1
c
This is a graded discussion: 25 points possible due Jan 13
Week 1: Encouraging Clinical Thinking
7 63
Applying Tanner’s Model of Clinical Judgment as well as current articles on clinical teaching, what evidence-based techniques can you use to foster critical
thinking and skill acquisition in students and staff nurses? Please provide at least two techniques that you could use at the bedside.
Threaded Discussion Guidelines and Grading Rubric
(https://lms.courselearn.net/lms/content/1540/53815/NR526/Updated_Task%20Force%20Threaded_Discussion_Guidelines_and_Grading_Rubric_2018.09.17.docx)
Search entries or author Unread ✓ Subscribed
Reply
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(https:/ Jennifer Owenby c
(https: /chamberlain.instructure.com/courses/37809/users/19314)
Jan 6, 2019
Professor and classmates,
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, 3
In Tanner’s Model, there are four features linked to the definition: noticing, interpreting, responding, and reflecting (Cazzell &
Anderson, 2016). Based upon Tanner’s model, the first technique that comes to mind is simulation. I work for a teaching facility
and simulation is performed during annual skills for all skill sets. Simulation allows the novice and experience nurses to be
placed in a situation where it eliminates the safety risk for patients yet allowing them to use their clinical decision making and
critical thinking skills to come to a solution regarding the scenario being presented. (Macauley, Brudvig, Kadakia, & Bonneville,
2017). My favorite is the mock code. I work in the medical ICU and we deal with codes all to frequently. The simulation lab allows
us to create different cardiac arrest scenarios with visualization of cardiac rhythms which help nurses to address the issue
accordingly without repercussion. Also, the mannequin will give details such as the depth and rate ratio of compressions being
performed as well.
Huhn (2017) suggest that clinical reasoning/thinking requires one to solve a clinical dilemma without all the pieces of the puzzle.
As a preceptor, I have often made the statement “I don’t know how to teach critical thinking skills you either have it or you don’t”.
It was pointed out to me recently that I do teach critical thinking by simply asking questions, providing encouragement, and
stating “stop second guessing and remember what you learned in nursing school and apply it.” A huge test in the medical field is
the fast-paced and technology enhancements made which can prove to be a challenge since the “gold standard” of treatment
changes so quickly.
Cazzell, M., & Anderson, M. (2016). The impact of critical thinking on clinical judgment during simulation with senior nursing
students. Nursing Education Perspectives (National League for Nursing), 37(2), 83-90. doi:10.5480/15-1553
Huhn, K. (2017). Effectiveness of a clinical reasoning course on willingness to think critically and skills of self-reflection. Journal
of Physical Therapy Education (American Physical Therapy Association Education Section), 31(4), 59-63.
doi:10.1097/JTE0000000000000007
Macauley, K., Brudvig, T. J., Kadakia, M., & Bonneville, M. (2017). Systematic review of assessments that evaluate clinical
decision making, clinical reasoning, and critical think changes after simulation participation. Journal of Physical Therapy
Educatioon (American Physical Therapy Association, Education Section), 31(4), 64-75.
doi:org.chamberlainuniversity.idm.oclc.org/10.1097/JTE0000000000000011
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Reply
(http Antonieta Alteza (Instructor) c
Jan 8, 2019
Hi Jennifer,
Thank you for starting us off in this week’s discussion and for sharing your views on critical thinking!
Do you think that it's necessary for a practicing nurse to have developed a high level of critical thinking in order to be able
to teach it to nursing students?
Do you feel that the clinical judgement that was developed in practice will serve the nurse to be a better facilitator of
critical thinking in the nurse educator role?
Dr Alteza
Reply
(http Jennifer Owenby c
(https: /chamberlain.instructure.com/courses/37809/users/19314)
Jan 8, 2019
Dr Alteza and classmates,
https://chamberlain.instructure.com/courses/37809/discussion_topics/931882?module_item_id=4581599 4/68
c
This is a graded discussion: 25 points possible due Jan 13
Week 1: Encouraging Clinical Thinking
7 63
Applying Tanner’s Model of Clinical Judgment as well as current articles on clinical teaching, what evidence-based techniques can you use to foster critical
thinking and skill acquisition in students and staff nurses? Please provide at least two techniques that you could use at the bedside.
Threaded Discussion Guidelines and Grading Rubric
(https://lms.courselearn.net/lms/content/1540/53815/NR526/Updated_Task%20Force%20Threaded_Discussion_Guidelines_and_Grading_Rubric_2018.09.17.docx)
Search entries or author Unread ✓ Subscribed
Reply
https://chamberlain.instructure.com/courses/37809/discussion_topics/931882?module_item_id=4581599 1/68
, 2
(https:/ Jennifer Owenby c
(https: /chamberlain.instructure.com/courses/37809/users/19314)
Jan 6, 2019
Professor and classmates,
https://chamberlain.instructure.com/courses/37809/discussion_topics/931882?module_item_id=4581599 2/68
, 3
In Tanner’s Model, there are four features linked to the definition: noticing, interpreting, responding, and reflecting (Cazzell &
Anderson, 2016). Based upon Tanner’s model, the first technique that comes to mind is simulation. I work for a teaching facility
and simulation is performed during annual skills for all skill sets. Simulation allows the novice and experience nurses to be
placed in a situation where it eliminates the safety risk for patients yet allowing them to use their clinical decision making and
critical thinking skills to come to a solution regarding the scenario being presented. (Macauley, Brudvig, Kadakia, & Bonneville,
2017). My favorite is the mock code. I work in the medical ICU and we deal with codes all to frequently. The simulation lab allows
us to create different cardiac arrest scenarios with visualization of cardiac rhythms which help nurses to address the issue
accordingly without repercussion. Also, the mannequin will give details such as the depth and rate ratio of compressions being
performed as well.
Huhn (2017) suggest that clinical reasoning/thinking requires one to solve a clinical dilemma without all the pieces of the puzzle.
As a preceptor, I have often made the statement “I don’t know how to teach critical thinking skills you either have it or you don’t”.
It was pointed out to me recently that I do teach critical thinking by simply asking questions, providing encouragement, and
stating “stop second guessing and remember what you learned in nursing school and apply it.” A huge test in the medical field is
the fast-paced and technology enhancements made which can prove to be a challenge since the “gold standard” of treatment
changes so quickly.
Cazzell, M., & Anderson, M. (2016). The impact of critical thinking on clinical judgment during simulation with senior nursing
students. Nursing Education Perspectives (National League for Nursing), 37(2), 83-90. doi:10.5480/15-1553
Huhn, K. (2017). Effectiveness of a clinical reasoning course on willingness to think critically and skills of self-reflection. Journal
of Physical Therapy Education (American Physical Therapy Association Education Section), 31(4), 59-63.
doi:10.1097/JTE0000000000000007
Macauley, K., Brudvig, T. J., Kadakia, M., & Bonneville, M. (2017). Systematic review of assessments that evaluate clinical
decision making, clinical reasoning, and critical think changes after simulation participation. Journal of Physical Therapy
Educatioon (American Physical Therapy Association, Education Section), 31(4), 64-75.
doi:org.chamberlainuniversity.idm.oclc.org/10.1097/JTE0000000000000011
https://chamberlain.instructure.com/courses/37809/discussion_topics/931882?module_item_id=4581599 3/68
, 4
Reply
(http Antonieta Alteza (Instructor) c
Jan 8, 2019
Hi Jennifer,
Thank you for starting us off in this week’s discussion and for sharing your views on critical thinking!
Do you think that it's necessary for a practicing nurse to have developed a high level of critical thinking in order to be able
to teach it to nursing students?
Do you feel that the clinical judgement that was developed in practice will serve the nurse to be a better facilitator of
critical thinking in the nurse educator role?
Dr Alteza
Reply
(http Jennifer Owenby c
(https: /chamberlain.instructure.com/courses/37809/users/19314)
Jan 8, 2019
Dr Alteza and classmates,
https://chamberlain.instructure.com/courses/37809/discussion_topics/931882?module_item_id=4581599 4/68
