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Patricia Benner's Novice to Expert Theory applied to Clinica

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Jen Burke

on 25 November 2014

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Transcript of Patricia Benner's Novice to Expert Theory applied to Clinica

Competent
Novice
Learning to Fly
Patricia Benner
From Novice to Expert
Advanced Beginner
Gaining Height
How does Benner's theory apply to Clinical Practice?
Proficient
On Their Own
There is an end in sight!
When learning the steps of Benner's theory, a new nurse might be able to visualize an end to the inadequacies he/she may be feeling while learning to acquire the next skill set level. Benner's theory demonstrates that nursing is fluid and changing. Benner also demonstrates that a nurse must acquire the prior skill set before becoming adept at the next. The process of acquiring the needed skill sets for the next level can be humbling as well as accompanied with a sense of pride and accomplishment in one's chosen profession.
Developing Caring Relationships
Connecting with Patients
Benner's theory teaches the new nurse that changes in perception of care are on the horizon. As the new nurse becomes more comfortable with acquired skills and moves up the skill acquisition steps, the nurse begins to connect with patients, their families and the surrounding community. A knowledgeable nurse is a confidant nurse. As the nurse moves up the skill set stepping stones, the nurse is more comfortable with providing patient care patient teaching. These acquired skills help the nurse connect with the patient on a more personal level as the nurse is able to anticipate changes in patient condition. A patient who feels understood by the medical team is more likely to have a better outcome as the patient feels more comfortable in sharing issues and setbacks.

Expert
Soaring High - Where to go?
An expert nurse has acquired nursing skills that allow that nurse to be able to pinpoint a problem without wasteful consideration of possible solutions to problems (Benner, 1982). A nurse who has reached this level is considered to be an excellent resource to other nurses on the unit. An expert nurse would be an excellent teacher bestowing knowledge to less experienced nurses. A nurse has an opportunity to follow the experience path over and over again while learning new specialties or new jobs in the nursing field. Could you start all over again after acquiring the level of expert nurse? The good thing is that nursing is built on a strong foundation of acquiring new knowledge and starting over at the beginning is not always so bad!
Patricia Benner's Novice to Expert Theory applied to Clinical Practice
Patricia Benner published her theory in 1982. The theory was based on building blocks of advancing levels of nursing experience. The levels include novice, advanced beginner, competent, proficient and expert. Each level provides a building block for the next. In order for the nurse to grow in their selected field, they follow the building blocks.
A novice nurse has just graduated from nursing school. This nurse is still very task oriented and can perform tasks without situational experience. The preceptor of a novice nurse must take care to provide task oriented assignments until the novice nurse begins to acquire situational experience.
An advanced beginner nurse has begun to accumulate situational experience according to Benner. This nurse has begun to piece together the reasoning for tasks performed - the ever elusive
"critical thinking skills" are in sight!
A competent nurse, according to Benner, begins to see how nursing actions affect others including coworkers and patients. This nurse is able to help plan long term goals. Critical thinking skills continue to develop. This nurse could also start to be seen as a resource nurse for the novice or advanced beginner nurse.
A proficient nurse begins to adapt to the changing patient care environment. This nurse is learning to perceive a situation as a whole. According to Benner, this nurse has also learned what to expect in certain situations, but is able to modify plan of care in response to developing situations.
Leaving the Nest
References
Benner, P. (1982). From Novice to Expert. The American Journal of Nursing, 82(3), 402-407. Retrieved November 13, 2014, from http://www.healthsystem.virginia.edu/pub/therapy-services/3 - Benner - Novice to Expert-1.pdf


The Five Stair Steps. 0-H-H Child [Song]. (1970).

Connecting with Patient's Families
Developing Caring Relationships
Patient families who see their loved ones receiving knowledgeable evidenced based care gain trust in the medical care providers, which also makes them feel more connected to the medical care providers for their loved ones.

Developing Caring Relationships
Connecting with the Community
Community outreach programs that have knowledgeable and approachable nursing components help the community to build trust with medical professionals.
Developing Caring Relationships
Bringing it All Together
Developing a caring relationship and connecting with patients, their families and the community can be achieved as a nurse moves up the stepping stones described by Brenner. A nurse who applies this theory of nursing to her career is better able to grasp the understanding of how nurses acquire their skill set as well as understanding that not everyone can be an expert, but everyone can be on the path!
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