Advanced beginner has some expectations of care from past experience, or a mentor has pointed out the principles that guide their action.
Stage 3: Competent
The competent nurse has practiced for two or three years and is able to establish a plan of action. The plan is based on experience, is abstract, and analytical. Planning is deliberate and makes the nurse more efficient. However, the competent nurse does not have the speed and does not yet view the overall situation.
Stage 4 Proficient
Preforming at the proficient level, the nurse is able to see the whole of the situation not parts and pieces and the outcomes of the performance. This holistic view increases, and guides the decision-making process.
Stage 5: The Expert
An expert nurse looks at situations not in the context of principles to connect the situation with action. The background experience gives the nurse the intuition to zero into the problem without …show more content…
One competency or domain maybe more prominent, but at some point all of them are in play during patient care. Organizational and work role competencies prevent complications during drug therapy, wound care, and hospitalization. Then nurse monitors and ensures the quality of practices is carried through by: patient safety measures, collaborating with other team members, and new technology. Effective management during a crisis is prioritizing and providing continuity of care. Patient teaching of testing, educating on medications and setting mutual goals falls within these interlocking domains.
Benner uses five concepts to describe nursing practice. Competencies that were identified are grouped inductively into seven domains. There is a degree of complexity in the sub-concept where the definition of expert is difficult to explain. For example, the complexities of a patients’ condition in critical care nursing lend themselves to advancing practice because of