Demystifying Critical Thinking Skills© 2009 By Kathy Quan RN BSN PHN All Rights Reserved Critical thinking skills are an important aspect of nursing. The concept can be a nightmare for some nursing students who struggle to understand. It’s a popular topic for many a nursing thesis or publication which many times only serves to further confuse the students. It’s not really that complex of a concept if one takes the time to break it down and analyze it. Here are a few descriptions which may help you to understand critical thinking skills:
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Nurses use critical thinking skills everyday to assess, plan for, and provide quality patient care. Critical thinking is an essential element of the nursing process as nurses assess patients and make nursing diagnoses, make decisions and set goals, and then implement a plan of care. Critical thinking is also required in the evaluation part of the nursing process to review data and information to determine if the plan is working or requires modification.
When a crisis occurs or an event that interrupts the normal routine which happens frequently, nurses have to utilize critical thinking skills quickly to assess the situation, weigh the choices and potential outcomes and come up with the best possible plan.
Consider the scenario of an unexpected code or a patient fall. From start to finish, what information would you have to analyze, what decisions would you have to make, who would you have to delegate to or bark orders at, and what drives those decisions? All of this requires critical thinking skills.
Registered nurses begin learning and using the nursing process in their first nursing classes and they learn to build on the process throughout their education. Critical thinking skills become a habit as they use them to guide behavior and make decisions based on information and experience.
The LP/VN education is more intent upon learning bedside nursing skills. Although they learn to assess patients, they are not taught to analyze or make decisions about patient care and so the critical thinking skills are less refined.
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