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Critical thinking is where you set out to accomplish specific goals. It is where you use available facts , theories, principles and analyze to solve problems. You recognize assumptions, evaluate arguments and then draw conclusions.

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Two reasons why critical thinking is essential for a patients best outcome?

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Two reasons why critical thinking is essential for a patients best outcome?

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1. It's needed to give careful, complex consideration of what must be done
and how best to do it.

2. To ensure patient safety.

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1.Reasoned thought
Is discriminating, prudent, and does not allow emotion, feelings, or prejudices to decisions you make.

An example of a nurse using reasoned thought during a clinical setting is for example: A nurse noticing a patients blood pressure increasing and instead of assuming this is normal for them, they analyze the patients history and take action.

2. Clinical judgment
Is a perceptive understanding of a situation based on knowledge, and data this is data that can be observed or experienced.
They also decide whether to proceed with or revise a course of action.

An example of a nurse using clinical judgment is a clinal setting is for example: A patient tells the nurse they have back pain, a nurse will ask the patient more questions on the exact location, when did it start and if anything helps the pain or makes it worst. Then the nurse will determine the best course of action to take to help the patient.

3. Critical thought
Is experience, knowledge, and skills required in order to think critically.
Using this it assists the nurse in making more effective clinical decisions which will meet more of the patient’s needs and have a positive outcome for the patient.

An example of a nurse using critical thought during a clinical setting for example is: When a nurse arrives to work for their shift and receive report from the outgoing nurse they will prioritize on who to see first.

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1.Curiosity
Is the desire to understand what something is or how it works, to want to explore beyond what is immediately obvious. To keep a open mind and not to judge.

2. Rational thought

This is knowledge gained through study and experience it helps the nurse predict likely outcomes of planned actions or interventions.

3.Creativity
Is the ability to be innovative, resourceful, and inventive it recognizes patterns that are present but understands that outcomes
are often uncertain until tested.

4.Intuitive thought
This involves one’s sixth sense, instincts, or insight, It is basically your gut feeling.

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Reflection is considered an essential attribute for a critical thinker because a nurse is able to go back and reflect what has been done. The nurse is able to reconsider previous actions taken or even thought or beliefs when it came to taking care of someone. This is in the long run can make you better nurse.

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Pearson's RED model

R- Recognizing assumptions (gather information correctly without assumptions)

E- Evaluate arguments ( analyze and evaluate arguments)

D- Draw conclusions ( Judgment and decision making is done)

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Clinical situation to apply Pearson's RED model

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Clinical situation to apply Pearson's RED model

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A patient suddenly states they feel nauseous and throw up. How would you use Pearson's red model in this situation?

1. Would recognize any factors that could be contributing to the patient feeling this way. New meds has the patient been having this problem?

2. Has the patient been receiving meds for this problem? If so has it been helping. Does sitting up or lying down help with this problem.

3. Then will decide on what to do for the patient to resolve the problem they are having by the information we have gathered.

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You are caring for a patient who has just undergone surgery. The patient suddenly complains of severe pain and shows signs of distress.

1.Using deductive reasoning, describe how you would asses the situation and formulate a plan of action? We would assess the patient collect and analyzing data. What was the surgery for? Any complications? Vitals?

Then we would diagnose the problem from the data we collected. If it is normal to have pain consult a doctor or look at orders to see if pain meds are ordered.

Then would explain to the patient why they are having the pain and what we are going to do for the pain.

Then we would implement plan of care give the patient the pain medicine ordered by the doctor and document the progress of the patients pain.

Last we would revaluate the progress make sure the medicine was working and that the patient no longer had pain.

2. How would you use cultivated thinking to ensure you gather all necessary information before taking action?

Make sure and check with another nurse or the surgery nurse, that you were open minded. That you had gathered all information and got a second opnion.

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One experience I went through where I had to make a quick decision was when I was at work and an aide found a patient on the floor, I had to jump to assist the patient, I immediately asked the patient was they okay are they hurting anywhere and checked the patients vital signs. I then had to run to get the crash cart because the patients oxygen levels was really low. I then got the patient on oxygen and sent the patient to the hospital. How critical thinking influenced my decision making was I knew the patient was in pain and was having a hard time breathing because of the noises she was making. I instead of assuming she was hurting assessed the patient and gathered the information to correctly diagnose it.

If I could of improved one of my critical thinking skills I would of automatically brought the crash cart with me instead of assuming it was not that bad so I would of been faster at stabilizing my patient.