Chapter 4 the nursing process and critical thinking

In order to solve a problem, one should use the following steps ?

- define the problem clearly -consider all possible alternatives as solutions to the problem -consider possible outcomes for each alternative -predict the likelihood of each outcome occurring -choose the alternative with the best chance of success and fewest undesirable outcomes.

When formulating a nursing care plan, what factors contribute to the success of the plan ?

-patient input - collaboration with other health care team members -thorough assessment - prioritization of needs/ concerns - critical thinking

Evaluation

Assessing the patient to valuate his or her response to the nursing interventions. Responses compared with expected outcomes to evaluate whether outcomes have been met.

What are the components of the nursing process

Assessment Diagnosis Planning Implementation Evaluation

How might you improve ur critical thinking skills and clinical reasoning skills?

Critical thinking skills can be improved by focusing on main ideas and relevant data while reading. Clinical reasoning came be improved by discussing patient care scenarios and prioritization with ur clinical instructor.

Clinical judgment

Is the outcome of clinical reasoning, the conclusion or decision you arrive at as a result of exercising your clinical reasoning skills

Implementation

Carrying out nursing interventions prioritized during the planning process

Assessment

Collecting, organizing, documenting, and validating a patients health data

The 3rd step in the problem solving process is to

Consider the possible outcomes for each alternative

When all tasks have relatively high priority and if is not possible to accomplish them all, you must ..

Delegate some tasks to others to complete

Critical thinking

Directed, purposeful mental activity by which ideas are created and evaluated, plans are constructed, and desired outcomes ate are decided

Concept mapping helps promote critical thinking. It assist students to

Gather data in a logical order and group it in a meaningful way

Concept mapping

Helps students learn to synthesize pertinent assessment data, develop a comprehensive care plans, link nursing interventions with health problems and nursing diagnosis, and effectively implement the care plans

When setting priorities for nursing care, problems that threaten health are considered

High priority

The nursing process

Is an organized method of delivering patient care. Provides a framework for planning, implementing, evaluating nursing care.

Define KSAs and explain why evidence based practice KSAs are important for nursing students to acquire?

Knowledge , skills, attitudes .

High priority

Life-threatening problems such as breathing, chest pains

How are patients problems usually prioritized

Maslow hierarchy of basic needs.

Priority setting

Placing nursing diagnoses/interventions in order of importance

Low priority

Problems that do not have major effect on the person if not attended to that day or week known as knowledge deficit was

Medium priority

Problems that threaten health or coping ability such as constipation

Explain how critical thinking differs from ordinary thinking. Explain the difference between critical thinking and clinical reasoning ?

Rather than thinking about something at random, critical thinking is directed and purposeful & requires skills such as effective reading, writing, attentive listening, and effective communicating. Critical thinking involves keeping an open mind and looking at an issue from different perspectives. Clinical reasoning is critical thinking in a clinical setting.

Outcomes

Result of actions

Priority

Something taking precedence over other things at a particular time because of greater importance

Nursing diagnosis

Sorting and analyzing the assessment dats to identify potential health problems

Aspects of effective communication include:

Speaking clearly & concisely, considering what has been said and thinking before speaking, attentively listening before responding.

Clinical judgment

The outcome or results of clinical reasoning

When prioritizing nursing tasks, you should consider ?

What will happen if task is not done

Planning

a series of steps in which the nurse and the patient set priorities and goals to eliminate diminish or control identified problems