Chapter 6Clinical Reasoning, Decisionmaking, and Action: Patricia Benner;1 Ronda G. Clinical reasoning and judgment are examined in relation to other modes of thinking used by clinical nurses in providing quality health care to patients that avoids adverse events and patient harm. The expert performance of nurses is dependent upon continual learning and evaluation of performance.
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. Nurses who are critical thinkers hold all their views and reasoning to these standards as well as, the claims of others such that the quality of nurse's thinking improves over time thus eliminating confusion and ambiguity in the presentation and understanding of thoughts and ideas.
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. When I read an author I'm trying to figure out what the author is saying; what problem or issue the author is addressing, what point of view or frame of reference he is coming from, what the goal or purpose is of this piece of writing, what evidence, data or facts are being used and what theories, concepts, principles or ideas are involved.
I want to understand the interpretations and claims the author is making and the assumptions that underlie his thinking. I need to be able to follow the author's lines of formulated thought and the inferences which lead to a particular conclusion.
I need to understand the implications and consequences of the author's 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.Decision making vs.
Critical Thinking The relationship between critical thinking and decision-making is much more different than what most people think. Critical thinking is the process by which one evaluates information on a given problem. Develop your critical thinking skills.
Boost your ability to solve problems and make the right decisions at work, home and in study. However, there are things that get in the way of simple decision making.
We all carry with us a range of likes and dislikes, learnt behaviours and personal preferences developed throughout our lives; they are. A recent survey shows that critical thinking is crucial for growing a business and achieving success in the 21st century.
Critical thinking skills include making decisions, solving problems and taking appropriate action. Critical thinking skills include making decisions, solving problems and taking appropriate action.
paying full attention to each of the three elements of the decision-making process: objectives, alternatives and potential risks." This powerful process helps you reduce the potential for errors.
The ThinkX Productive Thinking Model is a. This decision-making guide is designed to give you a better understanding of what problem-solving, and critical thinking entail. Not only will you learn about how to make better decisions in business, these ideas can make you a better problem solver at school or in your personal life when faced with challenges.
Jun 29, · Critical thinking is clear thinking that's based on reason, rather than on emotion. Running a small business can be a deeply personal endeavor, a .