SOAR Critical Thinking

1. SOARCritical Thinking Jayne Josephsen, MSN, RN, CHPN

4. A few characteristics of Critical Thinkers… • Proactive! • Fair-minded • Empathetic • Independent thinkers • Flexible • Team players • Creative and committed to excellence

5. Components of Critical Thinking & Clinical Judgment • Problem Identification • Problem Clarification • Problem Exploration • Evaluate & Integrate • Noticing • Interpreting • Action • Reflection in Action • Reflection on Action

6. Process of Clinical Judgment

7. Focus on Observation – CT Assessment – NP Analysis & Deliberation based on content & value – CT Nursing Diagnosis – NP • Noticing:Initial grasp of situation • Knowledge of person & specific pattern of response • Clinical knowledge ofsimilar individuals • Textbook knowledge • Interpreting: • Intuitive response based onrecognized patterns • Analysis of data withhypothesis formation • R/O hypothesis until consistentwith data Experiential knowledge development. • Reflection-on-Action: • Examination of action • Connect action with response • Assess what occurred as a resultof action or lack of action Reflection leading to new focus – CT Evaluation – NP Decision or Description of best solution – CT Planning – NP • Reflection-in-Action: • Read response • Adjust intervention basedon assessment Action: Response

8. Strategies for increasing critical thinking skills • Concept Maps: Common Pathologies or Medications on the Unit • Reflect Upon Use of Critical Thinking • Share Experiences with Preceptor and Peers: Dialogue • Turn errors into learning opportunities: Reflect upon Assumptions Made and Personal Biases.

9. Critical Thinking and You

10. Barriers to Critical Thinking: • Environmental Barriers: Time, Conducive Work Environment • Personal Barriers: Stress, Attitudes • Lack of Transitioning: Nursing Knowledge, Skills

11. Critical Thinking Transitioning