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21 st Century Fluencies in Nursing. By Diana Gedamke Marian University EDT 652 Innovations in Teaching. Solution Fluency. Whole Brain Thinking. Problem solving by thinking creatively Define the problem Design an appropriate solution Apply the solution

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21 st century fluencies in nursing

21st Century Fluencies in Nursing

By Diana Gedamke

Marian University

EDT 652

Innovations in Teaching

Solution fluency
Solution Fluency

Whole Brain Thinking

Problem solving by thinking creatively

  • Define the problem

  • Design an appropriate solution

  • Apply the solution

  • Evaluate the process and outcome

  • Use of the nursing process

Solution fluency1
Solution Fluency

Critical Thinking Skills In Nursing

  • Analyzing

  • Applying Standards

  • Discriminating

  • Information Seeking

  • Logical Reasoning

  • Predicting

  • Transforming Knowledge

  • Confidence

  • Contextual Perspective

  • Creativity

  • Flexibility

  • Inquisitiveness

  • Intellectual Integrity

  • Intuition

  • Open-mindedness

  • Perseverance

  • Reflection

    (Rubenfeld and Scheffer, 2010, p. 31-32)

Information fluency
Information Fluency

Ability to access digital information

Ability to effectively assess the information & content retrieved

Information fluency1
Information Fluency

The 5 A’s of Information Fluency

  • Ask: Question why the patient is demonstration the symptoms; Use assessment skill for the collection of subjective and objective data

  • Access: Look up results of tests that have been completed; Review patient’s medication list & allergies

  • Analyze: Use critical thinking to determine nursing problem list and compile interventions

  • Apply: Carry out the interventions

  • Assess: Review effectiveness or plan of care and adjust accordingly

Collaboration fluency
Collaboration Fluency

Team-Working Proficiency:

Working together with virtual and real partners

Nursing Application: Family/Medical Team Care Conferences; Multidisciplinary Patient Rounds;

Teleconferences (as seen with Telestroke Program: Froedert MD on Video camera assessing patient)

Creativity fluency
Creativity Fluency

Meaning through design, art and storytelling

  • Nursing Application:

  • Medication Flash Cards

  • Medical Algorithms

  • Case Study Scenarios

  • Genealogy Study

Media fluency
Media Fluency

Ability to look analytically at communication media to interpret the real message

Ability to create and publish original digital products

  • Nursing Application:

  • Research for and Application of Evidence Based Practice

  • Application of Quality Improvement Studies

  • Use of Informatics for Charting

  • Patient Education Healthcare Instruction Sites

The digital citizen
The Digital Citizen

  • Guiding Principals:

  • Leadership

  • Ethics

  • Accountability

  • Fiscal Responsibility

  • Environmental Awareness

  • Global Citizenship

  • Personal Responsibility

“A leader inspires people to have confidence in the leader; A GREAT leader inspires people to have confidence in themselves”

- Anonymous

Nursing: Patient Interaction -

Portray Yourself

As you truly are . . . Online & Face-to-Face


Jukes, I., McCain, T. D., & Crockett, L. (2010). A shift to whole-mind instruction. In Understanding the digital generation: Teaching and learning in the new digital landscape (pp. 66-68). Kelowna, BC, Canada: 21st Century Fluency Project.

Rubenfeld, M. G., & Scheffer, B. K. (2010). What is critical thinking? In Critical thinking tactics for nurses: Achieving the IOM competencies (2nd ed., pp. 31-32). Sudbury, MA: Jones and Bartlett.