Preview

Critical Thinking and Nursing Practice

Good Essays
Open Document
Open Document
513 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Critical Thinking and Nursing Practice
Critical Thinking and the Nursing Process
This week I have learned that the ability to think critically is an essential part of the nursing process. Critical thinking is defined in the book as a combination of reasoned thinking, openness to alternatives, an ability to reflect, and a desire to seek truth. From learning about critical thinking skills in concepts class and learning about health assessments in foundations class, I can see how critical thinking skills can be utilized when doing health assessments.
Purpose of a Health Assessment
The purpose of a health assessment is to gather information about a patient’s overall status. A nurse performs a health assessment to observe the patient’s responses to an injury, disease, or illness so that the nurse can help the patient correctly deal with the problem. This is interesting to me because I assumed the main role of a nurse was to help the doctor diagnose and treat an injury, disease, or illness.
Critical Thinking Skills and How I Can Apply Them
A health assessment includes a health history and a physical examination. During the health history portion, as a nurse, I must gather information from the patient. This includes patient demographic data, past health history (past problems and illnesses, treatments, and surgeries), family health history, current medications, and reason for visit. I will have to ask questions and listen carefully to the patient to determine what information is relevant and what is not. I must evaluate the patient objectively, without biases to determine what the problem is and what assistance is needed.
During the physical examination portion, I must gather data through observation and touching. The purpose is to observe the patient’s physical and psychological responses to injury, illness, or disease. A nurse needs self-knowledge to prepare for the exam. Having self-knowledge will mean knowing my skill and comfort level, as well as, knowing if I need to review material or

You May Also Find These Documents Helpful

  • Satisfactory Essays

    As a home health registered nurse, it is my responsibility to complete a comprehensive physical assessment and develop a patient centered plan of care, which addresses the health and educational needs of the patient. I also assess the need for additional therapies such as physical, occupational, speech, behavior health, or the need for a medical social worker to assist the patient in maintaining independence in the home.…

    • 67 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Critical thinking is related to nursing care and practice because one needs to have a clear view of the patient information to know what will be the next action to take. In nursing is critical that one understand all the patient information in order to take the correct decision since one is dealing with human lives.…

    • 156 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    The more detailed and comprehensive an assessment is, the better understanding we have of our patient’s and the plan of care that we will follow to ensure they are taken care of. After reading this article, I have a deeper insight into understanding the need for a structure when performing a health history. The detailed descriptions that were provided will enable one to use the specific examples when questioning a patient, ones on which I plan on implementing in my practice. I found this article very well written and explained thoroughly, as it is a great representation of a well-completed history. In my daily practice as a nurse, I follow a specific format for completing a patient history and assessment; it very closely resembles this model. I find that when initiating a patient’s history, I begin with asking all pertinent questions in relation to presenting problems, and all historical information. I then follow with a hands-on assessment, I listen to breath sounds and heart rhythms while asking questions related to those particular body system. Listen for intestinal sounds when asking questions about dietary habits. I engage the patient in their assessment so they feel a sense of trust and willingness to cooperate in their care. I believe that more articles could be written about performing a…

    • 1086 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Assessment is a vital aspect of nursing care. Assessment is the first phase of the nursing process. A thorough assessment involves gathering information and data about and related to the patient. The data that is collected includes physiological, psychological, environmental, sociocultural, economical, spiritual, and developmental history of the patient. Data may be objective or subjective. Objective data refers to the measurable and observable signs, such as the patient’s heart rate, blood pressure, oxygen saturation, temperature, facial expression, gait, color, etc. Subjective data is obtained from the patient himself and it is the patient’s account of their…

    • 1393 Words
    • 6 Pages
    Better Essays
  • Better Essays

    Hood, L. J. (2010). Critical Thinking. In Leddy & Pepper’s Conceptual Bases of Professional Nursing (7th ed., p. 160). : Lippincott Williams&Wilkins.…

    • 1106 Words
    • 5 Pages
    Better Essays
  • Good Essays

    The nursing process of assessment; planning: intervention and evaluation assists health care professionals with problem solving, and advocates the personal holistic provision of care but at the patient from a holistic view, in order to provide effective care giving (Slevin 2001) then plan and set goals according to the information gathered. The…

    • 1486 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    A comprehensive or complete health assessment usually begins with obtaining a thorough health history and physical exam ("Overview of Nursing Health Assessment," 2015, p. 4)\. This type of assessment is usually done upon admission, once patient is stable, or when a new patient presents to an outpatient clinic. Provides fundamental and personalized knowledge about the patient and Supports the clinician–patient relationship. In other words complete assessment helps to identify or rule out physical causes related to patient concerns which also act as the baselines for future assessments .Complete assessment usually creates platform for health promotion through education and counseling. It helps to develop, proficiency in the essential skills of…

    • 401 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Mr. Rn

    • 1175 Words
    • 5 Pages

    The nurse conducts a head to toe examination to find out changes in the patient 's body systems to dictate unusual or abnormal finding which may support the health history data or a course for questions. The physical examination helps the nurse to gather the objective data, which include the laboratory test and the information gathered by the nurse through the physical examination of the patient, which makes up the signs (Hogan-Quigley, Palm, & Bickley, 2012).…

    • 1175 Words
    • 5 Pages
    Good Essays
  • Best Essays

    MSc Clinical Leadership

    • 5046 Words
    • 16 Pages

    Bandman, E.L. and Bandman, B. (1995) Critical Thinking in Nursing. 2nd ed. United States: Appleton and Lange.…

    • 5046 Words
    • 16 Pages
    Best Essays
  • Best Essays

    Wholly compensatory is where the individual is unable to fulfill self-care needs due to either failure to be self-directed or medical prescription (Foster, 2010). Therefore, the nurse will have to take control over the care of the person. For instance, a tetraplegic patient will be totally dependent on the nurses to help in his/her daily activities. In partly compensatory system, it incorporates the patient and the nurse to share responsibilities in accomplishing self-care (Hartweg & Fleck, 2010). For instance, a patient that has fractured his leg due to an accident, will need help in ambulating and wound care but he can still manage some of his needs such as eating independently. A supportive-educative system is where the individual is able to perform all tasks in meeting self-care but he/she needs to learn how to do so (Foster, 2010). For example, a patient that needs to go home with an indwelling catheter will need to learn how to care and prevent infection. The nurse will have to educate on how to empty the bag of urine, catheter care and when to change the catheter and the urine bag. Therefore, these three nursing systems will allow the nurse to provide support, guide and educate the…

    • 2277 Words
    • 10 Pages
    Best Essays
  • Satisfactory Essays

    Is a comprehensive tool that takes into consideration multiple factors in order to help nurses in the step by step appraisal and reflection in order to arrive to the most thorough nursing decision. This tool poses questions that guide nurses to evaluate and take into consideration three components which are: Patient’s presentation and assessment findings, critical thinking skills as well as habits of the mind. The previous components are further broken down to assist nurses to consider related questions that can affect the thinking process. It also assists in increasing self awareness along with considering the subsequent decisions, resulting in excellent holistic patient care.…

    • 109 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Using the checklist in Box 3-2, reflect on your culture and how it might affect your critical thinking habits of the mind. Then think of someone you work with who comes from a culture different from yours. Think of a patient from a different culture. How do you think those persons would answer the questions?…

    • 916 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Comprehensive health assessment is baseline for the nurse making a care plan and doctor diagnosing. It is analysing physiological, psychological, spiritual, socioeconomic, and cultural variables which can impact a person's functional health status (UTS handbook, 2012). Comprehensive assessment, is the collecting of data from an individual's information and monitoring the health status, this includes health history obtained via interview and physical examination (Lawrence, 2012). It describes the past and current health status of the patient which is compared with changes in future (Jarvis, 2012). Nurses can understand a patient's holistic…

    • 489 Words
    • 2 Pages
    Good Essays
  • Best Essays

    The American Psychological Association defines assessment as ‘assess.(nd):to judge or estimate the value ,character ,etc of…’(Apa,2007). Whereas the (Oxford Dictionary for Nurses) defines it as ‘the first stage of the nursing process in which data about patients health status is collected and from which a care plan may be devised’.…

    • 2964 Words
    • 12 Pages
    Best Essays
  • Powerful Essays

    0’Neill E. S. & Dluhy, N. M. (1997) A longitudinal framework for fostering critical thinking and diagnostic reasoning. Journal Advanced Nursing, 26, 825-32.…

    • 3442 Words
    • 14 Pages
    Powerful Essays