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Quick workarounds may be needed if patients cannot wait for the promised care.12 However, only by applying second-order problem-solving can real process improvements be made.
What do I know that will get rid of extra fluid and make him pee? I ran over my thought process with a coworker before calling the doc. I called the doc and before I could suggest anything, he said.. The told the doctor when he rounded that morning that the meds weren’t doing anything. She kept requiring more and more meds and I’m supposed to someone wean her off? Critical thinking is something you’ll do every day as a nurse and honestly you probably do it in your regular non-nurse life as well.
OK, so he’s got extra fluid that he can’t get out of his body.. She maxed it out every time, still saying she was in horrible pain. She said to get rid of those other pain meds because they “didn’t do a damn thing,” and to “just give her that nerve pain pill because it’s the only thing that works”. She was able to work with therapy more because her pain was tolerable and was finally able to get rest.
Critical thinking in nursing is just that, but in a clinical setting.
I thought about how he’s got extra fluid in general, and because of his CHF he can’t really pump out the fluid he already has, let alone this additional fluid. He added some oral opioids as well and wrote an order that it was okay for me to give both the oral and PCA dosings, with a goal of weaning off PCA. It’s basically stopping, looking at a situation, identifying a solution and trying it out.
In addition, we explore the meaning attached to lean leadership on nursing wards and discover how lean leadership moderates the lean maturity—second-order problem-solving relationship.
In our study of the lean leadership concept, we focus solely on identifying leadership practices on nursing wards (ie, in terms of team leadership).
Critical thinkingcan seem like such an abstract term that you don’t practically use. The truth is, that as nurses we can’t escape critical thinking .
Let me give you a few examples from my career in which critical thinking helped me take better care of my patient.
Participants Three members of each nursing team were interviewed: the team leader, one nurse from the ward’s core team for the lean-based quality improvement programme and one nurse outside the core team.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. The earliest applications of lean thinking in the healthcare sector were more than a decade ago.