Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics Book

Contributors vii

Acknowledgements ix

Introduction xiii

1 The Relationship of Theory and Practice in the Acquisition of Skill Hubert L. Dreyfus Stuart E. Dreyfus 1

2 Entering the Field: Advanced Beginner Practice 25

3 The Competent Stage: A Time of Analysis, Planning, and Confrontation 61

4 Proficiency: A Transition to Expertise 103

5 Expert Practice 137

6 Impediments to the Development of Clinical Knowledge and Ethical Judgment in Critical Care Nursing Jane Rubin 171

7 Clinical Judgment 199

8 The Social Embeddedness of Knowledge 233

9 The Primacy of Caring and the Role of Experience, Narrative, and Community in Clinical and Ethical Expertise 279

10 Implications of the Phenomenology of Expertise for Teaching and Learning Everyday Skillful Ethical Comportment Hubert L. Dreyfus Stuart E. Dreyfus Patricia Benner 309

11 The Nurse-Physician Relationship: Negotiating Clinical Knowledge 335

12 Implications for Basic Nursing Education 369

13 Implications for Nursing Administration and Practice 405

Appendix A Background and Method 435

Appendix B Description of Nurse Informants 463

Appendix C Background Questions for Interviews and Observations 465

References 471

Index 491