Clinical Decision-Making Skills

Paper Summary:

This paper explains that novice nurses cannot come forth with any type of intuitive judgment without first having gained experience but the novice can bring to the clinical situation the years of experience gained in multiple clinical and life situations. The author proposes using a phenomenological interpretive methodology, which is based on the principle of hermeneutics and is of an interpretive qualitative nature. The paper discusses the procedure for using this focus group methodology with paired interviews of novice and expert nurses.

Table of Contents:
Objective
Introduction
Literature Review
Methodology
Data Collection
Data Analysis
Strengths/ Weaknesses or Limitations
Procedure of Focus Group Interview
Summary

From the Paper:

"Through use of this analysis, the competencies required as the individual moves from the stages of novice to expert are easily identified. Benner discovered through listening to expert nurse narratives that the key to their development of expertness was based in their ability to 'experience' nursing, and to integrate this experience into both existing and new knowledge. From this integration of experience and knowledge, new paradigms are developed and available in future 'like' situations."

Sample of Sources Used:

• Chisari, Gino 2005 Clinical Instruction in Prelicensure Nursing Programs - National Council of State Boards of Nursing (NCSBN) Position Paper. August 2005.
• Patricia Benner 2006 Humanistic Models Online available at: http://nurseweb.ucsf.edu/www/ffbennp.htm.
• Benner, Patricia 2004 Using the Dreyfus Model of Skill Acquisition to Describe and Interpret Skill Acquisition and Clinical Judgment in Nursing Practice and Education. Sage Publications 2004 Online available at: http://bst.sagepub.com/cgi/content/abstract/24/3/188.
• Nursing: Chapter 2 nd Online available at: http://www.bath.ac.uk/carpp/jquinlan/PT1CH2.htm.
• Focus Group Approach 2001 Extension to Communities, Iowa State University Extension. Online available at: http://www.extension.iastate.edu/communities/tools/assess/focus.html.

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