Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics.

Patricia Benner, Christine A. Tanner, Catherine A. Chesla, with contributions by Hubert L. Dreyfus, Stuart E. Dreyfus and Jane Rubin.

Based on a six year research study of the practice of 130 hospital based nurses, most of whom were critical care nurses. Changes in the Dreyfus Model of Skill Acquisition are presented for the four stages studied (Advanced-beginner, competent, proficient, and expert) along with educational strategies for each stage. Examines the links between skills of involvement and expert clinical practice. A sub-group of nurses' practice who have more than five years of clinical work, but who do not practice at the expert level are examined in a chapter by Jane Rubin. Won AJN Book of the Year Awards.

"This work points to the kind of wisdom, knowledge, and skill required by all clinicians to make our science useful and safe.

Barbara Stevens Barnum, RN, PhD, FAAN.

Published 1996