By Patricia Benner RN PhD FAAN, Christine Tanner RN PhD FAAN, Catherine Chesla RN DNSc
Targeted a Doody's middle name! This ebook examines the character of scientific wisdom and judgment. The authors current a file of a six-year examine of over 1,300 health facility nurses, essentially in serious care. The participants rfile and learn their medical narratives for levels of scientific ability acquisition and the parts of professional perform. finally, this paintings examines the which means of craftsmanship in nursing perform throughout the nurse's use of medical wisdom, expert event, and cautious recognition to every patient's altering .
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Additional info for Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics, Second Edition
Two central aspects of advanced beginner practice will be explored. First, the clinical world of advanced beginners, the particular ways in which clinical situations show up for advanced beginners, and the aspects of those situations that stand out for them are discussed. Advanced beginners enter unstructured clinical situations in an open yet apprehensive way. Clinical situations present to advanced beginners as a set of tasks that must be accomplished. The task requirements are central, and all other aspects of the clinical situation, such as the patient’s changing status or the family’s concerns and distress, form the background for their focus.
And it always happens at the most inopportune moment. Chapter 2 Entering the Field 29 It is typical of advanced beginners that highest priority be given to the maintenance of planned schedules and that patient improvement becomes a welcome side effect of this effort. The Clinical Situation as a Source of Learning Much of the perceptual work of advanced beginners is recognizing the concrete manifestations of clinical signs and symptoms. They strive to “see” and recognize clinical entities that they have studied only theoretically.
G. O. Barnett (1982), in his editorial comment on the evaluation, wisely concludes: Perhaps the most exciting experimental evaluation of INTERNIST-1 would be the demonstration that a productive collaboration is possible between man and computer—that clinical diagnosis in real situations can be improved by combining the medical judgment of the clinician with the statistical and computational power of a computer model and a large base of stored medical information. (p. 5) Nurses who have to turn the conclusions of theory into treatment have to supply this clinical judgment.
Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics, Second Edition by Patricia Benner RN PhD FAAN, Christine Tanner RN PhD FAAN, Catherine Chesla RN DNSc