From Novice to Expert Excellence and Power in Clinical Nursing Practice

ISBN-10: 020100299X

ISBN-13: 9780201002997

Edition: 1984

Authors: Patricia Benner

List price: $52.00
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Winner of the 1984 American Journal of Nursing Book of the Year Award in the Nursing Education and Nursing Research categories, this landmark work is a testimonial to the importance of nursing This book provides ideas and images that nurses can draw upon in their interactions with others and in their interpretation of what nurses do. It documents nurses' concern for their clients' welfare and comfort, as well as the care that follows that concern. Based on Dr. Benner's seminal research, From Novice to Expert uses the Dreyfus Model of Skill Acquisition to explore how nurses progress in the development of expertise. It also explains the seven domains of nursing practice: helping, teaching-coaching, diagnostic and patient monitoring, effective management of rapidly changing situations, administering and monitoring therapeutic interventions and regimens, monitoring and ensuring the quality of health care practices, and organizational and work-role competencies. It includes many clear, colorful examples from actual nursing practice, as well as a special epilogue describing how the findings of this study have been applied in five major hospitals. This book is of direct and special interest to staff development educators, nursing administrators, and nurse educators in senior-level trends and issues courses.
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Book details

List price: $52.00
Copyright year: 1984
Publisher: Prentice Hall PTR
Binding: Paperback
Pages: 284
Size: 5.24" wide x 8.23" long x 0.47" tall
Weight: 0.968
Language: English

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
Unplanned Practices
Summary and Conclusions
The Dreyfus Model of Skill Acquisition Applied to Nursing
Interpretation of Data
Advanced Beginner
The Meaning of Experience
An Interpretive Approach to Identifying and Describing Clinical Knowledge
Performance Measurements
Identifying Domains and Competencies
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
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
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