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What do you do if critical thinking is lacking in strategic decision making for nurses?

Critical thinking is an essential skill for nurses, as it directly impacts patient care and outcomes. In the fast-paced environment of healthcare, nurses are often required to make strategic decisions quickly. However, when critical thinking is lacking, these decisions may not be optimal, potentially compromising patient safety and care quality. Addressing the shortfall in critical thinking skills among nursing staff is crucial for the enhancement of healthcare services.

1 Recognize Deficits

To address a lack of critical thinking in nursing, you must first acknowledge its absence. This recognition often stems from a pattern of poor decision-making outcomes or feedback from colleagues and supervisors. Once identified, it's essential to understand that critical thinking is not an innate ability but a skill that can be developed. Encourage self-reflection among nurses to pinpoint areas where critical thinking is needed and promote an environment where continuous learning is valued.

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Anne Moulder BSN, RN, CMSRN

Clinical Review Nurse at AmeriHealth Caritas
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One thing I have found helpful is to reflect on experiences where critical thinking was not applied and then review the experience with critical thinking skills. One experience happened to me as a student nurse with a diabetic patient. The patient was okay but I learned a crucial lesson and changed my thinking with the help of more seasoned nurses.

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2 Enhance Education

For nurses lacking critical thinking skills, targeted education can be a game-changer. Consider implementing workshops or continuing education programs focused on developing these skills. These programs should include case studies, simulation exercises, and reflective practice sessions that challenge nurses to analyze situations, consider various outcomes, and make informed decisions. By providing educational opportunities, you empower nurses with the tools they need to improve their critical thinking abilities.

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3 Foster Collaboration

Collaboration among healthcare professionals can significantly enhance critical thinking. Encourage nurses to work closely with their peers, sharing knowledge and experiences to broaden their perspectives. Group discussions on patient cases and treatment options can stimulate critical thinking and lead to more strategic decision-making. By fostering a collaborative environment, nurses can learn from one another and develop a more robust approach to patient care.

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Anne Moulder BSN, RN, CMSRN

Clinical Review Nurse at AmeriHealth Caritas
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An example of collaboration I’ve seen in my career was in an ambulatory care setting. The nurses, doctors and unlicensed staff worked quickly on a patient that had a reaction to a medication. Quick responses and critical thinking saved the patient and left a profound impact with me on how we need to work together at our highest abilities and positive outcomes will follow.

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4 Implement Mentorship

Mentorship is a powerful tool for developing critical thinking skills in nursing. Pairing less experienced nurses with seasoned professionals can provide the guidance they need to navigate complex situations. Mentors can offer insights, share their thought processes, and encourage mentees to ask questions and consider different angles when making decisions. This one-on-one support can be invaluable in cultivating the critical thinking skills necessary for strategic decision-making.

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Richard Nuzzo, RN, EMT

Building Stronger Healthcare Connections: Embracing Empathy and Collaboration for a Brighter Future
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Fostering critical thinking skills in nursing is an important part of being a nurse leader. Not only does this improve patient care, but it also helps our nurses grow professionally and be more satisfied with their jobs. A culture that encourages questions and new ideas helps us look at challenges as learning opportunities. Putting effort into building up the critical thinking skills of a team will help them make better decisions when navigating through the complexities of the healthcare system. This in turn will give us stronger outcomes with patients and build a dynamic workforce that can handle any problem that comes our way. It shows how dedicated we are to always improving and being the best we can be.

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Anne Moulder BSN, RN, CMSRN

Clinical Review Nurse at AmeriHealth Caritas
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Fostering mentorship has had a profound impact on healthcare professionals. I have been the beneficiary of effective mentors, which allowed me to pay it forward to well over a dozen more nurses and healthcare professionals. Mentorship provides avenues for growth, resilience, critical thinking and success in decision-making.

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5 Practice Reflection

Encouraging nurses to practice reflective thinking after making decisions can improve their critical thinking over time. Reflection allows individuals to analyze their decision-making process, understand the rationale behind their choices, and learn from their experiences. By regularly engaging in this practice, nurses can become more aware of their thought patterns and biases, leading to improved strategic decision-making skills.

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6 Utilize Technology

In the modern healthcare setting, technology can be leveraged to enhance critical thinking among nurses. Utilize software and applications that provide decision support, such as diagnostic tools or evidence-based practice resources. These technologies can help nurses to gather information, evaluate options, and make more informed decisions. By integrating these tools into daily practice, nurses can reinforce their critical thinking skills and enhance their strategic decision-making capabilities.

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Bill Cantrell, RN, BSN, CEN

ResusMed, Leader in Virtual TNCC & ENPC Training (Over 800 classes a year, Over 5000 nurses trained in 2023)
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When critical thinking falls short in strategic decision-making among nurses, leveraging technology can bridge the gap effectively. Advanced simulation tools and AI-driven decision support systems can provide real-time data and scenario analysis, offering a sandbox for nurses to practice and refine their strategic thinking skills. Virtual reality setups can recreate intense, complex clinical situations where nurses can enhance their decision-making without real-world consequences. These technologies not only boost confidence but also deepen understanding, helping nurses to think several steps ahead in their strategic approaches.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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What do you do if critical thinking is lacking in strategic decision making for nurses?

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1 Recognize Deficits

2 Enhance Education

3 Foster Collaboration

4 Implement Mentorship

5 Practice Reflection

6 Utilize Technology

7 Here’s what else to consider

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