As a staff nurse, thinking outside of the box may not be as usual or as routinely as we do every shift, like doing endorsements or administering medications. On the floor, not every issue, challenges and patient’s problem requiring nursing intervention necessitate out of the box thinking. We incorporate the nursing process, with adequate knowledge, nursing skills and attitude learned from getting the degree and through our mere experience. Many problems can be effectively solved using a more conventional approach. However, sometimes to achieve more effective outcomes, innovative thinking is required but in order to do so, one must gain ample experience to foresee crisis that may happen upon the application of the nonconventional. Getting out of the box means sticking with the problem longer, and looking at it from various sides, which may not always be suitable for a fast paced nurse, even with the right time management nurses are naturally multi-taskers and are known to accomplish one job to get on with the other. In the box thinkers often believe that every problem needs only one solution; therefore, finding more than one possible solution is a waste of time.…
Law Enforcement and prosecution based programs are not part of the HB 3476. They have prosecutorial obligations that would eliminate any confidential agreements. They have dual responsibilities to victims and offender accountability within the laws that regulate them.…
What pieces of information are needed to assist the family in making a decision regarding Marianne’s care?…
Critical thinking is imbedded into all aspects of nursing. Critical thinking is an incorporation of the nursing process, problem solving, scientific method, ethics, codes, laws, safety, quality, policies, procedures, and knowledge. Critical thinking is thought that has purpose and is utilized to find meaning in data. In other words, it is how nurses make decisions based on integration of various strategies. When facing a client situation, the nurse must gather data, look at the data, determine the significance of the data, and then determine what to do based on scientific method, ethics, codes, laws, etc. (As listed above) Many attribute critical thinking to common sense, but it is more than that; it is knowledge based decision making and problem solving.…
In a study by Giger and Davidhizar (1990), BSN nurses significantly outscore ADN nurses in the professional category. They are were more concerned with research, teaching and community assessment, whereas the ADN nurse was more concerned with the technical aspects of nursing care (Giger and Davidhizar, 1990). Critical thinking disposition skills of senior programs revealed that BSN students scored significantly higher on critical thinking. (Shin, 1998). Although, most people have some critical thinking skills, it is a skill that must be developed. In the BSN program this skill is learned through patient scenarios and critical thinking…
Nursing education encompasses a vast continuum. Within the undergraduate subdivision, there are two preparatory levels of nursing education: Associates Degree in Nursing (ADN) and Baccalaureate Degree in Nursing (BSN). Although the underlying philosophies of patient-centered care and compassion remain consistent between both degree-levels, there are distinctions pertaining to clinical decision-making and care delivery. Major differences in competency of critical thinking and problem solving skills, evidence-based practice and clinical judgment, exist between nurses prepared at the associate-degree level and baccalaureate degree level, thus proportionally affecting patient outcomes.…
In the article “New Life in College” which written by Gelb (2007), discussed several of difference between high school life and college life. He mentioned college has much more fun and challenge than high school. Students have lots of chances to experience their live. However, they have to manage their time and learn independently, because no one will protect or help you like in the high school. Also, students need to face lots of difficult books and harsh teachers. Students will find the difficulties of life during the two or four years’ college life.…
In a study by Stephanie Pardue (1987) it was concluded that there was a “significant difference in critical thinking ability” according to the educational level of the nurse. Frederickson and Mayer (1977) found that baccalaureate students scored higher on critical thinking than associate degree students. Critical thinking ensures safe nursing practice and a better quality of care. In a…
With the increased complexity of patients in the hospital setting, the need to care for patients in diverse situations particularly in the community and public health care settings, and the demand for nursing to step into more leadership roles, advancing education is critical in order to fulfill the health care requirements of the American public (Institute of Medicine [IOM], 2010). In addition, BSN prepared nurses are qualified to continue on to advanced practice positions which are needed to meet the increased demand for primary care. The IOM (2010) also recommends a change from a curriculum that is historically focused on preparing students for the acute care setting to one that also includes competencies in leadership, health policy, research and evidence based practice, team work, community and public health, and collaboration with other health care professionals to coordinate patient care. The IOM (2010) report recommends a doubling of doctorate prepared nurses by 2020 which will be needed to teach future generations and to prepare nurses to participate in research that can improve nursing practice. The importance and value of interprofessional education has also been stressed as it will increase respect and collaboration within the different disciplines which will foster safer, more effective care…
With ongoing course assessment, respect and encouragement from nursing leadership, ADN programs will for many years to come continue to assist entry into professional practice as a nurse. In conclusion a BSN nurse is better prepared for critical thinking and professional leadership nursing and ADN prepared nurses are great clinical nurses but may struggle with critical thinking and professional leadership. Education must move onward to emphasis the importance of developing a superior educated professional, to their best ability, at all degree levels. With this partnership, we can generate a brighter outlook for…
The AACN “states the road to BSN, prepares the new nurse for a broader scope of practice across a variety of inpatient and outpatient setting” (AACN, 2010) .With the increase in complexity of today 's health care system, patient 's ,along with advances in technology, our health care requires more highly educated nurses. We as nurses embrace education that prepares us to provide the best care possible for our…
The purpose of this paper is to explain how registered nurses (RN’s) who have a bachelor’s degree, consume a better understanding of critical thinking skills, evidenced based practice knowledge, and greater leadership concepts. While using the essentials framework of baccalaureate standards, RN to BSN programs are an option that use classes to reflect the essentials for all RN’s to have the same skills in the working practice. Bachelor educated nurses allow for more professional opportunities and greater patient outcomes.…
Each health care team member has to be able to anticipate problems and avoid them when possible. This is accomplished by using critical-thinking skills. As a Licensed Practical Nurse critical thinking is a big role that comes hand in hand in your carrier. The problem solving process is a conscious growth production method dealing with challenges in your life. As a nurse you will define the problem, decide on a goal, choose alternatives, evaluate the effectiveness of your approach, and finally repeat the process if the solution is not effective to best help your patient recover from the current issue. Focusing on learning to be assertive in nursing benefits both you and the patient. The primary goal of health care is to restore optimal physical, emotional, and spiritual health to patients. This goal is accomplished by promoting health, preventing further illness, and restoring health when illness or…
0’Neill E. S. & Dluhy, N. M. (1997) A longitudinal framework for fostering critical thinking and diagnostic reasoning. Journal Advanced Nursing, 26, 825-32.…
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.…