Chapter 6Clinical Reasoning, Decisionmaking, and Action: Patricia Benner;1 Ronda G.
Translate this page from English Print Page Change Text Size: What makes the thinking of a nurse different from a doctor, a dentist or an engineer?
It is how we view the client and the type of problems we deal with in practice when we engage in client care. To think like a nurse requires that we learn the content of nursing; the ideas, concepts and theories of nursing and develop our intellectual capacities and skills so that we become disciplined, self-directed, critical thinkers.
In nursing, critical thinking for clinical decision-making is the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care Heaslip.
Critical thinking when developed in the practitioner includes adherence to intellectual standards, proficiency in using reasoning, a commitment to develop and maintain intellectual traits of the mind and habits of thought and the competent use of thinking skills and abilities for sound clinical judgments and safe decision-making.
Intellectual Standards for Reasoning Practitioners in nursing who are critical thinkers value and adhere to intellectual standards. Critical thinkers strive to be clear, accurate, precise, logical complete, significant and fair when they listen, speak, read and write.
Critical thinkers think deeply and broadly. All thinking can be examined in light of these standards and as we reflect on the quality of our thinking we begin to recognize when we are being unclear, imprecise, vague or inaccurate.
As nurses, we want to eliminate irrelevant, inconsistent and illogical thoughts as we reason about client care. Nurses use language to clearly communicate in-depth information that is significant to nursing care.
Nurses are not focused on the trivial or irrelevant.
Elements of Reasoned Thinking Reasoning in nursing involves eight elements of thought. Critical thinking involves trying to figure out something; a problem, an issue, the views of another person, a theory or an idea.
To figure things out we need to enter into the thinking of the other person and then to comprehend as best we can the structure of their thinking. This also applies to our own thinking as well. I want to understand the interpretations and claims the author is making and the assumptions that underlie his thinking.
As I come to understand the author in-depth I will also begin to recognize the strength and weakness of his reasoning. I will be able to offer my perspective on the subject at hand with a clear understanding of how the author would respond to my ideas on the subject.
The Elements of Thought All thinking, if it is purposeful, includes the following elements of thought Paul, The problem, question, concern or issue being discussed or thought about by the thinker. What the thinker is attempting to figure out.
The purpose or goal of the thinking.Critical thinking in nursing is an essential component of professional accountability and quality nursing care. Critical thinkers in nursing exhibit these habits of the mind: confidence, contextual perspective, creativity, flexibility, inquisitiveness, intellectual integrity, .
Critical Thinking is an essential component of Nursing since a nurse is always, by profession, confronted with complex situations, which demand accurate judgments, clinical decision-making and a .
Chapter 6 Clinical Reasoning, Decisionmaking, and Action: Thinking Critically and Clinically. Patricia Critical Thinking.
Nursing education has emphasized critical thinking as an essential nursing skill for more than 50 years. 1 The definitions of critical thinking have evolved over the years.
There are several key definitions for critical.
In nursing, critical thinking for clinical decision-making is the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care (Heaslip). Critical thinking in nursing is integral to a nurse practitioner’s success.
When it comes to health care research, the critical thinking required in nursing practice plays a unique role. Of all the health care professionals involved in a patient’s treatment, none stay as closely involved in .
In nursing, critical thinking for clinical decision-making is the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care (Heaslip).