Critical thinking & problem solving and decision making Nurse managers are required to be aware of the techniques that help them ensure effective management of educational and service unit. Communication & critical thinking &problem solving and decision making in a job are every nurse's job in the organization ; therefore, knowledge of communication and critical thinking is essential if effective working relationships are to be developed and maintained Critical thinking: can be define as ˝thinking about your thinking while you are thinking in order to make your thinking better̋ Critical thinking describe as purposeful outcomes directed thinking that aims to make judgment based on scientific evidence rather than tradition or conjecture Problem solving :is the process of identifying possible courses of action or alternatives that will alleviate a problem Decision making: as a behavior exhibited in making a selection and implementing a course of action from alternative . It may or may not be the result of an immediate problem Exp. problem solving Both decision making and problem solving use critical thinking 1------Use Critical thinking ----------- decision making Critical thinking in communication Communication as an essential skill to nurse managers , they need to think and conscious of different angles in their communication in order to perform their roles as managers effectively The most effective decision making involve a systematic process that is comprehensive and which focuses on predetermine outcome Advantages 1- Its characterized by order and direction that enable managers to determine where they are 2- Provide a framework for data gathering which is relevant to the decision. 3- Allows application of previous knowledge and experiences that minimize errors and improve quality of patient care and work of an organization 4- Increase manager's confidence and ability to make sound decision The potential barriers to effective communication include: * Time pressure * Environmental interference * Lack of information * Complexity in the channel of communication Decision making versus problem solving are commonly used together. Sometimes these terms are associated with the nursing process. Problem solving and nursing process are very much similar Similarities sl.no nursing process problem solving 1. assessing identification of problem 2. analyzing gather information 3. diagnosis analyzing information 4. planning 5. implementation implement strategy 6. evaluation evaluate outcome establish goal and seek alternative Decision ineffective you will need to review the steps again ;include 1- problem/concerns were not correctly identified 2-assessment was not complete or properly analyzed 3- goals were unrealistic 4- decision taken without considering other possible alternative and consequences 5- the strategy chosen was incorrectly implemented due to like specific guidelines 6- evaluation of responses was incomplete or situation changed rapidly