ORCID Profile
0000-0001-6835-0814
Current Organisations
IT University of Copenhagen
,
OsloMet – Oslo Metropolitan University
,
Københavns Universitet
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Publisher: Wiley
Date: 02-2008
DOI: 10.1111/J.1365-2648.2007.04543.X
Abstract: This paper is a report of a study to explore nurses' competence as revealed during an admission assessment. Studies of nursing competence and of models of competence have become virtually synonymous with the five-stage developmental model applied to nursing by Benner. However, the model has been criticized for its interpretation of intuition and also for the exclusion of the social elements and context of nursing practice. The study was conducted in 2004. This paper draws on data from 12 structured non-participant observations of admission assessments in an orthopaedic ward by four nurses: two with <1 year' experience and two with more than 5 years' experience. Defined variables were observed using instantaneous and event s ling. The analysis was guided theoretically by the assumptions embedded in Benner's competence model and Bourdieu's theory of practice. Each nurse had unique patterns of practice that did not correspond to the level of competence expected in relation to their length of experience as a nurse. Nurses' competence seems to be situational rather than related to levels in the developmental model: in some observed variables, inexperience nurses acted as experts, while experienced nurses acted as advanced beginners, contrary to the expectations of Benner. The five-stage developmental competence model could not be verified empirically in this study. The findings suggest that further empirical research is needed to clarify the apparent links between situation and competence.
Publisher: Springer Nature Singapore
Date: 2020
Publisher: Wiley
Date: 27-07-2019
DOI: 10.1002/NOP2.326
Publisher: Springer Singapore
Date: 2019
Publisher: Wiley
Date: 08-2018
DOI: 10.1111/JOCN.14598
Abstract: Relative involvement is crucial in rehabilitation when patients are incapable of being involved due to cognitive and functional dysfunction. However, studies have shown that this is complex because of differing understandings of the meaning of involvement as well as erse needs to be involved. To explore the experience of the rehabilitation process from the perspectives of relatives of patients with a traumatic brain injury. The aim of the study was, through a theoretical-empirical analysis, to identify relatives' strategies and practices in the rehabilitation process as evidenced in meetings with providers. A longitudinal study with a qualitative approach, drawing on the theory of Pierre Bourdieu. Data were generated using participant observation and semi-structured interviews. Participants were eleven relatives of patients with a severe traumatic brain injury, followed through in-patient rehabilitation varying from 9-12 weeks. Analysis was undertaken using both an inductive and deductive approach. Drawing on Bourdieu's concept of strategy, three relative positions were identified, the warrior, the observer and the hesitant. These positions illustrate how different relative positions and their related dispositions influence the strategies used by relatives of patients with a severe traumatic brain injury evidenced in how they act, participate and relate to both the patient and the providers during the course of rehabilitation. Acknowledging the relatives' positions during the rehabilitation process enables better understanding and support of the relatives in the rehabilitation process to meet their (and thus the patients') erse needs. The findings have practical implications in informing how clinicians meet, interact, communicate and involve relatives of adult patients' with traumatic brain injury in decision-making during rehabilitation.
Publisher: Wiley
Date: 27-09-2020
DOI: 10.1111/HEX.13134
No related grants have been discovered for kristian larsen.