Clinical Thinking and Critical Judgement

Some references are up to date, some are not. About 11 sources in the past 10 years and 13 sources in the past 5 years. There are about 4 references over 10 years ago. The earliest reference was in 1997 and the most recent reference was in 2009. References over 5 years are considered obsolete. The framework of the current knowledge and the theoretical point of view are clearly expressed. Tanner's clinical decision theory provides a framework for this research (Mann, 2012).

Diagnosis of Lyme Disease is sometimes described as "clinical judgment", which means that it varies from person to person. This term generally refers to a number of evidences from peer-reviewed studies, ie clinical judgment based on the results of evidence generally accepted by a well-know physician in the general medical community. To date, PubMed's scientific literature research has revealed over 12,000 publications covering nearly all aspects of Lyme disease.

Critical thinking is an objective analysis and evaluation of the problem to make a decision. It has quality of analysis, evaluation and reconstruction skills. This is the idea of ​​"self" because opinion supported by opinions and knowledge is formed. It is done every second, so everything comes from critical thinking. The survey level is part of two types of reasoning, especially deductive reasoning. - Critical evaluation of the event Vachon and Leblac (2011) argues that critical event analysis promotes introspective learning and important elements are comprehensive analyzes of actual contextual experience . In fact, through research, Kettle and Sellars (1996) identified colleague reflections among student groups as an integral part of the preconception concept of challenging their education.

Critical thinking is a controlled intellectual process that uses wise reasoning as a guide to beliefs and actions (Paul, Ennis, Norris). In nursing, the critical thinking of clinical decision making is a reasoning process (Heaslip) that is used in a systematic and logical way, asking frank questions, securing safe medical practice and high quality care, It is the ability to contemplate. Critical thinking cultivated among practitioners includes the compliance with knowledge standards, proficiency of inference, devotion to the development and maintenance of intellectual characteristics of thinking and thought habits, as well as sound clinical judgment and safe judgment Includes reasonable use of thinking skills and ability to do. Manufacturing industry

Critical thinking skills develop through clinical training, but there are many experienced nurses who are less than ideal critical thinking skills 5. As part of the initiative to improve on-site nurse's critical thinking, Berkow et al. [23] reported the development of critical thinking. A tool designed to evaluate diagnostic thinking, critical thinking of an experienced nurse. This tool contains 25 competencies that nursing leaders have identified as core skills to be the center of critical thinking. These functions are divided into five key thinking elements: problem identification, clinical decision making, prioritization, clinical implementation, and reflection. Potential application of this tool allows nurse leaders to determine the benefits of critical thinking and personalize their learning activities based on the specific needs of the frontline nurses.