CARE PLAN/CONCEPT MAP

WORKSHOP
NRS 110

Critical Thinking Revisited

Knowledge

Experience

Reflection

Components of Critical Thinking in

Nursing

Specific Knowledge Base

Experience
Critical Thinking Competencies
Diagnostic Reasoning
Clinical Decision Making
Nursing Process
Critical Thinking Attitudes
Critical Thinking Standards
Intellectual Standards
Professional Standards

Level of Critical Thinking

Basic

Complex

Commitment

Clicker Question
What is the critical thinking competency
specific to nursing practice?
a. Diagnostic reasoning
b. Clinical Decision Making
c. Nursing Process
d. Scientific Method

NURSING PROCESS
Assessment
Diagnosis
Planning
Implementation
Evaluation

Break into Groups

Discuss how each piece of the nursing
process helps you to solve your
patients health problem.

Step One: Assessment

Collect data
Verify data
Organize data
Identify patterns
Record & report

Step 2: Diagnosis
Analysis of
assessment data
leads to problem
identification
NANDA Label
What are novice
nurses responsible
for?

Ineffective airway clearance related

to

Step 3: Planning
Set priorities
Apply standards
Identify goals &
outcomes
Determine
interventions
Record the plan

Clicker Question
Which patient would you assess first after
finishing morning shift report?
a. The patient who is being discharged in the
afternoon and needs medication education.
b. The patient asking for pain medication
c. The patient who is going to the OR in 30
minutes
d. The post-op patient with a morning BP of
90/50

What are the priorities?

Maslows Hierarchy of Basic

Human Needs

Step 4: Implementation
Put your plan into
action
Perform the
interventions
Note patient
response to
interventions
Record & report

Step 5: Evaluation
Did the plan work?
Was goal achieved?
What was the
outcome of the care
provided.
Stated in
measurable terms.
Its all about
outcomes!

Case Scenario
Mrs. Jones is an 89 yr old male who
was admitted with pneumonia. He has
complained that his throat and mouth
are very dry. The nurse notes that he
has a temperature of 101 and has dry
mucous membranes. He is allowed to
drink, but does not want to bother the
nurse for fresh water. His urine output
is low as well.

Now lets write the plan down!

Concept Map Steps

Place your main issue/problem in the middle
Determine key problems/concepts that have a
direct relationship to the main problem
Add clinical data to appropriate problem boxes
Draw lines between related problems. Label with
a nursing diagnosis
Identify goals/outcomes
Add interventions
Evaluate patient response to interventions