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Doing practice differently: solution-focused nursing.

Margaret McAllister¹

¹School of Nursing, Griffith University, Queensland, Australia. m.mcallister@mailbox.gu.edu.au

Journal of Advanced Nursing

|March 8, 2003

Summary

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Nursing should shift from a problem-orientation to a solution-orientation. This approach better aligns with nursing

Area of Science:

Nursing Science
Healthcare Practice
Cognitive Approaches in Healthcare

Background:

Healthcare predominantly utilizes a problem-orientation for critical thinking and reasoning.
This problem-focused approach is deeply ingrained in nursing culture and practice.
The limitations of a purely problem-focused approach are often overlooked or debated.

Purpose of the Study:

To examine the impact of a problem-orientation in healthcare.
To advocate for a solution-orientation as a more suitable framework for nursing.
To explore the potential of a solution-orientation in advancing nursing education and practice.

Main Methods:

Literature review and critical analysis of existing approaches in nursing.
Conceptual exploration of problem-orientation versus solution-orientation.

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Argumentative synthesis to support the proposed shift in focus.

Main Results:

A problem-orientation can be constraining rather than enabling for nursing.
A solution-focused approach highlights nursing's unique contributions.
Nursing encompasses aspects beyond problem resolution, including health and well-being.

Conclusions:

Nursing requires a paradigm shift from problem-solving to solution-finding.
Embracing a solution-orientation allows nursing to differentiate itself from medicine.
Key nursing skills like engagement, resilience, and health education are better supported by a solution-focused model.