Relevance of Skill Acquisition in Nursing
v Brought respectability back to the word “intuition”. Encouraging rather than discouraging nurses from examining this aspect of practice.
v Changed the profession’s understanding of what it means to be an expert, placing this designation not on the nurse with the most highly paid or most prestigious position, but on the nurse who provided “the most exquisite care”.
v Recognized that nursing was poorly served by the paradigm that called for all nursing theory to be developed by researchers and scholars, but rather the revolutionary notion that the practice itself could and should inform nursing.
v Put to rest the claim that “a nurse is a nurse is a nurse”.
v Led to new understanding of the nuances that can be observed at various stages of skill acquisition and has led to more relevant and clinically viable programs for nursing education and advancement. (Wandel, 2003)
v Changed the profession’s understanding of what it means to be an expert, placing this designation not on the nurse with the most highly paid or most prestigious position, but on the nurse who provided “the most exquisite care”.
v Recognized that nursing was poorly served by the paradigm that called for all nursing theory to be developed by researchers and scholars, but rather the revolutionary notion that the practice itself could and should inform nursing.
v Put to rest the claim that “a nurse is a nurse is a nurse”.
v Led to new understanding of the nuances that can be observed at various stages of skill acquisition and has led to more relevant and clinically viable programs for nursing education and advancement. (Wandel, 2003)
Nursing’s Four-Concept Metaparadigm
The person is a whole, self-interpreting being. A person is not born into the world defined but becomes defined by the experiences one has throughout the course of one’s life.
Well-being is the human experience of health and is defined as “congruence between one’s possibilities and one’s actual practices and lived meanings as is based on caring and feeling cared for.” (Benner & Wrubel, 1989) Health can be perceived in two distinct ways, that of being well and being ill.
Situation “is used as a subset of the more common nursing term environment because the former term connotes a peopled environment. Environment is a broader more neutral term, whereas situation implies a social definition and meaningfulness” (Benner & Wrubel, 1989). All experiences past, present and future affect an individual’s perception of the world.
Nursing is described as a caring relationship capable of giving and receiving. It is a caring practice guided by the moral art and ethics of care and responsibility. Nursing practice is the care and study of the lived experience of health, illness and disease and the interactions between the three.
Well-being is the human experience of health and is defined as “congruence between one’s possibilities and one’s actual practices and lived meanings as is based on caring and feeling cared for.” (Benner & Wrubel, 1989) Health can be perceived in two distinct ways, that of being well and being ill.
Situation “is used as a subset of the more common nursing term environment because the former term connotes a peopled environment. Environment is a broader more neutral term, whereas situation implies a social definition and meaningfulness” (Benner & Wrubel, 1989). All experiences past, present and future affect an individual’s perception of the world.
Nursing is described as a caring relationship capable of giving and receiving. It is a caring practice guided by the moral art and ethics of care and responsibility. Nursing practice is the care and study of the lived experience of health, illness and disease and the interactions between the three.