Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Critical Thinking to Facilitate Patient Care
Guidelines:
- Perioperative nurses’ decision making, based on their expert knowledge and experience, is essential to ensuring patient safety
- Critical thinking
- Identifying a problem
- Determining the best solution
- Choosing the most effective method for reaching the solution
- Implementing the solution
- Reflecting on whether or not the chosen solution was effective
- Sound familiar? Nursing process at work
- Focuses on safety and quality nursing care
Considerations:
- Stages of critical thinking:
- Unreflective thinker: fixed beliefs about current practice, unaccepting of ambiguity, unable to incorporate or adapt to new knowledge
- Beginning critical thinker: Rarely asks for feedback but is receptive to feedback when provided
- Practicing critical thinker: Demonstrates ability to acknowledge uncertainties, is open to thinking challenges, welcomes new approaches
- Advanced critical thinker: seeks and accepts feedback, demonstrates an interest in alternative thinking
- Accomplished critical thinker: Attempts to advance thinking, remains open-minded to alternate thinking, creates innovative problem-solving approaches to best practices
Nurse’s role:
- Determine and customize perioperative nursing care based on the patient’s changing situation
- Apply experiential and scientific knowledge to critical thinking
- Guide new nurses in developing critical thinking skills
- Always be open to feedback, improvement, and creative innovation
Pitfalls:
- Time and schedule pressures
- Situational stress
- Improper planning
- Closed mind
- Lack of motivation
- procrastination/complacency
- Resistance to change
- Self-focus, tunnel vision, face-saving
- Group norm conformity
- Stereotyping (previous experiences)
- Self-deception about lack of knowledge
Examples:
- N/A
Linchpins (Key Points):
- Perioperative RNs critical thinking skill is essential to patient safety
- Critical thinking = clinical judgment and decision making
- Grow others you grow your own critical thinking skills
Transcript
References
- Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery (16th ed.). Elsevier Health Sciences.
- Peaks, P.V. (2018). Developing critical thinking in perioperative staff members. AORN Journal, 108(1), 81-85. http://doi.org/10.1002/aorn.12295
NCLEX
Concepts Covered:
- Circulatory System
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- Cardiac Disorders
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- Basics of NCLEX
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