Zeliha KOÇ, Tuğba ÇINARLI, Asuman ŞENER, Selin Keskin KIZILTEPE

Patricia Benner: Hemşirelik Uygulamalarında Klinik Bilgelik ve Beceri Edinimi

Benner’ın düşünceleri Virginia Henderson’dan, çalışmaları da California Üniversitesi’nde profesör olan Hubert Dreyfus’un çalışmalarından önemli derecede etkilenmiştir. Benner, aynı zamanda, stres ve başa çıkma alanında bir mentor olan Richard Lazarus ile birlikte, yıllarca bakım uygulamaları alanında işbirliği yapmış olduğu Jane Wrubel ve Jane Rubins gibi birçok felsefecinin de etkisi altında kalmıştır. Hubert Dreyfus, Dreyfus beceri edinimi modelini geliştirmiştir. Benner, daha sonra bu modeli klinik hemşirelik uygulamalarına adapte etmiştir. Benner’ın hemşirelik uzmanlığı ile ilgili teorisi, Dreyfus ve Dreyfus tarafından geliştirilen beceri edinimi teorisi ile yakından ilgilidir. Benner acemilikten uzmanlığa giden yolun; acemilik, ileri düzeyde yeni başlayanlar, yetkili, yetkin ve uzmanlık olmak üzere beş aşamadan oluştuğunu ileri sürmektedir

Patricia Benner: Clinical Wisdom and Skill Acquisition In Nursing Practices

Benner’s thoughts were influenced by Virginia Henderson while her studies were influenced by the studies of Hubert Dreyfus, a professor at California University. At the same time, Benner was also influenced by Richard Lazarus, a mentor in the fields of stress and coping, and various philosophers such as Jane Wrubel and Jane Rubins, with whom she had cooperated in the field of care practices for many years. Hubert Dreyfus developed the Dreyfus skill acquisition model. Later, she adapted this model to clinical nursing practices. Benner’s theory about nursing expertise is closely associated with the skill acquisition theory developed by Dreyfus and Dreyfus. Benner argues that the path from novice to expert consists of five stages: novice, advanced beginners, competent, proficient and expert

Keywords:

skills acquisition, nursing, clinical wisdom,

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1. Benner P. From Novice to Expert. Am J Nurs 1982;82:402–7.

2. Benner P. Using the Dreyfus Model of Skill Acquisition to Describe and Interpret Skill Acquisition and Clinical Judgment in Nursing Practice and Education. The Bulletin of Science, Technology and Society Special Issue: Human Expertise in the Age of the Computer 2005;24:188–99.

3. Gardner L. From Novice to Expert: Benner’s legacy for nurse education. Nurse Educ Today 2012;32:339–40. https://doi. org/10.1016/j.nedt.2011.11.011

4. Hargreaves J, Lane D. Delya’s story: from expert to novice, a critique of Benner’s concept of context in the development of expert nursing practice. Int J Nurs Stud 2001;38:389–94.

5. Masters K. Nursing Theories: A Framework for Professional Practice 2nd ed., Burlington, MA: Jones & Bartlett Learning; 2015. p.62–74.

6. Haycock PA. The lived experience of community health care nurses and their mentors in the advanced clinical practice fellowship program. A thesis submitted to the Faculty of D’Youville College Division of Academic Affairs in partial fulfillment of the requirements for the degree of Master of Science in Nursing. Buffalo, NY; 2008.

7. Alber L, Augustus L, Hahn S, Penkert J, Sauer R, Desocio J. Applying Benner’s Model to Psychiatric Mental Health Nurse Practitioner Self-Ratings of Role Competence. J Am Psychiatr Nurses Assoc 2009;15:126–37. https://doi.org/10.1177/1078390309333181

8. Benner P. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley; 1984. p.13–34.

9. Gobet F, Chassy P. Towards an alternative to Benner’s theory of expert intuition in nursing: a discussion paper. Int J Nurs Stud 2008;45:129–39. https://doi.org/10.1016/j.ijnurstu.2007.01.005

10. Altmann TK. An evaluation of the seminal work of Patricia Benner: theory or philosophy? Contemp Nurs 2007;25:114–23 https://doi. org/10.5555/conu.2007.25.1-2.114.