Patricia Benner: Stages of Nursing Expertise Nursing Philosophies Flashcards
a nursing theorist who first developed a model for the stages of clinical
competence in her classic book “From Novice to Expert: Excellence and Power in Clinical
Nursing Practice”.
Dr. Patricia Benner
most useful frameworks for assessing nurses’ needs
at different stages of professional growth.
“From Novice to Expert: Excellence and Power in Clinical
Nursing Practice”
Dr. Benner’s theory is not focused on how to be a nurse, rather on how nurses acquire nursing
knowledge
model based
on observations of chess players, Air Force pilots, army commanders and tank drivers. The
Dreyfus brothers believed learning was experiential (learning through experience) as well as
situation-based, and that a student had to pass through five very distinct stages in learning,
from novice to expert.
Dreyfus Model of Skill Acquisition
have a very limited ability
to predict what might happen in a particular patient situation. S
Stage 1 Novice
They have the knowledge and the know-how but not enough in-depth experience.
Stage 2 Advanced Beginner
These nurses lack the speed and flexibility of proficient nurses, but they
have some mastery and can rely on advance planning and organizational skills.
Stage 3 Competent
At this level, nurses are capable to see situations as “wholes” rather than
parts.
Stage 4 Proficient
Nurses who are able to recognize demands and resources in situations and
attain their goals. These nurses know what needs to be done. They no longer rely solely on
rules to guide their actions under certain situations. They have an intuitive grasp of the
situation based on their deep knowledge and experience.
Stage 5 Expert