Nursing Module #3: Benner's Theoretical Foundations

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Questions and Answers

Where was Patricia Benner born?

  • San Francisco, California
  • University of Virginia
  • Pasadena, California
  • Hampton, Virginia (correct)

From which university did Patricia Benner earn her Master's degree in Nursing with a major emphasis in medical-surgical nursing?

  • University of California, San Francisco (correct)
  • University of Virginia
  • Pasadena College
  • Hampton University

According to Patricia Benner, what is nursing?

  • A uniform set of responsibilities and duties in patient care
  • An abstract set of principles to be followed in all clinical situations
  • A caring relationship and practice that studies patients' lived experiences of health, illness and disease (correct)
  • A detached, professionalized blueprint for the nurse-patient relationship

How does Patricia Benner characterize the nurse-patient relationship?

<p>A kaleidoscope of intimacy and distance in life's most dramatic, poignant, and mundane moments (C)</p> Signup and view all the answers

Which of the following is NOT one of the five levels of skill acquisition and development described in the Dreyfus Model?

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

According to the Dreyfus Model, at which stage does intuition begin to play a role in skill performance?

<p>Proficient (C)</p> Signup and view all the answers

What change occurs in the learner's perception of a situation as they improve in skill level, according to the Dreyfus Model?

<p>They increasingly view the situation as a complex whole in which some parts are more relevant than others (C)</p> Signup and view all the answers

At the Novice stage, what should be given to guide performance?

<p>Simple rules and objectives (D)</p> Signup and view all the answers

What characterizes a person at the Novice stage of skill acquisition?

<p>Lack of background experience in the situation they are involved in (B)</p> Signup and view all the answers

When does a novice advance to the skill level of an advanced beginner?

<p>When they have started coping with enough real situations to demonstrate minimally acceptable performance (B)</p> Signup and view all the answers

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Study Notes

Patricia Benner

  • Born in Hampton, Virginia, emphasized the importance of combining caring with clinical wisdom and ethics in nursing.
  • Received a Bachelor of Arts degree from Pasadena College in 1964 and a Master's in Nursing from the University of California, San Francisco.
  • Has extensive clinical experience in acute medical-surgical settings, critical care, and home health care.
  • Advocates that acquiring skills through experience is more effective when rooted in a solid educational foundation.
  • Defines nursing as a caring relationship that encompasses understanding patients' lived experiences related to health, illness, and disease.

The Nurse-Patient Relationship

  • Described as a dynamic interaction characterized by varying degrees of intimacy and distance during significant life moments.
  • Emphasizes that the nurse-patient relationship is not standardized but rather unique to each situation.

The Dreyfus Model of Skill Acquisition

  • A framework describing five levels of nursing skill development:
    • Novice: Lacks experience; relies on rules and frameworks.
    • Advanced Beginner: Gains some experience; begins to recognize patterns.
    • Competent: Develops a sense of organization and plans actions.
    • Proficient: Develops intuitive responses; understands holistic context.
    • Expert: Has extensive experience, able to see nuances and complexities in clinical situations.

Key Developments in Skill Acquisition

  • Progression from reliance on abstract principles to using concrete experiences for informed decision-making.
  • Transition from analytical thinking to intuitive reasoning as skills advance.
  • Enhanced perception from viewing situations as fragmented to recognizing their complex interrelations.
  • Movement from observing to actively engaging in clinical situations, promoting deeper understanding and expertise.
  • Skills represent nursing interventions and clinical judgment applied in real-life contexts.

Novice Stage

  • Defined by lack of practical experience; depends heavily on guidance through simple rules and objectives.
  • Faces challenges in distinguishing relevant from irrelevant information in unfamiliar situations.
  • Example includes nursing students or those assigned to new areas, who advance to Advanced Beginner status as they begin to cope with real situations.

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