How does critical thinking relate to, or support, clinical competence

How does critical thinking relate to, or support, clinical competence?

Critical thinking skills can help deliver positive patient outcome from competent clinical decisions. Clinical competence is aim to a positive patient outcome for the healthcare provider who practices the cognitive abilities of critical thinking such as transforming knowledge, analyzing, applying the standard, reasoning logically, seeking information, and predicting (Gail, Nina & Kimberly, 2011).

What critical thinking strategies do you use to improve your clinical competence and thus move from novice to expert?

I continue to use the nursing process “ADPIE” I assess my patients by asking the question to the reason the patients are admitted to the hospital. I use my objective and subjective data to formulate the nursing diagnosis. With the information I gathered, I created a care plan for that patient individually. I implemented my care plan by carrying out the doctor’s order that would bring a positive outcome. If I must question the doctor’s orders, I did it professionally. I would offer other alternatives. I evaluated to see if the patient outcome was what I aimed for or if I needed to reassess. For example, I had a patient who came in with low blood pressure because he was on Metoprolol by mouth 50mg daily. While he was in the hospital, the metoprolol was on hold. The doctor decided to send the patient home the same day she restarted him on the metoprolol. I had to advocate for the patient. I told the doctor we needed to keep the patient here for one more day to see how the patient tolerated the medication so that the patient did not get readmitted. The doctor listened after I had the pharmacist intervened. The next day I was able to discharge the patient home safely. Nursing is looking at the big picture. I model two theorists Florence Nightingale’s theory about the environment can determine the patient’s outcome. Jean Watson’s method to treat the body, mind, and soul.

Consider the connection between critical thinking, nursing practice, and scholarship.

 The Scholarship is critical reading where the scholar creates, evaluates, analyzes, applies, understands, and remembers (Walden University, 2018).  

“Critical thinking is the ability to make decisions that go beyond obvious solutions. It is a skilled gained gradually, linking knowledge, clinical skills and information absorbed overtime” (Heath & Borchert, 2018, p.198).  

“The practice of nursing involves behavior, attitude and judgment, and physical and sensory capabilities in the application of knowledge, skills, and abilities for the benefit of the client” (Kathleen & Russell, 2012, p. 36). The connection between critical thinking, nursing practice, and scholarship is sound judgment.

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