Theoretical Framework Nursing theory attempts to explain a phenomenon of interest using concepts and propositions (Moran et al., 2002). A theoretical framework gives logical meaning and strength to study implementation and findings. An appropriate and applicable theoretical framework also assists in developing interventions in research studies, and selecting which variables are observed in non-research studies (Melnyk & Fineout-Overholt, 2019). In the context of a transition to a practice program, theoretical frameworks “create a foundation for program and curricular development as well as outcome measures” (Dickerson, 2017, p. 295). This paper will discuss the theoretical framework chosen to guide the development of the Advanced Practice Provider Transition to Practice Project, how the theory fits with the project, and how the theory’s application can be evaluated in relation to the project. Theory Overview Patricia Benner adapted Stuart and Herbert Dreyfus’ skills acquisition model to nursing practice with her Novice to Expert framework in 1984 (Dickerson, 2017 p. 295). Benner’s framework consists of five levels of experience for the …show more content…
295). When this occurs, a previously experienced or even expert nurse digresses to a novice level again in their new role or environment. This is where the utility lies in the application of Benner’s framework to an APP TTP program. Despite the Sanford Model having not been validated yet, being based on Benner’s framework, encompassing all APPs, being linked to the organizational mission and core values, and having a specific clinical pathway with measurable objectives for evaluation all make this model theoretically very applicable and add rigor to the model’s expected performance in real
Transitioning from Registered Nurse (RN) to Nurse Practitioner (NP) can bring many challenges. This transition begins when a person starts graduate education and doesn’t end until a few years after gaining the position of NP. Having a proper support system, a job that is interesting, and a keen sense of self-awareness are all important factors to a successful transition. Using appropriate coping mechanisms can make this transition much easier. Knowing the possible obstacles and understanding how to overcome them will also ease the change.
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months.
..., 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
As new nursing graduates begin the process of transition into the nursing practice. There are many challenges and issues which are associated throughout the transition. New graduates may embark their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss and critically reflect nursing key challenges that student nurses may face, throughout the process of the transition phase. The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient- centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidenced based research and nursing literature.
Integrating new or developed skills can improve outcomes through organizational leadership, quality improvement processes, and translation of evidence into practice, to name a few. A debate exists in nursing education and practice communities regarding the development of new knowledge in DNP programs. Additionally, the DNP Project is not a research dissertation, and the authors recommend against this term as well. Although all eight DNP Essentials do not have to be demonstrated in the DNP Project, the authors recommend that students have the opportunity to integrate them into practice.
The first step of deciding what practice setting and clinical model that I would prefer. I did research and decided that a primary care provider fit my career goals. A primary care nurse practitioner is defined as a nurse that works in a practice setting the has "the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health needs, developing a sustained partnerships with patients, and practicing in the context of family and community" (Anderson & O’Grady, 2009, p. 383). I believe my past and future education along with my years of clinical experiences has prepared me to take a novice role as a NP in this care setting. When I graduate and I am working in a clinical practice setting I look forward to continue my education through my practice by formal and informal training. I planned to continue utilizing a constructivist theoretical f...
Giger, J. N., & Davidhizar, R. E. (2006, December 22). Conceptual and theoretical approaches to patient care: associate versus baccalaureate degree prepared nurses. Journal of Advanced Nursing, 15, 1009 - 1015. doi: 10.1111/j.1365-2648.1990.tb01980.x
This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.
SMITHS, S, DUELL, D and MARTIN, B (2008) Clinical Nursing Skills basic to advanced skills. New Jersey: Person Education Inc.
Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.
Introduction: Every newly graduated nurse goes through the same transition from academia to professional practice. Armed with theoretical knowledge and clinical skills learned during their education, newly graduated nurses begin their journey with enthusiasm and commitment to making a positive impact in other people’s lives. However, the transition to professional practice doesn’t always match the expectations that were nurtured in school. While some nurses thrive in their new environment, others are not so fortunate and experience a phenomenon known as “reality shock”. This can cause major challenges for these new nurses.
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
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
Malik, M., Hall, C. & Howard, D. (2004) Nursing Knowledge and Practice: a foundation for decision making. 2nd edn. Edinburgh: Bailliere Tindall.
From Novice to Expert: Reviewing Benner’s Theory on Nursing Education and Development Since the early 1980’s, Patricia Benner of the University of California, San Francisco has been one of the leading theorist when it comes to understanding how skills and knowledge are both acquired and applied to the practice of nursing. Included in Benner’s theory is the impact of this skill and knowledge acquisition on nursing education, administration, and research (Benner, P. E, 1984). Based on the Dreyfus model, Benner was able to describe her theory on how nursing practitioners move from novices to experts (Brykczynski, 2002). Her philosophy is rather simple. She believes knowing “that” is very different from knowing “how” (Benner, P. E., 1984).