Professional Documents
Culture Documents
Connie Houser
Wk 4 - Summative Assessment
Critical Thinking Case Study 2
Ana Posada
November 2022
According to Brenner's five stages, the novice is defined as the person who has no
previous experience of the situation he or she must face. There are problems for differences
between the relevant and irrelevant aspects of a situation (Pujianto & Wulaningsih, 2021).
As a general rule, nursing students find themselves at this stage, although expert nurses in a
certain area could also find themselves when they have to face a situation that is unknown
to them. An example of this can be rooting nurses. They may demonstrate skills in one area
but those skills are unrelated to another room in which they may encounter difficulties.
Then, in the second stage, there is the Advanced Novice, in which he demonstrates an
sufficient number of real cases as well as having been instructed by a tutor in relation to the
At this stage, the person can master essential aspects of certain cases through a
faithful follow-up of the standards and regulations, in addition to receiving the appropriate
guidance in relation to the tasks to be carried out. These limitations stand out in situations
where it requires a mastery of the patient's situation under a deeper approach, which is why
it focuses on the study of the clinical situation to demonstrate his capabilities and recognize
what the needs of a specific situation are. Then, at the competent level, the nurse has a
mastery of the patient's current situation, and may also have a broad and precise approach
to provide responses consistent with planning (Yoneda, 2016). In this way, attention is
focused on the organization of tasks and time management. The fourth level is Efficient,
which is characterized by being a quantum leap with respect to the competent one in which
the person is able to recognize the most important aspects and has an intuitive mastery of
the situation based on the previous information known (Xueqiong & Jianing, 2022).
Finally, there is the expert level, where nurses intuitively perceive the situation and are able
to determine the cause of the problem without wasting time on alternative solutions and
diagnosis. Thanks to her extensive experience, an expert nurse is able to recognize patterns.
The nurse develops her professional practice with flexibility and efficiency; she no longer
needs rules, guidelines, or maxims to link her situational awareness to appropriate action.
She demonstrates a high degree of analysis and insight when faced with new situations and
is inclined to take a certain course of action because she "feels it is right". It should be
noted that for Benner, clinical knowledge with the accumulation of professional experience
becomes a mixture of practical and theoretical knowledge (Xueqiong & Jianing, 2022). Her
research shows that knowledge and skills built on a solid foundation are easier to learn.
This classification by him reinforces the idea of experienced nursing training, because
uncertainty arises in the early stages of patient care, in the first experience of death, the
observation of peers and other professionals. Additionally, these levels of training allow
Benner to place nurses in their own learning environment, allowing each one to learn their
strengths and weaknesses. The organizational competencies of the nursing professional
therefore consist of the diagnostic and monitoring function of the patient, in addition to the
2014). Consequently, from admission, the patient must be diagnosed in relation to the
intensity, duration and frequency of contractions. This assessment stage also determines the
woman's weight, blood pressure, temperature, and heart and respiratory rates, and urine and
blood samples are taken for analysis. The examination of the abdomen includes the
estimation of the fetal size, its position. As the results are obtained, the needs of the patient
and the fetus (Carolan, Gurjeet & Cheryl, 2012) can be determined. As the observation
stage progresses, your behavior, mood, and environment can provide the healthcare team
with information about the progress of labor. After the observation, the physical
examination stage proceeds. Vaginal exploration will determine the degree of dilation and
retraction of the cervix, however, multiple diagnoses are required to determine the needs
and appropriate treatment for the patient and the fetus. For these reasons, the nursing action
begins from the moment the patient is admitted, after anamnesis, the pregnant woman must
complications may occur that, at her beginner level, she could not handle adequately, thus
increasing risks for both the pregnant woman and the fetus.
References
Carolan, M., Gurjeet, K. & Cheryl, S. (2012). Women’s experiences of factors that
facilitate or inhibit gestational diabetes self-management. Retrieved from:
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-12-
99
Pujianto, T. I., & Wulaningsih, I. (2021). Nurses’ Role in Taking Care of Gestational
Diabetes Mellitus Patients: A Qualitative Study. Jurnal Ners, 16(2). 162-168.
doi:http://dx.doi.org/10.20473/jn.v16i2.29811
Xueqiong, R. & Jianing, J. (2022). Research on the Effect of Nursing Methods for
Gestational Diabetes Mellitus Based on Comprehensive Nursing Intervention.
Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303124/