Intro -- Contents -- Contributors -- Acknowledgments -- Introduction -- 1 The Relationship of Theory and Practice in the Acquisition of Skill -- 2 Entering the Field: Advanced Beginner Practice -- 3 The Competent Stage: A Time of Analysis, Planning, and Confrontation -- 4 Proficiency: A Transition to Expertise -- 5 Expert Practice -- 6 Impediments to the Development of Clinical Knowledge and Ethical Judgment in Critical Care Nursing -- 7 Clinical Judgment -- 8 The Social Embeddedness of Knowledge -- 9 The Primacy of Caring and the Role of Experience, Narrative, and Community in Clinical and Ethical Expertise -- 10 Implications of the Phenomenology of Expertise for Teaching and Learning Everyday Skillful Ethical Comportment -- 11 The Nurse-Physician Relationship: Negotiating Clinical Knowledge -- 12 Implications for Basic Nursing Education -- 13 Implications for Nursing Administration and Practice -- Appendix A: Background and Method -- Appendix B: Description of Nurse Informants -- Appendix C: Background Questions for Interviews and Observations -- References -- Index -- A -- B -- C -- D -- E -- F -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U.

This book examines the nature of clinical knowledge and judgment. The authors present a report of a six-year study of over 1,300 hospital nurses, primarily in critical care. The contributors document and analyze their clinical narratives for stages of clinical skill acquisition and the components of expert practice. Ultimately, this work examines the meaning of expertise in nursing practice through the nurse's use of scientific knowledge, professional experience, and careful attention to each patient's changing condition.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.