Current research problem related to advanced nursing practice – Assignment 1 Solution

Current research problem related to advanced nursing practice

Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.

Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.

Select a middle-range theory and identify the application of nursing theories to your research problem.

Conduct a literature review.

Based on your literature review answer the following questions:

If qualitative,

Identify the purpose of the study.

Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.

Identify ethical issues related to the study and how they were/were not addressed.

Identify the sampling method and recruitment strategy that was used.

Discuss whether sampling and recruitment were appropriate to the aims of the research.

Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.

Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.

Identify four (4) criteria by which the rigor of a qualitative project can be judged.

Discuss the rigor of this study using the four criteria. 

Briefly, describe the findings of the study and identify any limitations.

Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

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Current research problem related to advanced nursing practice
Current research problem related to advanced nursing practice

If quantitative,

Identify the purpose and design of the study.

Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.

Identify ethical issues related to the study and how they were/were not addressed.  

Explain the sampling method and the recruitment strategy was used.

Discuss how the sample size was determined – include in your discussion an explanation of terms used.

Briefly, outline how the data was collected and identify any data collection instrument(s).

Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.

Outline how the data were analyzed.

Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.

Briefly, outline the findings and identify any limitations of the study.

Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study. (Current research problem related to advanced nursing practice)

Submission Instructions:

The presentation is original work and logically organized.

Follow current APA format including citation of references.

The PowerPoint presentation should include 10-15 slides which are clear and easy to read.

Speaker notes expand upon and clarify content on the slides.

Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

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Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual)

Solution

Theory Evaluation Paper: Benner’s Model of Skill Acquisition in Nursing

Nursing schools release newly graduated nurses yearly to work in different healthcare settings. As the new nurses work, they continually gain more knowledge, insight, and experience about the practice to emerge as mentors for future nursing generations. However, the newly graduated nurses must undergo familiarisation and learning in the new working environment to promote patient safety and satisfaction. The newly graduated nurses have been linked to medical errors from lack of experience and familiarisation with the new working environments. Kiernan (2018) asserts that new graduate registered nurses with less than one year of practice cause about 49% to 59% of medical errors. Therefore, Benner’s Model of Skill Acquisition in nursing emphasizes sequential stages (nocive to expert) to promote knowledge and skills acquisition as the nurses progress through each stage in practice. The theory will be instrumental in allowing nurses to develop skills and knowledge of practice over time and reduce adverse outcomes such as medical errors to improve patient safety and satisfaction. This nursing theory paper describes, analyses, and evaluates Benner’s Model of Skill Acquisition in nursing.(Current research problem related to advanced nursing practice)

Theory Description

Purpose

The Model of Skill Acquisition by Dr. Patricia Benner is a high-middle range theory that has immensely influenced the nursing practice in different healthcare teams. The nocive to expert stages elaborate how nurses develop insights and skills on patient care over time through clinical experiences. Benner’s model illustrates how nurses begin in the nocive stage, gaining new knowledge and skills and then progressing to an advanced expert stage in nursing. In this case, the model claims nurses should use their clinical experiences to build on their skills and competency.(Current research problem related to advanced nursing practice)

Concepts

Benner’s model purports that nursing education is a fundamental foundation for nurses to develop skills that form the basis for clinical knowledge. Benner’s Model of Skill Acquisition focuses on skills acquisition, competency, experiences, clinical knowledge, and practical knowledge (Ozdemir, 2019). Thus, the nurses undergo a series of stages to achieve the mentioned components. Benner’s models of skills acquisition stages are nocive, advanced beginner, competent, proficient, and expert.(Current research problem related to advanced nursing practice)

Definitions

Although Benner does not offer specific definitions of the key concepts, she utilizes the Model from Dreyfus Model of Skill Acquisition approach to explain each nursing competency stage. Notably, the nurses’ competency stages are defined based on their experience, history with specific circumstances, and observations made during practice. In the initial nocive stage, the nurse has no previous encounter with the circumstance. During this stage, the nurses learn easily identifiable, simple, and objective skills (Ozdemir, 2019). Since the nocive has no experience and is unable to use discretionary judgment. The nocive nurses are limited and inflexible and require more professional development and growth.

Subsequently, the nocive gain more knowledge and progresses to an advanced beginner. An advanced beginner has been involved in enough situations to identify the recurrent situation easily. The advanced beginner has clinical knowledge but requires support and assistance to ensure they address all the patient’s needs. In the third stage, competent nurses use their past experiences (2-3 years) to prioritize tasks (Ozdemir, 2019). However, competent nurses need to gain multi-tasking abilities and require deliberate and conscious planning to work effectively.(Current research problem related to advanced nursing practice)

The competent nurses progress to the proficient stage, where their performance is guided by pieces of evidence (maxims) from seeing a circumstance in its entirety. Finally, in the fifth expert stage, the nurses have extensive skills and knowledge enabling them to be confident and intuitive in complex patient circumstances. Maxims, rules, and guidelines are optional since expert nurses grasp and understand their roles in different patient care situations.(Current research problem related to advanced nursing practice)

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Relationship

Nurses acquire different knowledge, skills, practice, and experience through the described stages. Of importance, one stage builds up on a previous stage until the nurse reaches the final stage. In this case, the experiences gained in different stages allow nurses to develop and refine the skill acquisition concepts. As nurses acquire more skills, knowledge, and experience, they become competent and proficient in patient care. Therefore, the sequential process from when nurses begin their formal education up to when they achieve high levels of competency and proficiency is instrumental in raising experts in the nursing profession.(Current research problem related to advanced nursing practice)

Structure

 (Murray et al., 2019).

Assumptions

Benner’s model assumes that care is a basis of altruism. Therefore, nurses should offer patient care in a way they consider appropriate. In this case, Benner deviates from rules that bond nursing care and emphasizes nurses’ autonomy. Second, Benner assumes more than nursing talent is needed to offer quality care with professional experience. Benner also assumes that intuition leads to great knowledge among nurses. Although the students cannot gain intuition on care circumstances, they can gain nursing expertise over time and use intuition.(Current research problem related to advanced nursing practice)

Theory Evaluation

Theory Origin

Dr. Benner first published the Model of Skills Acquisition in 1984. She adopted the model from Dreyfus Model of Skill Acquisition to provide an objective and comprehensive way to evaluate nursing skills progress (Arthur et al., 2020). Although the model has been used in developing nursing theory, it is a shared concept. Benner also drew knowledge from engineering and philosophy.(Current research problem related to advanced nursing practice)

Unique Focus

Benner’s model focuses on implementing nursing knowledge in clinical practice. Its unique focus is on how nurses acquire knowledge, skills, and competence in professional practice. Benner purports that nurses gain clinical experience through real-life situations during their practice. Nurses also gain intuition gained through reflection on real-life situations. Benner claims that nursing experts are defined by their competence and experiences rather than their job groups or salaries.(Current research problem related to advanced nursing practice)

Content

The nursing metaparadigm emphasizes holistic patient care. Benner emphasizes a person’s care, health environment, and nursing practice. A person comprises a holistic individual that receives care, while health focuses on the experience of being healthy or ill. Benner defines an environment as a situation comprising internal and external elements that affect a person. She defined the nursing practice as enabling condition of concern and connection that strongly connects with nurse-patient relationships.(Current research problem related to advanced nursing practice)

Theory Evaluation

Significance

Benner’s Model for Skills Acquisition has played a fundamental role in the professional development of nurses and other healthcare providers. Over time, nurses have an intuitive grasp of healthcare problems that arise in society (Mortimore et al., 2021). In this case, nurses can devise care plans they consider appropriate for society. In addition, the healthcare sector aims to improve access to quality care to build healthier communities. Thus, Benner’s model has improved nurses’ competency and skills crucial to offering care for the well-being of individual patients and the community.

Comprehensiveness

Benner’s model is easy to comprehend. The concepts are well-defined, while nocive to expert stages are easy to follow. For this reason, the nursing profession can adopt the model to develop comprehensive education for nurses. In addition, nurses can integrate Benner’s Model of Skills Acquisition into professional development and growth. As the nursing profession continues to evolve and change, Benner’s model offers a comprehensive framework for new and fresh talents as they begin their careers.(Current research problem related to advanced nursing practice)

Logical Congruence

Benner’s Model of Skill Acquisition clarifies that nurses progress from novices to experts through a sequential process involving learning, developing, and comprehending skills to meet the patient’s needs. The nurses undergo formation education and clinical practice that exposes them to different care situations for an improved experience. The model has a logical sequence in that nurses portray clinical competency and proficiency. They learn, understand, and progressively experience different patient care concepts over their careers.(Current research problem related to advanced nursing practice)

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Credibility

Scholars and researchers have referenced Benner’s Models of Skills Acquisition when discussing different healthcare practice topics. The model has been applied in clinical decisions, leadership, professional development, and growth in nursing practice. However, Benner’s work has been criticized for its non-empirical nature. The model adopted a qualitative approach while ignoring the quantitative aspect completely.(Current research problem related to advanced nursing practice)

Contribution to Nursing

The nursing profession has widely adopted Benner’s Model of Skills Acquisition to promote professional development and growth. The increased demand for nurses’ services calls for continued investment in nursing education. Complex healthcare problems also demand competence among nurses. Therefore, the model provides a rationale nurses can utilize to become experts in offering high-quality patient care (Arthur et al., 2020). The nurses can adopt the experiences they acquire from previous situations just like the model builds on previous stages. Besides clinical situations, expert nurses offer guidance and support to new talents to improve their skills and competency.(Current research problem related to advanced nursing practice)

Conclusion

Benner’s Model of Skill Acquisition, adopted from Dreyfus’s Model of Skill Acquisition in nursing, emphasizes promoting knowledge and skills acquisition as nurses progress through each stage in practice. The model illustrates how nurses begin in the nocive stage, gaining new knowledge and skills and then progressing to an advanced expert stage in the nursing realm. Over time, nurses have an intuitive grasp of healthcare problems that arise in society. Nurses devise care plans they consider appropriate for society. Substantially, the model provides a rationale nurses can utilize to become experts that offer high-quality patient care. This nursing theory paper has successfully described, analyzed, and evaluated Benner’s Model of Skill Acquisition, featuring aspects of how it has influenced the nursing practice(Current research problem related to advanced nursing practice)

References

Arthur, E., Brom, H., Browning, J., Bell, S., Schueler, A., & Rosselet, R. (2020). Supporting advanced practice providers’ professional advancement: the implementation of a professional advancement model at an Academic Medical Center. The Journal for Nurse Practitioners16(7), 504-508.(Current research problem related to advanced nursing practice)

Kiernan, L. C. (2018). Evaluating competence and confidence using simulation technology. Nursing48(10), 45.

Mortimore, G., Reynolds, J., Forman, D., Brannigan, C., & Mitchell, K. (2021). From expert to advanced clinical practitioner and beyond. British Journal of Nursing30(11), 656-659.(Current research problem related to advanced nursing practice)

Murray, M., Sundin, D., & Cope, V. (2019). Benner’s model and Duchscher’s theory: Providing the framework for understanding new graduate nurses’ transition to practice. Nurse education in practice34, 199-203.(Current research problem related to advanced nursing practice)

Ozdemir, N. G. (2019). The development of nurses’ individualized care perceptions and practices: Benner’s novice to expert model perspective. International Journal of Caring Sciences12(2), 1279-1285.(Current research problem related to advanced nursing practice)

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