1. In Sara’s story, identify examples of how the practice of the advanced beginner and the expert nurse varied. Given Benner’s conceptualization of the competent nurse, what is the impact of mandatory annual “competency” testing on the motivation of nurses to attain proficient or expert levels of practice?
2. Benner cautions against using her qualitatively identified domains of practice and competencies as a template. How can staff development nurses examine the appropriateness of Benner’s work for the development of a clinical advancement model for a particular hospital? Would factors within particular units of the hospital require variations of the proposed model?
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