Expertise in Nursing Practice

by Benner, Patricia E.

• ISBN13: 9780826187031
• ISBN10: 082618703X
• Format: Paperback
• Copyright: 1998-08-31
• Publisher: Springer Pub Co

Summary

In this book the authors offer further analysis and new insights from their major study of nurses' development of clinical skill and judgment. The authors interviewed and observed nurses in 130 hospitals over a six-year period - mainly in critical care settings - collecting hundreds of narratives from nurses working at varying levels of skill. The result is a deeper, more rigorous understanding of the stages of critical skill acquisition and the components of expert practice. Book jacket.

Table of Contents

Foreword	vii
Contributors	x
Acknowledgments	xi
Introduction	xiii
Clinical Judgment	1	(28)
The Relationship of Theory and Practice in the Acquisition of Skill	29	(19)
Hubert L. Dreyfus
Stuart E. Dreyfus
Entering the Field: Advanced Beginner Practice	48	(30)
The Competent Stage: A Time of Analysis, Planning, and Confrontation	78	(36)
Proficiency: A Transition to Expertise	114	(28)
Expert Practice	142	(28)
Impediments to the Development of Clinical Knowledge and Ethical Judgment in Critical Care Nursing	170	(23)
Jane Rubin
The Social Embeddedness of Knowledge	193	(39)
The Primacy of Caring and the Role of Experience, Narrative, and Community in Clinical and Ethical Expertise	232	(26)
Implications of the Phenomenology of Expertise for Teaching and Learning Everyday Skillful Ethical Comportment	258	(22)
Hubert L. Dreyfus
Stuart E. Dreyfus
Patricia Benner
The Nurse-Physician Relationship: Negotiating Clinical Knowledge	280	(27)
Implications for Basic Nursing Education	307	(24)
Implications for Nursing Administration and Practice	331	(52)
Appendices
A. Background and Method	351	(22)
B. Description of Nurse Informants	373	(2)
C. Background Questions for Interviews and Observations	375	(8)
References and Bibliography	383	(16)
Index	399