Patricia Benner's Stages of Clinical Competence PDF

Patricia Benner’s Stages of Clinical Competence Department of Nursing Dr. Lolit H. Avanzado Patricia Benner • Born in 1942 in Hampton, Virginia, • She received her professional nursing education in California • She obtained her baccalaureate from Pasadena College in 1964 • Obtained master’...

Patricia Benner’s Stages of Clinical Competence Department of Nursing Dr. Lolit H. Avanzado Patricia Benner • Born in 1942 in Hampton, Virginia, • She received her professional nursing education in California • She obtained her baccalaureate from Pasadena College in 1964 • Obtained master’s degree in nursing in 1970 • 1979 she started her career in research and teaching • 1982 she obtained her PhD from University of California, Berkeley and published the “Novice to Expert Theory • Her work has influence beyond nursing in the areas of clinical practice and clinical ethics (Educating nurses, 2015) Framework of Benner’s Theory Philosophy • She proposed that one could gain knowledge and skills (knowing how) without ever learning the theory (knowing that) and wrote about nursing skills and experience as a prerequisite for becoming an expert. 5 Levels of Proficiency In the acquisition and development of a skill, a nurse passes through: 1. Novice 2. Beginner 3. Competent 4. Proficient 5. Expert • These levels reflects movement from reliance on abstract principles and rules to the use of past, concrete experience. • Novice or Beginner • • • • No experience in the situations in which they are expected to perform. lacks confidence to demonstrate safe practice and requires continual verbal and physical cues. Practice is within a prolonged time period he/she is unable to use discretionary judgment. Advanced Beginners • • • • Demonstrate marginally acceptable performance Guided by rules and task completion Have enough experience to grasp aspect of the situation May/may not be within a delayed time period. Knowledge is developing. Competent • • • • 2-3 years experience in the same area More aware of a long-term goals Gain perspective from planning their own action Care is completed within a suitable time frame without supporting cues. Proficient • • • After 3-5 years experience More holistic understanding Has learned what to expect in certain situation and how to modify plans as needed Expert • • • Usually more than 5 years experience No longer relies on principles, rules or guidelines to connect situations and determine actions Highly proficient, flexible, and intuitive in clinical situations 7 Domains 1. 2. 3. 4. 5. 6. 7. The helping role The teaching-coaching function the diagnostic and pt. monitoring function Effective management of rapidly changing situation Administering and monitoring therapeutic interventions and regimens Monitoring and ensuring the quality of healthcare practices Organizational work role competencies 4 Metaparadigms of Benner’s Theory • • • Nursing Person Health • Environment Nursing The care and study of lived experience and the relationship of these 3 elemnts: 1. Health 2. Illness 3. Disease • Person • • a. b. c. d. The person does not come into the world predefined but gets defined in the course of living life Benner believed that there are significant aspects that make the being. She conceptualized these as the roles of: The role of the situation The role of the body The role of the personal concerns The role of the temporality Health • • • • • • Benner focused “on the lived experience of being healthy and being ill” Health is defined as what can be assessed Well- being is the human experience of health or wholeness A person may have a disease and not experience illness Illness is the human experience of loss or dysfunction Disease is what can be assessed at physical level Environment • • Benner uses the term situation rather than environment. “Personal interpretation of the situation is bounded by the way the individual is in it”(Tomey & Alligood, 2006). Each person’s past, present and future which include their own personal meaning , habits and perspectives influence the current situation Importance of Benner’s Theory • • Help to develop skilled nursing practice through experience and encountering variety of situations. Helps the nurses develop and gain more knowledge as well as the skills in providing efficient, competent and excellent care to the patient For Listening Stay safe always