Benner Model

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This paper will discuss the role of caring along with the Benner model’s seven domains and my level of proficiency in each domain. Each level of proficiency will be explored to show my strengths as a professional and also areas that I could improve on as a professional nurse. With the areas that need improvement I will show support through supportive rationale with a research article. I will describe how I plan on gaining proficiency in my area of needed improvement, all while using critical thinking and written communication skills. Role of caring

The role of caring as a registered nurse is an ever changing role. We as nurses must find the time to wear several different hats throughout the day even sometimes multiple hats at one time are needed to care for the patient at hand. Nursing theorist Jean Watson defines caring as a humanitarian science, and offers ten behaviors that demonstrate that. They are, in descending order: attentive listening, comfort, honesty, patience, responsibility, providing information so that the patient can make an informed decision, touch, sensitivity, respect, and calling the patient by name (Vance 2009). These are the multiple hats we as nurses must wear throughout the care of our patients. They are not complicated, but yet to the patient they make them feel like a real person rather than just another patient in a bed.

As I practice nursing on an almost daily basis I utilize the different roles and adapt to the needs of my patient based on their needs. Every patient you come across has a different perspective on the care they are to receive, have received or received already. Not only am I as a nurse adapting to the patients most prominent needs, I am also adapting, overcoming and helping the patient’s family with their needs as well. Caring goes beyond just the patient. It goes to the whole support system who is involved in the care of the patient. As I see it, you cannot help a patient to heal if one he/she is not cared for, and two if he/she’s support system is not cared for. The most important thing I do as a nurse, or so I think, is when I walk into the patients room I ask them their name (to identify I have the right patient) but then I also ask the patient what he/she likes to be called so I am not offending them with a nickname or with a name like “Honey”. By doing this I make the patient feel like they are in control and often times this can help them to be more open in their needs. Benner model domains and level of proficiency

Benner discusses seven domains; The helping role, the teaching-coaching function, the diagnostic and patient monitoring function, effective management of rapidly changing situations, administering and monitoring therapeutic interventions and regimens, monitoring and ensuring the quality of healthcare practiced, and organizational work role competencies. Within each domain you can be at a different stage depending on your experience level and your professional stage. These stages range from novice to expert. Novice is one who is unfamiliar with a situation and needs complete guidance. This would be someone who is still in nursing school, or a very recent graduate. The next step up is advanced beginner. These people have relevant knowledge of the situation, but are still guided by the rules. These individuals still have a hard time grasping the whole picture. These would be your new floor nurses who don’t have a lot of experience on their own. Next is competent. These people have the ability to plan appropriately and discern which aspects are relevant verses irrelevant. They have the ability to alter rules as the situation warrants them. These nurses would be your nurses who have over a year of hands on experience and feel confident in their patient care. After competent comes proficient, with this stage, skills have matured exponentially and they have the ability to ascertain information from subtly changes. This individual...
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