UNIT+II-A+Critical+Thinking+in+MedSurg+Nursing.pdf

CRITICAL THINKING IN MEDICAL-SURGICAL NURSING UNIT II-A CRITICAL THINKING Critical thinking is purposeful, outcome-directed thinking that aims to make judgments based on scientific evidence, rather than on tradition or guesswork. (Alfaro-LeFevre, 2003) Critical thinking also known as clinical reason...

CRITICAL THINKING IN MEDICAL-SURGICAL NURSING UNIT II-A CRITICAL THINKING Critical thinking is purposeful, outcome-directed thinking that aims to make judgments based on scientific evidence, rather than on tradition or guesswork. (Alfaro-LeFevre, 2003) Critical thinking also known as clinical reasoning or clinical judgment labsobservatin PYYI.LYgmfnfahe data patient WHY THINK CRITICALLY? Using critical thinking, evidence based judgments, provide benefits to patients such as: Quality patient care effective measures Cost effective patient careclearlycost The ability to give complex, holistic health care The ability to care for many clients in many situations case needsadapt every finisha it to for 1 THINGS TO CONSIDER WHEN LEARNING TO THINK CRITICALLY : What is the purpose of the critical thinking swhentoaskauest.cn Your level of acquired knowledgewnatanwiugedoinne Are any prejudices or preconceived ideas that i mpactp atient.com you may have that may influence your thinkingEight ImYaiy Is there any information that is needed from other sourcesAsrielnurseunit secrets Are there any other options; learn to evaluate awyggg.orggnywedbi9pictn alternatives and reach an appropriate conclusion Identify your own personal values and beliefs table bringtrosetote CRITICAL THINKING HABITS AND ATTITUDES Open and fair-minded Thinks independently yourselfaniawydemndmr.ms Empathetic (able to put self in the place of another) iftnismyrminga.me andectndiweporspectiv Disciplined and persistentassumminia Creative ProactivenotreauieIwna Demonstrates knowledge isft on Clarifies reasons for interventions/diagnostic studies Clarifies personal values, beliefs, needs Demonstrates focused physical assessment skills www.ietigivenismedwnatwinnappanawnsgiving ananingnarmalus Demonstrates intellectual skills/competencies Sets priorities and makes timely decisions Distinguishes normals from abnormals; identifies risks for abnormals Considers multiple explanations and solutions abnormal msn.noasman wusoyprati.at HOW TO BECOME A CRITICAL THINKER Practice, practice, practice Gather and utilize knowledge Seek out experiences Skills lab Clinical areas You can learn something from each patient, take that new knowledge with you to the next patient Case studies and other simulated situations Answer as many questions as you can to help you think like a nurseUse the Davis in chapter helps and online questions Know laws and standards and practice them, make them a part of you Take what you are learning and own it, do not just learn material for a test. Take what you are learning and make it a part of who you are, you are becoming a nurse 2 PRACTICE: TEST QUESTIONS CAN HELP A nurse is developing an educational session on client advocacy for the nursing staff. The nurse plans to tell the nursing staff that which of the following are examples of the nurse acting as a client advocate? Select all that apply: A. Obtaining an informed consent for a surgical procedure B. Providing information necessary for a client to make informed decisions C. Telling a client that he or she will need to defend himself or herself about health care rights D. Providing assistance in asserting the client’s human and legal rights if the need arises E. Ignoring the client’s religious or cultural beliefs when assisting the client in making an informed decision F. Defending the client’s rights by speaking out against policies or actions that might endanger the client’s well-being MORE PRACTICE: TEST QUESTION Levels of prevention are used by the nurse to provide a framework or guide for nursing interventions. Focus is based on the client’s needs and the care or service that is provided. An example of a true health promotion service is a(n): A. Immunization clinic B. Diabetic support group C. Aerobic dance class D. Smoking cessation clinic MORE PRACTICE: CASE STUDIES Mr. Leonard is a 42-year-old man who is married and has two teenage daughters. He underwent surgery this morning for an angioplasty to correct obstruction of his coronary arteries. The recovery room nurse calls the nursing division and tells you that Mr. Leonard has arrived, is stable, and will likely be there 2 to 3 hours. His doctor will be up to the unit shortly. What can you do to demonstrate caring for Mr. Leonard? 3 MORE PRACTICE: PRIORITIZING List in order of priority how the nurse should best schedule morning activities for assigned clients. (#1 is the lst activity and #6 is the last activity) __ Make rounds and assess assigned clients __ Receive report from the previous nursing shift __ Administer medications scheduled before breakfast __ Perform daily dressing changes and other treatments __ Document nursing care and other pertinent information in the client’s record __ Ensure that clients receive breakfast and receive hygiene care by the nursing assistant 4