...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...
Words: 396 - Pages: 2
...Nursing Expertise Self-Report Scale Reflection Marvi Sanchez HCS/350 January 13, 2014 Nursing Expertise Self-Report Scale Reflection The Nursing Expertise Self-Report Scale has given me an assessment of how I see myself as an experienced nurse (Hansten & Jackson 2009).This has provided me an insight of my strengths and weaknesses. My past experiences have helped me in making patient care decisions. Many years working in the orthopedic unit have given me knowledge in caring for my patients. I often get a feeling if my patient will be taking a turn for the worse. My experience has improved my assessment skills. Being aware and knowledgeable of the policies and procedures of the healthcare institution continues to guide me in doing the work that I am supposed to do. I have learned how to organize my work load by prioritizing. By having a plan of care for my patients at the beginning of my shift prepares me to delegate certain tasks or duties in case an emergency situation happens. Getting to know patients has proven beneficial when trying to establish a relationship with them. When I care for my group of patients I make every effort for my patients to trust me as their caregiver. There are many challenges to communicating with patients because each one has a different personality. The different cultural population of our patients is also a factor. I like to get as much information from my patients to get to know them. I start conversations with...
Words: 449 - Pages: 2
...1 The Nursing Expertise Self- Report Scale and Reflection HCS 350 2 The Nursing Expertise Self-Report Scale and Reflection The Nursing Expertise Self-Report Scale was developed from Patricia Benner’s model of clinical competence described in Benner and Benner (1984). According to Patrica Benner’s model of From Novice to Expert (Benner & Benner, 1984) there are three changes in performance as the nurse progresses from novice to expert practice. One change is from the reliance on rules and principles to the reliance on past experience to guide performance. The second change is a transition from viewing the clinical situation as a collection of equally important features to viewing the clinical situation as a collection of equally important features to viewing the clinical situation as a whole, in which only a few features are important. The third change is the passage from the detached observer to involved performer. Unique to the expert level of performance is the element of intuition. This scale is designed to measure self-perception of these three transitions and intuitive decision making. Personal Results According to my personal results of the Nursing Expertise Self-Report Scale, my nursing level is between the proficient and expert nurse. The proficient nurse possess the experience and necessary skill sets to look...
Words: 436 - Pages: 2
...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...
Words: 374 - Pages: 2
...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...
Words: 306 - Pages: 2
...Nursing Expertise Self-Report Scale Peggy Kushner NUR 350 May 14, 2012 David W. Catoe Nursing Expertise Self-Report Scale After completing Benner’s Nursing expertise self report scale I calculated my score to be 74. The result of this self report did not surprise me, as I think of myself as a cautious but through, intuitive, and competent nurse. I am self assured and trust my gut instincts almost all the time. I was surprised on how I scored on the two questions regarding “getting close to a patient” and getting “truly involved” with a patient. I scored a two on each of those questions. I do not think I kept an emotional distance from my patients. In reflecting on these results I realize I am always aware of my patient’s vital signs, lab results, pain level, and other relevant information related to the medical case. Due to time restraints, I do not often take the time to sit and speak with my patients on a personal level. I take the opportunity to be more personal while standing at the bedside to administer an IV medication, or perform other tasks. I do not think a nurse needs to get close to a patient to give good nursing care. I interpret this question as meaning that nurse and patient develop a close relationship sharing personal information. I believe this type of relationship is not needed and even wrong. Developing a close relationship would make the termination phase of the relationship more difficult (Arnold, 2011). I get to know my patients and...
Words: 388 - Pages: 2
...Nursing Expertise Self-Report Scale 1. I am an: RN 2. My job is: Staff Nurse 3. Length of time since graduating as an RN: More than 3 years 4. Length of time working on your unit: More than 3 years 5. Previous experience in nursing prior to graduating as an RN: Under 6 months (1=Strongly Agree, 2=Agree, 3=Unsure, 4=Disagree, 5=Strongly Disagree) 1. I often know ahead of time that my patient will take a turn for the worse. 1 2 3 4 5 2. I frequently draw on past experiences when making patient care decisions. 1 2 3 4 5 3. Quality nursing care results from strictly adhering to policy and procedure. 1 2 3 4 5 4. When I do patient care, only a few pieces of information stand out as critically important. 1 2 3 4 5 5. I am consciously aware of the process of decision making in patient care. 1 2 3 4 5 6. Emotional attachments get in the way of good nursing care. 1 2 3 4 5 7. When something goes wrong with my patient, I seem to know automatically what to do. 1 2 3 4 5 8. Sometimes I find it difficult to identify objective reasons for certain patient care decisions. 1 2 3 4 5 9. The best way to give good nursing care is to get close to the patient. 1 2 3 4 5 10. I find it time consuming to set priorities in patient care. 1 2 3 4 5 11. I make my best decisions about patient care when I remain objective. 1 2 3 4 5 12. In an emergency, things happen so quickly that I don’t know what to do. 1 2 3 4 5 13. I base my patient care decisions...
Words: 841 - Pages: 4
...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...
Words: 752 - Pages: 4
...University of phoenix HCS 350 LITA TSAI June 19, 2014 My Reflections My Reflections from the Nursing Expertise Self –Report Scale (Garland, 1996, p. 197) indicates that I am a competent nurse at the moment on my unit as evidenced by my experience of 2 years as a registered nurse and “Typically, a nurse at the competent level has been in practice 2 to 3 years. This person can rely on a long-range of goals and plans to determine which aspects of a situation are important which can be ignored.’’(Berner & Berner, 1984)). My answers in the Self-Report scale from number 1,2,3,5,6, 7,14 and 15 reflects me as a competent nurse because I assist my patient first at all times, teach them about the management of their diseases and treatment , monitor frequently for safety since, identifying and managing of rapid changing situations, make right decisions about administering medication, giving therapeutic intervention at all times, monitoring and ensuring they have a quality health care services during their stay at the hospital by checking their vital signs and lab values for changes and use the information to make the best appropriate decision regarding their care.(Munjas,Barbara A, PhD., F.A.A.N., 1985). In conclusion, all information stands out important to me with my patient care at work. On number 9, I disagreed because that is not the best way to provide good nursing care. “Self-disclosure from the nurse needs to be limited. Telling a client your problems is not appropriate...
Words: 419 - Pages: 2
...IOM Report and the Future of Nursing The Patient Protection and Affordable Care Act of 2010, as well as the changing needs of patients over several decades, have began putting pressures on the healthcare system as more people will have insurance coverage and greater access to healthcare than ever before. The nursing profession is now in a unique position to change healthcare in providing affordable and quality care that is more accessible. At present, there is a shortage to meet these demands and provide quality care that is needed for millions patients that are soon to be added by healthcare coverage. The IOM report put forth a vision and recommendations that puts nursing in the center of needed reforms to meet these challenges. The IOM report makes recommendations specific to nursing education as nursing is a unique profession that offers multiple pathways to entry-level practice. Changes in the healthcare system will require changes in the education of nurses. The report makes certain that nurses will need further educational qualifications to ensure quality care that is safe and patient centered. Competencies needed to practice have expanded greatly especially in areas of community and public health, teamwork and collaboration, research and evidence based practice, geriatrics, as well as leadership in healthcare system improvement and health policy (Committee on the Robert Wood Johnson Foundation, IOM report, 2011, p. 6). Nursing roles are frequently changing...
Words: 1329 - Pages: 6
...IOM Impact On Nursing Future In October of 2010, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) released the report, The Future of Nursing: Leading Change, Advancing Health. In 2008, a committee was formed to evaluate, and make changes to the nursing career. Nurses, play an important role in health system, specifically at the time in America where health care has change greatly, and the health system had to make adjustment. IOM View on Nursing Education Education is the key point for every career, and as human there are great demands out there from, jobs, parents, and society to improve our educational level, and academic life. The focus on advancing one educational level starts with the demand from society. Most jobs, or career requires from every staff, higher knowledge, degree or certifications, along with continuous training in order to obtain any supervisory, administrative, or managerial position. The demand for the nursing career derived from the IOM which is a self-regulating group of well-known experts from various professions (IOM). Health specialists should have higher education in order to provide patient care, and as participants of this collaborative team, their main focus should be about quality care improvement, along with approaches on evidence-based practice, and some specifics information about individual expertise (IOM 2010). The plan is to encourage the minimum of 10% of baccalaureate program graduates to...
Words: 878 - Pages: 4
...Nursing Expertise Self-Report Scale- Reflection Answering the Nursing Self-Report Scale made me felt that I have a long way to go as a Registered Nurse. Based on my answers I am still on a novice stage, far from the expert stage. I mostly base my nursing care about company’s and or employer’s expectations and or rules. There are some few scales that I was not sure of and there are scales that I felt that I’m so naïve to just strictly follow the rules to perform patient care. I guess it just a nature for me to take ownership on my new license and new job. I have to follow the rules to be safe. Another factor that would be preventing from improving is my lack of interpersonal communication skills. I have this passive, shy personality and am reluctant to voice out my opinion. I feel that I just have to go with the flow just to avoid conflict and to please others. The fear of taking risks prevents me from progressing. If I’m resistant to changes I will be forever stuck to the novice stage and never improve to the expert stage. It is very empirical for me to step out my comfort zone and take necessary steps because my priority right now in this nursing career is my patient, not to please my boss or someone else. As an RN, I am now in a position of leadership. I should set aside my fears and focus on what needs to be done. I have to learn to work with others, lead them and get them to understand, and perform the job that needs to be done. I will be willing to ask question or help...
Words: 427 - Pages: 2
...degree and currently to finish my Bachelor’s Degree. Many aspects of my life have been influenced including my self-image, short and long terms goals, philosophies, attitudes, actions, experiences, interests, and more importantly my professional role in nursing and in society. As a new graduate with my Associate Degree in Nursing, the first feeling I experienced was fear and uncertainty about my future as a nurse. This feeling was due to my observing of how demanding this profession was during my clinical rotations. I had this strong sensation that nursing was my niche but I was afraid of failure. My perception was limited with what was expected in this profession that I considered as being primarily to care for the sick and to provide for them by learning about the diagnosis and medications. I visualized myself only passing my internship and being a “safe nurse” on the hall. At the time, I just had a subtle idea, only in theory, that nursing was a dimensional profession. My goals working in the hospital were very elementary goals. First, I needed to pass the Performance Test (PBDS) given by the hospital in order to continue working in the acute care field. Second, I wanted to be a leader on my floor so my immediate goals were to acquire the experience, the skills, and professionalism necessary to demonstrate my leadership. Also, I did not know what field in nursing was the best for me, so I focused only in acquiring any and all practical knowledge. My brain was working as...
Words: 1957 - Pages: 8
...THE FUTURE OF NURSING: LEADING CHANGE, ADVANCING HEALTH Introduction Studies show that the nursing profession cover most of the workforce in the health sector, and they are mainly served with the responsibility of acting as patients’ advocates as well as defining the care that is to be provided to ailing patients (Hamric, Spross and Hanson 21). Nurses mainly work on the frontline of patient care, and they tend to play a significant role in realizing the objectives formulated in the in the 2010 Affordable Care Act and the Robert Wood Johnson Foundation Initiative (RWJFI) in collaboration with the Institute of Medicine (IOM), which define the need to change and advance healthcare (Initiative on the Future of Nursing n.d). Therefore, as much as there is a need to restructure the current healthcare, it is important to first address issues that interfere with the provision of quality and evidenced healthcare. To promote changes and advance health, the IOM report recommends nurses to practice to the full extent of their education, achieve higher levels of education and training through improved education process, and nurse to be involved in decision making processes touching on healthcare (Institute of Medicine n.d). The Future of Nursing: Leading Change, Advancing Health The impact of the IOM report on nursing education The primary goals of nursing education is mainly to prepare nurses to meet the ever increasing patients’ needs, function as leaders, and provide...
Words: 1547 - Pages: 7
...Nursing Expertise Self-Report Scale Based upon the results of my questionnaire I have realized that I typically go on gut feeling for my nursing process with some data input. I tend to look at the patient, obtain verbal information of how they are feeling and what has been going on that caused them to have to come to this facility. I haven’t focused much on the policy and procedure guidelines at facilities until recently and after completing the questionnaire I feel that I really need to look further into this. I have been taught to be a hands-on nurse to sit and listen to my patient and use this data and my gut feelings in how I treat my patients and what I discuss with my doctor. Now I believe I will still include this style of nursing but also focus on the hard data such as labs and paperwork sent from the hospital including the physician’s history and physical. By focusing on these parts of information I can incorporate all areas of medicine in my plan of care for my patient. This will help me to minimize the possible errors made in communication from nurse to physician and nurse to patient. The nurse is the pathway of most information in healthcare and it is important to access all fields of information. I also believe it is important to have some form of professional relationship between the nurse and the patient. This helps to make the patient more comfortable and keeps the paths of communication open between nurse and patient. This can be a difficult process for many...
Words: 368 - Pages: 2
