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Expertise among critical care nurses: A grounded theory study
Teresa D Welch1, Melondie Carter1
1Capstone College of Nursing, The University of Alabama, Box 870358, Tuscaloosa, AL 35487, United States.
Critical care nurses develop expertise through experience and knowledge, driven by self-actualization and motivation. Expert performance in critical care nursing is an evolving process.
Area of Science:
- Nursing Science
- Clinical Expertise Development
- Professional Growth
Background:
- Understanding the transition from novice to expert is crucial in critical care nursing.
- Personal perceptions of expertise influence clinical performance.
- The social construction of expertise shapes professional development.
Purpose of the Study:
- To explore critical care nurses' perceptions of expertise.
- To examine the process of expert performance development.
- To understand the novice-to-expert transition in critical care.
Main Methods:
- Qualitative study using grounded theory.
- Open-ended interviews with 10 certified critical care nurses.
- Focus on the social construction of expertise and clinical experiences.
Main Results:
- Clinical experience and knowledge form the bedrock of expertise.
- Higher patient acuity and frequent experience enhance learning and growth.
- Self-actualization is a key determinant in developing critical care expertise.
Conclusions:
- Expertise in critical care nursing is driven by experience, motivation, and self-actualization.
- Expert performance is a dynamic, evolving process.
- Knowledge and experience are interdependent; social factors influence development.
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