1. Chapter 10
Dr. Wajed Hatamleh
Critical Thinking
and Nursing
Practice

2. Learning Outcomes
Describe the significance of developing critical-thinking abilities in order to practice safe, effective, and professional nursing care.
Explore ways of demonstrating critical thinking in clinical practice.
Discuss the skills and attitudes of critical thinking

3. Learning Outcomes (cont'd)
Discuss the relationships among critical thinking, the problem-solving process, and the decision-making process.

4. BEGIN WITH: Questions:
What do I really know about this nursing care situation?
How do I know it?
What options are available to me?

5. Critical thinking:
“is the intellectually disciplined process of actively and skillfully conceptualizing, Appling, analyzing, synthesizing and / or evaluation information gathering from or generated by, observation, experience, reflection, reasoning or communication as guide to belief and action”.

6. Critical Thinking An intentional higher level reasoning process
Essential component of professional accountability and quality nursing care
Generated from a triad of professional, socioeconomic, and ethical/moral needs

7. Creativity is a major component in critical thinking .
•Creativity: is the thinking that results in the development of new idea and products. And is the ability to develop and implement new and better solution

8. Critical Thinking Use clinical reasoning and clinical decision making
to practice safe and effective nursing care
to improve clinical systems
to decrease errors in clinical judgment

9. Critical Thinking Skills
Analyzing
Applying standards
Discriminating
Information seeking
Logical reasoning
Predicting
Transforming knowledge

10. Techniques in Critical Thinking
Critical analysis
Inductive and deductive reasoning
Making valid inferences
Differentiating facts from opinions
Evaluating the credibility of information sources
Clarifying concepts
Recognizing assumptions

11. Attitudes that Foster Critical Thinking
Independence
Fair-mindedness
Insight
Intellectual courage

12. Attitudes that Foster Critical Thinking (cont'd)
Integrity
Confidence
Curiosity

13. Critical Thinking and Nursing
Critical thinking underlies each step of the nursing process, problem-solving process, and decision-making process

14. The Nursing Process
Systematic, rational method of planning and providing individualized care
Assessing
Diagnosing
Planning
Implementing
Evaluating

15. Problem-Solving Process
Clarify the nature of a problem and suggests possible solutions
One situation contributes to the nurse’s body of knowledge for problem solving in similar situations
Commonly used approaches
Trial and Error
Intuition(is the understanding or learning of things without the conscious uses of reasoning (sixth sense).
Research process

16. Decision-Making Process
Decision making: is the critical thinking process for choosing the best action to met the desired goal
Choosing the best actions to meet a desired goal
Make value decisions (keep client information confidential)
Time management decisions (take clean linens in at the same time as giving medications)

17. Decision-Making Process (cont'd)
Choosing the best actions to meet a desired goal
Scheduling decisions (bathe clients before visiting hours)
Priority decisions (most urgent and ones that can be delegated)

18. Steps of Decision making
identify the priorities.
set the criteria:
what need to be achieved.
what need to be preserved.
what need to be avoided.
weight the criteria( set priority).
seek alternative.
examine alternative.
implement (placed into action).
evaluate the outcome

20. Developing Critical Thinking Attitudes and Skills
Self-assessment
Tolerating dissonance and ambiguity
Create environments that support critical thinking

21. Figure 10-2 Mind map for critical thinking in nursing
Figure Mind map for critical thinking in nursing. From University of New Mexico College of Nursing. Retrieved from 21

22. Box 10-5 Types of Concept Maps22

23. Figure 10-3 Types of concept maps: A, hierarchical; B, spider; C, flowchart; D, systems.23