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Explicating Benner's concept of expert practice; Intuition in emergency nursing


Lyneham, J and Parkinson, CA and Denholm, CJ, Explicating Benner's concept of expert practice; Intuition in emergency nursing, Journal of Advanced Nursing, 64, (4) pp. 380-387. ISSN 0309-2402 (2008) [Refereed Article]

DOI: doi:10.1111/j.1365-2648.2008.04799.x


Title: Explicating Bennerís concept of expert practice: intuition in emergency nursing Aim: This paper is a report of a study exploring the experience of intuition in emergency nursing in relation to Bennerís fifth stage of practice development, Ďthe expert practitionerí. Background: 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 5th stage of practice development. However, Paley has criticised Bennerís model for its lack of clarity about the nature of an expert practitioner. This criticism is further justified by Bennerís inadequate explanation of expert. Method: A hermeneutic phenomenological study was conducted using van Manenís approach and a Gadamerian analysis. Fourteen expert emergency nurses in Australia were interviewed between January 2000 and December 2003. Findings: The analysis resulted in the reconstruction of Bennerís expert stage into three distinct phases: cognitive intuition, where assessment is processed subconsciously and can be rationalised in hindsight; transitional intuition where a physical sensation and other behaviours enter the nurseís awareness; and embodied intuition when the nurse trusts the intuitive thoughts. Conclusion: The findings validate the use of intuitive decision-making as a construct in explaining expert clinical decision-making practices. The validity of intuitive practice should be recognised. It is essential to recognise the conditions that support practice development, and in the pre-novice stage (during their university course) factors such as reflection, research (in its broadest sense) and clinical curiosity should be fostered.

Item Details

Item Type:Refereed Article
Keywords:Benner, emergency nursing, expert practice, intuition, nursing, phenomenology
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Parkinson, CA (Dr Camillus Parkinson)
UTAS Author:Denholm, CJ (Professor Carey Denholm)
ID Code:57099
Year Published:2008
Web of Science® Times Cited:44
Deposited By:Conservatorium of Music
Deposited On:2009-06-17
Last Modified:2009-06-23

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