessary changes
iv. Always a continual process
VI. Benefits of the nursing process: client
a. Continuity of care
b. Prevention of omission and duplication
c. Individualized care
d. Increase client participation
VII. Benefits of the nursing process: nurse, profession
a. Nurses
i. Job satisfaction
ii. Continual learning
iii. Increased self confidence
iv. Staffing assignments
v. Standards of practice
b. Profession
i. Promotes collaboration
ii. Helps people to understand what nurses do
VIII. Data Base
a. What is it?
i. Data base: organization of assessment data varies depending on conceptual model used 1. Models provide a framework for:
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