Intellectual Standards of Critical Thinking
This standard means representing something in a true and correct way, such as charting a patient’s exact blood pressure reading instead of “normal.”
what is accuracy
This reasoning moves from general to specific, such as using the theory that fever usually signals infection to interpret an elevated temperature.
what is deductive reasoning
This framework highlights four overlapping concepts: critical thinking characteristics, theoretical knowledge, interpersonal skills, and technical competencies
What is Alfaro-Lefevre’s model
These are hints or indications of potential disease processes, such as noticing cyanosis or shortness of breath in a patient.
what is cues
This involves being aware and perceiving, such as recognizing a patient’s increased anxiety based on facial expressions.
what is noticing
This quality means self-directed, disciplined, and accountable, such as acknowledging an error and reporting it.
What is being autonomous/responsible
This strategy uses case studies and unfolding scenarios to enhance problem-solving and clinical thinking.
what is active learning
This standard considers a topic from all relevant viewpoints, such as including patient, family, and physician perspectives in care planning.
what is breadth
This reasoning moves from specific facts to generalizations, such as noticing multiple patients with cough and fever and suspecting a flu outbreak.
what is inductive reasoning
This model includes noticing, interpreting, responding, and reflecting, such as noticing subtle changes in a patient’s condition.
: What is Tanner’s Clinical Judgment Model
This involves applying knowledge and experience to identify problems and guide actions, such as analyzing vital signs and deciding on an intervention.
what is critical thinking
This is analyzing what’s happening, such as linking abnormal lab values to possible kidney failure.
what is interpreting
This involves acknowledging one’s biases and limits, such as seeking mentorship when unsure about a clinical judgment.
what is being self aware
This strategy involves concept mapping, group discussions, and sharing perspectives to improve reasoning.
What is collaborative learning
This inclination or favoritism can distort reasoning, such as assuming a patient exaggerates pain due to a history of frequent ER visits.
what is bias
This uses critical thinking, knowledge, and experience to solve problems in patient care, such as integrating lab results, symptoms, and history to guide interventions.
what is clinical reasoning
This expands on Tanner’s by identifying 11 specific actions, focusing on adaptability and dynamic decision-making.
Focused Observation
Recognizing Deviations from Expected Patterns
Information Seeking
Prioritizing Data
Making Sense of Data
Calm, Confident Manner
Clear Communication
Well-Planned Intervention/Flexibility
Being Skillful
Evaluation/Self-Analysis
Commitment to Improvement
What is the Lasater Clinical Judgment Model
This is the observed outcome of critical thinking and decision-making; for example, a nurse prioritizing airway obstruction before addressing mild pain.
what is clinical judgment
This is comparing observed outcomes against expected outcomes, such as reassessing blood pressure after antihypertensive medication.
what is evaluating outcomes
This means showing true self and consistent values, such as advocating for patient dignity.
what is being genuine/authentic
This skill allows nurses to identify strengths and weaknesses after experiences, such as reviewing a rapid response for improvement.
what is reflection
This goes beneath the surface to manage complexities, such as analyzing all contributing factors for a patient’s uncontrolled diabetes.
what is depth
This involves choosing from multiple options, such as deciding whether to administer pain medication or reposition a patient first.
what is decision making
This structured approach includes recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes.
What is the NCSBN Clinical Judgment Measurement Model. (National Council of State Boards of Nursing)
or Clinical Judgment Measurement Mode (CJMM)
This is the ability to focus and filter clinical data, such as distinguishing between a harmless rash and signs of anaphylaxis.
what is clinical reasoning
This involves taking action, such as elevating the head of the bed and applying oxygen for a patient in respiratory distress.
what is responding
This quality means suspending judgment until data is complete, such as seeking lab confirmation before diagnosing.
what is being careful/prudent
This quality ensures communication is easily understood, such as saying “shortness of breath” instead of “SOB” to a new nurse unfamiliar with abbreviations.
what is clarity
A nurse showing curiosity, openness, and diligence in finding relevant information demonstrates the qualities of this type of thinker.
what is a critical thinker
This is immediate apprehension of a clinical situation, such as “just knowing” a patient is deteriorating based on subtle changes.
what is intuition
This process helps nurses gain knowledge from both positive and negative outcomes; for example, reflecting on a medication error to prevent future mistakes.
what is reflection
This means promoting a healthy lifestyle, such as encouraging patients to manage stress through diet and exercise.
what is being health oriented
This means acting without bias and considering multiple viewpoints, such as equally valuing input from a CNA and a physician.
what is fairness
Assessment, diagnosis, planning, implementation, and evaluation all require this skill to ensure safe and effective care.
what is ADPIE/ critically thinking
This means adapting when circumstances change, such as altering a care plan after a patient develops new symptoms.
what is being flexible
This involves waiting patiently and persevering for the best outcome, such as monitoring wound healing over weeks.
what is being patient/persistent
This standard forms conclusions through sensible connections, such as linking fever, cough, and chest X-ray findings to pneumonia.
what is logic
This means looking for the truth and admitting flaws, such as reporting an error in documentation.
being honest
This involves anticipating consequences, planning ahead, and acting on opportunities, such as preparing supplies before a rapid response.
what is being proactive