Nursing Theorist: Patricia Benner, R.N., P.h.D., FAAN,F.R.C.N.

1
Nursing Theorist Patricia Benner, R.N., P.h.D.,
FAAN,F.R.C.N.

• Professor Millers Tuesday Clinical Group Amanda
  Nather, Bincy John, Brittany Coffin, Kimberly
  Roe, Julia Kitchings, and Natalie Shelton

2
Patricia Benner, R.N., P.h.D., FAAN,F.R.C.N.
Knowledge development in a practice discipline
consists of extending practical knowledge
(know-how) through theory based scientific
investigations and through the clinical
experience in the practice of that discipline
(Benner, 1984)

• Patricia Benner is a Professor in the Department
  of Physiological Nursing in the School of Nursing
  at the University of California, San Francisco.
• Dr. Benner received her bachelor's degree in
  nursing from Pasadena College, her master's
  degree in medical surgical nursing from the
  University of California, San Francisco, and the
  Ph.D. from the University of California,
  Berkeley, in Stress and Coping and Health under
  the direction of Hubert Dreyfus and Richard
  Lazarus.

3
Dr. Benners Theory

• Dr. Benner categorized nursing into 5 levels of
  capabilities novice, advanced beginner,
  competent, proficient, and expert.
• She believed experience in the clinical setting
  is key to nursing because it allows a nurse to
  continuously expand their knowledge base and to
  provide holistic, competent care to the patient.
• Her research was aimed at discovering if there
  were distinguishable, characteristic differences
  in the novices and experts descriptions of the
  same clinical incident.

4
Four Domains of Nursing Paradigm
5
Client/ Person

• The person is a self-interpreting being, that is
  the person does not come into the world
  predefined but gets defined in the course of
  living a life.- Dr. Benner

6
Health

• Dr. Benner focuses on the lived experience of
  being healthy and being ill.
• Health is defined as what can be assessed,
  whereas well being is the human experience of
  health or wholeness.
• Well being and being ill are understood as
  distinct ways of being in the world.

7
Environment/Situation

• Benner uses situation rather than environment
  because situation conveys a social environment
  with social definition and meanifulness.
• To be situated implies that one has a past,
  present, and future and that all of these
  aspects.influence the current situation.- Dr.
  Benner

8
Nursing

• Nursing is described as a caring relationship, an
  enabling condition of connection and concern.
  -Dr. Benner
• Caring is primary because caring sets up the
  possibility of giving and receiving help.
• Nursing is viewed as a caring practice whose
  science is guided by the moral art and ethics of
  care and responsibility.
• Dr. Benner understands that nursing practice as
  the care and study of the lived experience of
  health, illness, and disease and the
  relationships among the three elements.

9
Nursing theory as a framework for practice

• Dr. Benner presented her research in From Novice
  to Expert Excellence and Power in Clinical
  Nursing Practice.
• Novice, Advance Beginner, Competent, Proficient,
  and Expert are the different components explained
  in her research.

10
Novice

• The person has no background experience of the
  situation in which he or she is involved.
• There is difficulty discerning between relevant
  and irrelevant aspects of the situation.
• Generally this level applies to nursing students.

11
Advanced Beginner

• The advance beginner stage in the Dreyfus model
  develops when the person can demonstrate
  marginally acceptable performance having coped
  with enough real situations to note, or to have
  pointed out by mentor, the recurring meaningful
  components of the situation.
• Nurses functioning at this level are guided by
  rules and oriented by task completion.

12
Competent

• The competent stage is the most pivotal in
  clinical learning because the learner must begin
  to recognize patterns and determine which
  elements of the situation warrant attention and
  which can be ignored.
• The competent nurse devises new rules and
  reasoning procedures for a plan while applying
  learned rules for action on the basis of the
  relevant facts of that situation.

13
Proficient

• The performer perceives the information as a
  whole (total picture) rather than in terms of
  aspects and performance.
• Proficient level is a qualitative leap beyond the
  competent.
• Nurses at this level demonstrate a new ability to
  see changing relevance in a situation including
  the recognition and the implementation of skilled
  responses to the situation as is it evolves.

14
Expert

• Fifth stage of the Dreyfus model is achieved when
  the expert performer no longer relies on
  analytical principals to connect her or his
  understanding of the situation to an appropriate
  action

15
THE RAP!!!.Featuring DJ Bincy and MC Natty

•   Her name is Dr. Benner and shes the
  best..nursing theorist that youll see on ya
  test.
• Her research on her theory teaches us nurses how
  to think clearly
• So if you got skills you need more practice Dr.
  Benners theory will help to relax us
• She discovered skills for a nurse so we dont
  have to put a patients in a hearse
•  
• Patricia Benner teaching critical care. from
  Bachelors to Master and Ph.D. Pasadena San Fran
  and Berkeley if your looking for more information
  holla back on the web at Patricia.com   
• Were headed from a novice to an expert. Were
  headed from a novice to an expert. Were headed
  from a novice to an expert. Learning all the
  principles and doing the work.. .
•