...Nursing Expertise Self-Report Scale and Reflection HCS/350 November 21, 2012 Nursing Expertise Self-Report Scale and Reflection This paper is to provide my reflection of the results of The Nursing Expertise Self-Report Scale. I will explain how my results can improve my communication skills in the health care field. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of the 20 questions, I scored 56 out of 100, reflective of a novice nurse. I am not surprised with the results. I do not currently work as a Registered Nurse (RN). I graduated from nursing school in May 2012. In my current position as a pharmacy assistant, I spend my day communicating with patients, pharmacists, and co-workers. I can take the results to better improve my communication skills, when interacting with patients, physicians, and other members of the team and apply it to practice. I have little experience when it comes to communicating with team members in the hospital. As a student, in the beginning, I was very intimidated to speak to physicians and other members of the health care team. As time went on, I became comfortable communicating with other nurses, patients, and their families. The Self-Report Scale is a reminder of how novice of a nurse I am. I have a lot to learn once I get a nursing job. In the interim, I can take the knowledge I acquire from...
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...Nursing Expertise Self-Report Scale and Reflection Dawn Haag HCS/350 October 29, 2012 Polly Hanson The purpose of this paper is to provide my reflection of the results of The Nursing expertise self-report scale and how the results will be used to improve communication skills in health care settings. The scale used in this assignment, developed from Patricia Benner’s model of clinical competence, measures self perception by a nurse progressing from novice to expert. Her model suggests a link between experience and expertise using a scoring method. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of those 20 items as determined by a point value assigned to expert and novice, this writer scored 85 out of a possible 100. This score, according to Benner’s system, reflects experience resembling closer to expertise rather than novice. Acquiring 28 years of nursing experience, I would expect to have evolved closer to expert than novice in patient care, however; I know with each new day and each patient or situation, an opportunity exists to learn something new. I have often identified communication skills as an area that I could improve upon. In the early stages of my career, communicating with my patients seemed easier than communicating with my peers and superiors. Over time, I have become a more confident communicating with my peers...
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...The purpose of this paper is to provide my reflection of the results of The Nursing expertise self-report scale and how the results will be used to improve communication skills in health care settings. The scale used in this assignment, developed from Patricia Benner’s model of clinical competence, measures self perception by a nurse progressing from novice to expert. Her model suggests a link between experience and expertise using a scoring method. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of those 20 items as determined by a point value assigned to expert and novice, this writer scored 85 out of a possible 100. This score, according to Benner’s system, reflects experience resembling closer to expertise rather than novice. Acquiring 28 years of nursing experience, I would expect to have evolved closer to expert than novice in patient care, however; I know with each new day and each patient or situation, an opportunity exists to learn something new. I have often identified communication skills as an area that I could improve upon. In the early stages of my career, communicating with my patients seemed easier than communicating with my peers and superiors. Over time, I have become a more confident communicating with my peers and not necessarily with superiors and some physicians. In my current position, I am required to communicate...
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...health behaviors. The purpose of health promotion in nursing practice is to switch gears from protection of certain diseases to focus on improving the general health of the people they serve. Health promotion has changed the roles and responsibilities of nurses. Increasing demands are placed on nurses as healthcare has shifted from an acute, hospital-based care to preventive, community-based care. The home is now the primary place healthcare takes place. Reimbursement for hospital care is less resulting in shorter stays. Nurses must take on additional roles and play a bigger part of disease prevention and health promotion. A greater emphasis is being placed on nurses being more independent in their practice. Nurses are expected to be increasingly accountable morally and legally for their behavior. Nursing has evolved into many roles as advocates, care managers, consultants, delivery of services, educators, and healers. As advocates a nurses strives to ensure the patient receives the high quality, best care in a cost effective manner. In the role of a case manager the nurse strives to maintain continuity of care, prevent ineffective or unsafe care, and service duplication. To be successful in the role of care manager the nurse must...
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...ntroduction * Dr Patricia Benner introduced the concept that expert nurses develop skills and understanding of patient care over time through a sound educational base as well as a multitude of experiences. * She proposed that one could gain knowledge and skills ("knowing how") without ever learning the theory ("knowing that"). * She further explains that the development of knowledge in applied disciplines such as medicine and nursing is composed of the extension of practical knowledge (know how) through research and the characterization and understanding of the "know how" of clinical experience. * She coneptualizes in her writing about nursing skills as experience is a prerequisite for becoming an expert. ABOUT THE THEORIST * Patricia E. Benner, R.N., Ph.D., FAAN is a Professor Emerita at the University of California, San Francisco. * BA in Nursing - Pasadena College/Point Loma College * MS in Med/Surg nursing from UCSF * PhD -1982 from UC Berkeley * 1970s - Research at UCSF and UC Berkeley * Has taught and done research at UCSF since 1979 * Published 9 books and numerous articles * Published ‘Novice to Expert Theory’ in 1982 * Received Book of the Year from AJN in 1984,1990,1996, 2000 * Her web address is at: http://www.PatriciaBenner.com * Her profile can be obtained at http://nurseweb.ucsf.edu/www/ix-fd.shtml LEVELS OF NURSING EXPERIENCE She described 5 levels of nursing experience as; 1. Novice 2...
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...Introduction • Dr Patricia Benner introduced the concept that expert nurses develop skills and understanding of patient care over time through a sound educational base as well as a multitude of experiences. • She proposed that one could gain knowledge and skills ("knowing how") without ever learning the theory ("knowing that"). • She further explains that the development of knowledge in applied disciplines such as medicine and nursing is composed of the extension of practical knowledge (know how) through research and the characterization and understanding of the "know how" of clinical experience. • She conceptualizes in her writing about nursing skills as experience is a prerequisite for becoming an expert. ABOUT THE THEORIST • Patricia E. Benner, R.N., Ph.D., FAAN is a Professor Emerita at the University of California, San Francisco. • BA in Nursing - Pasadena College/Point Loma College • MS in Med/Surg nursing from UCSF • PhD -1982 from UC Berkeley • 1970s - Research at UCSF and UC Berkeley • Has taught and done research at UCSF since 1979 • Published 9 books and numerous articles • Published ‘Novice to Expert Theory’ in 1982 • Received Book of the Year from AJN in 1984,1990,1996, 2000 • Her web address is at: http://www.PatriciaBenner.com • Her profile can be obtained at http://nurseweb.ucsf.edu/www/ix-fd.shtml LEVELS OF NURSING EXPERIENCE She described 5 levels of nursing experience as; 1. Novice 2. Advanced beginner 3. Competent 4. Proficient...
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...Nursing For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005) Although theorists have been the essence of sense-making in nursing, I believe all of us as nurses can, and should, be actively involved in the sense-making process. It is reasonable to think that each of us chose nursing because of some key beliefs or values that we possessed. These values and beliefs ultimately guide us in formulating our own definition of nursing and what we believe to be its primary goal. Many of the beliefs and values that we embrace are notably evident throughout the many nursing theories presented in the literature. That does not mean that we as nurses today cannot think outside of the boundaries of these theories. As Johnson & Webber (2005) writes, ‘…you may discover that you have a unique view of nursing…then perhaps you are being called to contribute…to the profession.’ (Johnson & Webber, 2005, pg. x) This paper will focus on my own personal view of nursing and the associated queries related to that philosophy. I will explore and relate my beliefs and values and why I believe they are important. I will also consider the idea of whether or not my philosophy of nursing affects the way I practice nursing. Does my philosophy of nursing reflect the standards put forth by...
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...course on Nursing the Client with a Mental Illness, the affective domain of learning is used to develop interpersonal competence, self-awareness, and self-reflection. The teaching technique used is an experiential exercise that asks students to create group mandalas using art materials on circular pieces of butcher-block paper. The mandala concept is derived from the Buddhist tradition and means “circle” or “center” in Sanskrit. Carl Jung introduced this technique to the United States and incorporated it into his therapy. As a creative, active learning strategy, the mandalas helped the faculty meet the clinical objectives for the course and the learning needs of a new generation of students. They also helped students learn about Eastern philosophy, group process, self-awareness, and Jungian therapy. F Received: June 20, 2002 Accepted: May 19, 2003 Ms. Marshall is Assistant Professor, University of Texas Health Science Center, San Antonio, Texas. Address correspondence to Margaret Cole Marshall, MS, APRN, BC, Assistant Professor, University of Texas Health Science Center, San Antonio, 7702 Floyd Curl Drive, MC 7951, San Antonio, TX 78229; e-mail: marshall@uthscsa.edu. aculty in undergraduate education are finding the need to address teaching strategies that focus on students’ learning styles, technological expertise, and critical thinking abilities. Three domains of learning—cognitive, psychomotor, and affective—are used in undergraduate education, but the primary focus...
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...Nursing Expertise Reflection Paper Communication is essential for survival. As humans we learn to communicate the moment we are born. Babies rely on their caretakers to interpret their non -verbal communication to provide them with comfort, food, and relief from pain. According to Merriam- Webster.com (2013), communication is a process by which information is exchanged between individuals through a common system of symbols, signs, or behavior. Communication is not only reserved for humans but animals, plants, insects, and just about every living thing on planet Earth has some form of communication. In person to person interactions it is not enough to communicate with words. We must know how to effectively communicate. Without this you may as well not communicated at all. Poor communication can lead to many problems and stress that could have been prevented. Effective communication can improve personal and professional relationships. It can help resolve differences and create a caring flourishing environment. Just as poor communication can cause conflict, resentment, and even damage personal and professional relationships. Developing effective communication skills take time and a conscious effort to listen, slow down, and manage stress in the moment. Self-awareness of personal feelings and emotions is also essential in developing these skills. The ability to improve communication skills allows for positive interactions with peers, loved ones, and as...
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...Running head: COMPARISON PAPER Comparison Paper Epidemiology: Global and Public Health NUR408 October 11, 2009 Comparison Paper Public and community health nursing are specialty areas that have been and will continue to be practiced and each having a specific area of focus. Research has indicated that many individuals tend to see each entity as one and have a misconception that public and community nursing is one in the same (Stanhope & Lancaster, 2008). The misconception is just that, a misconception. In the reading to follow, each area will discussed and one will be able to see the similarities and differences, the history and development and the role that is expected from each area of expertise. Although each specialty works within its main area of focus, the two also work closely together for the good of the individuals within the public and community sectors. Community and public health nurses strive to improve the health status of individuals, families, and populations. History and Development Public health and community health nursing has been in circulation for more than 120 years. Lillian Wald is known for being the established leader in this specialty. The goal of public health nursing has been to develop strategies to respond to prevailing public health problems. One of the earliest traditions of public health in America was similar to the British law known as the, Elizabethan Poor Law of 1601 (Stanhope & Lancaster). This law guaranteed...
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...BIBLIOGRAPHY Catlett, S., & Lovan, S. (2011). Being a good nurse and doing the right thing: a replication study. Nursing Ethics, 18(1), 54-63. doi: 10.1177/0969733010386162 The authors of this article were one Shelia Catlett of Western Kentucky University and Fairview Community Clinic, USA and one Sherry R Lovan also from Western Kentucky University, USA. Both authors conducted a qualitative research study, which was also a replication of a study published in 2002, investigating the qualities of a good nurse and the role ethics plays in decision making. Ethics refers to the moral code for nursing and is based on obligation to service and respect for human life. Ethical Knowledge occurs as moral dilemmas arise in situations of ambiguity and uncertainty, and when consequences are difficult to predict (McEwen Wills, 2011). Ethics in nursing is used to guide and direct nurses conduct and practices. It requires experiential of social values and ethical reasoning. Its main focus is on matters of obligation, what ought to be done, what is right, wrong and responsible. The study implemented modification related to the research questions, sample selection, data collection and Atlas.ti software for qualitative data for the purpose of providing ease of coding, viewing, mapping and storing the data for retrieval analysis. The main focus of this replication study was to understand what it means to be a good nurse and do the right thing. This research provided current and allied...
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...Leadership Reflection Ami Piper University of San Francisco •How is the information included in the White Paper relevant to you as a rising nurse leader? In the White Paper, Addressing the Leadership Gap in Healthcare, the writer addresses the leadership gap in the evolving healthcare sector and explains the needs of future leaders. As a rising nurse leader, it is highly significant for me to understand what exactly is entailed within these particular gaps. In the article, the author states the following, “The healthcare sector is experiencing significant and rapid change, with dramatic change yet to come. In an evolving and challenging environment, healthcare organizations must ensure high levels of technical and professional expertise. At the same time, they must develop the leadership capacity needed to adapt and succeed in the future, pg. 3.” Being that current nursing students are considered the future, it is vital for me to acquire the necessary skills and qualities most important for leadership where this particular gap falls. Within the leadership gap, the skills that are detrimental to our development as future nurse leaders include the following: Leading Employees, Participative Management, Building and Mending Relationships, Self-Awareness, Broad Organizational Perspective, and Building and Leading a Team. Moreover, good leaders and organizations have to work together to build a solid understanding of each of the skills mentioned above in order to be efficient...
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...Personal Leadership Development Plan Today, leaders within the healthcare organization face immense obstacles and challenges on a daily basis. For today’s leaders, the previous brick-and-mortar leadership style is insufficient to managing the constant influx of changes. Subsequently, current and future leaders must maintain a constant self-awareness in order to accommodate, innovate, and successfully lead in their organizations (Porter-O’Grady & Malloch, 2018). In addition, nursing leaders must be willing to invest time into their personal and professional development. Throughout this paper, the necessary competencies of nursing managers, evaluations completed by co-workers, my personal self-assessment, and my comprehensive professional development...
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...Vulnerable population and self-awareness paper Name Institution Vulnerable population and self-awareness paper Biases among the healthcare personnel calls for self-awareness in order for them to understand how such biases affect delivery of healthcare to vulnerable groups such as mentally ill. Self-awareness is a conscious process that creates personal understanding. It enables them to determine their strengths and limitations, emotional understanding and their behavior with others in a mental health environment. Development of self-awareness enables the health providers to take control of situations. This provides a genuine, authentic and honest presentation of the mental healthcare nurses (Tusaie, 2013). The vulnerable group to be discussed is the depressed mentally ill population. Depression is a chronic disease that significantly affects American’s health and productivity. Demographics of the depressed Depression affects over 21 million people, including children and adults in America. It is the leading major cause of disability for people in the age of between 15 and 44. This is according to the report of the Mental Health America and Thomson Healthcare. More so, depression with anxiety is experienced by approximately 9.6% of Americans and 2.6% without anxiety. The prevalence of mixed anxiety and depressive disorder is relatively more in women than in men. Overall, occurrence of depression is 1 in every 10 adults at a given...
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...The purpose of this paper is to explore Jean Watson’s Theory of Transpersonal Human Caring, and the major concepts of Watson’s theory, including the caring moment, the carative factors, and the transpersonal caring theory itself. Then the theory will be applied to an actual nurse to patient interaction. The paper will illustrate the caring moment between the patient and nurse. Watson’s major assumptions will be further discussed in relation to person, health, environment, and nursing. The carative factors will be utilized in a transpersonal relationship with the application of five carative factors. In conclusion the paper will include a reflection of my experience within the carative moment, my learning process, and what I could have done differently to enhance the transpersonal relationship. Background of Watson’s theory Jean Watson was born in West Virginia United States and obtained her first degree of BSN in 1964 from the University of Colorado, Masters in 1966 and PhD in 1973 from the same university. She is currently the Dean of Nursing at the University Health Sciences Center and President of the National League for Nursing. Jean Watson’s first book, “Nursing: the philosophy and science of caring”, was published in 1979 where the Theory of Human Caring. Jean Watson was the founder of the ethics of care (Claywell, 2009). The nurses, psychologists, scholars, and theorists of the 1960’s influenced Jean Watson. The caring-healing role that the nurse played intrigued. Watson...
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