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Critical Thinking In Nursing
Critical Care ClassSusie Brishaber, RN
What is critical thinking?
“In nursing, critical thinking for
clinical decision-making is the
ability to think in a systematic
and logical manner with
openness to question and reflect
on the reasoning process used to
ensure safe nursing practice
and quality care” (Heaslip,
1993).
Critical Thinking
Nursing Diagnosis Interpretation of the
data for problem
identification
analysis of assessment
data to determine the
client’s actual and
potential health
problems by the RN.
Critical Thinking
The Nursing Process
Planning Reflective and reasonable
thinking that focused on
deciding what to belience
or do
development of a plan of
action to reduce, resolve,
or prevent potential
problems, establish
priorities, formulating
goals/expected outcomes
by the RN, and planning
nursing actions while
documenting the nursing
care plan.
Critical Thinking
The Nursing Process
Implementation
Putting plan in to
action
The delivery of nursing
care, performing the
planned nursing
interventions while
continuing to collect
data about the client
Critical Thinking
The Nursing Process
Skills used in Critical Thinking Information gathering
FocusingRememberingOrganizingAnalyzingGenerating Integratingevaluating
Critical Thinking
What are some examples of Critical thinking? What decision did you
make today that involved critical thinking?
How did you decide to make that decision?
Did you evaluate the outcome of your decision?
Critical Thinking
Today
Nursing assistant approaches the nurse and says a patient’s Blood Pressure is 84/58. What is the first thing
you would do? Using the SBAR, what
would you report to the doctor?
What aspects would you re-evaluate?
Critical Thinking
Examples
Pt. complains of being short of breath and having pain in mid-chest areaWhat is the first thing you would ask this patient
How would you determine the difference between indigestion or Heart Attack?
Using SBAR, what would you report to the doctor?
Critical Thinking Examples
What is your opinion of using good critical thinking skills?
Give a scenario
using critical
thinking.
How do you
measure your
critical thinking?
What can a person
do to improve how
they use critical
thinking?
Critical Thinking
Your View
When you encountered a problem, do not jump in quickly to ask others for answers without figuring it out yourself.
After understanding the situation, information gathered must be verified for accuracy so that informed decision can be made
Critical Thinking
Improving Thought
"I cannot teach anybody anything,
I can only make them think."
- Socrates, Greek philosopher
(469-399 BCE)
Critical ThinkingSeptember 17,
2012