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Related Experiment Video

Updated: Jul 22, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Exploring tacit knowledge based on an expert nurse's practice for stroke patients.

Satsuki Obama^1,2, Tsuyako Hidaka², Shizuko Tanigaki¹

¹Graduate School of Health Sciences, Okayama University, Okayama City, Okayama Prefecture, Japan.

Nursing Philosophy : an International Journal for Healthcare Professionals

|July 21, 2023

Summary

Expert nurses gain tacit knowledge through experiences with stroke patients, emphasizing belief in survival, shared suffering, and human dignity. This knowledge acquisition supports advanced practice and future learning strategies.

Keywords:

Roy Adaptation Model expert nursing practice hermeneutic phenomenological approach stroke tacit knowledge

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Area of Science:

Nursing Science
Knowledge Management

Background:

Tacit knowledge is crucial in advanced nursing practice, particularly in specialized areas like stroke rehabilitation.
Understanding the experiential basis of expert nurses' tacit knowledge is essential for developing effective training.

Purpose of the Study:

To explore the tacit knowledge of an expert nurse specializing in stroke rehabilitation.
To identify key elements and underlying principles of tacit knowledge acquisition in advanced nursing practice.

Main Methods:

Employed a hermeneutic phenomenological approach to explore lived experiences.
Conducted four in-depth interviews with an expert nurse (Ms. A) focusing on memorable nursing experiences.
Utilized interpretive circulation for data analysis until a fusion of horizons was achieved.

Main Results:

Identified five core elements of tacit knowledge: belief in survival, being together, respecting dignity, shared suffering, and the link between theoretical knowledge and patient experience.
The Roy Adaptation Model served as a guideline for recognizing patients as whole beings, informing implicit advanced practice.
Deep understanding and application of theoretical knowledge formed the foundation for the nurse's implicit advanced practice.

Conclusions:

The identified elements and the expert nurse's tacit knowledge support tacit knowledge acquisition processes.
Narratives, hermeneutic interpretation, and collaborative learning are vital for advanced practitioners' knowledge development.
Future research should involve multiple participants to explore tacit knowledge structures and develop learning strategies.