Habilidades de pensamento crítico no processo diagnóstico em enfermagem

Bittencourt, Greicy Kelly Gouveia Dias; Crossetti, Maria da Graça Oliveira

doi:10.1590/s0080-62342013000200010

Cited by 44 publications

(46 citation statements)

References 6 publications

(7 reference statements)

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“…In the context of professional background, clinical experience was pinpointed and defi ned by scholars as being an important competency for the development of critical thinking, resulting from knowledge acquired by nurses and their experiences in specifi c situations of their daily care routine (13)(14) .…”

Section: Structural Elements Of Critical Thinking Of Nurses In Emergementioning

confidence: 99%

“…Clinical reasoning and clinical judgement are diff erent, albeit complementary, aspects in the exercise of nurses' evaluations, being that the former leads to judgement, or decision making (13) . From these structural CT elements in this category emerged the inter-relation of these elements in the clinical reasoning process expressed in the following statements.…”

Section: Thought Process and Clinical Decision Makingmentioning

confidence: 99%

“…However, during patient evaluation, anamnesis and physical examinations are basic instruments of the nursing process (13)(14) .…”

Section: Basis For Nurses' Clinical Judgementmentioning

confidence: 99%

“…It should be noted that reasoning and clinical judgement, albeit conceptually diff erent, involve cognitive and refl exive mental processes that are associated to previous clinical experiences, which are associated to technical and scientifi c knowledge that supports this thinking process (13) .…”

Section: Based On the Patient' S History And Evaluation Judgements Amentioning

confidence: 99%

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Structural elements of critical thinking of nurses in emergency care

Crossetti

Bittencourt

Lima

et al. 2014

Rev. Gaúcha Enferm.

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The objective of this study was to analyze the structural elements of critical thinking (CT) of nurses in the clinical decision-making process. This exploratory, qualitative study was conducted with 20 emergency care nurses in three hospitals in southern Brazil. Data were collected from April to June 2009, and a validated clinical case was applied from which nurses listed health problems, prescribed care and listed the structural elements of CT. Content analysis resulted in categories used to determine priority structural elements of CT, namely theoretical foundations and practical relationship to clinical decision making; technical and scientific knowledge and clinical experience, thought processes and clinical decision making: clinical reasoning and basis for clinical judgments of nurses: patient assessment and ethics. It was concluded that thinking critically is a skill that enables implementation of a secure and effective nursing care process.

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Section: Structural Elements Of Critical Thinking Of Nurses In Emergementioning

confidence: 99%

Section: Thought Process and Clinical Decision Makingmentioning

confidence: 99%

“…However, during patient evaluation, anamnesis and physical examinations are basic instruments of the nursing process (13)(14) .…”

Section: Basis For Nurses' Clinical Judgementmentioning

confidence: 99%

Section: Based On the Patient' S History And Evaluation Judgements Amentioning

confidence: 99%

See 2 more Smart Citations

Structural elements of critical thinking of nurses in emergency care

Crossetti

Bittencourt

Lima

et al. 2014

Rev. Gaúcha Enferm.

Self Cite

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“…It is an essential tool for data collection, necessary for identification of current or potential problems of the patient, aimed at identified needs and the planning of care, preventing possible complications. (1)(2)(3) The NPH should be administered on the first contact with the client, i.e., the admission, as the information obtained therein drives the planning of all other steps of the nursing process. Thus, it is essential that such information is the most accurate and reliable possible; otherwise, the whole process can be affected, failing to meet needs not identified by the incomplete NPH.…”

Section: Introductionmentioning

confidence: 99%

Construção e implantação do Histórico de Enfermagem em Terapia Intensiva Pediátrica

et al. 2016

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1Universidade Federal do Maranhão, São Luís, MA, Brasil. Conflicts of interest: there are no conflicts of interest to declare. AbstractObjective: To develop and implement a nursing patient history planning care in pediatric intensive care. Methods: A qualitative and descriptive study, with support of a bibliographical research and convergent care, conducted in the pediatric intensive care unit of a university hospital, involving the participation of 13 nurses. Group meetings, workshops and participant observation were the methodological resources for conducting the research. Results: Fourteen Basic Human Needs and scientific evidence underpin the development of the nursing patient history, composed of seven blocks arranged in a checklist format with open spaces for recording complications and nurse impressions. An instruction guide was provided to facilitate its use. Implementation was preceded by a test phase and historical validation. Conclusion: The instrument was developed based on scientific evidence, and included contributions from the nurses. The participatory involvement of nurses favored the implementation and use of the nursing patient history in care practices. ResumoObjetivo: Construir e implantar o Histórico de Enfermagem para planejamento dos cuidados em terapia intensiva pediátrica. Métodos: Estudo descritivo de abordagem qualitativa com suporte da Pesquisa Bibliográfica e da Convergente Assistencial. Realizado na terapia intensiva pediátrica de um hospital universitário envolvendo a participação de 13 enfermeiros. Encontros grupais, oficinas e observação participante foram os recursos metodológicos para condução da pesquisa. Resultados: Catorze evidências científicas e as Necessidades Humanas Básicas embasaram a construção do Histórico constituído por sete blocos organizados no formato check-list com espaços livres para registro de intercorrências e impressões do enfermeiro. Para facilitar sua utilização, foi construído guia de instruções. A implantação foi precedida pela fase de teste e validação do histórico. Conclusão: O instrumento foi construído fundamentado em evidências científicas e contou com contribuições dos enfermeiros do serviço. O envolvimento participativo dos enfermeiros favoreceu a implantação e utilização do Histórico nas práticas de cuidado.

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The Vietnamese version of the nursing critical thinking in clinical practice questionnaire: Translation and psychometric evaluation

Nguyen

Liu

2021

Nursing Open

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Aims This study translated and evaluated the validity and reliability of the Vietnamese version of the Nursing Critical Thinking in Clinical Practice Questionnaire (N‐CT‐4 Practice (V‐v)). Design Forward‐ and back‐translation approach developed by Sousa and Rojjanasrirat (2011). Methods 545 nurses were recruited based on convenience sampling and asked to complete the N‐CT‐4 Practice (V‐v) questionnaire for psychometric testing. Data were collected during June 2019 in three public hospitals located in Southwestern Vietnam. We evaluated translation equivalence, the item content validity index, floor/ceiling effects, construct validity, internal consistency reliability and test–retest reliability. Results The N‐CT‐4 Practice (V‐v) questionnaire retained the meaning of the original English version and was clear, explicit and easy for nurses to understand. The item content validity index was 1.0. There were no floor/ceiling effects. The Cronbach's alpha was 0.98. The intraclass correlation coefficient was 0.81. Confirmatory factor analysis indicated that this Vietnamese version fit the proposed model.

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Habilidades de pensamento crítico no processo diagnóstico em enfermagem

Cited by 44 publications

References 6 publications

Structural elements of critical thinking of nurses in emergency care

Structural elements of critical thinking of nurses in emergency care

Construção e implantação do Histórico de Enfermagem em Terapia Intensiva Pediátrica

The Vietnamese version of the nursing critical thinking in clinical practice questionnaire: Translation and psychometric evaluation

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