Enhancing Nursing Fluencies in the 21st Century

1. 21st Century Fluencies in Nursing By Diana Gedamke Marian University EDT 652 Innovations in Teaching

2. 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

3. 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)

4. Information Fluency Ability to access digital information Ability to effectively assess the information & content retrieved

5. 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

6. 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)

7. Creativity Fluency Meaning through design, art and storytelling • Nursing Application: • Medication Flash Cards • Medical Algorithms • Case Study Scenarios • Genealogy Study

8. 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

9. 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

10. Resources 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.