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Related Experiment Videos

Does the nursing process reflect quality care?

M K McHugh

    Holistic Nursing Practice
    |April 1, 1991
    PubMed
    Summary
    This summary is machine-generated.

    Expert nurses utilize experience-based knowledge for problem-solving, unlike the linear nursing process. This highlights the limitations of the nursing process in achieving quality practice for experienced healthcare professionals.

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    Has nursing outgrown the nursing process?

    Nursing·1987

    Area of Science:

    • Nursing Science
    • Healthcare Quality
    • Skill Acquisition Models

    Background:

    • The nursing process is a linear method relying on objective data, potentially limiting quality practice.
    • It is often compared to the scientific method but differs significantly in its approach to problem-solving.
    • Expert nursing practice relies on accumulated experience and holistic recognition, not just data assessment.

    Purpose of the Study:

    • To differentiate the nursing process from the scientific method in the context of nursing practice.
    • To explore how expert nurses utilize experience-based knowledge and intuition in clinical decision-making.
    • To contrast novice (nursing process) and expert (experience-based) approaches to nursing problems.

    Main Methods:

    • Comparative analysis of the nursing process and the scientific method.

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  • Application of the Dreyfus Model of Skill Acquisition to nursing practice.
  • Discussion of expert nurses' problem-solving strategies based on accumulated experience.

    • Main Results:

    • The nursing process is characterized as a novice approach, focusing on objective, context-free data.
    • Expert nurses employ intuitive, experience-based 'know-how' for rapid problem identification and resolution.
    • Over-reliance on formal models or rules can impede expert nursing performance.

    Conclusions:

    • The nursing process does not fully capture the complexities of expert nursing practice.
    • Quality nursing practice, especially at expert levels, is rooted in deep situational understanding and experience.
    • Recognizing and valuing experience-based knowledge is crucial for advancing nursing practice beyond standardized processes.