Advanced Nursing Practice: Philosophies and Theories

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Nursing theory is a branch of knowledge about nursing activities based on algorithms of nursing activities. Theoretical aspects of nursing consider the health care system and the role of the nurse in it, the concept of public health and criteria for its assessment; demographics, communication, training, legal standards of nursing activities. The nursing philosophy is guided by the principles of mercy, respect for human rights, life and dignity. The proper formation of the nurse-patient relationship is based on the principles of the nursing philosophy. In the research, I would like to study the ways of changing the quality and wellbeing of new alumni enrolled attendants’ training. The theory that thoroughly studies the strategies of developing attendant’s training was offered by doctor Patricia Bennet. It is devoted to describing a model of skill acquisition in nursing. The theory, presented in Patricia Bennett’s best-known book, presents the different competencies as well as the challenges faced by nurses who have recently graduated. The theory also covers the differences between regular nurses and those who work in some specialty.

Dr. Bennett argues that with the right resources, it is possible to move to the next level of practice. So she has studied these methods and made them visible to the world, so that anyone who wants to work or work in nursing can apply them and become a professional. In her theory, Bennett identified modalities of experience. A beginner is a person with knowledge but no previous experience encountering situations.

An advanced beginner is someone who has gained minimal experience in practice and can face real situations in an acceptable manner. A competent professional, through experience gained and imitated by others, is able to consciously plan how he will encounter various situations and apply them in practice. He is also able to prioritize, recognizing which situations are more urgent than others. An effective person is able to understand situations intuitively, even though he knows little about them. He is a confident professional and relates to patients and their families.

The expert is in complete control of the situations he encounters, being able to identify the problem and find a solution effectively without wasting time searching for alternatives (Butts & Rich, 2021). As part of her theory, Patricia Bennett also identified areas that every nurse should know perfectly and have in mind for her professional development in nursing. She suggested: diagnosing the patient, conducting and monitoring interventions, maintaining continuity and safety as a health care practice. In addition on her list, the doctor included: teaching and training function, effective contingency management, the role of patient care, competency-based organization, and nursing contributions.

Patricia Benner’s theory has undergone a change in the organization of nursing work competencies. This change continues to this day because nurses are classified according to the grades she explained and assigned to their jobs according to their experience and acquisition of skills and competencies. Thus, the experience they gain will change the perception, and that perception will be more experiential, which is always more reliable than the abstract knowledge that a newly educated novice might have. The model presented in Patricia Benner’s theory provided the impetus for the creation of clinical advancement pathways, orientation programs for newly graduated nurses, and workshops in which to develop clinical knowledge. Hence, the model presented in the theory will become a good theoretical basis of discovering the ways of changing the quality and wellbeing in the new alumni enrolled attendants’ training.

References

Butts, J. B., & Rich, K. L. (2021). Philosophies and theories for advanced nursing practice. Jones & Bartlett Learning.

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