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OUTLINE: SELECTED THEORY NLM 102 KBB GROUP 08

BENNER’S FROM NOVICE TO EXPERT

Author: Dr. Patricia Benner


Born in Brampton, Virginia
Expertise in clinical practice and clinical ethics

Theory: From Novice to Expert


Focus: How nurses acquire nursing knowledge, not how to be a nurse
Distinction: Expert nurse is not the highest paying job, but provides most exquisite nursing care

Main concepts:
Nurses’ goal to become an expert
Expert nurses develop skills and understanding of patient care over time through a proper
educational background and experience

Foundation of theory: Dreyfus model- the use of observation


Experiential learning and situation-based

FIVE STAGES OF CLINICAL COMPETENCE

Novice Nursing student


Limited and inflexible behaviour
No critical judgment/ analysis
Signs and symptoms recognized after similar experience

Advanced Beginner New graduates to first job nurses


Recognizes recurrent and meaningful component
Knowledge and know-how

Competent Mastery through advance planning and organizational skill


Recognizes patterns and nature of situations
Lack speed

Proficient See situation as a whole


Modify plans in response to different events

Expert Balances demands and resources to attain goals


Focused more on relevant problems
Analytical tool for new or unexpected event
Not guided by rules only

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