Explicating Benner's concept of expert practice: intuition in emergency nursing

Journal of Advanced Nursing
Joy LynehamCarey Denholm

Abstract

This paper is a report of a study exploring the experience of intuition in emergency nursing in relation to Benner's fifth stage of practice development, 'the expert practitioner.' Expert nurses anecdotally report actions and thoughts that present in their consciousness and have an impact on the care given. Benner used the term 'intuition' for the fifth stage of practice development. However, Paley has criticized Benner's model for its lack of clarity about the nature of an expert practitioner. This criticism is further justified by Benner's inadequate explanation of expert. A hermeneutic phenomenological study was conducted using van Manen's approach and a Gadamerian analysis. Fourteen expert emergency nurses in Australia were interviewed between January 2000 and December 2003. The analysis resulted in the reconstruction of Benner's expert stage into three distinct phases: cognitive intuition, where assessment is processed subconsciously and can be rationalized in hindsight; transitional intuition, where a physical sensation and other behaviours enter the nurse's awareness; and embodied intuition, when the nurse trusts the intuitive thoughts. The findings validate the use of intuitive decision-making as a construct in explaini...Continue Reading

References

Oct 1, 1993·Western Journal of Nursing Research·V G Miller
Apr 1, 1996·Journal of Advanced Nursing·J Paley
Aug 8, 2001·Journal of Advanced Nursing·H H McCutcheon, J Pincombe
Sep 1, 2001·Journal of Advanced Nursing·M F Gerdtz, T K Bucknall
Mar 2, 2002·Journal of Advanced Nursing·Lindy King, Jill Macleod Clark
Jun 18, 2002·Journal of Advanced Nursing·John Paley
Mar 5, 2008·International Journal of Nursing Practice·Joy LynehamCarey Denholm

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Citations

Jun 15, 2011·International Emergency Nursing·Birgitta Wireklint Sundström, Karin Dahlberg
Sep 10, 2009·Journal of Advanced Nursing·Joy LynehamCarey Denholm
Mar 9, 2011·Journal of Advanced Nursing·Ann Bonner, Annemaree Lloyd
Mar 5, 2011·Nursing Philosophy : an International Journal for Healthcare Professionals·Lyn Merryfeather
May 25, 2011·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Shirley M Morrison, Lene Symes
Jul 25, 2012·Journal of Nursing Management·Jerry O'Leary
Mar 6, 2010·Nurse Education in Practice·Cynthia Ann Blum
Jun 7, 2016·Nursing Inquiry·Marie HutchinsonDebra Jackson
Aug 19, 2014·BMC Medical Education·María Sagrario Acebedo-UrdialesCarme Ferré-Grau
Feb 27, 2007·Accident and Emergency Nursing·Bernie Edwards
Jun 1, 2012·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Karin Enskär
Jun 22, 2010·Qualitative Health Research·Inger JamesBritt-Marie Ternestedt
Nov 15, 2013·British Journal of Nursing : BJN·Jessica Inch
Aug 24, 2017·Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association·Elizabeth M Miller, Pamela D Hill
Mar 23, 2017·Journal of Clinical Nursing·Christina Melin-JohanssonLinda Rönnberg
Mar 17, 2019·Diagnosis·Meredith VanstoneAmanda Peters
Jun 23, 2009·International Journal of Palliative Nursing·Vivian Roche-Fahy, Maura Dowling
May 14, 2016·Journal of Advanced Nursing·Amanda Phelan, Brendan McCormack
Nov 20, 2012·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Dorthe SørensenKirsten Lomborg

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