Written and developed by Canadians with the Canadian nursing context in mind, this new resource is the only fundamental Canadian-focused nursing text to support you in developing clinical reasoning skills and clinical judgement for decision making in nursing practice. Thinking it Through: Clinical Reasoning, Clinical Judgement, and Decision Making in Canadian Nursing moves beyond the nursing process to deliver focused strategies using a unified process for thinking and decision making that is visible, relatable, real ― and needed by future nurses. Introducing useful models and practical frameworks as essential nursing tools, this structured guide for nursing cognitive development is a valuable resource throughout every year of your nursing program.

Comprehensive integration of theory and application within the Canadian context makes it easy to understand and apply to nursing practice in the Canadian health care system
Discussions of key concepts such as social determinants of health; social justice and equity; unconscious bias and assumptions; reflection; interdisciplinary health care teams; complexity; diverse health care settings; and more, are directly related to clinical reasoning, clinical judgement, and decision making in Canadian nursing practice
A vast array of pedagogical features and practical applications, including real-life examples, case scenarios, review questions, and more, along with practical applications promote your confidence and competence in thinking like a nurse
Focus on applying clinical reasoning skills to practice helps prepare you for success on the Next-Generation NCLEX®, REx-PN®, and CPNRE® licensure exams, as well as in your nursing career
Content reviewed by current Canadian nursing students ensures this text is accurate, relevant, and applicable to future nursing students

Table of contents

Cover Image
Title page
Copyright
Dedication
Contents
About the Author
Reviewers
Preface
Acknowledgements
Part A Frameworks and Models for Thinking in Nursing
1 Introduction to Thinking Critically in Nursing Practice
Learning Outcomes
Glossary
What Is Thinking?
What Are Critical Thinking Traits and Skills?
Development of Critical Thinking Skills
What Is Thinking in Nursing?
Thinking and Decision Making in Nursing: How Do They Relate?
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
2 Thinking as a Nurse: Using Models in Nursing Practice
Learning Outcomes
Glossary
Approaches to Thinking in Nursing
The NRCE Framework for Thinking in Nursing Practice
Models for Thinking and Decision Making in Nursing
Summative Approaches
A Comparison of the Various Nursing Models
A Final Model to Consider: The NCLEX Clinical Judgement Measurement Model
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
Part B The Processes of Clinical Reasoning, Decision Making, and Clinical Judgement
3 Finding Information
Learning Outcomes
Glossary
The Importance of Finding Information as a First Step
Skills Used When Finding Information
Barriers to Thinking When Finding Information
Helpful Strategies for Finding Information
Thinking Through Finding Information: NRCE
Finding Information: A Clinical Reasoning Cycle Case Study
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
4 Deciding What to Do
Learning Outcomes
Glossary
What Is Decision Making?
Foundations for Deciding What to Do
Skills Used When Deciding What to Do
Barriers to Thinking When Deciding What to Do
Helpful Strategies for Deciding What to Do
Thinking Through Deciding What to Do: NRCE
Deciding What to Do: An Ethical Decision-Making Model Case Study
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
5 Acting on Decisions
Learning Outcomes
Glossary
Moving Forward on a Decision: Making a Plan of Care
Implementing the Plan of Care
Skills Used When Acting on Decisions
Barriers to Thinking When Acting on Decisions
Helpful Strategies for Acting on Decisions
Thinking Through Acting on Decisions: NRCE
Acting on Decisions: A Nursing Process Case Study
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
6 Reviewing Actions
Learning Outcomes
Glossary
Closing the Loop: Looking Back on Actions
Reflection and Clinical Judgement
Skills Used When Reviewing Actions
Barriers to Thinking When Reviewing Actions
Helpful Strategies for Reviewing Actions
Thinking Through Reviewing Actions: NRCE
Reviewing Actions: A Clinical Judgement Model Case Study
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
Part C Thinking It Through in Nursing Practice
7 Complex Decision Making
Learning Outcomes
Glossary
A Closer Look at Decision Making in Complex Situations
What Is a Complex Decision?
Types of Complex Decisions
Key Contributors to Complexity in Nursing Practice
Ways to Organize Your Thinking in Complex Situations
Applying Solutions to Simple and Complex Situations in Nursing Practice
The Role of Intuition as Evidence
Summary
Key Points to Remember
Conclusion and Thinking It Through
Class Activities to Check Thinking
Case Study Review
Evidence-informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
8 Thinking It Through as a Reflective Practitioner
Learning Outcomes
Glossary
What Is a Reflective Practitioner?
Mindfulness
Anticipatory Reflection
Deliberate Practice
The Role of Reflection in Canadian Nursing
Reflection and Meeting Client Needs in Contemporary Practice
Applying Reflective Skills to Everyday Nursing Practice and Decision Making
Your Future as a Reflective Practitioner
Summary
Key Points to Remember
Conclusion and Thinking It Through...One Last Time
Class Activities to Check Thinking
Case Study Review
Evidence-Informed Thinking Activity
Questions to Assess Learning
One Last Thought
Online Resources
References
Putting It All Together: Thinking BIG and Small
Glossary
Answer Key to End-of-Chapter Learning Activities
Index

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