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Multidimensional factors determine skill acquisition development in Guided Self-Determination: A qualitative study.

Pernille Dehn1,2, Susan Munch Simonsen3, Mette Linnet Olesen2,4

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|December 19, 2022
PubMed
Summary

Nurses develop Guided Self-Determination skills variably, moving from rigid adherence to deep understanding. Skill acquisition depends on more than practice quantity, highlighting personal factors and context.

Keywords:
Dreyfus model of skill acquisitionGuided Self-Determinationcompetence developmenteducation [CINAHL subject heading]learning [mesh]patient-centred care [mesh]person-centred careprofessional competence [mesh]

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Area of Science:

  • Nursing Skill Acquisition
  • Person-Centred Care Models
  • Qualitative Research Methods

Background:

  • Person-centred care is vital for healthcare quality globally.
  • Guided Self-Determination (GSD) is a nursing method for person-centred care.
  • Effective GSD requires understanding skill acquisition processes.

Purpose of the Study:

  • Investigate nurses' skill acquisition in Guided Self-Determination.
  • Analyze skill development using the Dreyfus model and Benner's framework.
  • Explore factors influencing GSD skill acquisition in practice.

Main Methods:

  • Qualitative interview study conducted from January to August 2019.
  • 16 nurses interviewed across three gynaecological settings (cancer, endometriosis, sexual abuse).
  • Explored nurses' experiences learning and applying GSD.

Main Results:

  • Nurses' GSD skills ranged from procedural adherence to in-depth, person-centred application.
  • Identified themes: knowledge transition from theory to practice.
  • Identified themes: factors influencing GSD skill acquisition.

Conclusions:

  • Nurses demonstrated varied GSD practice levels.
  • Skill progression is influenced by factors beyond practice volume.
  • The Dreyfus model requires augmentation to include personal dispositions, motivation, values, and context in skill acquisition.