Flashcards in Clinical Judgments: Critical Thinking in Practice Deck (12)
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?
- Pro-active versus reactive
- Global thinkers
- Thinking out the box
- 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.
- 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
- 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.
- 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