I much-loved reading Patricia Benner (1984) book “From Novice to Expert”: it provided an insight in to the nursing practice and skills level. Many questions raised about where do I stand and where would I take my skills in the nursing field. Benner talked about the Dreyfus model for nursing skills development levels. The model described five levels of competence that any student must pass through. They are: novice, advanced learner, competent, proficient and the expert. These levels reflect the changes in nursing skills in three general aspects of performance. The first aspect is the movement from depending on the rules to dependence on the past built experience as patterns. The second is when the learner’s experience …show more content…
The journey starts with the novice level and the need to build clinical skill. Surviving the first year challenges relies on the co-nurses, and facility support. The study finding suggested supporting the new graduate nurses at the new environment with educational material, constant follow up and support their journey with positive experience and pave the road to move to advanced beginner (Martin, & Wilson, …show more content…
I was excited and eager to learn from the competent nurses around me. The demonstration for their competence is natural to their practice. I was taken by their effective ways in communicating with patient, and strive to provide the best care. It’s been few months on the medical-surgical floor with my new experience. One story that stand out in my mind is the patient with left side chest pain, and was on cardiac monitoring. The central monitoring and I, can monitor for any drastic changes with his heart. He had extensive cardiac history and the telemetry exhibited this history, yet I was running to his room every five minuet thinking that his heart is going to stop. His pulse was very low so I paged the doctor and informed him of the pulse has reaching 29 beats per minute. The doctor did not call for intervention, and I was worried. My co-nurse was busy so I had to run to the Intensive Care Units (ICU), and ask for help. The expert nurse was very calm, she took the time to explain what is going with the heart and the reason, which is new learning experience for me. I felt comfortable after that knowing that my patient’s heart is not going to stop, and I earned new