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critical care orientation and the importance of developing clinical reasoning
Pages 10 (2510 words)
I. PROBLEM: Registered nurses that transition/orientate into an intensive care unit do not receive enough orientation to develop the ability to clinically reason and key competencies/essentials needed to practice safely in critical care. Nursing education has understood the value of critical thinking as an essential nursing skill, throughout all the incarnations by which critical thinking has itself been defined over the course of the 19th and 20th centuries.
It is important not to distill the critical thought process as it pertains to clinical endeavors with simple, smart sounding labels, like wisdom or 'know-how'. II. DEFINITION OF CLINICAL REASONING Clinical reasoning must be more than a simple application of theory, because patients are individuals – and the therapist/nurse must adapt a treatment plan towards the individual, personal needs of each patient. Clinical reasoning under the perspective of certain researchers becomes a largely tacit phenomenon (Matingly, 1991). Our understanding of critical thinking as it pertains to the clinical setting has matured over the course of the decades. There are several key items for critical thinking for the professional to consider. The American Philosophical Association (APA) has defined critical thinking as: '...purposeful, self-regulatory judgment that uses cognitive tools such as interpretation, analysis, evaluation, inference, and explanation of the evidential, conceptual, methodological, criteriological, or contextual considerations on which judgment is based' (APA, 1990). But there are other professional bodies that have also required a critical thinking mandate be added to curriculum, in many fields – not just nursing. ...
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