N320 - Critical thinking, clinical concept map, NANDA Care Planning

critical reasoning

• gathering data and assessment

clincial judgment - elements of Critical Thinking in Nursing According to the ANA

• prioritize patient’s care needs and make adjustments as changes occur

• gather necessary information and determing what nursing intervention is needed

• interpret and understanding the importance test results and the patient’s clinical presentation including their vital signs

• prioritize interventions and anticipated potential complications

patient safety - critical thinking ANA

• recognize deviations from the norm and take action to prevent harm to the patient

  • eg. you think a patient should not change patient’s medication - question physician’s rationale for moedification to avoid potential error

communication and collaboration - critical thinking ANA

• ask relevant questions and actively listen to others while avoiding judgement

• promoting a collaborative environment may lead to improved patient outcomes and interdisciplinary communication

problem-solving skills -critical thinking ANA

• practicing problem-solving skills can improve your critical thinking skills

• analyze the problem, consider alternative solutions and implement the most appropriate one

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clinical reasoning

• the congitve and decision-making process that healthcare professional use to gather, analyze, and interpret patient data to determint the best course of action

• ways of thinking about patient care

  • determining

  • preventing

  • managing patient problem

• critical thinking is used to reason

  • managing and weighing based on knowledge and experience

ADPIE

• assessment - gather subjective and objective data from the patient (critical reasoning)

• diagnosis - analyze data to analyze actual or potential health problems (critical reasoning

• planning - intentionally smart (specific, measurable, attainable, relevant, time) goals and actions for patient care (clinical judgement)

• implementation - carrying out tasks and orders (clinical judgement)

• evaluation - see what worked and what didn’t (clinical judgement)

clinical judgement

• refers to the result/outcome of critical thinking and clinical reasoning

NCSBN clinical judgement measurement model

• recognize cues

• analyze cues

• prioritize hypothesis

• generate solutions

• take actions

• evaluate outcome s

subjective data

• what the patient reports

• feelings/symptoms/experiences

• cannot be directly verified by the nurse

objective data

• what you observe or measure

• can be verified through an assessment or testing

• vitals, labs, physical assessment, imaging result, culture results