4 edition of Critical Thinking and Clinical Judgment found in the catalog.
|LC Classifications||March 3, 2008|
|The Physical Object|
|Pagination||xvi, 105 p. :|
|Number of Pages||90|
nodata File Size: 5MB.
having multiple comorbidities and sensitivities to care interventions e. Beyond that, the proficient nurse acknowledged the changing relevance of clinical situations requiring action beyond what was planned or anticipated. Additional coverage of key trends in nursing education and practice, discuss important topics such as interdisciplinary care teams, competency-based education, clinical residencies, leadership at the bedside, and implications of the Affordable Care Act.
Easy-to-understand language and a "how-to" approach equip you to become a sensible, resilient critical thinker with the clinical reasoning skills you need to think think through complex issues and make sound clinical decisions. Expert nurses can perform high-level care without conscious awareness of the knowledge they are using,and they are able to provide that care with flexibility and speed. When intuition is used, one filters information initially triggered by the imagination, leading to the integration of all knowledge and information to problem solve.
This implies that evidence-based practice, indicative of expertise in practice, appropriately applies evidence to the specific situations and unique needs of patients. Recognizing these patterns and relationships generally occurs rapidly and is complex, making it difficult to articulate or describe.
As such, critical reflection may not provide what is needed for a clinician to act in a situation. An essential point of tension and confusion exists in Critical Thinking and Clinical Judgment traditions such as nursing and medicine when clinical reasoning and critical reflection become entangled, because the clinician must have some established bases that are not questioned when engaging in clinical decisions and actions, such as standing orders.
This is a skill of foregrounding attention accurately and effectively in response to the nature of situational demands. Having the clinician say out loud how he or she is understanding the situation gives an opportunity for confirmation and disconfirmation from other clinicians present.
Results of Two Studies Describing Critical Thinking Skills Appendix I. This view was furthered by Rew and Barrowin their reviews of the literature, where they found that intuition was imperative to complex decisionmaking, difficult to measure and assess in a quantitative manner, and was not linked to physiologic measures.
It is rather the case that an adequate Critical Thinking and Clinical Judgment of tradition manifests itself in a grasp of those future possibilities which the past has made available to the present. Perception requires attentiveness and the development of a sense of what is salient. Nurses use knowledge from clinical experienceand—although infrequently—research.
However, the practice and practitioners will not be self-improving and vital if they cannot engage in critical reflection on what is not of value, what is outmoded, and what does not work. Nursing educators typically develop open and interactive clinical learning communities, so that students seem committed to helping their classmates learn from their experiences that may have been difficult or even unsafe., In nursing and medicine, many have questioned whether current health care institutions are designed to promote or hinder enlightened, compassionate practice, or whether they have deteriorated into commercial institutional models that focus primarily on efficiency and profit.
Thus, RCTs are generalizable i. There are three key definitions for nursing, which differ slightly. Example SBAR Tool Appendix H.
With readily available summaries of scientific evidence e.
This requires accurate interpretation of patient data that is relevant to the specific patient and situation.
Exactly how critical thinking is defined will influence how it is taught and to what standard of care nurses will be held accountable.