Levels of Proficiency Flashcards
A model of the socialization process in nursing.
BENNER’S STAGES OF NURSING EXPERTISE
A process by which people learn:
a. to become members of groups and society
b. social rules defining relationships into which they will enter
Socialization
Involves learning to _______, _______, and _______ the world in a manner similar to other persons occupying the same role as oneself.
behave / feel / see
This model was based on Dreyfus’ Model of Skill Acquisition.
5 LEVELS OF PROFICIENCY
● No background experience.
● Performance is limited, inflexible, and governed by context free rules and regulations rather than experience.
STAGE 1: NOVICE
TRUE OR FALSE:
Benner has suggested that nurses at higher levels of skill in one area of practice could be classified at the novice level if placed in an familiar situation or area.
FALSE
Nurses of higher skill level will be considered novices if placed in an UNFAMILAIR situation or area
Student nurses or nurses who did not pursue clinical work after graduating.
STAGE 1: NOVICE
● Acceptable performance.
● Guided by rules.
● Oriented by task completion.
● Has enough experience to grasp aspects of the situation.
STAGE 2: ADVANCED BEGINNER
TRUE OR FALSE:
An Advance Beginner develops when the person can demonstrate marginally acceptable performance having coped with enough real situations to note or to have pointed out by a mentor, the recurring meaningful components of the situation.
TRUE
TRUE OR FALSE:
Nurses at the Advanced Beginner stage view clinical situations in terms of patient needs and responses
FALSE
Advanced Beginner nurse view clinical situations as a TEST OF THEIR ABILITIES and DEMANDS OF THE SITUATION
Advanced Beginners have difficulty grasping the current patient situation in terms of the __________.
larger perspectives
Fresh graduates
STAGE 2: ADVANCED BEGINNER
● Demonstrates organizational and planning abilities.
● Begins to recognize patterns and determines which elements of the situation warrant attention and which can be ignored.
● Devises new rules and reasoning procedures for a plan while applying learned rules for action.
● Coordinates multiple complex care demands.
STAGE 3: COMPETENT
TRUE OR FALSE:
Competent nurses has increased level of efficiency but focus is on
time management and organization of the task.
TRUE
TRUE OR FALSE
Competent nurses will never display hyper responsibility
FALSE
Competent nurses MAY DISPLAY HYPER RESPONSIBILITY
★ Nurses at this stage may have systematic work habits (time management and organization of tasks – e.g. finishing duty hours).
★ They may exhibit an ever-present and critical view of the self.
★ Handles around 10 patients.
STAGE 3: COMPETENT
★ A sense of mastery is required through planning and predictability.
★ Crucial in formation of the everyday ethical comportment of nurses.
★ Active teaching and learning are important to transition to a proficient stage.
STAGE 3: COMPETENT
Has 2 or 3 years experience
STAGE 3: COMPETENT
● New ability to see changing relevance in a situation including recognition and implementation of skilled responses to the situation as it evolves.
● Demonstrates increased confidence.
● With much involvement with the patient and family.
STAGE 4: PROFICIENT
TRUE OR FALSE:
Proficient nurses have a decent understanding of the client which
improves decision making.
FALSE
They have a HOLISTIC UNDERSTANDING of the client
Focuses on long term goals.
STAGE 4: PROFICIENT
★ Nurses at this stage have the ability to communicate confidently with the patient AND the patient’s relatives.
★ Recognizes salient aspects and has an intuitive grasp of the situation.
STAGE 4: PROFICIENT
Has 3-5 years of experience
STAGE 4: PROFICIENT
● No longer relies on analytical principles (rule, guideline, maxim) to connect his or her understanding of the situation to an appropriate action.
● Fluid, flexible, and highly proficient performance.
● With highly skilled intuitive and analytic ability in new situations.
STAGE 5: EXPERT
Ability for pattern recognition on the basis of deep experiential background.
STAGE 5: EXPERT
TRUE OR FALSE:
Expert nurses are inclined to take a certain action because “it felt
right.”
TRUE
Key aspects of Expert Nurses:
1. a ________ and ________ practice
2. embodied ________
3. seeing the ________
4. seeing the ________
(1) clinical grasp / resource based
(2) know-how
(3) big picture
(4) unexpected
★ Nurses at this stage already have high-end skills. However, it is important to remember that there is no end to learning.
★ The utmost importance of nurses at this stage is to meet the patient’s actual concerns and needs, even if it means planning and negotiating for a change in the plan of care.
STAGE 5: EXPERT
Have no less than 5 years of experience
STAGE 5: EXPERT
