critical thinking, leadership & management of health systems

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    Critical Thinking,Leadership &Management

    of Health Systems

    Dr Aderonke Manuwa-Olumide

    WACP/CM Update Course on Leadership & Management, December 14th-18th,2009

    CRITICAL THINKING THEPROBLEM AND CHALLENGE

    Everyone thinks; it is our nature to do so.

    Much of our thinking, by itself, is often partial,biased, distorted, uninformed, and prejudiced.

    The quality of our life, what we produce, make,or build depends on the quality of our thought.

    Shoddy thinking is costly, both in money

    and in quality of professional life. Excellence in thought, however, must be

    systematically cultivated

    18 December 2009 2John Aheto

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    What is Critical Thinking (CT)?

    skilled thinking that demonstrates thecommitment to entertain all viewpointsempathetically and to assess them withthe same intellectual standards, withoutreference to ones own feelings orvested interests, or the feelings orvested interests of ones friends,

    community, or nation.

    18 December 2009 3John Aheto

    What is Critical Thinking (CT)?-2

    The art of thinking about your

    thinking while you are thinking so asto make your thinking more clear,precise, accurate, relevant,consistent, fair, truthful, and credible.

    18 December 2009 4John Aheto

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    What is Critical Thinking (CT)?-3

    Skilled thinking characterised byempathy into diverse opposing pointsof view and devotion to truth asagainst self-interest

    18 December 2009 5John Aheto

    What is Critical Thinking(CT)?-4

    Skilled thinking that is consistent inthe application of intellectualstandards, holding oneself to thesame rigorous standards of evidence

    and proof to which one holds onesantagonists.

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    What is Critical Thinking

    (CT)?-5Thinking critically involves:

    The art of analysing and evaluating thinkingwith a view to improving it.

    Understanding how our lenses influence ourperceptions, beliefs, and knowledge.

    Making sense of the world by carefully

    examining the thinking process to clarify andimprove our understanding

    18 December 2009 7John Aheto

    Critical ThinkersWhen we become critical thinkers:

    We develop an awareness of theassumptions under which we, andothers, think, plan, and act.

    We learn to pay attention to the

    context and environment in which ourideas, attitudes, plans, and actionsare generated.

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    Critical Thinkers -2When we become critical thinkers:

    We become skeptical of quick-fixsolutions, of single answers toproblems, and of claims to universaltruths.

    We also become open to realistic

    alternative ways of looking at andbehaving in the world.

    18 December 2009 9John Aheto

    CRITICAL THINKING In essence, critical thinking is a self-

    directed, self-disciplined, self-monitored,and self-corrective thinking.

    It requires rigorous standards ofexcellence and mindful command overtheir use.

    It entails effective communication andproblem solving abilities, and

    It requires commitment to overcome ournative egocentrism and sociocentricism

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    CRITICAL THINKING

    The ability to think critically is importantfor our lives in many different ways,especially in the professions, business,education, and training.

    When we are critical thinkers within ourprofessional, business, political, andintimate relationships, we learn to see

    our actions through the critical eyes ofothers.

    18 December 2009 11John Aheto

    CRITICAL THINKING At our workplaces, we seek to exercise

    democratic control over workplacefunctions and organization and to takeinitiative in designing the form andcontent of our plans and activities.

    We become aware of the potential for

    distortions and biases in depictions ofour private and public words andactions.

    18 December 2009 12John Aheto

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    CRITICAL THINKING

    Generally, we value freedom, we practicedemocracy, we encourage a tolerance ofdiversity, and we hold in check thedemagogic tendencies of others.

    As a dimension of learning, however,critical thinking in adulthood has beenneglected in the educational and training

    literature and practice.

    18 December 2009 13John Aheto

    CRITICAL THINKING Thinking critically involves reflecting on the

    assumptions underlying our and othersideas and actions, and contemplatingalternative ways of thinking, acting, andliving.

    It is one of the important ways in which we

    become responsible adults, professionals,students, citizens.

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    CRITICAL THINKING

    When we think critically:

    We come to our judgments, choices,ideas, conclusions, decisions, etc. forourselves, instead of letting others dothese on our behalf.

    We personally become actively engagedin creating our own and preferred

    personal, professional, and social worlds.

    18 December 2009 15John Aheto

    CRITICAL THINKING

    When we think critically:

    We refuse to relinquish our responsibilityfor making the choices and decisions thatdetermine our individual and collectivefutures to those who presume to knowwhat is in our best interests thecustomers or clients or tax payers.

    18 December 2009 16John Aheto

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    CRITICAL THINKING

    Critical thinking is for all professionals, leaders,managers, and educators who seek tounderstand and develop skills of critical thinkingin their colleagues, clients, learners, and peers.

    In professional functions, critical thinking isuseful for those trying to understand howpeople can be challenged to become morequestioning, less accepting, and moreinvolved in controlling their own lives, destiny,and workplaces.

    18 December 2009 17John Aheto

    CRITICAL THINKING The components of critical thinking can be

    recognized in peoples actions.

    Critical thinking encourages us, ourcolleagues, and our clients to take a

    critical look at what we are doing, whywe are doing it, what alternatives we

    might and should consider, and how wecan learn from all this critical scrutiny.

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    COMPONENTS OF CRITICALTHINKING

    The components of critical thinking include:

    being aware of the assumptions, perceptions, andbiases under which we and others plan, live, and act;

    challenging these assumptions, perceptions, andbiases;

    becoming aware of how context alters thought,attitude, behavior, and conclusions.

    becoming skeptical of claims to universal truthsor ultimate explanations, and

    intensely considering and imagining plausible

    alternatives to our current attitudes and ways ofthinking, acting, living, decision making.

    18 December 2009 19John Aheto

    CRITICAL THINKING The ability to be critically reflective is one

    significant criterion we use when judging whether aperson is mature, whether a society is democratic,whether an entity is effective, or whether there iscompliance.

    People must connect their private lives withbroadened social forces.

    We need to model the kinds of critical, reflectiveattitudes and behaviors we seek to encourage in

    others. We need to challenge the assumptions and bases

    through criteria analysis, critical questioning, criticalincidents, role play, and crisis-decision simulation.

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    CRITICAL THINKING

    We must also explore the range oftechniques for encouraging people toimagine plausible alternatives to theirfamiliar ways of thinking and living.

    These include future-invention technique,the development of preferred scenarios,and the use of esthetic triggers to helppeople break free from habitual ways of

    thinking, perceiving, and acting.

    18 December 2009 21John Aheto

    CRITICAL THINKING Critical thinking can be recognized in the

    context of our personal relationships, workactivities, and political involvements.

    It entails more than the skills of logicalanalysis

    It also involves calling into question theassumptions underlying our customary,

    habitual ways of thinking and acting andthen being ready to think and act differentlyon the basis of robust critical questioning.

    18 December 2009 22John Aheto

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    CRITICAL THINKING

    Without critical thinking, our personalrelationships become stale, our workplacesremain stagnant or remain organized as theywere decades ago, and our organizationalinvolvements dwindle to the point of total non-

    participation or irrelevance

    A critically informed populace of critical thinkers ismore likely to productively participate in all forms

    of professional and democratic activities.

    18 December 2009 23John Aheto

    CRITICAL THINKING THEMESCritical thinking is:

    grounded on sound emotionalintelligence and intellectual curiosity

    and challenge;

    a continuous process, not an outcome

    or end state; a very productive and positive activity

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    CRITICAL THINKING THEMES

    Manifestations of critical thinking varyaccording to the contexts in which itoccurs. It is:

    triggered by positive as well as negativeevents

    emotive as well as rational or logical

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    COMPONENTS OF CRITICALTHINKING

    Identifying and challenging assumptions

    Challenging the importance of context(hidden and uncritically assimilatedassumptions) in everything we do

    Imagining and exploring viablealternatives

    Developing and using professionalreflective skepticism

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    FACILITATING CRITICAL THINKING (1)

    Develop yourself as a critical thinker Affirm critical thinkers self-worth

    Listen attentively to critical thinkers Show that you support critical thinkers

    efforts Reflect and mirror critical thinkers

    ideas and actions Motivate people to think critically

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    FACILITATING CRITICAL THINKING (2)

    Regularly evaluate progress

    Help critical thinkers to createnetworks

    Be a critical teacher of others Make people aware of how they learn

    critical thinking Actively model critical thinking

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    CHECKLIST FOR REASONING ELEMENTS OF THOUGHT

    All REASONING:

    1. Has a Purpose

    2. Is an attempt to Figure somethingout, settle some Issues or Question,solve some Problem

    3. Is based on Assumptions

    4. Is done from some Point Of View

    18 December 2009 29John Aheto

    CHECKLIST FOR REASONING ELEMENTS OF THOUGHT

    All REASONING:

    5. Is based on Data, Information, and Evidence

    6. Is expressed through, and shaped byConcepts, Values, Principles, Ideas, etc.

    7. Contains Inferences or Interpretations bywhich we draw Conclusions and give

    meaning to Data or piece of Information.8. Leads to a Conclusion or Judgment, has

    Implications, and Consequences,

    18 December 2009 30John Aheto

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    UNIVERSAL INTELLECTUALSTANDARDS OF THINKING (1)

    Universal intellectual standards ofthinking are standards which must beapplied to thinking whenever one isinterested in checking the quality ofthinking and reasoning about aproblem, issue, or situation

    To think critically, entails havingcommand over these standards

    18 December 2009 31John Aheto

    UNIVERSAL INTELLECTUALSTANDARDS OF THINKING (2)

    These standards entail:

    Clarity:- unambiguous

    Accuracy:- truth, verifiability

    Precision:- details, specificity

    Relevance:- connection, bearing on the

    issue Depth:- complexities and significant issues

    Breadth:- viable alternative points of view

    18 December 2009 32John Aheto

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    UNIVERSAL INTELLECTUALSTANDARDS OF THINKING (3)

    Logic:- making sense, following from,

    Significance:- universal importance toothers

    Completeness:- breadth and depth

    Fairness:- equity and just

    18 December 2009 33John Aheto

    INTELLECTUAL TRAITS ORVIRTUES

    Intellectual integrity or honesty

    Intellectual humility

    Confidence in reason

    Intellectual perseverance

    Fair-mindedness and objectivity

    Intellectual courage Intellectual empathy

    Intellectual autonomy or independence

    18 December 2009 34John Aheto

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    THE RESULTA well-cultivated critical thinker/professional:

    Raises vital questions, issues, and problems;formulating them clearly and precisely.

    Gathers and assesses relevant data andinformation, using abstract ideas to interpretthem effectively.

    Comes to well-reasoned, sound conclusionsand solutions; testing them against relevantcriteria and universal standards.

    18 December 2009 35John Aheto

    THE RESULT (2)A well-cultivated critical thinker/professional

    Thinks open-mindedly within alternativesystems of thought, recognising andassessing, as need be, their assumptions,implications, and practical consequences.

    Communicates effectively with others infiguring out or crafting solutions tocomplex problems.

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    STAGES OF CRITICAL THINKINGDEVELOPMENT (1)

    UNREFLECTIVE THINKER:-

    Unaware of significant problems in histhinking

    CHALLENGED THINKER:-

    faced with significant problems in his thinking

    BEGINNING THINKER:-

    tries to improve but without regular practice orconsistency

    18 December 2009 37John Aheto

    STAGES OF CRITICAL THINKINGDEVELOPMENT (2)

    PRACTICING THINKER:-

    recognizes the need for regular andconscious practice of thinking

    ADVANCEDTHINKER:-

    advances in keeping with his thinking practice

    MASTER THINKER:- good habits of thought are becoming second

    nature and automatic

    18 December 2009 38John Aheto