This article discusses the author's experience in the nursing profession, focusing on the evolution of theoretical knowledge in nursing. It covers the author's transition to BScN, theory analysis, and references.
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Running head: EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING1 Evolution of Theoretical Knowledge in Nursing Student’s Name: Institution Affiliation:
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2EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING Evolution of Theoretical Knowledge in Nursing Introduction As a registered nurse, it has always been my dream to be a nursing degree holder. Despite the challenges the transition posed, I was steadfast and determined to fulfill my ambitions. After excelling in high school, I joined the Florida community college, where I studied clinical practice. The diploma program gave me a chance to gain appropriate nursing skills that have been crucial in my transition into a professional baccalaureate nurse. I chose to pursue a post-diploma degree in nursing due to my unquestionable desire to help people in achieving their health potential. Since my childhood, I hated seeing people sick, and this has been the driving factor in my course to scaling academic heights in nursing. Moreover, I chose to pursue a degree program because it gave me a chance to approach health challenges in different perspectives. I selected Benner’s novice to expert theory because it aligns with my beliefs regarding competence in nursing. Throughout my career, I have learnt that competence in nursing come along with the complexity of the presented clinical situations. Having joined the nursing profession with limited skills, I slowly gained experience while working with mentors and being exposed to various clinical conditions. Therefore, my growth in the nursing profession has profoundly been propagated by unending desire to learn from every presented clinical challenge. Transition to BScN Enrolling to a post-diploma degree program in Ontario is perhaps my brightest moment in life. Ever since I was a child, I dreamt of scaling greater academic heights in the
3EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING nursing profession. My parents always supported and motivated me to be the person I am today. Despite the challenges I encountered, I give much credit to my educational background since it prepared me for the future. The experience and disciplined I developed through my internship programs have been instrumental in my career growth. As a beginner in the nursing profession, grasping new skills was a challenge, but through the help of mentors in the field, I learnt to exercise patience and hard work in the assigned clinical tasks. My early years in the nursing profession mirrored the concepts stipulated in the novice stage of Benner's theory (Payne, 2015). With limited hands-on experience in accomplishing clinical assignments, I felt naive and less confident to express myself as a potential nurse. The situation compelled me to acknowledge that I needed a mentor to guide me through the profession. My brighter days in the nursing profession began when I enrolled for an internship program after completing the diploma course. The internship opportunity provided me with a chance to experience real-life occurrences in a hospital setting. I gradually gained fundamental skills that have served to give me confidence and flexibility in handling tasks in clinical practice. As highlighted byAnbari (2015), workplace factors play a crucial role in determining the transition witnessed in nursing roles. I concur with this postulation since I modelled myself in the image of my mentors. Throughout my experience in hospitals, I was always fascinated by the level of competence demonstrated by nurses with degrees. Their professionalism inspired and motivated me to pursue a post-diploma degree. My transition from a registered nurse to a degree student in Ontario is a dream come true. The limitless desire to gain more knowledge in the nursing field is something I have dreamt of in my life. However, I can only attain the expert stage by learning from
4EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING experience (Thomas & Kellgren, 2017). The lesson routines and practical experience I have been exposed to as a degree student have served to develop my decision-making ability in the nursing profession. Compared to my past experiences, the post-diploma degree program is advanced enough to counter the emerging trends in healthcare. Most of the learning activities covered in the program are not repetitive (Allen & Armstrong, 2013). The research covered in baccalaureate nursing programs provides the need for dialogue into the best ways of approaching challenges in clinical practice (Carissimi & Burger, 2017). Therefore, the degree program has given me a chance to view concepts in different perspectives. My experience in Ontario has been educative. As mentioned by Wallace (2016), I need to make use of the theoretical knowledge learnt in the program to improve my awareness and reflect on the best ways of enhancing healthy standards in society. Similarly, Fraley (2016) asserts that the integration of clinical research and practice is the appropriate way of realizing competence in nursing. As a registered nurse, I must model my beliefs in the generalized view that nurses are the leaders of innovation in society (Thomas, Seifert & Joyner, 2016). Therefore, I pledge to make good use of my current experiences in Ontario to devise the best approaches to the daily challenges experienced in nursing. Conclusion The professional support I have received throughout my career, has been immense in improving my confidence and skills. The challenges I have encountered as a degree student in Ontario, have explicitly prepared me for much worse occurrences in the nursing field. I have also learnt that I need to maintain high levels of passion, desire and curiosity to
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5EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING achieve my full potential as described in Benner’s theory. Moreover, I have discovered that it is prudent to apply theoretical knowledge in every presented clinical situation. Theory analysis Benner’s novice to expert theory aims to establish a holistic approach towards realizing an effective transition in nursing roles. The theory is realistic since most of the stipulated concepts are well described and easy to follow. The theoretical framework succinctly lays out the crucial attributes required in each stage of role transition. Furthermore, I find Benner’s theory to be congruent and applicable in daily situational occurrences realized in the nursing sector. Through my past experiences, I have come to concur with Benner’s assertion that competence is developed through exposure to real-life situations(Thomas & Kellgren, 2017). Therefore, I will always cherish my career experiences since they have been crucial for my ultimate role transition. In my experience as a degree student in Ontario, I have realized that Benner's theory lacks some important components. The theory does not provide a succinct relationship between academic knowledge and competence of nurses (Donilon, 2013). I find it less practical since nurses require the knowledge learnt in class to improve on their skills and overall practice. Also, Benner’s novice to expert theory lacks quantitative data to make it applicable in practical situations (Senanayake, 2017). Data is an important component that Benner should have relied on to make the theory acceptable in all aspects. Despite the theory harboring weaknesses, I would still consider it useful since it has been vital in my transition. Throughout my career, I have strived to abide by the crucial attributes and guidelines stipulated in Benner’s five stages of transition. Therefore, I would
6EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING recommend for any person aspiring to be a nursing degree student to use Benner’s theoretical framework. Based on Benner’s theoretical design, I have to undergo all the five stages to become an expert in the nursing field. Failure to honor the needs of each stage implies that I may not be able to fully become an expert nurse. For instance, as a beginner, I had limited knowledge to handle any clinical task until I was exposed to real nursing experiences. I was naive and less confident due to lack of exposure. However, I gradually developed my expertise through learning to become a competent nurse I am today. For example, after working with my mentors as an intern, I repeatedly handled similar clinical tasks without being supervised. Today, I am a proficient nurse because of the experience I gained in my early years. For instance, I can now accurately predict and zero in on a nursing problem with efficiency.
7EVOLUTION OF THEORETICAL KNOWLEDGE IN NURSING References Allen, P. E., & Armstrong, M. L. (2013). RN-BSN curricula: designed for transition, not repetition.Journal of Professional Nursing,29(6), e37-e42. Anbari, A. B. (2015). The RN to BSN transition: A qualitative systematic review.Global qualitative nursing research,2. Carissimi, K., & Burger, J. (2017). Bridging the gap: Seamless RN to BSN degree transitions.OJIN: The Online Journal of Issues in Nursing,22(2). Donilon, D. M. (2013). Nurses perceptions of their competence in managing patient situations in acute care. Fraley, T. E. (2016). Transitioning Novice Nurses to Expert Nurses in Progressive Telemetry Care. Payne, L. K. (2015). Intuitive decision making as the culmination of continuing education: A theoretical framework.The Journal of Continuing Education in Nursing,46(7), 326-332. Senanayake, T. (2017). Intuition in Nursing Practice: Knowledge, Experience, and Clinical Decision Making. Thomas, C. M., & Kellgren, M. (2017). Benner’s novice to expert model: An application for simulation facilitators.Nursing science quarterly,30(3), 227-234. Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered nurses leading innovative changes.OJIN: The Online Journal of Issues in Nursing,21(3). Wallace, D. R. (2016). Reflective writing: Factors that influence the successful transition of nursing students entering into their second semester of a RN-ABSN program.Journal of Nursing Education and Practice,6(10), 43.