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Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE Chapter 15 Critical Thinking and Clinical Judgment Clinical Jud...

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE Chapter 15 Critical Thinking and Clinical Judgment Clinical Judgment in Nursing Practice (1 of 3)  Nurses must make accurate and appropriate clinical decisions or judgments.  Clinical judgment  Observed outcome of critical thinking and decision making  Clinical decision making  Separates professional nurses from technicians or other assistive personnel (AP) 3 Clinical Judgment in Nursing Practice (2 of 3)  A model for clinical judgment  Models help to explain concepts.  Critical thinking in nursing is complex  A model explains the many variables involved making decisions and clinical judgments about patients 4 Clinical Judgment in Nursing Practice (3 of 3) 5 Critical Thinking (1 of 2)  Critical thinking  The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process.  The aim of critical thinking is the ability to focus on the important issues in any clinical situation and make decisions that produce desired patient outcomes. 6 Critical Thinking (2 of 2) 7 Critical Thinking Competencies  General critical thinking  Scientific method  Problem solving  Decision making  Specific critical thinking  Diagnostic reasoning  Clinical decision making 8 Levels of Critical Thinking  Basic critical thinking  Complex critical thinking  Commitment 9 Components of Critical Thinking in the Clinical Judgment Model  Competence  Knowledge base  Experience  Environment 10 Critical Thinking Attitudes  Confidence  Perseverance  Thinking  Creativity independently  Curiosity  Fairness  Integrity  Responsibility and  Humility and self- accountability awareness  Risk taking  Discipline 11 Evaluation of Clinical Judgments (1 of 2)  Reflection  Meeting with colleagues  Concept mapping  Critical thinking synthesis 12 Evaluation of Clinical Judgments (2 of 2) 13

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