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Tuesday, December 18, 2018

'Nursing in Perspectives\r'

' nursing is a profound profession which quests professed(prenominal) skills and fellowship, elevated take of expertise and man periodrial skills. pastime Parker &type A; Cl be (2006): â€Å"decisive cerebration is a lively skill to cave in as a obtain. shelters are engaged in providing care to muckle who pay off a right to high quality headmaster conduct and health benefits (p296).Applied to nurse profession, exact cerebration aims to remediate health care services with unseas ch axerophtholiond methods and self- true professed(prenominal) skills of nurses.\r\nCritical opinion combines the capacity to sate the requirement of a bare-ass age and oppose efficaciously to technological innovations and scientific discoveries. changing economic environment and globalization process has a smashing impact on the breast feeding science, and shackle to specify concepts of concern and its fields.\r\nDuring the last decades, the definitions of diminutive opin ion in treat reach been changes. For instance, Ennis & international type Aere; Milman in 1985 defined hyper unfavourable view in treat as â€Å"reasonable, broody sentiment foc utilize on what to believe or do” (Critical intellection in Nursing 2007). In five years, McPeck, (1990) defined it as: â€Å"the propensity to engage in an activity with reflective skepticism” (Critical Thinking in Nursing 2007). observe was an important method that helped to search for new trends in nursing.\r\nToday, nurses take into account internal and external factors that make for a patient. The most youthful explanation of critical thinking is proposed by the University of New Mexico (2007): â€Å"nursing utilizes critical thinking as diagnostic reasoning and professional or clinical judgment. Critical thinking in nursing is found on a triggering issue or lieu, a starting point, scaffolds, processes, and outcomes that make up a continuous or iterative feedback wave† (Critical Thinking in Nursing 2007).\r\nIn innovative world, critical thinking in nursing is a broad concept with include ripe(p) friendship and discovering, creativity and passion, authenticity and ability to fore follow up approach shot changes. Critical thinking in nursing aims to go bad traditional nursing functions in order to bring through abreast of time and rapidly changing applied science. Daniels (2004) underlines that it whitethorn be exercised as an attribute of position or because of in-person fill inledge or wisdom. Modern nurses see themselves more(prenominal) as conservators and regulators of the exist­ing order of personal matters with which they identify, and from which they gain rewards. Critical thinking helps to create a sense of identity which does not depend upon social rank or spiel roles.\r\nOn the one hand, nursing gendered identity and ethnic identity has a great impact on their skills and ability to deliver high quality service. Many p roblems associated with the relationships between people of several(predicate) cultures stem from variations in norms and value. Modern society is label by heathenish diversity problems which influence health care services and service address. Critical thinking is of import for culturally competent nurse because it helps to communicate with versatile clients and meet their call fors. For instance, Hindus and Asians share specific beliefs as for part of the body and health, and in this case a nurse should take into account cultural and religious radiation patterns of these patients.\r\n future(a) Dreher and Macnaughton (2002): â€Å"the health care system has nested the accountability for cultural competency with the clinician who provides direct services to individuals, where the application of cultural information is likely to be least effectual” (p181). For a nurse, the key advantages of convergence are that ideas and techniques developed in one cultural or depic ted object setting may be transferred to an new(prenominal) and used effectively. These variables shape the values and hence the behavior of people (Potter & Perry, 2005).\r\nCritical thinking mends the quality of ends and actions of a nurse. A higher aim of professional impropriety and shared governance should be seen as the primary(prenominal) features of critical thinking. Critical thinking is exercised through greater knowledge and exper­tise. It may also be based on the per­sonal qualities of the nurse and the manner in which imprimatur is exercised. In contrast to traditional theories of nursing leadership, nursing expert power is based on new knowledge about technology and critical thinking used in nursing profession. Critical thinking is based on credibility and clear record of knowledge or expertise; for example, the expert knowledge of ‘functional specialisers.\r\nStone (2000) states that if the information is satisfactorily ascertained from utili ty(prenominal) sources, the nurse opts to complete this component of the assessment by relying on past records. Documentary data obtained from patients records is a great deal termed ‘secondary because the information has originally been collected by other people and for other purposes.\r\nThus, critical thinking determines pass on actions and behavior patterns which support clinical and service instruction. In several decades ago, nurses were limited by strict rules and tasks which prevented them to react effectively to changing environment (Potter & Perry 2005). Today, technology and information technology demands critical thinking and decision making in nursing (Sharp, 2000). Also, there is a great shift in organizational values and personal traits of the nurses. Changing social environment influences kind-hearted values and conflicts with human dignity and importance (Sullivan & Decker, 2005).\r\nThe balance of power has undoubtedly shifted to nurses who have more choice over how to conducts relationships with their administration, colleagues and patients. Critical thinking in nursing is aimed to improve influences on the environment and determine perspectives of further development on the macro- and micro- level. In this stain, to be an effective and professional nurse, it is necessary to exercise the role of critical thinker based on advanced knowledge and expertise (Durgahee, 2003).\r\nA common find out is that the job of the nurse requires the ability of critical thinking and that leadership is in effect a sub-set of management. In terms of critical thinking, there is a need to be flexible and be secure to bring in and to adopt new technologies as they come along. The government agency in which health care organization has to employ the up-to-the-minute technology can be an important decisive of its competitive advantage. For instance, increased role of computers and technological solutions require new skills and decision mak ing practices in medicine. For instance, if technology does not work straight-lacedly and it flagellumens life of a patient, a nurse should react accordingly to the situation and replace it with alternative solution (Kozier et al 2004).\r\nCritics (Sullivan & Decker, 2005) admit that three decades ago nurses were not ready and prepared to apply critical thinking to their work and this led to high death rates caused by technology failure. health care is one of the main industries creditworthy for exceptional service quality and interpersonal communication. inspection and repair quality is determined by technological processes and innovations in its field.\r\nCritical thinking has speeded up health delivery processes, transformed working practices and increased the efficiency of healthcare services. Interestingly, it is in the technological environment that it is some­ time possible for large healthcare organizations to actually preserve influence rather than be the recipie nts of it. Respect and personal worth of every patient are the shopping centre human-related factors employed by the nurses (Garrison 2004).\r\nNursing staff is responsible for(p) for communication and interaction with the patients. For this reason, nurses should be flexible to respond effectively to changing environment and customers groups. As a result, high degree of autonomy cannot be effectively used by all nursing staff. Healthcare organizations start to apply ‘critical thinking’ into practice seeing it as a high level of specialist practice and competitive advantage in healthcare services.\r\nAlso, critical thinking in nursing is concerned with those activities involved in recruiting of professional staff, training, and development within the healthcare infrastructure, namely the systems of planning, finance, medical service control, etc. which are crucially important to an strategical capability in all healthcare activities (Potter & Perry, 2005). Today, a special attention is given to proper function of medical staff and empowerment which helps to improve efficiency of medical practice.\r\nCritical thinking is one of the main requirements in modern service learning. In learning, â€Å"critical thinking [is] a reasoning process reflecting on ideas, actions, and decisions in clinical experience by the nursing student and others (Anaya et al 2003, p99). The advantages of critical thinking in nursing are fast reply to changing conditions and environment and ability to apply recent technologies into practice. It increases confidence of nurses and level of healthcare services.\r\nUsing critical thinking approach, nurses are able to shift the situation using these new creative approaches based on advanced relationships and inquiry. Also, it is strongly influenced by resources outside the healthcare organization which are an integral part of the reach of activities between the healthcare service design and the level of medial treatment (Sharp, 2000). Change is a threat to routine and their role in healthcare management. It is also true that many nurses do not know what their role is, and in recent years attempts have been made to clarify individual roles.\r\nCritical thinking is ‘a vital skill’ for nurses because it determines the style of management and leadership. Critical thinking can be understand as a response to the need to meet heightened customer expectations and face intensi­fied technology solutions. Critical thinking encourages nurses to adopt a positive attitude and have personal involvement in service delivery. Also, it allows healthcare organization to expose nursing staff to new forms of service and management. Critical thinking is constructed on a rational basis and allows nurses respond to patients’ needs in an appropriate manner. For a modern nurse, it is crucial to be accountable to patients families, and close friends who come to visit them.\r\nReferences\r\n1.  Anaya , A., Doheny, M.O., Panthofer, N., Sedlak, C.A. (2003). Critical Thinking in Students Service-Learning Experiences. College Teaching, 51 (3), 99-104.\r\n2. Critical Thinking in Nursing The University of New Mexico (2007). Retrieved 31 whitethorn 2007, from  http://hsc.unm.edu/consg/conct/whatis.shtml\r\n3.  Daniels, R. (2004). Nursing basic principle: Caring and Clinical stopping point Making, Thomas Learning, Oregon.\r\n4. Dreher, N., Macnaughton, N. (2002). Cultural competency in nursing: foundation or fallacy? Nursing Outlook, Sep-Oct; 50 (5):181-6.\r\n5.  Durgahee, T. (2003). Higher level practice: degree of specialist practice? Nurse Education Today. Apr; 23 (3), 191-201.\r\n6. Garrison, D.R., Morgan, D.H., Johnson, J.G. (2004). golden in chaos: Educating the nurse leaders of the future. Nursing Leadership Forum. Fall; 9 (1), 23-27.\r\n7. Kozier B., Erb G., Berman A. & Snyder S. (2004). Fundamentals of Nursing: Concepts, Process and Practice, New Jersey, Pearson Education Inc.\r\n8. Potter, P. & Perry, A. (2005). Fundamentals of Nursing. Elsevier PTE LTD, Singapore.\r\n9.  Sharp, Nancy. (April 2000). The 21st century belongs to nurse practitioners. Nurse Practitioner, p. 56\r\n10. Sullivan, E.J., Decker, Ph. J. (2005). Effective leadership & counseling in Nursing 6th ed. Pearson Hall.\r\n \r\n'

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