Clinical Judgments: Critical Thinking in Practice Flashcards Preview

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Flashcards in Clinical Judgments: Critical Thinking in Practice Deck (12)
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What is critical thinking?

- Purposeful thinking - considering all information before arriving at tentative conclusion
- Exploring with an open mind, engaged reasoning
- Deliberative process of generating, analyzing and evaluating alternatives


Describe the meta-concept of critical thinking:

- Critical analysis
- Clinical reasoning
- Clinical judgment
- Critical reflection


What are characteristics of critical thinkers?

- Open-minded
- Pro-active versus reactive
- Consequences
- Global thinkers
- Thinking out the box
- Flexible
- Avoids over-simplification
- Being aware of limits and personal biases
- Reflective thinker, independent
- Diligent, focused in inquiry
- Persistent in seeking results


What is non-critical thinking characterized by?

- Task orientated
- Taking everything at face value
- No questioning
- Relying on thoughts of others
- Emotion in place of reason
- Blinded by one dominant idea or POV


Describe novice thinking:

- Context-free rules
- Textbook principles
- Practice guided by theory


Describe advanced beginner:

- Clinical situations are seen as a set of tasks
- Use standards of care, procedures, rules based, etc.


Describe competent:

- 2-3 years
- Ability to anticipate the likely course of events
- Focus switches to clinical situation from task orientation
- Holistic orientation
- Priority setting is deliberate


Describe proficient:

- Able to read and response to situations appropriately
- Moves from use of quantitative measures to patient particulars to guide judgments
- Flexible and responsive to changing situations.


Describe expert:

- Increased intuitive links for each situation
- Attends to context and environment
- Organization and priority setting do not show up as focal points


What are the four components of critical thinking?

1.Identifying / challenging assumptions
2. Understanding the importance of context
3. Exploring and imagining alternatives
4. Reflecting with an open mind


What is clinical judgment?

- Refers to reasoning process
- Choosing what to observe, interpreting observations, taking appropriate actions
- Requires an ability to critically think
- Includes ‘thinking –in-action” skills of noticing, interpreting, responding and ‘reflection-in-action’
- Requires weighing evidence against expectation, norm or standard


What are factors influencing clinical judgment?

- Nurses background
- Context
- Relationship with patient
- Initial grasp of situation
- Reasoning ability
- Practical knowledge