THEORY TO NURSING RESEARCH
Nurse Competence Scale: development and psychometric testing
Benner’s Novice to Expert Theory has also been widely used as a significant basis in formulating tools in assessing a nurse’s level of competence. In a study entitled: Nurse Competence Scale: development and psychometric testing (2004), researchers aimed to design and test an evidence-based model that could assess a nurse’s level of competence in different hospital work environments. Through the utilization of Benner’s theory, the researchers were able to formulate and validate the Nurse Competency Scale (NCS) tool which consists of a 73-item scale distributed into seven categories as follows:
1. helping role (seven items)
2. teaching–coaching (16 items)
3. diagnostic functions (seven items)
4. managing situations (eight items)
5. therapeutic interventions (10 items)
6. ensuring quality (six items)
7. work role (19 items)
The result of the study clearly suggests the validity of the said tool. This study also emphasized the importance of integrating competence assessment models into quality assurance systems and human resources management as a way to develop workforce planning and career opportunities of practicing nurses
Explicating Benner’s concept of expert practice: intuition in emergency nursing
Benner’s practice development theory is widely accepted for all stages except for the existence or efficacy of the intuitive practice, a characteristic of the expert practitioner. The study explored, through an interview, the experience of emergency nurses in relation to intuition.
The analysis resulted in the reconstruction of Benner’s expert stage into three distinct phases:
1. Cognitive intuition, where assessment is processed subconsciously and can be rationalized in hindsight
2. Transitional intuition, where a physical sensation and other behaviours enter the nurse’s awareness
3. Embodied intuition, when the nurse trust the intuitive thoughts.
Te finding validates the use of intuitive decision making as a construct in explaining expert clinical decision making practices. The validity of intuitive practice should be recognized. It is essential to recognize the conditions that support practice development, and in the prenovice stage(during their university course)factors such as reflection, research(in its broadest sense) and clinical curiosity should be fostered.
REFERENCE:http://psbennersnsgtheory.blogspot.com/2015/09/benners-theory-as-applied-to-research_29.html
REFERENCE:
http://psbennersnsgtheory.blogspot.com/2015/09/benners-theory-as-applied-to-research_29.html
In the fast pace era of advancement of technology in patient care, Nurses role as patient's advocate are greatly called for to prepare and educate patients and their families to have a better understanding of their health. With this increasing demand on Nurses, Patricia Benner's Novice to Expert Theory is a constant reminder of the great significance of continuously educating and improving the skills of the Nurses, to have that critical thinking mindset to render nursing care efficently and safely in whatever patient situation that may arise.
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