Respond to one classmate by completing their
Respond to one classmate by completing their questions, evaluating the scenario, and identifying what you learned from their scenario. The job of a nurse preceptor is challenging, as they’re responsible for helping their mentee successfully transition to independence. While some competencies, such as basic skill sets, are more easily assessed, others are more challenging. Assessing for competency in critical thinking requires consideration, discussion, and reflection. ‘Given that nursing is based on scientific knowledge, critical thinking is the reasonable reflection to justify nursing actions based on evidence.’, (Westerdahl et al., 2020). The following is a scenario I created, based on my professional practice in the emergency department. Scenario As a nurse preceptor of a novice mentee, we are provided a four-room assignment. At the beginning of our shift, we collectively evaluate the acuity of our patients, to prioritize the care that needs to be provided. We are assigned two high, one moderate, and one low, acuity patients. Each has been in the emergency department for varying times; some have been present for a few minutes, while others have been there for a few hours. Additionally, each patient has new orders that need to be completed. The questions I would ask the mentee would address (Rubenfeld & Scheffer, 2015), ‘Critical Thinking Habits of the Mind’, related to intuition, confidence, and information seeking. These questions address both clinical reasoning and critical thinking skills. ‘Critical thinking is a way of “imposing intellectual standards” in the approach to any subject, content, or problem’, while clinical reasoning is ‘the application of critical thinking to the clinical situation.’, (Victor-Chmil, 2013, p. 34-35). 1.) Based on the information you know; how do you determine which patient needs care first? 2.) How do you justify your decision on which patient should receive prioritization? 3.) Describe the information you used to make your decision.
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