NSGCB 416 reflection 2 Paper

NSGCB 416 reflection 2 Paper

NSGCB 416 reflection 2 Paper

NSGCB 416 reflection 2 sample paper

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One of the major focuses of the healthcare sector, healthcare professionals, and stakeholders is to improve patient outcomes. As such, various strategies have been used in the past and at present to improve patient outcomes. For example, the use of nursing theory and research has helped nurses to come up with novel and more effective strategies for caring for patients and ensuring that they have improved patient outcomes (Smith, 2019). Therefore, there is a need for nurses to adequately train and grow in the profession to offer effective and appropriate patients care. Nursing theories such as Novice to expert theory by Benner have widely been used to explain how nurses can grow by gaining clinical skills in various different clinical aspects. Therefore, the purpose of this assignment is to analyze a clinical scenario using the theory.


According to Benner’s theory, there are five stages of skill acquisition and understanding, including, Novice, advanced beginner, competent, proficient, and expert. While the Novice is at the beginning stage and hence has little or no experience, the advanced beginner has obtained some knowledge from the clinical setting experience. A competent nurse has some years of experience, while a proficient nurse possesses a holistic understanding of nursing (Ozdemir, 2019). Finally, an expert is capable of connecting situations without relying on principles hence efficient and flexible.
The nurse in the case study, Sue, falls into the expert stage. This is because, while she has three years working in labor and delivery, having to work in a clinic that serves diabetic patients is a new challenge. However, her experience of working in a clinical setting makes her an expert rather than a novice. Her being an expert means that she still does not have an excellent ability to care for these patients. Hence may not provide quality care unless she is supported. She needs additional support, such as the principles involved in the care of patients with diabetes. Sue’s approach would differ based on the length of time the patients have known about their diagnosis. For example, she may not need to explain a lot of things, such as how to take care of themselves; this is because the patients already have much information regarding their diagnosis.
Practice Setting and Theories
Nursing theories can be applied in caring for patients, depending on the practice setting. One of the theories covered so far that best fits the practice setting I am interested in working in is Orlando’s Deliberative Nursing Process Theory. According to this theory, “patients have their own meanings and interpretations of situations and therefore nurses must validate their inferences and analyses with patients before concluding.” (Fahmi et al.,2022). The chosen clinical setting is the emergency department.
As earlier highlighted, the emergency department has been chosen as the clinical setting. The six criteria were used in choosing. The emergency department usually has a high volume of patient inflow since patients may be brought when in need of emergency or immediate care. The origin of the theory also helped; the theory intended to integrate mental health concepts into nursing care and curriculum (Fahmi et al.,2022). The nursing paradigm explored in this theory includes nursing, health, and person. As such, it also led to the choice of the setting and theory since the patient in ED is in need. Hence nursing practice should focus on them. The theory is also simple to understand and apply in clinical settings such as emergency departments since the emergency department only need to understand the immediate need of the patients and help fulfill those needs.
The patients may interpret their admission to the emergency department as a matter of great concern and urgency; hence the nurse needs to understand such and formulate strategies to calm the patient down and arrange for the needed care (Wolf et al.,2018). The patient’s needs also guided the choice since the theory emphasizes the need to focus on the patient’s needs. In addition, understandability also played a role since the integration of this theory in practice can easily be understood by the nurses who are expected to use its concepts and improve patient outcomes.

Fahmi, I., Nurachmah, E., Dyaningtyas, H. E., Kamal, M., & Ganefianty, A. (2022). Application of Breathing Exercises Using Ida Jean Orlando’s Dynamic Nurse-Patient Relationship Model in Overcoming Postoperative Hypoxia (POH) after Coronary Artery Bypass Grafting: A Case-Series. Nurse Media Journal of Nursing, 12(2), 249–257. https://doi.org/10.14710/nmjn.v12i2.45394
Ozdemir, N. G. (2019). The development of nurses’ individualized care perceptions and practices: Benner’s Novice to expert model perspective. International Journal of Caring Sciences, 12(2), 1279-1285. https://internationaljournalofcaringsciences.org/docs/81_ozdemir_special_12_2.pdf
Smith, M. C. (2019). Nursing theories and nursing practice. FA Davis.
Wolf, L. A., Perhats, C., Delao, A. M., Clark, P. R., Moon, M. D., & Zavotsky, K. E. (2018). Assessing for occult suicidality at triage: experiences of emergency nurses. Journal of emergency nursing, 44(5), 491–498. https://doi.org/10.1016/j.jen.2018.01.013


NSGCB 416 reflection 2 instructions


This reflection is comprised of 2 sections, collectively totaling a minimum of 500 words. This reflection activity provides the opportunity to help you bridge the gap between what you know and what you need to know in preparation for the competency assessment. Complete your reflection by responding to all prompts.

Theory, Practice, and Research

Read “From Novice to Expert: Benner’s Legacy for Nurse Education” from the University Library.

Reflect on Benner’s novice to expert theory. Consider how Benner’s theory has the following ideas:

Description of the theory’s background and influencing factors, including worldview

Explanation of the underlying assumptions

Evaluation of major strengths and weaknesses

As you read, consider the following scenario:

Sue is an RN who has been practicing for three years and typically works in labor and delivery. She recently started helping out at a clinic that serves diabetic OB patients. She encounters two patients, one who has developed gestational diabetes and the other who has had diabetes since she was a child.

Apply Benner’s novice to expert theory to analyze the scenario:

Where does Sue fall on Benner’s novice to expert continuum? Why?

What impact does Sue’s place on the continuum have on her ability to provide quality care to these patients?

What additional support do you think Sue may need?

How would Sue’s approach differ based on the length of time the patients have known about their diagnosis? Why?

Practice Setting and Theories

Which of the theories we covered so far best fits the practice setting you work in or that you are interested in working? What aspect of the theory makes it well-suited for your practice setting? Reflect on how the PICO model fits at your place of practice.

Use the six criteria from this competency’s readings from Fundamentals of Nursing Models, Theories, and Practice as a guide for this segment of the reflection. You can access these readings within the Theoretical Application in the Practice folder.

Select a practice/clinical setting.

Use the following six criteria to select a theory appropriate for the setting you chose:

Clinical setting

Origin of the theory

Paradigms as a basis for choice


Patient’s needs


Explain what practice or clinical setting you chose, how the six criteria helped you choose, and why the selected theory is well-suited to it.

Note: Although references are not required, if you do use references in either section, format your in-text citations and references according to APA guidelines. Use the APA Style Guide (7th ed.).

Submit your reflection.

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