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