INTRODUCTION Every day all of us utilize critical thinking in our lives, which helps us in facing the realities or tough situations in our lives. Critical thinking is directed, purposeful, mental activity by which ideas are evaluated, plans are constructed and desired outcome are decided. MS. POOJA SEN NURSING LECTURER (MHN)
DEFINITION Critical Thinking in Nursing involves the process of thinking through problems and making decisions based on clinical reasoning, evidence, and sound judgment. Nurses use critical thinking to assess, analyze, and intervene in patient care to provide the best possible outcomes. MS. POOJA SEN NURSING LECTURER (MHN)
Example - In a disaster situation, a nurse arrives at a triage area where multiple victims are injured. She quickly assesses each patient's condition, prioritizing those with life-threatening injuries. Recognizing a patient showing signs of shock, she starts IV fluids and alerts the trauma team. Her quick critical thinking helps stabilize the patient for further treatment. MS. POOJA SEN NURSING LECTURER (MHN)
SKILLS FOR CRITICAL THINKING Critical Thinking involves a variety of skills, which are... Reading Skills Writing Skills Alternative Listening Effective Communication MS. POOJA SEN NURSING LECTURER (MHN)
Many more skills and attributes found in the critical thinker are ability to………. Separate relevant or irrelevant data gathered. Recognize inconsistencies in data gathered. Recognize one’s own bias & limitation. Be persistent in seeking solution. MS. POOJA SEN NURSING LECTURER (MHN)
Identify missing information. Consider all possibilities. Use an organized & systematic approach to problems. Set priorities and make careful decision. Be flexible, realistic, humble, honest and insightful . MS. POOJA SEN NURSING LECTURER (MHN)
LEVELS OF CRITICAL THINKING The level of critical thinking grows as new knowledge is gained. According to Kataoka – Yahiro & Saylor (1994) critical thinking model has three level…………….. Basic Critical Thinking Complex Critical Thinking Commitment MS. POOJA SEN NURSING LECTURER (MHN)
LEVELS OF CRITICAL THINKING Basic Critical Thinking – Basic critical thinking is an early step in developing reasoning. At this level trusts that experts have the right answer for every problem. A basic critical thinker learns to accept the diverse opinions and values of experts. MS. POOJA SEN NURSING LECTURER (MHN)
LEVELS OF CRITICAL THINKING Complex Critical Thinking – As you advance in practice, you adopt complex critical thinking & commitment. Complex critical thinkers begin to separate themselves from experts. They analyze and examine the choice more independently. The persons thinking abilities & initiative to look beyond expert opinion begin to change. The complex critical thinker is willing to consider different options whenever situations arise. MS. POOJA SEN NURSING LECTURER (MHN)
LEVELS OF CRITICAL THINKING Commitment – it is the third level of critical thinking in which a person anticipates when to make choices without assistance from others and accept accountability for decisions made. MS. POOJA SEN NURSING LECTURER (MHN)
ATTITUDES FOR CRITICAL THINKING Critical thinking attitude comprises the guidelines for how to approach a problem or decision making situation. An important part of critical thinking is interpreting, evaluating and making judgment about the adequacy of various argument & available data. Knowing when you need more information, knowing when information is misleading and recognizing your own knowledge limits, are the example of how critical thinking attitudes guides decision making. MS. POOJA SEN NURSING LECTURER (MHN)
1. Confidence – when you are confident, you feel certain about accomplishing a task or goal. It grows with experience. When you are not confident in carrying out certain tasks, you became anxious about not knowing what to do. This prevents you from giving attention to patients. When you show confidence, your patients recognize it & it helps in building trust in your patients. MS. POOJA SEN NURSING LECTURER (MHN)
2. Thinking Independently – It helps you to challenge the ways others think & looks for rational & logical answer to problems. When nurses ask question and look for the evidence behind clinical problems, they are thinking independently. This is an important steps in evidence-based practice. MS. POOJA SEN NURSING LECTURER (MHN)
3. Fairness – A critical thinking deals with situations without bias. Look the situations objectively and consider all viewpoints to understand the situation completely before making a decisions. MS. POOJA SEN NURSING LECTURER (MHN)
4. Responsibility & Accountability – When caring for patients, you are responsible for correctly performing nursing care activities based on standards for practice. As a nurse you are answerable or accountable for your decision & the outcomes of your actions. MS. POOJA SEN NURSING LECTURER (MHN)
5. Risk Taking – Risk taking is desirable, particularly when the result is a positive outcome. A critical thinker is willing to take risks in trying different ways to solve problems. The willingness to take risks comes from experience with similar problems . Risk taking often leads to advance in patients care. MS. POOJA SEN NURSING LECTURER (MHN)
6. Discipline – A disciplined thinker misses few details & follow an orderly or systematic approach when collecting information, making decisions, or taking action. Being disciplined helps the nurse to identify problems more accurately and select the most appropriate interventions. MS. POOJA SEN NURSING LECTURER (MHN)
7. Perseverance – It means to keep looking for more information/ resources until you find a successful approach. A critical thinker who is not satisfied with minimal effort but works to achieve the highest level of quality care. MS. POOJA SEN NURSING LECTURER (MHN)
8. Creativity – It Creativity involves original thinking . It motivates you to think of options & unique approaches. 9. Curiosity – A critical thinker is favorite question is why. Having a sense of curiosity motivates to inquire further & investigate a critical situations to get all the information you need to make a desions. MS. POOJA SEN NURSING LECTURER (MHN)
10. Integrity – A person of integrity is honest and willing to admit mistakes or inconsistences inn her own behavior, ideas and beliefs. Your personal integrity as a nurse builds trust from your co – worker. MS. POOJA SEN NURSING LECTURER (MHN)
11. Humility – A critical thinker admits to any limitations in his/her knowledge or skill. A nurse may be expert to one area of clinical practice but a novices in another. There for it is important for patients' safety & welfare, that you must admit your inability to deal with a practical problems. MS. POOJA SEN NURSING LECTURER (MHN)
CRITICAL THINKING IN NURSING Critical thinking is applied to setting priorities for patients care. Priorities setting involves placing nursing diagnosis or nursing interventions in order of importance. Life threating problems are of high priority. Problem that threaten health or coping abilities are of medium priority. Low priority problems. Priorities constantly change because patients need and conditions change frequently. Critical thinking helps nurses to mange each patients care scientifically. MS. POOJA SEN NURSING LECTURER (MHN)