Clinical situations assignment Patricia Benners’s perspective

March 6, 2022

Clinical situations assignment Patricia Benners’s perspective

Clinical situations assignment Patricia Benners’s perspective

Clinical situations assignment Patricia Benners’s perspective

Describe two (2) separate narratives of clinical situations containing any 3 Patricia Benners’s domains

1. The helping role

2. The teaching-coaching function

3. The diagnostic and monitoring function

4. Effectively management of rapidly changing situations

5. Administering and monitoring therapeutic interventions and regimens

6. Monitoring and ensuring the quality of health care practices

– In each exemplar, demonstrate the ability to function in any 3 of the domains

-Describe clinical situations that positively impacted your practice as a nurse

Exemplars should include information about any of the following

. how you felt about the situation

. why you felt that your actions were important

. why the actions were important

. why the actions may have been different from someone with less experience

Describe the situation and how your actions resulted in a positive and rewarding experience for the patient, how you personally made a difference, and how you used fine discretionary judgment and/or intuitive use of knowledge

-State the domains you are addressing at the beginning of each exemplar.

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

Clinical situations assignment Patricia Benners's perspective

Clinical situations assignment Patricia Benners’s perspective

extension of practical knowledge (know how) through research and the characterization and understanding of the “know how” of clinical experience.

She coneptualizes in her writing about nursing skills as experience is a prerequisite for becoming an expert.
Patricia E. Benner, R.N., Ph.D., FAAN is a Professor Emerita at the University of California, San Francisco.
BA in Nursing – Pasadena College/Point Loma College
MS in Med/Surg nursing from UCSF
PhD -1982 from UC Berkeley
1970s – Research at UCSF and UC Berkeley
Has taught and done research at UCSF since 1979
Published 9 books and numerous articles
Published ‘Novice to Expert Theory’ in 1982
Received Book of the Year from AJN in 1984,1990,1996, 2000
She described 5 levels of nursing experience as;

Advanced beginner
Beginner with no experience
Taught general rules to help perform tasks
Rules are: context-free, independent of specific cases, and applied universally
Rule-governed behavior is limited and inflexible
Ex. “Tell me what I need to do and I’ll do it.”
Demonstrates acceptable performance
Has gained prior experience in actual situations to recognize recurring meaningful components
Principles, based on experiences, begin to be formulated to guide actions
Typically a nurse with 2-3 years experience on the job in the same area or in similar day-to-day situations
More aware of long-term goals
Gains perspective from planning own actions based on conscious, abstract, and analytical thinking and helps to achieve greater efficiency and organization

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Clinical situations assignment Patricia Benners’s perspective

Perceives and understands situations as whole parts
More holistic understanding improves decision-making
Learns from experiences what to expect in certain situations and how to modify plans
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
Different levels of skills reflect changes in 3 aspects of skilled performance:

Movement from relying on abstract principles to using past concrete experiences to guide actions
Change in learner’s perception of situations as whole parts rather than in separate pieces
Passage from a detached observer to an involved performer, no longer outside the situation but now actively engaged in participation
These levels reflect movement from reliance on past abstract principles to the use of past concrete experience as paradigms and change in perception of situation as a complete whole in which certain parts are relevant

Each step builds on the previous one as abstract principles are refined and expanded by experience and the learner gains clinical expertise.

This theory changed the profession’s understanding of what it means to be an expert, placing this designation not on the nurse with the most highly paid or most prestigious position, but on the nurse who provided “the most exquisite nursing care.

It recognized that nursing was poorly served by the paradigm that called for all of nursing theory to be developed by researchers and scholars, but rather introduced the revolutionary notion that the practice itself could and should inform theory.

Nursing practice guided by the human becoming theory live the processes of the Parse practice methodology illuminating meaning, synchronizing rhythms, and mobilizing transcendence

Research guided by the human becoming theory sheds light on the meaning of universal humanly lived experiences such as hope, taking life day-by-day, grieving, suffering, and time passing

Posted in nursing by Clarissa