benner theory (p. 56) Flashcards
From Novice to
Expert
Caring, Clinical Wisdom and Ethics in
Nursing Practice
– person has no background
experience of the situation in which she or
he is involved.
- Novice
Context-free, rules and objectives must be
given to guide performance
novice
In the clinical area it is like a new nurse placed in an area foreign to her
novice
Nursing students
novice
ex. Medical ward staff nurse transferred to
neonatal intensive care
novice
–person can demonstrate marginally acceptable
performance, having coped with enough
real situation, or have pointed out by a mentor
- Advanced beginner
Have enough experience to grasp aspect
of the situation
Advanced beginner
Nurses functioning at this level are guided
by rules and are oriented by task
completion.
Advanced beginner
Clinical situations are viewed by nurses in
the___________ ____________ stage as a test to
their abilities and the demands of the
situation placed on them rather in terms of
patient needs and responses
Advanced beginner
They are responsible for managing patient
care yet they still rely on the help of those
who are more experienced
Advanced beginner
- Examples are the newly graduate
registered nurses
Advanced beginner
– learning through actual
situations and following instruction of
others, the advanced beginner moves to
the competent level
Competent
Consistency, predictability and time
management are important in competent
performance
Competent
Focus is on time management and the
nurse organization of the task.
Competent
the nurse perceives the
situation as a whole rather than in terms of
aspect and the performance is guided by
maxims
Proficient
Demonstrate a new ability to see changing
relevance in a situation including
recognition and implementation of skilled
response to the situation as it evolves
Proficient
– the expert performer no longer
relies on analytical principles to connect
an understanding of the situation to an
appropriate action
Expert
Have an intuitive grasp of the situation and
being able to identify the region of the
problem without losing time considering a
range of alternative diagnosis and solution
Expert
(Nursing Paradigm) is a caring relationship, an
enabling condition of connection and
concern
nursing
(Nursing Paradigm) -viewed as a caring practice whose
science is guided by the moral art and
ethics of care and responsibility
nursing
(Nursing Paradigm) – a self-interpreting being that is,
the person does not come into the world
predefined but gets defined in the course
of living a life.
person
(Nursing Paradigm)
Nurses attend to all dimension of the body
and seek to understand the role of
embodiment in particular situation of
health, illness and recovery.
person
(Nursing Paradigm)
- The nurse must understand the roles of
each person, their body language,
sensations as well as their customs and
their own understanding of themselves.
person
(Nursing Paradigm) not just the absence of disease
and illness
- Health
(Nursing Paradigm) - it is defined as what can be assessed
meaning what can be observed from the
patient
- Health
is loss or dysfunction
Disease
is assessment of the physical level/
physical symptoms
- Illness
(Nursing Paradigm) – in other theories this is term as
environment
* Defined as person engaged interaction,
interpretation and understanding of the
situation
situation
(Nursing Paradigm) Each persons past, present and future,
which include his own personal meanings,
habits and perspective influence the
current situation
situation