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Clinical wisdom among proficient nurses.

Lisbeth Uhrenfeldt¹, Elisabeth O C Hall

¹Aarhus University, Institute of Public Health, Department of Nursing Science, Høegh-Guldbergsgade 6A, Building 1633, DK-8000 Aarhus C, Denmark. lu@nursingscience.au.dk

|April 27, 2007

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Clinical wisdom in nursing practice is essential for proficient registered nurses. However, poor working conditions can negatively impact nurse performance and retention.

Area of Science:

Nursing
Clinical Practice
Healthcare Management

Background:

Nurse managers significantly influence registered nurse (RN) turnover and retention.
Understanding the experiences of proficient RNs is crucial for improving clinical practice.

Purpose of the Study:

To explore proficient RNs' experiences and clinical practice.
To identify factors influencing nurse proficiency and performance.
To give voice to proficient nurses regarding their practice.

Main Methods:

Qualitative study utilizing semistructured interviews.
Analysis based on Gadamerian hermeneutics.
Focus on understanding the lived experiences of proficient nurses.

Main Results:

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Proficient nursing practice is characterized by clinical wisdom, encompassing responsibility, critical thinking, ethical discernment, and a proactive drive.
Negative working conditions can lead to a decline in performance among proficient nurses.
A link exists between workplace environment and the maintenance of nursing proficiency.

Conclusions:

Clinical wisdom is a key component of proficient nursing.
Improving working conditions is vital for retaining proficient nurses and preventing performance regression.
Further research is needed on the impact of working conditions on nurse proficiency.