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
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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.
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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.
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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
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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
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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,
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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
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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
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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
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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
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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.
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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
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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
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