Patricia Benner Flashcards
(35 cards)
What is the theory of Patricia Benner
Stages of Nursing Expertise
Describing, illustrating, and taken for granted areas of practical wisdom, skilled know-how and notions of good practice
articulation research
What are the major assumption of Patricia Benner?
- Nursing
- Person
- Health
- Situation
What are the Four major aspects of understanding that the people must deal with
- The role of situation
- The role of the body
- The role of personal concerns
- The role of temporality
the person has no background experience of the situation in which he or she is involved. * This level applies to students of nursing.
Novice
the person can demonstrate marginally acceptable performance having cope with enough real situations to note or to have pointed out by a mentor the recurring meaning component of the situation.
Advanced Beginner
Has enough experience to grass aspect of the situation. Not be objectified completely because they require experience based on recognition in the context of situation
Advanced Beginner
conscious and deliberate planning that determines which aspects of current and future situations are important and which can be ignored
Competent
Consistency predictability and time management are important. A sense of mastery is acquired through planning and predictability where the level of efficiency is increased but the focus is on the time management on the nurse’s organization of the task world rather than on timing in relation to the patients need
Competent
The performer perceived the situation as a whole or the total picture rather than in terms of aspects and the performance is guided by maxims.
Proficient
what are the Key aspects of expert practice
o Demonstrating a clinical grasp and resource-based practice
o Possessing embodied know-how
o Seeing the big picture
o Seeing the unexpected
Nurses at this level demonstrate a new ability to see changing relevance in a situation including recognition and implementation of skilled responses to the situation as it evolves
Proficient
No longer relay on preset goals for organization and demonstrate increased confidence in their knowledge and abilities
Proficient
no longer relies on analytical principle (for example rule guideline maxim) to connect and understanding of the situation to an appropriate action
Expert
The aspects are the recurring meaningful situational components recognized and understood in context because the nurse has previous experience
Aspect of Situation
Measurable properties of a situation that can be explained without previous experience in the situation
Attributes
Interpretively define area of skilled performance identified and described by its intent functions and meanings
Competency
Area of practice having a number of competencies with similar intense functions and meanings
Domains
Is an example of clinical situation that conveys one or more intense meanings functions or outcomes easily translated to other clinical situation
Exemplar
Is not a mere passage of time but an active process of refining and changing preconceived theories notions and ideas when confronted with actual situations
Experience
Cryptic description of skilled performance that requires a certain level of experience to recognize the implication of the instructions
Maxim
A clinical experience that stands out and alters the way the nurse will perceive and understand future clinical situations
Paradigm case
Describes a perceptual stance or embodied knowledge whereby aspects of a situation stand out as more or less important
Salience
Good conduct born out of an individualized relationship with the patient
Ethical comportment