Paper
Friday, July 13, 2007
This presentation is part of : Education Models to Support EBN
The Use of Solution Oriented Thinking to Accelerate New Graduate and International Nurse Development and Competency
Timothy Vietmeier, RN, BSN, Education, Valley Hospital Medical Center, Las Vegas, NV, USA
Learning Objective #1: identify several barriers to professional development faced by new graduate and international nurses just starting practice.
Learning Objective #2: discuss the development and implementation of a solution oriented thinking course to improve and accelerate the professional development of new graduate nurses and international nurses

The goal of this study is to address several barriers to professional development faced by new graduate and international nurses just starting practice in the United States. Each nurse is unique in how they develop from novice to competent professional, yet many of the challenges that hinder their development are similar. Several of the barriers a new graduate or international nurse faces in achieving competency are a lack of critical thinking skills, a focus on problem identification versus a focus on solution oriented thinking, tunnel vision versus seeing the whole healthcare picture, deficiencies in: clear effective communication, time management, setting priorities, metacognition, task oriented thinking versus independent conceptual thinking, a fear of change, and understanding the art of nursing, which is an essential compliment to the science of nursing.

The teaching of solution oriented thinking will be incorporated into the New Graduate and International Nurse Program and evaluated for its ability to accelerate nursing development and competency. The components of this course are critical thinking, time management, priority setting, SBAR communication (Situation, Background, Assessment, and Recommendation), embracing change, and understanding the developmental stages of the new graduate nurse through comprehending the principles of “Kramer’s Reality Shock”.

The study seeks to identify new and innovative ways in helping the new graduate and international nurse transition from novice to competent professional. The confidence obtained from understanding these principles and how they fit into daily practice, gives the nurse the self-assurance to seek out experiences that will further accelerate their professional development.