Nursing Strategies for Success Chapter 5 Critical, creative & Practical thinking

Nursing Strategies for Success

Chapter 5

Critical, creative & Practical thinking

Successful intelligent thinking is BALANCED

What is thinking?

• Asking questions • Move towards answers

There is no such thing as a bad

question.

• “Only students who have questions are really thinking and learning”

“The difference between good science and great science is the quality of the questions posed.”

~ William Hunter

Can you get smarter?

How can You improve your analytical thinking skills?

AKA: Critical Thinking

6 stages of Cognitive learning

1. Knowledge2. Comprehension3. Application4. Analysis5. Synthesis6. Evaluation



• Memorize



• Understand



• Use the information



• How does this relate



• Develop new ideas



• Judge

Assumptions

• A thing that is accepted as true or as certain to happen, without proof

Inference

• A conclusion reached on the basis of evidence and reasoning

How to Improve your creative thinking skills

Improving creativity

• Brainstorming– Divergent thinking– Group think


• Shift your perspective


• Set the stage for creativity

Improving Creativity

• Take risks

Improving practical thinking skills

Practical thinking means action!

Practical Thiking

Introduction: Nursing Process

• Communication tool

• Organization tool

Overview of the Nursing Process

• Process:• Purpose:

– Individualized– Holistic– Effective– Efficient

• Nursing CARE

Holistic Health

• Treat the Whole person–Mental –Spiritual–Social–Physical

Overview of the Nursing Process

• Consists of 5 steps

–AD-PIE

Nursing Process

• Used throughout the life span

• Used in every care setting

Assessment

• Step #1• Involves

– Collecting data– Validating the data– Organizing the data– Interpreting the data– Documenting the data

AssessmentTypes of Data

• Subjective / • Symptom

–Data from the pt’s viewpoint• Interview

AssessmentTypes of Data

• Objective /• Signs

– Observable & measurable• PE assessment• Lab • Dx testing

Diagnosis

• Step 2 in the nursing process

Nursing diagnosis:

• “A clinical judgment…• about an individual, family or

community…• responses to actual or potential health

problems”• Forms the basis for nursing

interventions

Medical vs. Nursing diagnosis

Medical diagnosis Nursing diagnosis

Identifies conditions the MD is licensed & qualified to treat

Identifies situations the nurse is licensed & qualified to treat

Focuses on illness, injury or disease

Focuses on the clients responses to actual or potential problems

Medical vs. Nursing diagnosis

Medical diagnosis Nursing diagnosis

Remains constant Changes as the clients response changes

i.e. Breast cancer i.e. Knowledge deficitPowerlessnessGrieving, anticipatoryBody image disturbanceIndividual coping, ineffective

Planning

• Step 3

Planning

Goals

Planning

Interventions!What are we going to do?

Prioritizing Nrs Dx

• Maslow’s hierarchy of needs

Maslow’s Hierarchy of Needs

• Physiological:– Breathing, food, water, sleep, homeostasis,

excretion– ABC’s


• Safety– Security of body, employment, resources,

morality, family, health or property• Physiological


• Love/Belonging– Friendship, family, sexual intimacy

• Safety• Physiological:


• Esteem– Self esteem, confidence, achievement, respect of

others, respect by others• Love/Belonging• Safety• Physiological


• Self-Actualization– Creativity, spontaneity, problem solving, lack of

prejudice, acceptance of facts• Esteem• Love/Belonging• Safety• Physiological:

Implementation

• 4th step:– Execution of the care

plan

Implementation

• 5 Rights of Implementation1) Right patient2) Right medication3) Right route4) Right dose / amount5) Right time

Evaluation

• 5th step– Have the clients goals

have been met, partially met or not met.

Documents

Nursing Strategies for Success Chapter 5 Critical, creative & Practical thinking