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MODULE WEEK 5c

Patricia Benner developed the novice to expert theory, which describes 5 levels of nursing skill acquisition. Benner adapted the Dreyfus model of skill acquisition and applied it to nursing. The levels are novice, advanced beginner, competent, proficient, and expert. At each level, nurses gain greater clinical discernment and embodied knowledge.

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38 views11 pages

MODULE WEEK 5c

Patricia Benner developed the novice to expert theory, which describes 5 levels of nursing skill acquisition. Benner adapted the Dreyfus model of skill acquisition and applied it to nursing. The levels are novice, advanced beginner, competent, proficient, and expert. At each level, nurses gain greater clinical discernment and embodied knowledge.

Uploaded by

jessicamaeaguja
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Patricia Benner

• Patricia Benner was born in


Hampton, Virginia and spent her
childhood in California, where she
received her early and professional
education. She obtained a
baccalaureate of arts degree in
nursing from Pasadena College in
1964. In 1970 she earned a master’s
degree in nursing, with major
emphasis in medical surgical nursing
from University of California, San
Francisco School of Nursing
Patricia Benner
• Her PhD in stress, coping and
health was conferred in 1982 at
the University of California,,
Berkeley, and her dissertation
was published in 1984. Benner
has a rang of clinical experience,
including acute medical surgical,
critical care and home health
care.
Novice to Expert Theory
• Benner adapted Hubert Dreyfus
Model of skill acquisition.
Benner applied it to her work “
From novice to Expert” Benner’s
model is situational and
describes five levels of skill
acquisition and development.
Major Concepts and Definition
• Novice- The person has no
background experience of the
situation in which he or she is
involved. Context free rules and
objectives attributes must be
given to guide performance.
Major Concepts and Definition
• Advanced Beginner- The person
can demonstrate marginally
acceptable performance, having
coped with enough real
situations to note, or to have
pointed out by a mentor, the
recurring meaningful
components of the situation.
Nurses functioning at this level
are guided by rules and are
oriented by task completion.
Major Concepts and Definitions
• Competent- Consistency,
predictability and time
management are important in
competent performance.
• Recognize patterns
• Prioritize
• Devise new rules and plan
• Less supervision
• High Anxiety
Major Concepts and Definitions
• Proficient- 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.
• Nurses are more confident with
their knowledge and abilities
Major Concepts and Definitions
• Expert- Nurses have an intuitive • Key aspect of expert nurse
grasp of the situation, and as 1. Demonstrating a clinical grasp
being able to identify the region and resource based practice
of the problem without losing
time considering a range of 2. Possessing embodied know
alternative diagnoses and how
solutions. 3. Seeing the big picture
• Expert nurses “know the 4. Seeing the unexpected
patient”
Metaparadigm
• Nursing- Described nursing as a • Person- The body of a person
caring relationship, an enabling has 5 dimensions, Benner
condition of connection and pointed out that nurses should
concern attend to all these dimensions of
Caring is primary because caring the body and seek too
sets up the possibility of giving help understand the role of
and receiving help. embodiment in particular
situation of health illness and
Nursing is viewed as a caring
practice whose science is guided by recovery
the moral art and ethics of care
and responsibility
Metaparadigm
• Health- is defined as what can be • Situation- Benner and Wrubel use
assessed, whereas well being is the the term situation rather than
human experience of health or environment, because situation
wholeness. Health is described as conveys a social environment with
not just the absence of disease and social with social definition and
illness. A person may have the meaningfulness. The person’s
disease and not experienced past, present, and future, which
illness, because illness is thee include her or his own personal
human experience of loss or meanings, habits, and
dysfunction, whereas disease is perspectives, influence the
what can be assessed at the current situation.
physical level
Questions for discussion
• What is/are the implications of novice to expert theory in the field of
nursing, site examples
• How can the novice to expert theory help the patient, their family and
the health care institutions
• As a student nurse, describe the importance of understanding the
novice to expert theory

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