This text introduces nursing students to the cognitive skills, or "critical thinking," required of professional nurses. Using a practical approach and a nursing process framework throughout, the book provides a bridge between theory and the application of skills. Cognitive skills are presented in a competency-based, clinically oriented format, with emphasis on teaching critical thinking. Written at an accessible reading level, chapters end with a workbook section, to provide students with real-world applications of what they have learned. Case studies and checklists throughout aid the student in applying content.

UNIT ONE BASIC CONCEPTS OF COGNITIVE SKILLS

CHAPTER 1 CRITICAL THINKING

3

(16)

Definition

3

(1)

Relationship to Problem Solving and Decision Making

3

(1)

The Critical Thinker

4

(1)

Intellectual Standards in Thinking

4

(3)

Process of Critical Thinking

7

(2)

Skills of Critical Thinking

9

(1)

Pitfalls in Critical Thinking

10

(1)

Summary

11

(8)

CHAPTER 2 PROBLEM SOLVING

19

(18)

Definition

19

(1)

Nursing Process

19

(1)

Decision Making

20

(1)

Steps in the Problem-Solving Process

20

(3)

Problem-Solving Strategies

23

(1)

Pitfalls in Problem Solving

24

(1)

Summary

25

(12)

CHAPTER 3 DECISION MAKING

37

(22)

Definition

37

(1)

Differentiating Decision Making From

Problem Solving

37

(1)

Factors Influencing Decision Making

38

(1)

Characteristics of an Effective Decision Maker

38

(1)

Decision Making in Nursing

38

(1)

Approaches to Participative Decision Making

39

(1)

Decision-Making Tools

40

(1)

Process of Decision Making

40

(5)

Errors in Decision Making

45

(2)

Summary

47

(12)

CHAPTER 4 PRIORITY SETTING

59

(26)

Definition

59

(1)

Time Management

59

(1)

Prioritizing Patient Needs

60

(1)

Prioritizing Nursing Diagnoses

61

(4)

Priority Activities

65

(1)

Multitasking

66

(1)

Prioritizing Within the Nursing Process

67

(2)

Pitfalls in Priority Setting

69

(1)

Summary

70

(15)

UNIT TWO COGNITIVE SKILLS IN THE NURSING PROCESS

85

(110)

CHAPTER 5 NURSING PROCESS APPLICATIONS

87

(34)

Definition

87

(2)

Role of the Nursing Process

89

(1)

Steps of the Nursing Process

90

(11)

Care Plan

101

(1)

Pitfalls

101

(4)

Summary

105

(16)

CHAPTER 6 DELEGATION

121

(28)

Definition

121

(1)

Principles of Delegation

122

(1)

Five Rights of Delegation

123

(4)

Obstacles to Delegation

127

(1)

Delegation Procedure

128

(7)

Summary

135

(14)

CHAPTER 7 COMMUNICATION

149

(22)

Levels of Communication

149

(1)

Verbal Communication

149

(1)

Collaboration

150

(1)

Report Skills

151

(2)

Conflict Resolution

153

(1)

Physician Notification

154

(3)

Written Communication

157

(1)

Summary

157

(14)

CHAPTER 8 PATIENT TEACHING

171

(24)

Applying the Nursing Process

171

(1)

Learning Needs Assessment

172

(6)

Analyzing Needs

178

(1)

Outcome Identification

179

(1)

Planning the Lesson

179

(2)

Implementing the Educational Session

181

(1)

Evaluating the Educational Process

181

(2)

Summary

183

(12)

UNIT THREE APPLICATION OF COGNITIVE SKILLS

195

(92)

CHAPTER 9 APPLYING CLINICAL REASONING TO VARIOUS PRACTICE SETTINGS

197

(32)

Definition

198

(1)

Reasoning

198

(1)

Guidelines for Decision Making

198

(3)

Application of Cognitive Skills

201

(2)

Clinical Reasoning Applications

203

(1)

Evaluating the Workload

203

(1)

Knowledge and Ability for Varied Settings

204

(1)

Pitfalls in Clinical Reasoning

205

(1)

Summary

206

(23)

CHAPTER 10 ETHICAL DECISION MAKING

229

(28)

Definition

229

(1)

Ethical Guides

230

(2)

American Nurses Association Code of Ethics

232

(3)

Critical Thinking

235

(1)

Process of Ethical Decision Making

236

(2)

Ethics Committees

238

(1)

Frequent Areas of Dilemma

238

(1)

Self Determination

238

(2)

Professional Caregiver Issues

240

(1)

Pitfalls in Ethical Decision Making

241

(1)

Summary

241

(16)

CHAPTER 11 APPLYING NURSING JUDGMENT IN CLINICAL SETTINGS

257

(30)

Definition

258

(1)

The Decision-Making Process

259

(3)

Float Nurse

262

(1)

Considerations When Accepting Assignments

263

(2)

Specialty Nurse Skills and Competencies

265

(3)

Room Assignment Process

268

(1)

Pitfalls in Nursing Judgment

269

(1)

Summary

270

(17)

APPENDIX A: ANSWER KEY

287

(42)

APPENDIX B: NANDA DIAGNOSES

329

(4)

INDEX

333

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Critical Thinking in Nursing A Cognitive Skills Workbook

9780781740425

0781740428

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