Iscussion: Critical Thinking in Nursing posts


Respond to at least three of your colleagues postings. Consider responding along these lines:

Validate an observation with your own experience.

Share an insight from having read the colleagues posting.

Offer new ideas for the colleague to explore.

Expand on the colleagues posting.

Offer and support an opinion.

First post Veronica 75 words and one quote

Week 7 Discussion Post

The Occasion Exhibiting Critical Thinking and Details

Labor and Delivery is an area of expertise where you are caring for the mother and the fetus. I am reminded of a delivery with an Obstetrician diagnosed with Guillain-Barre Syndrome proceeded to deliver a newborn and dropped the newborn. My quick and sharp reflexes leaped and caught the newborn before hitting the metal kick bucket located at the foot of the birthing bed. I hit the floor hard and injured myself, but the baby was unhurt. This was indeed a life changing problem for the physician who never delivered another patient due to the progression of her disease after this occurrence. The patient and her husband both were truly grateful on this day. Because of how birthing room center design, my role to assist the physician is standard, standing close by. Had I walked away or left the room, the results would have changed drastically for the newborn, patient, and the physician. What was at stake here was possible injury to the newborn, liability of the obstetrician, and exploitation of the reputation of the hospital.

Thought Processes and Assumptions

For me, diving and saving the newborn was merely a reflex. I have children of my own and knowing that safety is first and foremost, any act of danger must be prevented. As I would do anything to protect my child, I would do the same for my patient. The act of possession or asserting a claim of preventing the newborn in falling into a metal kick bucket risking injury is what I did. The assumption therefore, was done in the best possible manner of safety for the newborn and assisting the obstetrician. Thinking ahead, being prepared, collecting your thoughts, and standing on ready are natural occurrences for me in the birthing room.

Analyzing Various Thought Processes

The novice nurse in this case probably would have freaked out due to lack of experience. Newer nurses are usually excited, bubbly, and energetic with critical thinking skills continuing to brew. Every nurse is different and responds differently to situations. New nurses are demonstrating a time of broadening and prompt personal, as well as professional growth (Vicky RN, 2009). The advanced beginner would help in assisting and call out for help. The advanced beginner demonstrates minimally acceptable competence. Advance beginners will make basic clinical judgments and communicate principles guiding their actions. The competent nurse efficiently organizes, plan, coordinates, perform multiple tasks, and differentiate the most important aspects of care (Vicky RN, 2009). In this case would probably physically jump at the opportunity in making her way to the obstetrician to help. Depending on the area of expertise or area of nursing, competent nurses need two to three years in reaching this stage. The proficient practitioner perceives the overall picture in clinical situations, as opposed to piecing scenarios together, utilizing speed, flexibility, and deep understanding of unraveling situations. The proficient nurse reflexes would be sharp and able to save the newborn from hitting the kick bucket. The experienced or expert nurse exhibits highly skilled talent, lightning quick logical problem-solving ability, and recognition of important subtitles (Vicky RN, 2009). Many years of experience and confidence in performing are features of the expert nurse and in this situation described earlier would be me.

Sharing New Ideas

New ideas as a result of the situation that occurred looking back only leads my thinking of just being attentive at all times during delivery processes, keeping in mind that nursing roles extend in assisting both the patient and physician. Nurses have to be aware and in control of the health care environment. No other conclusions or actions would suffice in this case under the circumstances other than knocking the obstetrician down and performing the delivery myself which could not have been forth-coming because neither could the physician or I predict that this would happen in the manner that it did. In hind-sight, I would do it again and not change the actions I performed in catching the newborn, saving him from danger of being injured.

Clinical Educator Structuring Critical Thinking Skills

As an upcoming clinical educator, structuring learning experiences to facilitate and foster better critical thinking skills will be challenging. Educators must guide the processes promoting critical thinking skills. Organizing and presenting essential information to students without input from the learners eliminating the opportunity for them deciding what information is important to know one course of action to take (Billings and Halstead, 2012). Learners again learn at different levels and no two learners are alike. Careful consideration and thought must be taken into account for learners at all levels. Classroom discussions, debates, and round table discussions will promote positive critical thinking skills in learners. The structure aim here takes the focus off the instructor, giving the students a power surge in learning concepts Critical thinking is the challenge in health care education curriculum that contains effective teaching/learning strategies for students to develop (Bradshaw & Lowenstein, 2011). According to Brookfield, critical thinking is a continuous process and a critical part of practice (Laureate Education Inc., 2009).


Bradshaw, M., J. & Lowenstein, A., J. (2011). Innovative teaching strategies in nursing and related health professions (5th ed.). Sudbury, MA: Jones and Bartlett.

Vicky RN. (2009). Article: Novice-The first stage on your journey. Retrieved on 8/4/2012 from