From Novice to Expert Excellence and Power in Clinical Nursing Practice, Commemorative Edition

ISBN-10: 0130325228
ISBN-13: 9780130325228
Edition: 2001
Authors: Patricia Benner
List price: $96.00 Buy it from $38.42 Rent it from $32.62
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Description: For undergraduate/graduate-level courses in Nursing Issues, Nursing Theory, Nursing Ethics and Nursing Service. This presentation of clinical judgement, caring practices, and collaborative practice provides ideas and images that students can draw  More...

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Book details

List price: $96.00
Copyright year: 2001
Publisher: Prentice Hall PTR
Publication date: 10/10/2000
Binding: Paperback
Pages: 310
Size: 5.25" wide x 8.00" long x 0.50" tall
Weight: 0.902
Language: English

For undergraduate/graduate-level courses in Nursing Issues, Nursing Theory, Nursing Ethics and Nursing Service. This presentation of clinical judgement, caring practices, and collaborative practice provides ideas and images that students can draw upon in their interactions with others and in their interpretation of what nurses do. It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge.

Preface
Uncovering the Knowledge Embedded in Clinical Nursing Practice
Differences Between Practical and Theoretical Knowledge
Knowledge Embedded in Expertise
Extending Practical Knowledge
Common Meanings
Assumptions, Expectations, and Sets
Paradigm Cases and Personal Knowledge
Maxims
Unplanned Practices
Summary and Conclusions
The Dreyfus Model of Skill Acquisition Applied to Nursing
Methods
Interpretation of Data
Novice
Advanced Beginner
Competent
Proficient
Expert
The Meaning of Experience
An Interpretive Approach to Identifying and Describing Clinical Knowledge
Performance Measurements
Identifying Domains and Competencies
Summary
Domains of Nursing Practice
The Helping Role
The Healing Relationship: Creating a Climate for and Establishing a Commitment to Healing
Providing Comfort Measures and Preserving Personhood in the Face of Pain and Extreme Breakdown
Presencing: Being with a Patient
Maximizing the Patient's Participation and Control in His or Her Own Recovery
Interpreting Kinds of Pain and Selecting Appropriate Strategies for Pain Management and Control
Providing Comfort and Communication Through Touch
Providing Emotional and Informational Support to Patients' Families
Guiding Patients Through Emotional and Developmental Change
Summary and Conclusions
The Teaching-Coaching Function
Timing: Capturing a Patient's Readiness to Learn
Assisting Patients to Integrate the Implications of Illness and Recovery into Their Lifestyles
Eliciting and Understanding the Patient's Interpretation of His Illness
Providing an Interpretation of the Patient's Condition and Giving a Rationale for Procedures
The Coaching Function: Making Culturally Avoided Aspects of an Illness Approachable and Understandable
Summary and Conclusions
The Diagnostic and Monitoring Function
Detection and Documentation of Significant Changes in a Patient's Condition
Providing an Early Warning Signal: Anticipating Breakdown and Deterioration Prior to Explicit Confirming Diagnostic Signs
Anticipating Problems: Future Think
Understanding the Particular Demands and Experiences of an Illness: Anticipating Patient Care Needs
Assessing the Patient's Potential for Wellness and for Responding to Various Treatment Strategies
Summary and Conclusions
Effective Management of Rapidly Changing Situations
Skilled Performance in Extreme Life-Threatening Emergencies: Rapid Grasp of a Problem
Contingency Management: Rapid Matching of Demands and Resources in Emergency Situations
Identifying and Managing a Patient Crisis Until Physician Assistance Is Available
Summary and Conclusions
Administering and Monitoring Therapeutic Interventions and Regimens
Starting and Maintaining Intravenous Therapy with Minimal Risk and Complications
Administering Medications Accurately and Safely
Combating the Hazards of Immobility
Creating a Wound-Management Strategy that Fosters Healing, Comfort, and Appropriate Drainage
Summary and Conclusions
Monitoring and Ensuring the Quality of Health Care Practices
Providing a Backup System to Ensure Safe Medical and Nursing Care
Assessing What Can Be Safely Omitted from or Added to Medical Orders
Getting Appropriate and Timely Responses from Physicians
Summary and Conclusions
Organizational and Work-Role Competencies
Coordinating, Ordering, and Meeting Multiple Patient Needs and Requests: Setting Priorities
Building and Maintaining a Therapeutic Team to Provide Optimum Therapy
Coping with Staff Shortages and High Turnover
Summary and Conclusions
Implications for Research and Clinical Practice
Involvement versus Distance
Nurse-Patient Relationships
Early Warning Signals
Outside the Boundaries of Nursing
Monitoring and Organizational Skills
The Phenomenon of Caring
Implications for Career Development and Education
Career Development
Nursing Education
The Quest for a New Identity and New Entitlement in Nursing
Meaningful Incentives and Reward Systems
A Clinical Promotion System
Increased Collaborative Relationships
Increased Recognition
Excellence and Power in Clinical Nursing Practice
Transformative Power
Integrative Caring
Advocacy
Healing Power
Participative/Affirmative Power
Problem Solving
Epilogue Practical Applications
Research Application: Identifying the Use and Misuse of Formal Models in Nursing Practice
Implementation of Staff Nurse III at El Camino Hospital
Focus on Excellence
Identification of the Skilled Performance of Masters Prepared Nurses as a Method of Curriculum Planning and Evaluation
Building Bridges Between Education and Practice
References
Glossary
Appendix
Index

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