Authors: M. Gaie Rubenfeld, Barbara Scheffer
ISBN-13: 9780763765842, ISBN-10: 0763765848
Format: Paperback
Publisher: Jones & Barlett Learning
Date Published: July 2009
Edition: 2nd Edition
Critical Thinking TACTICS For Nurses: Achieving The IOM Competencies Is A Reader-Friendly Guide To Performing, Learning And Evaluating Critical Thinking In All Aspects Of Nursing Care. Award Winning Authors M. Gaie Rubenfeld And Barbara K. Scheffer Draw On Their Research And Expertise In Teaching And Practice To Blend Critical Thinking Components With The Institute Of Medicine's (IOM) Five Core Competencies: Patient-Centered Care, Interdisciplinary Team Work, Evidence-Based Practice, Informatics, And Quality Improvement. Issues Addressed Include Critical Thinking Language And Awareness Enhancement, The Impact Of Critical Thinking On Quality Care, Mentoring The Critical Thinking Of Staff And Students And Designing Performance Criteria For Critical Thinking.
New To This Edition:
Significant Updates And Additional Current References To All 5 IOM Chapters.
New Chapter 10 - Assessing Critical Thinking.
New Chapter 11 - Thinking Realities Of Yesterday, Today, And Tomorrow.
New “Stories” From Practicing Nurses And Others.
Reviewer:Vicki Ann Moss, DNSc, MS, BSN, RN(University of Wisconsin-Oshkosh)
Description:This easy to read guide helps nurses learn, apply, and evaluate critical thinking in many settings. The authors "blend the dimensions of critical thinking with the Institute of Medicine's (IOM) five core competencies: quality improvement, patient-centered care, work in interdisciplinary teams, evidence-based practice, and using informatics."
Purpose:The purpose is to bring critical thinking into the real world of healthcare and education through the use of practical examples and activities.
Audience:The audience includes clinicians in many settings, nursing and others, nursing students, and nurse educators.
Features:The 11 chapters cover the who, what, and why of critical thinking. Practice activities in most chapters, labeled "TACTICS," aid readers in reflecting on their personal and professional thinking styles while working on critical thinking exercises. Some of these activities are directed at academics and others are for clinicians.
Assessment:This book is full of information and practical ways to learn, apply, and evaluate critical thinking. Each chapter ends with sections called "Pause and Ponder" and "Reflection Cues," both of which help readers summarize the main ideas. All of the interactive activities make this a valuable resource for educators and clinicians.
Foreword to First Edition vii
Foreword to Second Edition ix
Preface xii
Acknowledgments xvi
Contributors xviii
Chapter 1 Why Critical Thinking? 1
Why Questions and Thinking 2
TACTICS 1-1 Exploring Your Use of Why 3
Why the Interest in CT in Health Care and Healthcare Education over the Last Two Decades? 4
TACTICS 1-2 Exploring Joyce's Thinking 7
The Context of Thinking 7
The Big Picture of Why Thinking Is Important 8
Major Stakeholders and Critical Thinking 9
TACTICS 1-3 Exploring Safe, Effective, and Efficient Care for Mr. Stone 9
TACTICS 1-4 Enhancing Decision-Making Skills and Job Satisfaction Through Professional Integrity 11
What Else Is Needed to Emphasize Why CT Is Important? 18
TACTICS 1-5 Verbalizing CT So Others Will See the Value 20
Pause and Ponder: Why Do You Think CT Is Important 21
Reflection Cues 21
References 22
Chapter 2 What Is Critical Thinking? 25
The Critical Thinking "Bridge" 26
Pebbles on the Metaphorical Bridge 27
TACTICS 2-1 CT Self-Checklist 37
TACTICS 2-2 What Do Great Thinkers Look Like? 42
TACTICS 2-3 Talking and Thinking-A Patient Scenario 43
Pause and Ponder: Conclusions About What CT Is 44
Reflection Cues 45
References 45
Chapter 3 Who Are the Critical Thinkers? 47
Clinicians 48
Educators 48
Other Thinkers Who Interact with Clinicians and Educators 49
Selected Factors That Affect Critical Thinkers 49
TACTICS 3-1 Cultural Influences on Thinkers 58
TACTICS 3-2 Environmental Factors Influencing Thinkers 61
Pause and Ponder: Defining Ourselves as Critical Thinkers 62
Reflection Cues 63
References 64
Chapter 4 Institute of Medicine Competencies as a Context forThinking: The How, When, and Where of Critical Thinking 67
Current Challenges and Solutions for Healthcare Delivery 67
Critical Thinking and Competencies 72
A Picture of Changes in Healthcare Delivery and Education 72
TACTICS 4-1 Promoting CT or Knowledge-Seeking Behavior 78
Techniques to Promote Thinking and Knowledge Processing 82
TACTICS 4-2 Reflection in Action 86
Pause and Ponder: Think Ahead to Change 87
Reflection Cues 87
References 88
Chapter 5 Critical Thinking, Quality Improvement, and Safety 91
Defining Quality and Safety in Health Care and Stakeholder Involvement 92
Deficiency-Free Excellence: What Is the Scope of the Quality-Safety Problem? 94
The Relationships Among Quality, Safety, and Critical Thinking Within a Systems Framework of Structure, Process, and Outcomes 99
Five IOM Criteria Guiding Education and Practice Toward Quality Improvement and Safe Patient Care 106
TACTICS 5-1 Thinking for Criterion #1 107
TACTICS 5-2 Thinking and Effectiveness 110
TACTICS 5-3 Thinking and Efficiency for Mr. Cashin 112
TACTICS 5-4 CT for Assessing Safety 113
TACTICS 5-5 Thinking Through an Adverse Event 119
TACTICS 5-6 Quality Care Through CT 123
Nurses Are "Safety Champions" for Enhancing Quality and Safety Through Thinking 127
Pause and Ponder: Safety Champions of Quality Improvement 127
Reflection Cues 128
References 128
Chapter 6 Critical Thinking and Patient-Centered Care 133
Changing Patient-Provider Relationships 134
Patient-Centered Care and CT 136
Assessing Patient Readiness, Willingness, and Ability to Participate in CT and Patient-Centered Care 137
TACTICS 6-1 Reflect on Your Patients' Habits of the Mind 139
Facilitating Patients' Critical Thinking Skills 139
How to Merge Our Thinking with Patient Thinking 144
TACTICS 6-2 Reflect on Your Validation Remarks 146
Are There Negatives to Patient-Centered Care? 148
A Patient-Centered Care Story 150
Pause and Ponder: Where Is the Balance? 152
Reflection Cues 152
References 153
Chapter 7 Critical Thinking and Interdisciplinary Teams 157
What Is Interdisciplinary Team Work? 158
TACTICS 7-1 Practice-Setting Team Meeting and Thinking 162
TACTICS 7-2 Educator Team Meeting and Thinking 164
What Is Interdisciplinary Team Thinking? 166
TACTICS 7-3 Team Thinking Assessment 169
TACTICS 7-4 Finding The IDT Thinking 171
TACTICS 7-5 Matching Some CT Dimensions with IDT Thinking 175
What Interferes with IDT Thinking? 177
What Cultivates IDT Thinking? 180
Pause and Ponder: Future Implications of IDT Thinking 185
Reflection Cues 185
References 186
Chapter 8 Critical Thinking and Evidence-Based Practice 191
Historical Overview of EBP 194
Why Is EBP So Important? 195
TACTICS 8-1 Clinicians, On What Evidence Do You Base Your Practice? 197
TACTICS 8-2 Educators, On What Evidence Do You Based the Information You Teach? 198
Links Between Critical Thinking and EBP 199
TACTICS 8-3 How Have You Reacted to Past Practice Changes? 209
Big, Small, Individual, and Group Moves Toward EBP 211
TACTICS 8-4 Clinical Practice "Question of the Month" 212
One Nurse's Story of Successful EBP 214
TACTICS 8-5 Find the Thinking and EBP Components in Judy's Story 214
Pause and Ponder: Where Should Our EBP Thinking Go? 216
Reflection Cues 216
References 217
Chapter 9 Critical Thinking and Informatics 221
The Context of Old Nurses and Young Informatics 222
Healthcare Information Evolution 224
The Changing Nature of Informatics 226
Critical Thinking and Health Informatics 228
TACTICS 9-1 Use Your Creativity and Logical Reasoning 229
TACTICS 9-2 Think How Informations Could East Your Life 232
TACTICS 9-3 Take Your Librarian to Lunch 237
TACTICS 9-4 Using Informatics to Improve Teaching Creativity 246
Challenges of Informatics 248
TACTICS 9-5 Finding Kate's Critical Thinking 250
Pause and Ponder: Health Informatics and the Future 252
Reflection Cues 252
References 253
Chapter 10 Assessing Critical Thinking 259
Terminology of Measuring/Assessing Critical Thinking 259
Rationale for Discussing Assessing Last 260
The Challenges of Assessing CT 261
Linking Teaching, Learning, and Assessing of CT 266
An Evidence-Based Quantitative Method To Assess CT in Nursing Without Losing CT's Complexity 270
Examples of Practical Teaching/Learning/Assessing "Tools" of CT from List A in Box 10-2 271
Examples of Practical Teaching/Learning/Assessing "Tools" of CT from List B in Box 10-2 280
Pause and Ponder: Assessment Is Not an End Unto Itself 284
Reflection Cues 285
References 285
Chapter 11 Thinking Realities of Yesterday, Today, and Tomorrow 289
Why Is Change So Necessary? 290
What Kinds of Change Are We Talking About? 291
Implications of Living with Constant, Complex Change 293
Thinking for Effective Change 294
Emergent, Necessary Patterns of Change in Thinking and Learning 295
How One Nurse's Thinking Helped Her Meet the 5 IOM Competencies 305
Pause and Ponder: The Hard Work of Thinking 307
Reflection Cues 308
References 308
Appendix A Critical Thinking Inventory 311
Index 315