Clinical Wisdom and Interventions in Acute and Critical Care

Patricia Benner, PhD, RN, FAAN, is a professor emerita of nursing in the Department of Social and Behavioral Sciences Nursing at the University of California, San Francisco (UCSF). She is a fellow in the American Academy of Nursing and an honorary fellow in the Royal College of Nursing, United Kingdom. She is the author of From Novice to Expert: Excellence and Power in Clinical Nursing Practice, which has been translated into 10 languages and provides the background for this research; has coauthored with Judith Wrubel in The Primacy of Caring, Stress and Coping in Health and Illness; Expertise in Nursing Practice: Caring, Clinical Judgment and Ethics with Christine Tanner and Catherine Chesla; and The Carnegie Foundation for the Advancement of Teaching National Nursing Education Study entitled, Educating Nurses: A Call for Radical Transformation (Benner, Sutphen, Leonard, & Day, 2010). Dr. Benner coedited Interpretive Phenomenology in Health Care Research (Chan, Brykczynski, Malone, & Benner, 2010). Dr. Benner is currently conducting research on clinical knowledge and experiential learning of nurses caring for wounded warriors in combat zones with Dr. Patricia Kelley and colleagues from the Federal Tri-Service Research Program. ||Patricia Hooper Kyriakidis, PhD, RN, is a consultant and researcher at Practice Solutions, Inc., in Nashville, Tennessee. As a consultant, she educates and consults on the development of expertise, educational, and administrative conditions that support practice development, understanding practice using interpretative methods, and professional recognition programs. In her research, she examines clinical knowledge development, clinical judgment, and the clinical, administrative, and educational conditions that support or impede the development of practice. Her clinical, educational, and research publications are in journals such as Advanced Practice Nursing Quarterly , Clinical Nurse Specialist , Critical Care Nurse , Critical Care Nursing Clinics of North America , and Journal of Cardiovascular Nursing . She is currently working with Dr. Joan Vitello-Cicciu on an interpretive study that examines the effects of applying Benner's research implications on the clinical and ethical development of new nurses over their first 2 years in practice. |Daphne Stannard, PhD, RN, CCRN, CCNS, FCCM, is the Associate Chief Nurse Researcher and Perianesthesia Clinical Nurse Specialist at UCSF Medical Center. She is a member of the American Association of Critical-Care Nurses, American Society of Anesthesiologists, American Society of Perianesthesia Nurses, Association of periOperative Registered Nurses, National Association of Clinical Nurse Specialists, Sigma Theta Tau, Society of Critical Care Medicine, and the Western Institute of Nursing. With Drs. Benner and Hooper-Kyriakidis, she is co-recipient of the AJN Book of the Year Award and Media of the Year Awards (noted above). She has contributed 13 peer-reviewed journal articles, 9 book chapters, and co-edited the recently published text, Perianesthesia Nursing Care: A Bedside Guide to Safe Recovery (Jones & Bartlett).

Contents

Foreword

Foreword II

Preface

Acknowledgments

Abbreviations



1. Thinking-in-Action and Reasoning-in-Transition: An Overview


2. Clinical Grasp and Clinical Inquiry: Problem Identifi cation and
Clinical Problem Solving


3. Clinical Imagination and Clinical Forethought: Anticipating and
Preventing Potential Problems


4. Diagnosing and Managing Life-Sustaining Physiologic Functions in
Acutely Ill and Unstable Patients


5. The Skilled Know-How of Managing a Crisis


6. Providing Comfort Measures for the Critically and Acutely Ill


7. Caring for Patients' Families


8. Preventing Hazards in a Technological Environment


9. Facing Death: End-of-Life Care and Decision Making


10. Making a Case: Communicating Clinical Assessment and
Improving Teamwork


11. Patient Safety: Monitoring Quality, Preventing, and
Managing Practice Breakdown


12. The Skilled Know-How of Clinical and Moral Leadership and the
Coaching and Mentoring of Others


13. Educational Strategies and Implications


Appendix

Glossary

Index