Nursing beyond simple thinking

Word Count: 1615 |

Many think that to be a nurse, all you are required to do is to care for the patient until returned to a complete physical health…this is the thought of a simple thinker. However, to a critical thinker a nurse provides more than just physical bedside care. As a nurse, we are to provide a happy, hygienic and comfortable place of rest to encourage a speedy return to complete holistic health. Critical thinking is a skill that takes years to develop and appreciate, and even longer to recognise, but it is something that will stick with you for life and will no doubt make you a much more interesting person than that of a simple thinker.

Simply thinking is the inability to look beyond the immediate problem and find an adequate solution. As simple thinker sees the basic side of the problem and generally the basic side of the solution. To be a nurse with this perception is said to be inadequate and close-minded, which could prove potentially dangerous to a client and the clients’ family, not to mention other colleagues too.
Contrary to this is thinking critically. Critical thinking is the process, where once mastered and practiced continually, will enable us to question everything we do as a health care professional, question everything necessary of the client and to question the working practices of our fellow colleagues. As a critical thinker, we are taught to think outside the box, we learn to prioritise cases, to be proactive- not reactive, to solve problems, to be logical, fair-minded, humble, and flexible and so on. Critical thinking is said to be controlled and purposeful, focusing on well-reasoned tactics to gain the desired results. (Alfaro-LeFevre: 2004 pp4)
To be an effective critical thinker is to be a not only a good nurse, but an excellent
HSHS 155- Jan Brown
Lauren Fitzgerald #220020667
carer/rehabilitator, great colleague and most probably an understanding and empathetic person in general.
To improve one’s skill in thinking critically one must accept the concept of thinking outside the square and also accept the fact that other people’s opinion is just if not more important than that of yourself. To improve critical thinking skills, one must be willing to make an effort, not only to become better thinkers, but also to ensure that they look outside the box in every circumstance and become creative and committed to the fine art that is critical thinking.
For me to become a better critical thinker, I believe that I will have to gain confidence in the choices and ideas that I put forward and be prepared enough to support these ideas/choices with evidence to ensure that the future outcome is a positive one. I also have to come to terms with that mistakes are unfortunate but do happen. We are only human and we do as best (as nurses) as we can to try to prevent the prevalence of errors, but they do still occur. To become an effective critical thinker I will have to be prepared to take responsibility for my actions, note that I was incorrect and have the courage to ask for help or the opinion of others. With this attitude of gaining help from others and not being to ‘cocky’ or resistant to change, hopefully this will allow me to become open minded unbiased, non-prejudicial and overall an effective and useful critical thinker.
Critical thinking, though it takes a lot of experience to ‘fine tune’, once mastered and implemented correctly, it has many advantages to you and the client in your care. As critical thinking requires that you look beyond the situation at hand and think of any situations that may arise in the unforseen future it would be wise to believe that this would drastically
HSHS 155- Jan Brown
Lauren Fitzgerald #220020667
improve the care and safety of your client, compared to just thinking simply. An improvement in critical thinking would mean that care for a client would be the uttermost priority. Improvement in critical thinking would mean that as a nurse, complex situations would be solved easier, therefore ensuring safety of the patient, and ensuring efficiency within the hospital environment. Critical thinking in nursing enables the outcome of the nursing care plan to be of a profound standard, and therefore a happier and healthier patient, which makes for a happier staff. Critical thinking also means that you are to maintain an open mind and avoid any judgment or prejudices that you may posses. An improvement in critical thinking skills will mean that any patient, no matter their race, sex, religion, cultural values or moral and ethical beliefs, will get the treatment and care that they deserve equally. No one will be treated differently because of the characteristics listed above, as treatment will be considered standardised to a critical thinker. Another improvement that would be an advantage is that as a better critical thinker, it would be easier to recognise any problems that may arise in the near future in regards to a clients’ care. For example, a man is admitted to hospital suffering a heart attack; he is required to have bypass surgery to prevent it from happening again. He is required to stay in hospital for 7 days. As his operation was quite serious, and he is quite sore, he is unable to move properly. Now a nurse with limited critical thinking skills would only think to turn the man a few times a day to prevent pressure sores from developing. A critically thinking nurse would see that in the near future, not only is there a chance that decubitus ulcers may develop, but that also his blood may be pooling, which may place his heart in even more unnecessary stress, and that range of motion exercises are necessary to prevent this. The critically thinking nurse is thinking further, more
HSHS 155- Jan Brown
Lauren Fitzgerald #220020667
‘out of the square’ than the non-critical thinker does. The critically thinking nurse would contact a physiotherapist to consult with them about the exercises that should be undertaken and how often they should be carried out. The nurse who is thinking critically in the example is thinking about many possibilities, rather than just obvious ones, therefore giving the client an improved standard of care, it is also an advantage to the hospital as prevention is better than cure, and to cure any ailments that may have resulted from his blood pooling and so forth, would have resulted in financial expenses for the hospital.
The ability to think critically is an absolute essential to become an excellent nurse. However, critical thinking can also posses a few problems that many find difficult to overcome. For me in the workplace practicing as a nurse, I believe that I will be faced with some problems as I strive to become a more efficient critical thinker. I expect that my age and limited previous experience will adversely affect my ability to become a valued critical thinker. As I am of a young age, many colleagues I expect will not take my opinions seriously or of any value. To overcome this, I must not take any of these values to heart, I must learn to become more assertive in my points of view and I can only build on my communication skills and overall, I will hopefully improve with age and experience. Another barrier that may slow me in my path to become a more efficient critical thinker is self-deception and self-doubt, i.e. not trusting my instincts enough and not trusting my judgements and decisions that I may have to make. This would become a major problem if not addressed quickly as I may be placing patients and possibly staff members at risk. To overcome this problem, I will have to improve my self-confidence in critical thinking greatly. I will have to become familiar with my work setting and feel confident and comfortable with the people I will be working with. I
HSHS 155- Jan Brown
Lauren Fitzgerald #220020667
will also have to have as much information on a patient as possible so that I can make informed decisions confident that they are right. I will also have to learn to stick with my decisions and trust that they are correct and accurate and made to the best of my ability.
Another problem that may inhibit my ability to be a more effective critical thinker is my tendency to have strong stereotypical views and I also posses the ability to be quick to judge others without knowing their situation. As these factors are apart of my personality it will take a lot of practice determination, which I am most definitely willing to do, to change these habits that I posses. Ways to overcome these behaviours is to place myself in a situation where I am most judgemental and look at the big picture. An example of this may be if I was to walk around Hyde Park and Sydney. Hyde Park is where many of the homeless take refuge for the night. Now if I was to walk around and take people at face value, then I imagine a lot of judgement of why they are homeless would fill my head. Instead of taking these unfortunate people at face value, a way to overcome my tendency to judge people quickly would be to go up to them and talk to them, to gain some insight as to why they are homeless. Therefore, as a nurse instead of taking people on face value, if I get to know them and know their situation, this will allow me to withhold any judgement or stereotypical views and allow me to become a more efficient, reliable critical thinker.
However, there can be many barriers to becoming an efficient, reliable and confident critical thinker, once practiced and mastered, the outcomes for the patient and the staff are far better than if the critical thinker did not exist.

Reference List:
-Alfaro-LeFevre, R. 2004, Critical Thinking and Clinical Judgment, Saunders, Missouri


You May Also Find These Documents Helpful

Allegory Of American Pie By Don Mc Lean

Ask anyone what was the defining moment in the rock history of the 1960s was and all you will get is a one word answer: Woodstock. The three day rock festival that defined an era was only one of many music festivals of the '60s. But Woodstock has come to symbolize, "an era of peaceful, free- loving, drug- taking hippie youth, carefree before harsher realities hit..." (Layman 40). The Woodstock festival ended a century filled with many metamorphoses of rock'n'roll, from the era of pop music to the rebirth of folk music to the invention of acid rock. But some cynics say that rock'n'roll died with the death of Buddy Holly before the 60s even began. One such person is Don McLean. The poet behind the haunting epic song about the death of 'danceable' music, McLean wrote the ever popular song, "American Pie" (appendix 1). The most important song in rock'n'roll history, "American Pie", is the song about the demise of rock'n'roll after Buddy Holly's death and the heathenism of rock that resulted. Although McLean himself won't reveal any symbolism in his songs, "American Pie" is one of the most analyzed pieces of literature in modern society. Although not all of its secrets have been revealed, many "scholars" of the sixties will agree that the mystery of this song is one of the reasons it has become so successful- everyone wants to know the meanings of its allegories. Proof of "American Pie's" truth lies in the allegory of the song. Many People enjoy the song but have no idea what it means- Who is the Jester? What is the levee? When the deeper story is found, the importance of the song is unearthed. "American Pie" is not only a song, it is an epic poem about the course of rock'n'roll...

Carl Orffs Philosophies In Music Education

While Carl Orff is a very seminal composer of the 20th century, his greatest success and influence has been in the field of Music Education. Born on July 10th in Munich, Germany in 1895, Orff refused to speak about his past almost as if he were ashamed of it. What we do know, however, is that Orff came from a Bavarian family who was very active in the German military. His father's regiment band would often play through some of the young Orff's first attempts at composing. Although Orff was adamant about the secrecy of his past, Moser's Musik Lexicon says that he studied in the Munich Academy of Music until 1914. Orff then served in the military in the first world war. After the war, he held various positions in the Mannheim and Darmstadt opera houses then returned home to Munich to further study music. In 1925, and for the rest of his life, Orff was the head of a department and co-founder of the Guenther School for gymnastics, music, and dance in Munich where he worked with musical beginners. This is where he developed his Music Education theories. In 1937, Orff's Carmina Burana premiered in Frankfurt, Germany. Needless to say, it was a great success. With the success of Carmina Burana, Orff orphaned all of his previous works except for Catulli Carmina and the En trata which were rewritten to be acceptable by Orff. One of Orff's most admired composers was Monteverdi. In fact, much of Orff's work was based on ancient material. Orff said: I am often asked why I nearly always select old material, fairy tales and legends for my stage works. I do not look upon them as old, but rather as valid material. The time element disappears, and only the spiritual power remains. My...

Johann Sebastian Bach Biography

Throughout the history of music, many great composers, theorists, and instrumentalists have left indelible marks and influences that people today look back on to admire and aspire to. No exception to this idiom is Johann Sebastian Bach, whose impact on music was unforgettable to say the least. People today look back to his writings and works to both learn and admire. He truly can be considered a music history great. Bach, who came from a family of over 53 musicians, was nothing short of a virtuosic instrumentalist as well as a masterful composer. Born in Eisenach, Germany, on March 21, 1685, he was the son of a masterful violinist, Johann Ambrosius Bach, who taught his son the basic skills for string playing. Along with this string playing, Bach began to play the organ which is the instrument he would later on be noted for in history. His instruction on the organ came from the player at Eisenach's most important church. He instructed the young boy rather rigorously until his skills surpassed anyone?s expectations for someone of such a young age. Bach suffered early trauma when his parents died in 1695. He went to go live with his older brother, Johann Christoph, who also was a professional organist at Ohrdruf. He continued his younger brother's education on that instrument, as well as introducing him to the harpsichord. The rigorous training on these instruments combined with Bach?s masterful skill paid off for him at an early age. After several years of studying with his older brother, he received a scholarship to study in Luneberg, Germany, which is located on the northern tip of the country. As a result, he left his brother?s tutelage and went to go and study there. The teenage years brought Bach to several parts of Germany where he...


Michelangelo was pessimistic in his poetry and an optimist in his artwork. Michelangelo?s artwork consisted of paintings and sculptures that showed humanity in it?s natural state. Michelangelo?s poetry was pessimistic in his response to Strazzi even though he was complementing him. Michelangelo?s sculpture brought out his optimism. Michelangelo was optimistic in completing The Tomb of Pope Julius II and persevered through it?s many revisions trying to complete his vision. Sculpture was Michelangelo?s main goal and the love of his life. Since his art portrayed both optimism and pessimism, Michelangelo was in touch with his positive and negative sides, showing that he had a great and stable personality. Michelangelo?s artwork consisted of paintings and sculptures that showed humanity in it?s natural state. Michelangelo Buonarroti was called to Rome in 1505 by Pope Julius II to create for him a monumental tomb. We have no clear sense of what the tomb was to look like, since over the years it went through at least five conceptual revisions. The tomb was to have three levels; the bottom level was to have sculpted figures representing Victory and bond slaves. The second level was to have statues of Moses and Saint Paul as well as symbolic figures of the active and contemplative life- representative of the human striving for, and reception of, knowledge. The third level, it is assumed, was to have an effigy of the deceased pope. The tomb of Pope Julius II was never finished. What was finished of the tomb represents a twenty-year span of frustrating delays and revised schemes. Michelangelo had hardly begun work on the pope?s tomb when Julius commanded him to fresco the ceiling of the Sistine Chapel to complete the work done in the previous century under Sixtus IV. The overall organization consists of four large triangles at...

Oscar Wilde

Oscar Fingal O'Flahertie Wills Wilde was born in Dublin Ireland on October 16, 1854. He is one of the most talented and most controversial writers of his time. He was well known for his wit, flamboyance, and creative genius and with his little dramatic training showing his natural talent for stage and theatre. He is termed a martyr by some and may be the first true self-publicist and was known for his style of dress and odd behavior. Wilde, 1882 His Father, William Wilde, was a highly accredited doctor and his mother, Jane Francesca Elgee, was a writer of revolutionary poems. Oscar had a brother William Charles Kingsbury along with his father's three illegitimate children, Henry, Emily, and Mary. His sister, Isola Emily Francesca died in 1867 at only ten years of age from a sudden fever, greatly affecting Oscar and his family. He kept a lock of her hair in an envelope and later wrote the poem 'Requiescat' in her memory. Oscar and his brother William both attended the Protora Royal School at Enniskillen. He had little in common with the other children. He disliked games and took more interest in flowers and sunsets. He was extremely passionate about anything that had to do with ancient Greece and with Classics. Wilde during school years In 1871, he was awarded a Royal School Scholarship to Trinity College in Dublin and received many awards and earned the highest honor the college offered to an undergraduate, the Foundation Scholarship. In 1874, he also won the College's Berkley Gold Medal for Greek and was awarded a Demyship to Magdalen College, Oxford. After graduating from Oxford, Oscar moved to London with his friend Frank Miles, a well-known portrait painter of the time. In 1878 his poem Ravenna was published, for which he won the...

The History Of Greek Theater

Theater and drama in Ancient Greece took form in about 5th century BCE, with the Sopocles, the great writer of tragedy. In his plays and those of the same genre, heroes and the ideals of life were depicted and glorified. It was believed that man should live for honor and fame, his action was courageous and glorious and his life would climax in a great and noble death. Originally, the hero's recognition was created by selfish behaviors and little thought of service to others. As the Greeks grew toward city-states and colonization, it became the destiny and ambition of the hero to gain honor by serving his city. The second major characteristic of the early Greek world was the supernatural. The two worlds were not separate, as the gods lived in the same world as the men, and they interfered in the men's lives as they chose to. It was the gods who sent suffering and evil to men. In the plays of Sophocles, the gods brought about the hero's downfall because of a tragic flaw in the character of the hero. In Greek tragedy, suffering brought knowledge of worldly matters and of the individual. Aristotle attempted to explain how an audience could observe tragic events and still have a pleasurable experience. Aristotle, by searching the works of writers of Greek tragedy, Aeschulus, Euripides and Sophocles (whose Oedipus Rex he considered the finest of all Greek tragedies), arrived at his definition of tragedy. This explanation has a profound influence for more than twenty centuries on those writing tragedies, most significantly Shakespeare. Aristotle's analysis of tragedy began with a description of the effect such a work had on the audience as a "catharsis" or purging of the emotions. He decided that catharsis was the purging of two specific emotions, pity and...

Scholarship Essay About Goals

Ever since I was a young kid I have always been interested with aircraft. I was so curious of how airplane's fly. I remember taking my toys apart to see how it works. As a kid I wanted to go to the airport to watch the airplanes land and fly and pondered how this happens. Other kids wanted to go to the amusement places. As I grew older I became more and more interested in aircraft and the technology behind it. I always involved myself with aviation early on. I read books and magazines on aviation, took museum tours, built model airplanes. When I was younger my father would take me to aircraft repair facilities where I would watch in great fascination. In my teens, went up to the military bases and befriended many soldiers involved with aircraft and asked them numerous questions. I got to meet many aeronautics engineers and borrowed their old textbooks and read them till the wee hours of the morning. As technology improved with information superhighway, I logged on the web. Stayed up for hours and hours searching through web pages and web pages of information about aircraft and technology. I started my elementary school in the Philippines, then we moved to U.S. and continued my high school education and graduated. Enrolled at the CCSF to pursue my college education and now I am in the 2nd year in CCSF taking aeronautics. My goal now is to obtain my AS degree from the City College of San Francisco (CCSF) so I can transfer to a University and get a Bachelors degree and to continue for my Masters degree in Aeronautics Engineering. I will strive hard to reach the peak level of my career which is a Professor and hopefully to be an aeronautic professor so...

Circus Circus Enterprises Case Studies

Executive Summary: Circus Circus Enterprises is a leader and will continue to be in the gaming industry. In recent years, they have seen a decline in profit and revenue; management tends to blame the decrease on continuing disruptions from remodeling, expansion, and increased competition. Consequently, Circus has reported decreases in its net income for 1997 and 1998 and management believes this trend will continue as competition heightens. Currently the company is involved in several joint ventures, its brand of casino entertainment has traditionally catered to the low rollers and family vacationers through its theme park. Circus should continue to expand its existing operations into new market segments. This shift will allow them to attract the up scale gambler. Overview Circus Circus Enterprises, Inc founded in 1974 is in the business of entertainment, with its core strength in casino gambling. The company?s asset base, operating cash flow, profit margin, multiple markets and customers, rank it as one of the gaming industry leaders. Partners William G. Bennett an aggressive cost cutter and William N. Pennington purchased Circus Circus in 1974 as a small and unprofitable casino. It went public in 1983, from 1993 to 1997; the average return on capital invested was 16.5%. Circus Circus operates several properties in Las Vegas, Reno, Laughlin, and one in Mississippi, as well as 50% ownership in three other casinos and a theme park. On January 31,1998 Circus reported net income of 89.9 million and revenues of 1.35 billion, this is a down from 100 million on 1.3 billion in 1997. Management sees this decline in revenue due to the rapid and extensive expansion and the increased competition that Circus is facing. Well established in the casino gaming industry the corporation has its focus in the entertainment business and has particularly a popular theme resort concept....

Effect Of Civil War On American Economy

The Economies of the North and South, 1861-1865 In 1861, a great war in American history began. It was a civil war between the north and south that was by no means civil. This war would have great repercussions upon the economy of this country and the states within it. The American Civil War began with secession, creating a divided union of sorts, and sparked an incredibly cataclysmic four years. Although the actual war began with secession, this was not the only driving force. The economy of the Southern states, the Confederacy, greatly if not entirely depended on the institution of slavery. The Confederacy was heavily reliant on agriculture, and they used the profits made from the sale of such raw materials to purchase finished goods to use and enjoy. Their major export was cotton, which thrived on the warm river deltas and could easily be shipped to major ocean ports from towns on the Mississippi and numerous river cities. Slavery was a key part of this, as slaves were the ones who harvested and planted the cotton. Being such an enormous unpaid work force, the profits made were extraordinarily high and the price for the unfinished goods drastically low in comparison; especially since he invention of the cotton gin in 1793 which made the work all that much easier and quicker. In contrast, the economical structure of the Northern states, the Union, was vastly dependent on industry. Slavery did not exist in most of the Union, as there was no demand for it due to the type of industrial development taking place. As the Union had a paid work force, the profits made were lower and the cost of the finished manufactured item higher. In turn, the Union used the profits and purchased raw materials to use. This cycle...

Evaluation Of The Effectiveness Of Trade Embargoes

Although I am a strong critic of the use and effectiveness of economic sanctions, such as trade embargoes, for the sake of this assignment, I will present both their theoretical advantages and their disadvantages based upon my research. Trade embargoes and blockades have traditionally been used to entice nations to alter their behavior or to punish them for certain behavior. The intentions behind these policies are generally noble, at least on the surface. However, these policies can have side effects. For example, FDR's blockade of raw materials against the Japanese in Manchuria in the 1930s arguably led to the bombing of Pearl Harbor, which resulted in U.S. involvement in World War II. The decades-long embargo against Cuba not only did not lead to the topple of the communist regime there, but may have strengthened Castro's hold on the island and has created animosity toward the United States in Latin America and much suffering by the people of Cuba. Various studies have concluded that embargoes and other economic sanctions generally have not been effective from a utilitarian or policy perspective, yet these policies continue. Evaluation of the effectiveness of Trade Embargoes Strengths Trade embargoes and other sanctions can give the sender government the appearance of taking strong measures in response to a given situation without resorting to violence. Sanctions can be imposed in conjunction with other measures to achieve conflict prevention and mitigation goals. Sanctions may be ineffective: goals may be too elusive, the means too gentle, or cooperation from other countries insufficient. It is usually difficult to determine whether embargoes were an effective deterrent against future misdeeds: embargoes may contribute to a successful outcome, but can rarely achieve ambitious objectives alone. Some regimes are highly resistant to external pressures to reform. At the same time, trade sanctions may narrow the...