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Patricia Benner's Theory of Novice to Expert

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by karen roselle perez on 12 January 2013

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Transcript of Patricia Benner's Theory of Novice to Expert

1. Know Benner as a nurse theorist

2. Identify the roots and inspiration of her theory

3. State the relevance of skills acquisition in any field

4. Enumerate the levels of Nursing experience

5. Express understanding through brief description of her theory. Level of Nursing Experience Patricia Benner Patricia Sawyer Benner SKILLS ACQUISITION Karen Roselle R. Perez, RN From Novice to Expert At the end of the 25-minute interactive discussion,
the learners should be able to: Born on August of 1942 to Shirley and Clint Sawyer.
Second in a brood of 3. Patricia was married to Richard Benner on 1967. They have a son and a daughter. BSN 1964 MSN 1970 PhD 1982 FROM NOVICE TO EXPERT Richard Benner Virginia Henderson Hubert and Stuart
Dreyfus Richard Hiedegger
Soren Kierkegaard
Maurice Merleau-Ponty Practical Knowledge without
Theoretical understanding is
problematic Theoretical Influences Hubert and Stuart Dreyfus From UCSF
Dreyfuses' model is situational
It was developed by studying the processes the experts used to play chess, as well as the armored tank drivers and airplane pilots' performance in emergency situations.
Five levels of Skills Acquisition Reliance on abstract
principles Use of past concrete
experience as paradigms Change in the learner's perception of the situation:
Situation is seen less as a mass of equally relevant bits Change in the learner's perception
of the situation:
More as a complete whole where
only certain parts are relevant Detached observation Involved performer 1 2 3 Process to move from Novice to Expert Advanced Beginner Competent Proficient Novice Expert Novice Taught rules to be followed and to help them perform

Under Graduates

Behavior is LIMITED and INFLEXIBLE Advanced Beginner With experience that help discern recurring meaningful patterns

Possess the knowledge, skills and understanding but lack the in depth encounters

BEHAVIOR: beginning to create their own guidelines that can determine their actions Competent 2-3 years in Nursing practice

Begins to see the long term effect of his actions in patient situations BUT she lacks efficiency and adaptability seen in proficient nurse

Has a feeling of mastery and can plan and organize effectively Proficient Able to learn from experience the expected outcome in a given situation and one should alters plans in response to events.

Nurses view situation in their entirety rather than the component parts.

Principles and maxims guide the nurse Expert No longer relies on principles, rules, or guidelines to connect situations and determine actions

Much more background of experience

Has intuitive grasp of clinical situations

Performance is now fluid, flexible, and highly-proficient Dr Patricia Benner introduced the concept that expert nurses develop skills and understanding of patient care over time through a sound educational base as well as a multitude of experiences.

She proposed that one could gain knowledge and skills ("knowing how") without ever learning the theory ("knowing that").

She further explains that the development of knowledge in applied disciplines such as medicine and nursing is composed of the extension of practical knowledge (know how) through research and the characterization and understanding of the "know how" of clinical experience.

She conceptualizes in her writing about nursing skills as experience is a prerequisite for becoming an expert. 7 Domains of Nursing Practice 1. Helping role
2. Teaching-coaching function
3. Diagnostic-patient monitoring-function
4. Effective management of rapidly changing
situations
5. Administration and monitoring of therapeutic interventions and regimen
6. Monitoring and ensuring the quality of healthcare practices
7. Organizational and work role competencies 1. Nursing Theories website, http://currentnursing.com/nursing_theory/Patricia_Benner_From_Novice_to_Expert.html


2. Sitzman, K. L. and Eichelberger, L. W.
Understanding the work of Nurse Theorist: A Creative Beginning. Patricia Benner- Model of skill acquisition in Nursing (pp 165-170) REFERENCES
“No matter how long you train someone to be brave, you'll never know if they are or not until something real happens.”
- Veronica Roth, Insurgent
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