The important things to bridge the differences in the professional nursing practice in the United States are:  

1. Develop critical thinking skills. Always ask how, what, when, where, who, and what-if questions. Seek to understand the need for what is not understood. It creates deeper and more meaningful learning when we ask questions and search for answers. It also expands knowledge and leads to future change with less frustration.

• Identify the difference, seek to understand and to assess the situation or question at hand.
• Observe the evidence of practice.
• Develop a self-improvement list for ourselves.
• Analyze content, including the policies and procedures of our facilities.
• Interpret, verify and explain findings to our way of understanding.
• Evaluate for relevant criteria to make a good judgment.
• Apply new ways of thinking and immerse into the new knowledge as our own, using it in new clinical settings.
• Create an action plan. Make a strong personal commitment to act differently in the nursing practice. Commit to doing things in new ways and not slide back into the old way of doing things. Adjust our behaviors again as needed. Apply new action plans to adopt better nursing practices for ourselves.

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