In an era of changing reimbursements, value based purchasing, and expanded roles for nursing in the health care delivery system, critical thinking and decision making are important skills for nurses caring for patients and for nurse leaders and managers. Nurses are a cadre of knowledge workers within the health care system. As such, they need information, resources, and support from their environment. Critical thinking and decision-making competences include analytical skills as well as intuition. Just as intuition is part of expert clinical practice Benner, , intuition plays an important role in developing managerial and leadership expertise Shirey, Using these skills, nurses in direct patient care and leaders and managers can reflect analytically, reconceptualize events, and avoid the tendency to make decisions and problem solve hastily or on the basis of inadequate information.
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Critical thinking skills are essential for all nurses. They are a necessity for the provision of safe, high-quality clinical care. The growing body of research, patient acuity, and complexity of care demand higher-order thinking skills. Therefore, expert nursing performance is dependent upon continual learning and evaluation of performance. For over 50 years, nursing education has emphasized critical thinking as an essential nursing skill.
In recent years, critical thinking skills have been recognized as a necessary component of nursing education. The Alfaro-LeFevres 4-Circle Critical Thinking Model provides a visual representation of critical thinking abilities that nurses can use to make connections between nursing research and nursing practice. Nurses must:. Derived from Pearson.
Thinking how to nurse is thinking like a nurse. The ability to think critically was the foundation of nursing practice started from historic times and is becoming one of the key performance indicators for both students and nursing professionals nowadays. Educational system continues to evolve and progresses heeding to the needs of the society, and parallel to the changing educational structure and methodology. Critical thinking skills, a fundamental skill that plays a pivotal role in our daily survival. In general terms, the skill will not stop in memorization, the process goes beyond connecting the dots from one to concept to another, problem-solving techniques, think creatively, and apply the learned knowledge in new ways Walden University,