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Nursing expertise: a course of ambiguity and evolution in a concept

Citation

Hutchinson, M and Higson, M and Cleary, M and Jackson, D, Nursing expertise: a course of ambiguity and evolution in a concept, Nursing Inquiry, 23, (4) pp. 290-304. ISSN 1320-7881 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 John Wiley & Sons Ltd.

DOI: doi:10.1111/nin.12142

Abstract

In this article, we clarify and describe the nature of nursing expertise and provide a framework to guide its identification and further development. To have utility and rigour, concept-driven research and theories of practice require underlying concepts that are robust, valid and reliable. Advancing understanding of a concept requires careful attention to explicating its knowledge, metaphors and conceptual meaning. Examining the concepts and metaphors of nursing expertise, and how they have been interpreted into the nursing discourse, we aimed to synthesise definitions and similarities between concepts and elicit the defining characteristics and properties of nursing expertise. In clarifying the concept, we sought to move beyond the ambiguity that currently surrounds expertise in nursing and unravel it to make explicit the characteristics of nursing expertise from published peer-reviewed studies and structured literature synthesis. Findings indicate a lack of clarity surrounding the use of the term expertise. Traditional reliance upon intuition as a way of explaining expert performance is slowly evolving. Emerging from the analysis is a picture of expertise as the relationship between networks of contextual reasoning, understanding and practice. Striking absences in the discourse include limited explication of ethical reasoning and theorising a broader interpretation of expertise reflective of contemporary forms of nursing.

Item Details

Item Type:Refereed Article
Keywords:concept analysis, expert practice, expertise, nursing, nursing workforce, professional competence
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Cleary, M (Professor Michelle Cleary)
ID Code:113391
Year Published:2016
Deposited By:Health Sciences
Deposited On:2016-12-22
Last Modified:2017-05-10
Downloads:0

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