Nursing in acute-care settings
has grown so complex that it is no longer possible to standardize, routinize,
and delegate much of what the nurse does.
Theory is not focused on how to
be a nurse, rather on how nurses acquire nursing knowledge – one could gain
knowledge and skills (“knowing how”), without ever learning the theory
(“knowing that”).
The nursing theory was based on
The Dreyfus model skills acquisition.
According to the theory, a nurse passes through five levels of
proficiency, acquisition and development of a skill namely:
Novice
The said levels reflect changes
in aspects of skilled performance. One level is based on reliance on past
experiences rather than levels of priorities of task to be accomplished. The
other one is the understanding of the situation seen as a whole than by parts.
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