Nursing Ethics and Human Phenomena

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Questions and Answers

What does hermeneutics refer to in the context of nursing?

  • A focus on cognitive behavioral therapy
  • Describing and studying meaningful human phenomena (correct)
  • The application of theoretical assumptions to clinical practice
  • The study of the biological aspects of health

Nursing is primarily about the science of cellular biology.

False (B)

Who posits that a person is a self-interpreting being?

Benner and Wrubel

In nursing, caring is considered __________ because it sets up the possibility of giving and receiving help.

<p>primary</p> Signup and view all the answers

Match the following terms with their descriptions:

<p>Salience = Perceptual stance that indicates importance Clinical understanding = Experts' extensive knowledge from experience Ethical comportment = Guiding moral principles in nursing practice Concept of person = Self-defined through living experiences</p> Signup and view all the answers

What is emphasized by Dr. Benner in nursing practice?

<p>Caring relationships and ethical responsibility (A)</p> Signup and view all the answers

The situational context in healthcare is irrelevant to nursing practice.

<p>False (B)</p> Signup and view all the answers

What does Benner believe about the lived experience of health, illness, and disease?

<p>It is central to nursing practice.</p> Signup and view all the answers

What is the primary focus of Patricia Benner's theory?

<p>The evolution of nurses' expertise (C)</p> Signup and view all the answers

An expert nurse relies on intuition and can manage multiple tasks efficiently.

<p>True (A)</p> Signup and view all the answers

Name the first stage of Benner's model of nursing expertise.

<p>Novice</p> Signup and view all the answers

The _____ nurse has a few years of experience and can manage their assignments in a timely manner.

<p>competent</p> Signup and view all the answers

Match the stages of nursing expertise with their descriptions:

<p>Novice = Requires verbal cues and has no experience Advanced Beginner = Just starting to gain knowledge but needs support Competent = Handles assignments efficiently and can plan Proficient = Sees the big picture and is organized Expert = Utilizes intuition and multitasks efficiently</p> Signup and view all the answers

At which stage does a nurse begin to plan for patient needs during assessments?

<p>Competent (A)</p> Signup and view all the answers

All nurses automatically progress through Benner's stages without additional training or experience.

<p>False (B)</p> Signup and view all the answers

What is one major assumption related to nursing practice mentioned in the context?

<p>Humans are integrated, holistic beings.</p> Signup and view all the answers

What is the highest level of proficiency in Patricia Benner's nursing theory?

<p>Expert (A)</p> Signup and view all the answers

Patricia Benner published her book 'Novice to Expert Theory' in 1984.

<p>False (B)</p> Signup and view all the answers

What degree did Patricia Benner earn in 1964?

<p>Bachelor Degree in Nursing</p> Signup and view all the answers

Nurses at the __________ stage can prioritize tasks and plan patient care effectively.

<p>Competent</p> Signup and view all the answers

Match the levels of Patricia Benner's nursing theory with their respective descriptions:

<p>Novice = Beginners with limited experience Advanced Beginner = Nurses have gained some practical experience Competent = Nurses are able to prioritize and plan care Proficient = More holistic understanding of patient care</p> Signup and view all the answers

Which university did Patricia Benner attend for her Master’s degree?

<p>University of California, San Francisco (B)</p> Signup and view all the answers

Patricia Benner was inducted into the American Academy of Nurses in 1982.

<p>False (B)</p> Signup and view all the answers

In what year did Patricia Benner complete her PhD?

<p>1982</p> Signup and view all the answers

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Study Notes

Salience and Ethical Comportment

  • Salience refers to a perceptual stance where certain aspects of a clinical situation are considered more or less important.
  • Ethical comportment emphasizes clinical understanding and the need for new perspectives in practice.

Hermeneutics

  • Hermeneutics involves interpreting meaningful human phenomena with careful and detailed attention, free from prior theoretical biases, and grounded in practical understanding.

Metaparadigm of Nursing

  • Nursing is characterized as a caring relationship that fosters connection and concern, as described by Dr. Benner.
  • Caring allows for the exchange of help, forming the foundation of nursing practice.
  • Nursing combines science with the moral arts and ethics of care, focusing on the experiences of health, illness, and disease.

Concept of Person in Nursing

  • Benner and Wrubel define a person as a self-interpreting being, shaped through life experiences rather than predefined identities.
  • Knowledge is often implicit and can be understood through shared language and cultural contexts to be consensually validated by participants.

Patricia Benner's Theory: Novice to Expert

  • Introduced in 1982, the "Novice to Expert" model outlines five stages of a nurse's professional development:
    • Novice: No experience, relies on verbal cues, lacks confidence in clinical skills.
    • Advanced Beginner: Beginning to gain knowledge and confidence, may still require support.
    • Competent: A few years of experience, capable of handling assignments and planning patient care.
    • Proficient: Can see the big picture, organized, and efficient in clinical practice.
    • Expert: Uses intuition, multitasks effectively, and demonstrates high efficiency and focus.

Patricia Benner's Credentials and Background

  • Born in 1942 in Hampton, Virginia; earned a Bachelor of Nursing in 1964 from Pasadena College.
  • Completed a Master’s degree in medical-surgical nursing at UCSF in 1970 and a PhD at UC Berkeley in 1982.
  • Recognized in the American Academy of Nurses and serves as a Distinguished Visiting Professor at Seattle University School of Nursing.
  • Authored nine books and numerous articles; notably published "Novice to Expert Theory," which received accolades as an American Journal of Nursing Book of the Year in 1984.

Components of the Novice to Expert Theory

  • Novice: Limited experience, struggles with skill application.
  • Advanced Beginner: Some experience, begins recognizing patterns in care.
  • Competent: More experience, capable of task prioritization and patient care planning.
  • Proficient: Sees the broader context within clinical settings, improving efficiency.
  • Expert: Highly skilled, can provide rapid and intuitive responses in practice.

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