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Clinical exemplars describing expert staff nursing practices.

K A Brykczynski1

  • 1University of Texas Medical Branch, School of Nursing, Galveston 77555-1029, USA.

Journal of Nursing Management
|March 17, 1999
PubMed
Summary

Expert nurses demonstrate unique skills beyond typical job expectations. Recognizing these expert nursing practices is crucial for quality patient care and career advancement, requiring updates to performance evaluations and clinical ladders.

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Area of Science:

  • Nursing Practice
  • Healthcare Quality
  • Staff Development

Background:

  • Differentiating staff nurse skill levels is vital for safe, quality patient care.
  • High turnover and evolving healthcare demands necessitate identifying expert nursing contributions.
  • Recognizing and rewarding expert nurses is critical in the current healthcare climate.

Purpose of the Study:

  • To identify and describe expert staff nursing practices.
  • To provide a framework for recognizing and rewarding expert nurses.
  • To inform organizational policies regarding nursing performance.

Main Methods:

  • Utilized interpretative phenomenological research approach.
  • Conducted clinical situation interviews and participant observations.

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  • Systematically analyzed narrative data to identify themes and patterns.

    • Main Results:

    • Validated Benner's (1984) nursing practice domains and competencies.
    • Identified 16 new competencies specific to expert staff nursing.
    • Expert practices often exceed standard organizational expectations.

    Conclusions:

    • Expert nursing practices are not typically included in standard performance appraisals.
    • Position descriptions, appraisals, and clinical ladders should incorporate expert nursing behaviors.
    • Formal recognition of expert nursing practice is essential for fostering professional growth and patient care quality.