Level of Proficiency
According to the Dreyfus Model of Skill Acquisition, what are the 5 levels of proficiency a person passes through in development of a skill?
1. Novice
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
Due to an increase in acuity levels of patients, and a decrease in length of hospitalization there is a need for highly experience nurses.
True
Rational: The complexity and responsibility of nursing practice today requires long-term and ongoing career development.
During the novice stage the new graduate lacks _____ of the clinical situation.
Understanding
Rational: The new graduate lacks understanding of the clinical situation due to insufficient background experience to base their approach on. Instead, the novice solves problems by using interventions based on parameters and guidelines they were taught.
Can expert-level nurses consider the suggestions of novice nurses in dealing with a unique clinical challenge new to both parties?
NO RIGHT OR WRONG ANSWER!
At what level of proficiency does a nurse start to use a holistic approach?
Proficient
Rational: The holistic understanding of the proficient nurse improves his or her decision making. Decision making is now less labored since the nurse has a perspective about which of the many attributes and aspects present are the important ones
Advanced beginners need help with prioritizing the most.
True
Rational: The advanced beginner should be solid on objective measures, but will likely need guidance on how to prioritize these objective measures
_____ are used for further learning by the proficient nurse.
Case studies
Rational: Proficient nurses are best taught by use of case studies where their ability to grasp the situation is put to the test.
What are the differences, if any, between nursing today and when the article was published?
NO RIGHT OR WRONG ANSWER!
Our opinion: Although this article was published almost 30 years ago in 1982, there are no differences. The Dreyfus Model of Skill Acquisition explaining the 5 levels of proficiency is still relevant and is highly used to describe nurses' expertise today.
When is the nurse considered a competent nurse?
2 to 3 years
The competent nurse is proficient in speed and flexibility.
False
Rational: they lack the speed and flexibility of a proficient level nurse
_____ is demonstrated by the competent nurses ability to organize plans and goals for their patients.
Competence
Rational: Competence is evidenced by the fact that the nurse begins to see his or her actions in terms of long-range goals or plans
Why is this article important to nursing students?
NO RIGHT OR WRONG ANSWER!
Our opinion: This article helps us to understand the different levels of proficiency and how education and skills, combined with time and experience help to gain confidence in job performance and ultimately achieving a higher level of proficiency.
"Ideal level of nursing"
Competent
Rational: The competent level is supported and reinforced institutionally, and many nurses may stay at this level because it is perceived as the ideal by their supervisors
The expert level nurse relies on analytical principles to help better understand situations.
False
Rational: Experts no longer rely on an analytical principle (rule, guideline, maxim) to connect understanding of situation to the appropriate one. Instead they relate to past experiences, have an intuitive grasp of the situation and zeros in on the accurate region of the problem.
Rules and formulas are too novice nurses,
As concrete past experiences are too ____.
Proficient Nurses
Rational: Proficient nurses are no longer using rules and formulas to guide their practice. Now are using past concrete experiences.
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