novice to expert theory Flashcards
The nurse-patient relationship is not a uniform, professionalized blueprint but rather a kaleidoscope of intimacy and distance in some of the most dramatic, poignant, and mundane moments of life.
novice to expert theory
the process by which people (a) learn to become members of groups and society and (b) learn the social rules defining relationships into which they will enter.
involves learning to behave, feel, and see the world in a manner similar to other persons occupying the same role as oneself
socialization
stages of nursing expertise
novice
advanced beginner
competent
proficient
expert
No experience (e.g., nursing student). Performance is limited, in- flexible, and governed by context-free rules and regulations rather than experience
novice
Demonstrates marginally acceptable performance. Recognizes the meaningful “aspects” of a real situation. Has experienced enough real situations to make judgments about them.
advanced beginner
Has 2 or 3 years of experience. Demonstrates organizational and planning abilities. Differentiates important factors from less important aspects of care. Coordinates multiple complex care demands.
competent
Has 3 to 5 years of experience. Perceives situations as wholes rather than in terms of parts, as in Stage II. Uses maxims as guides for what to consider in a situation. Has holistic understanding of the client, which improves decision making. Focuses on long-term goals.
proficient
Performance is fluid, flexible, and highly proficient; no longer re- quires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. Demonstrates highly skilled intuitive and analytic ability in new situations
expert