Clinical Wisdom and Interventions in Acute and Critical Care

Benner, Patricia; Kyriakidis, Patricia Hooper; Stannard, Daphne

doi:10.1891/9780826105745

Cited by 234 publications

(351 citation statements)

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“…The Dreyfus skill acquisition model has been adopted by researchers to study expertise development in areas such as nursing (e.g., Benner, 2004;Benner, Hooper-Kyriakidis, & Stannard, 1999) and teaching (e.g., Berliner, 1988aBerliner, , 1988bCrawford, 2003). Based on the Dreyfus skill acquisition model, Berliner's research (1988aBerliner's research ( , 1988b pointed out that teachers at various levels of experience and expertise differed in their ability to interpret classroom phenomena, discern the importance of events, use routines, predict classroom phenomena, judge typical and atypical events, and evaluate teaching performance.…”

Section: Stage 6: Refocusingmentioning

confidence: 99%

Elementary Engineering Education (EEE) Adoption and Expertise Development Framework: An Inductive and Deductive Study

Sun¹

2013

Journal of Pre-College Engineering Education Research (J-PEER)

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Elementary engineering education (EEE) is an educational innovation. Using Rogers's innovation diffusion model, the Concerns-Based Adoption Model (CBAM), and Dreyfus's skill acquisition model as its theoretical frameworks, this study investigated elementary teachers' EEE adoption and EEE expertise development. Data of this study were collected through face-to-face interviews and open-ended online surveys conducted with 73 elementary teachers who received one-week EEE training from INSPIRE, the Institute for P-12 Engineering Research and Learning at Purdue University. An analytic induction approach was adopted in the analyses of the data. Based on the data analyses results, an evidence-based EEE adoption and expertise development framework was constructed to describe the process of EEE adoption and EEE expertise development and to capture individual elementary teachers' differences in this process. This framework includes the four-staged EEE adoption dimension and the five-staged EEE expertise development dimension. This framework is able to reveal the ''synchronic differences'' and the ''diachronic progression'' in EEE adoption and EEE expertise development. While the ''synchronic differences'' indicate elementary teachers' different standings in the EEE adoption and EEE expertise development stages at a given time, the ''diachronic progression'' indicates progress along the stages over time. This framework is proposed to be used by EEE professional development programs to conceptualize, assess, and track their teacher learners' standings and progress in EEE adoption and EEE expertise development for the purpose of program improvement and the purpose of providing teacher learners with effective and on-going support.

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Section: Stage 6: Refocusingmentioning

confidence: 99%

Elementary Engineering Education (EEE) Adoption and Expertise Development Framework: An Inductive and Deductive Study

Sun¹

2013

Journal of Pre-College Engineering Education Research (J-PEER)

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“…Organizations can allow and promote intuitive, nontraditional behaviours, strategies, and practices to stimulate intuitive decision making. Benner, Kyriakidis, and Stannard (2011) suggest situated experiential learning narratives (SELN), where past knowledge becomes more easily accessible.…”

Section: Tablementioning

confidence: 99%

“…It is also important and possible to create work environments that embrace rather than discount the known beneficial effects that intuitive processes can bring into medical practice. By communicating and sharing "best practices" about what is working, it can help stimulate intuitive processes by way of reflecting and learning upon past experiences (e.g., SELN; Benner et al, 2011). Job Crafting interventions are one way to possibly stimulate these positive, proactive, engaging work environments (Tims, Bakker, & Derks, 2013).…”

Section: Implications and Future Researchmentioning

confidence: 99%

The Job Demands and Resources Decision Making (JD-R-DM) Model

Gordon

Demerouti

Bipp

et al. 2013

European Journal of Work and Organizational Psychology

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“…Whereas (O'Connell, 2000) found that nurses make sense of the situation to minimize uncertainty by adapting work practices through collecting required information and prioritize patient care plan. While (Cioffi, 1998;Benner et al, 1999;and Hedberg & Larsson, 2003) found that nurses rely on experience to make their clinical decisions when facing uncertain situation. Adding to that (Carr et al, 2001) found that to buffer the effect of uncertainty nurses participate patients in decision-making if collaboration with colleagues was not available.…”

Section: Discussionmentioning

confidence: 99%

Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

El-Demerdash¹,

Obied²

2017

IJSN

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Intensive care unit (ICU) nurses face many uncertain situations that may affect their patient care decisions and jeopardize patients' safety.Aim: This study aimed to explore the relationship between uncertainty and patient safety culture among intensive care unit nurses at Tanta Main University Hospital. Results: 74.2% of participant ICU nurses' experienced high levels of uncertainty. Above half (56.1% and 56.1%) of them always experienced being uncomfortable and confused& loss of control when facing uncertain situations in ICUs. 84.5% and 76.8% of them always used team work; and learn from past experience to deal with uncertainty. 47.1% of them evaluated patient safety in their ICUs as acceptable and bad. There was a high statistical negative correlation between the levels of patient safety culture and experiencing uncertainty by ICU nurses at p= 0.000.Conclusions: ICU nurses experienced high level of uncertainty; they rely on experience and teamwork rather than evidence-based practices to manage clinical uncertainty. High statistical significant negative correlation was found between patient safety culture and experiencing uncertainty by ICU nurses.

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Clinical Wisdom and Interventions in Acute and Critical Care

Cited by 234 publications

References 0 publications

Elementary Engineering Education (EEE) Adoption and Expertise Development Framework: An Inductive and Deductive Study

Elementary Engineering Education (EEE) Adoption and Expertise Development Framework: An Inductive and Deductive Study

The Job Demands and Resources Decision Making (JD-R-DM) Model

Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

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