Critical Thinking and Care Plans Go Together Like Chicken and Waffles

 

example of critical thinking in nursing

RELATED ARTICLE: 5 Steps to Writing a (kick ass) Nursing Care Plan (plus 5 examples) The Development of Critical Thinking. Learning how to critically think takes time. It is not something you just read in a textbook and can immediately apply. The At-Home Classroom for Nurses. The following scenarios will help you start developing the thought process of critical thinking. It’s no surprise that critical thinking abilities are some of the most sought-after skills in almost every industry and workplace. You can demonstrate critical thinking by using keywords related to this skill in your resume and cover letter, and during your interview.


Critical Thinking Skills in Nursing Management


They so do. Coming up with a nursing diagnosis, nursing interventions, example of critical thinking in nursing, and using your clinical judgment to decide upon the best way to approach how you direct your care for your patient for the day as well as how you navigate obstacles are one in the same, example of critical thinking in nursing.

I just nodded along and pretended like it made sense to me. I started to understand a bit more when I got into clinicals and really understood not only what it meant to think critically, but also what it felt like to critically think in the moment.

Critical thinking is something that you will do every single shift as a practicing nurse. Not one day will go by in which you do not think critically. I will take a second to describe this process, but keep in mind that it occurs much more fluidly than this description.

I liken this to learning how to shoot a layup in basketball. It looks and feels very mechanical at the beginning. You go into the room and see your patient is scrunched down in the bed with their nasal cannula is on the bed, labored breathing and coughing weakly.

You decide to grab a coworker and have them help you boost your patient up so they are sitting straight up. You quickly reapply their nasal cannula. You hear them trying to clear their throat and grab the suction and clear a large amount of sputum that was caught in the back of their throat. They ask you what time lunch trays should arrive. Learning how to critically think takes time. It is not something you just read in a textbook and can immediately apply. It requires foundational knowledge like in the previous scenario, knowing what kind of troubleshooting to implement when a low oxygen saturation is occurring and experiences.

This concept gets introduced in nursing school and you start to see it in action during clinicals. It will be mechanical at first, but eventually you will be critically thinking with the best of them.

It just takes time, knowledge, and experience to really know how to see a situation or multiple situations and know the best plan of attack. While it does take time to become a competent critical thinker, you can begin to practice this.

Note: There are quite a few different confusing resources for this topic floating around out there on the internet. To keep things consistent, the only resource I will use to outline care plans and definitions will come from the NANDA International website. Going through nursing school, I felt like care plans were the least straightforward aspect of school. They have basically created a standardized list of nursing diagnoses. It is a standardized list of nursing outcomes.

This is helpful for staff as well as patients. There are quite a few textbooks related to nursing care plans and nursing schools may require different ones. They are the foundation of the care plans. It is imperative we are speaking the same universal language.

But before we can really dig into nursing care plans though, we need to clearly define and discuss a few frequently used terms that all of your books will refer to over and over again. If you fully understand these, it makes the whole process much clearer. When we hear the word diagnosis, we tend to assume we know what that means. Try to suspend judgement! I say this because a nursing diagnosis and a medical diagnosis are two completely different things.

The medical team will make their medical diagnosis, write their progress notes, their orders, and so forth. These nursing diagnoses will guide how they provide and prioritize their care. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.

This can be kind of confusing, especially when you first start looking at it. We have a really great post that helps differentiate between subjective and objective data here, example of critical thinking in nursing. They are problem-focused, health-promotion, example of critical thinking in nursing, and risk nursing diagnoses.

Please note, example of critical thinking in nursing, the following 3 examples of different nursing diagnosis came directly from the NANDA-I website and can be found here. In order to make a problem-focused diagnosis, the following must be present: defining characteristics manifestations, signs, and symptoms that cluster in patterns of related cues or inferences, example of critical thinking in nursing. Related factors etiological factors that are related to, contribute to, or antecedent to the diagnostic focus are also required.

A nursing diagnosis that is focused on a problem the nurse identifies after considering the entire clinical picture. Defining characteristics and related factors must be present. Here is the official definition of the term health promotion nursing diagnosis from the NANDA website:. A clinical judgment concerning motivation and desire to increase well-being and to actualize human health potential.

These responses are expressed by a readiness to enhance specific health behaviors, and can be used in any health state. Health promotion responses may exist in an individual, family, group, or community. This diagnosis focuses on optimizing and promoting the health for that patient. We know this is an appropriate diagnosis because the patient has expressed desire from the patient to improve their health.

Defining characteristics must be included. In order to make a risk-focused diagnosis, the following must be present: supported by risk factors that contribute to increased vulnerability. A nursing diagnosis that expresses something the patient is at risk for. Risk factors must be included. He has a history of chronic back pain and has had a pretty consistent headache since the stroke.

So when I hear that in report, I start identifying problems and nursing interventions for him during my shift and some goals to evaluate whether or not my interventions were successful. Care example of critical thinking in nursing are something you decide upon at the beginning of the day and implement throughout your shift. Towards the end of your day, you document what they were and if they were progressing or not.

You resolve goals that were achieved that are no longer applicable, initiate new ones if needed, and chart on existing ones that are still applicable, example of critical thinking in nursing. I put this thought process in a chart below. What used to be this vague process in school example of critical thinking in nursing now second nature to me now that I do this every single shift. This is basically my thought process, not necessarily what I would document.

Pillow support No skin breakdown Was there any skin breakdown during my shift? Fall risk Bed alarm example of critical thinking in nursing. No injuries Did patient fall? To summarize… I listen to report, check the chart, and assess my patient. Between those actions, I decide what kind of problems exist, what goals I have for the patient, and which nursing interventions would best help me achieve these goals for my patient.

When I think back about my mental thought process during school, I felt like it was a big performance. I highly advocate not waiting until the last minute to turn care plans in. This takes time because there are a lot of things to think about and consider while forming these care plans.

Looking back, I really should not have been. There is a natural learning curve so expecting to pick it up immediately and never miss a point is somewhat unrealistic. When you decide upon your nursing diagnoses and start to prioritize your care by having these goals in mind.

It orders your steps, in a way. You really have goals in mind to help the patient progress to discharge, rather than just getting them to the next shift. Imagine you are example of critical thinking in nursing to the love of your life… Alex.

Oh, Alex. The Pam to my Jim. The chicken to my waffles. Now imagine example of critical thinking in nursing broke their femur in bicycling accident, had urgent surgery, and are now on an orthopedic floor.

They pass their meds on time. At the end of the day, they give the next shift report and they leave. Smith, who operated on Alex right upon admission, rounded towards the end of the day, while Alex was sleeping. Successful shift… right? After report, Nurse B decides pain management, promoting mobility, preventing skin example of critical thinking in nursing are going to be important today to get your BFF home and doing better ASAP.

Nurse B looks closely at all of the orders meds and nursing intervention orders to make sure to prioritize this stuff today. I also want you out of bed for each meal. When Alex said he wanted to take a nap during the afternoon, Nurse B came in and got him positioned up on his side. Smith, who operated on Alex right upon admission, rounded towards the end of the day, while Alex was up in the chair and eating dinner.

At the end of the shift, Alex had not needed another dose of IV pain meds despite all of the increased mobility. Getting up the first few times was tough, but it got easier as the day progressed.

They both passed their meds on time… Responded to call lights and needs verbalized by the patient. So, all is well. Nurse A did not have discharge in mind. Nurse A just wanted to get to the end of the shift. Nurse A was passive. Nurse B thought about the needs of a patient with a example of critical thinking in nursing femur and prioritized care for the day.

 

The Value of Critical Thinking in Nursing + Examples - staplrsvsq.ga

 

example of critical thinking in nursing

 

The At-Home Classroom for Nurses. The following scenarios will help you start developing the thought process of critical thinking. RELATED ARTICLE: 5 Steps to Writing a (kick ass) Nursing Care Plan (plus 5 examples) The Development of Critical Thinking. Learning how to critically think takes time. It is not something you just read in a textbook and can immediately apply. “Critical thinking in nursing has been described as effective problem- solving ability” (Oermann, ). During the critical thinking phase, nurses should undergo a complete assessment of the patient in order to analyse and understand what the patient needs.