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virginia henderson theory of nursing
virginia henderson theory of nursing
virginia henderson theory of nursing
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Patricia Benner is known as one of the most recognized theorist of our time. Patricia born in 1955 in Hampton, Virginia spent most of her childhood in California. It was there that she received her professional education. This paper will focus on her Novice to Expert theory using the Model of Skill Acquisition through defining concepts within her conceptual framework, identifying assumptions within her theory, discussing the significance of her theory as it relates to advanced practice nursing, and addressing how applicable her theory is to actual nursing practice.
Patricia Benner’s clinical practice was based on a wide array of specialties which included medical-surgical, critical care and home health care nursing. She started out her career working as a registered nurse and moved on to focus much of her post graduate work on research. Benner applied the Dreyfus Model of Skill and Acquisition as a framework to her Novice to Expert approach to patient care. Patricia Benner has been greatly influenced by Virginia Henderson, recognizing that Virginia’s theory focused on the “how” of nursing while her own theory concentrated on how nurses learn to be nurses and how they progress in their practice, using clinical development in addition to clinical experience. Her framework suggests that nursing use an always moving forward practice to deliver patient care and that knowledge accrues overtime and through different experiences. She believes that there is a process that happens of “knowing that” while at the same time “knowing how” which enables nurses to transition from the novice to expert stage (Alligood & Tomey, 2010, p. 140)
During Patricia’s research she conducted interviews with new graduate nurses and nurses considered ...
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...man’s theory is open to interpretation it is used throughout the world as a multidisciplinary, holistic, and comprehensive guide for excellence in nursing practice, education, research, and administration. It is about what you learn in nursing education, input, and what you do with that information in clinical practice that is the output, while following the Neuman model. When examining Benner’s theory closely to become an expert nurse it focuses on nurses intuition or gut feelings, this can only be achieved through experience. Patricia Benner’s theory is vital within the hospital setting as it gives an outline to help guide nursing practice. Betty Neuman’s theory is needed in preparation of students in becoming nurses on the other hand Benner’s theory of skill acquisition validates actual practice. Both are necessary in providing quality and safe care to patients.
...rst 6 months of practice, a finding confirmed by Duchscher (2001). With experience, new nurses find that they are able to cope up with an increasing number of different clinical problems and develop confidence after managing similar situations in an acceptable manner over time. Their relationships with expert nurses change and they are more likely to engage in interdependent decision- making and clinical judgement. They are distressed, however, if their judgements differ from those of more experienced nurses (Benner et al. 1996). New nurses focus on caring aspects of nursing only after they gain confidence in their abilities to cope up with the more obvious demands of client and nursing unit situations. With experience, they report more involvement with clients and families, and a return to the holistic care that they conceptualized as students (Duchscher 2001).
..., R.M. & Jones, J.R. (2010). From practice to education: Perspectives from three nurse leaders. Journal of Continuing Education in Nursing, 41(2), 83-87. doi: 10.3928/00220124-20100126-0
In conclusion, Martha’s Roger Evolution Concept Analysis on nurse competency has helped novice nurses become well rounded competent nurses, there is a need to establish a standard definition of what a competent nurse looks and acts like (Smith, 2012). Once the State Board of Nursing establishes a universal definition of nursing competency, then all nursing curricula can teach in a manner that will help new grads transition smoothly into the hospital setting with little hiccups, and the time required from a novice to a competent nurse will decrease (Smith,
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
Nursing theories are critical for education and practice. The theories suppose to provide a foundation for general knowledge and assist in practice. Thus, healthcare professionals, managers, and patients recognize the unique healthcare service. However,
Walker, L.O., & Avant, K.C. (2005). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Prentice Hall.
Incorporating these theories into the everyday practice of nurses has developed a stronger and more advanced nursing discipline. The knowledge that the theorists shared strengthens the fundamentals of nursing concepts, values and beliefs that is being taught to each and every nursing generation to come. As a nurse, and someone who has sustained sleepless nights providing bedside care to the weak, frail and dying, practicing nursing through the components of nursing models in order reach an over all goal has been my struggle. Without theories, nursing would not be as advanced as it is scientifically, which would not benefit the
Fawcett, J. (2001). The nurse theorists: 21st-century updates - - Dorothea E. Orem. Journal of Nursing Science Quarterly, 14(1), 34-38. doi: 10.1177/08943180122108021.
Nursing takes on a different form of learning that reflects several different aspects and abilities that encompass a wide range of skills and forms the ways of knowing in nursing. The article, “The Fundamental Patterns of Knowing in Nursing,” incorporates multiple theories associated with the learning patterns in nursing. It is a review of literature that helps identify and understand the knowledge practiced by nurses and to better understand the nursing profession. The purpose of the paper was to evaluate the expectations of learning within the nursing realm based on the four areas of nursing that include, empirics, esthetics, personal knowledge and ethics.
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
Carper’s (1978) pivotal work of identifying nursing’s ways of knowing was a seminal work that laid the foundation for further analysis. Her ways of knowing have identified methods that have allowed the nursing discipline to further its own knowledge as well as the profession. Two other ways of knowing have emerged, Munall’s (1993) “unknowing” pattern; and also sociopolitical knowing by Zander (2011, p. 9) or emancipatory pattern (Chinn & Kramer, 2011, p. 5). Here these patterns are discussed through experiences in my personal practice.
In her theory, nursing skills and experiences are what is required to become an expert. Each step a nurse takes to build up their skills to master the expert level is built upon the previous steps. The nurse needs to have a good foundation in order to move them closer to obtaining the expert level. Benner’s theory also showed that practicing nurses can and should form theory (Current Nursing, 2013). Benner’s theory has five levels: the novice, advanced beginner, competent, proficient and expert. The novice needs to be told what to do. Advanced beginner can recognize components that reoccur. A competent nurse is one that has had two-three years in the same type of situations. The proficient nurse starts to look at the whole picture and starts to critically think. The expert nurse does not need to look at the guidelines to react. An expert nurse has had many similar situations that, he or she can reflect upon a situation, analyze it and react quickly. Benner’s theory will be applied by discussing the problem,. a strategy to solve the problem,. discussion around the strategy and problem,. and finally the conclusion,. which will state what new knowledge was gathered by the
These views imply that real life experiences test theoretical foundation, allowing for an individual to gain what is referred to as practical knowledge. This knowledge consists of a combination between theory and practice, allowing for a more holistic approach to patient care. Benner credits her differentiation of “knowing how” and “knowing that” to the ideals of philosophers Kuhn and Polyani. The premise of “knowing how” is related to nursing practice, whereas the basis for “knowing that” is associated with nursing theory. Due to the complex circumstances surrounding different clinical situations, theory alone would be inadequate for providing proficient patient care. Because of this, the importance of examining nurse practice is invaluable to further the development of nursing theory (Alligood,
Research has demonstrated that nursing practice guided by theory from a perspective of nursing and caring has shown “improved patient and nurse satisfaction, and improvement in institutional reputation.” (Dyess et al., 2013, p. 167) Nursing theories specifically are created and shaped to describe this phenomenon called nursing. Afaf Meleis defines nursing theory as “a conceptualization of some aspect of nursing reality communicated for the purpose of describing phenomena, explaining relationships between phenomena, predicting consequences, or prescribing nursing care.” (Meleis, 2012, chap.
Nursing theory is, “the principle that underpin practice and help to generate further nursing knowledge” (Colley, 2003, p. 33). Nursing theory is important in nursing practice. The two theorists that are relevant to my nursing practice are Florence Nightingale and Hildegard Peplau. Florence Nightingale theory was about the patient having a clean and healing environment (Smith & Park, 2015, p. 51). The theory that Hildegard Peplau created was the importance of nurse-patient relationships (Smith & Park, 2015, p. 68). Both of these theories put the patient’s safety and care first. When I am at work I try to form a healthy and healing relationship with all my patients. I also make sure the environment that they are in is conducive to healing, it is hard to do that sometime working in the emergency room. Sometimes it is the little things that a nurse can do for a patient that will make all the difference. Taking both of these theories into