CAREER PATHWAY OF NURSE PRACTITIONERS

A program designed to give the RN the chance to develop her full potential in nursing and acknowledge that clinical expertise through the clinical ladder. It addresses the clinical excellence in the area of knowledge, performance, job sensitivity and contributions made to nursing practice. It reflects clinical promotions with increasing responsibilities and rewards.

EXPERT PROFICIENT COMPETENT ADVANCE BEGINNER

NOVICE
Skill Development Innovativeness & Creativeness Analysis & Planning

FOCUS

Leadership

Confidence

Teaching Directing Coaching Supporting Supporting Delegating

PROFESSIONAL MATURATION & MASTERY OF A RN Dr. Maria Linda G. Buhat

NOVICE

Performs basic nursing procedures based on PPCR utilizing the nursing process. Staff nurse BSN degree, with current license, with or without experience Standards/Activities - Institutions to conduct competency level assessment. - Conduct training programs based on learning needs identified. - Training programs in all levels to be submitted to ANSAP.

ADVANCE BEGINNER
Demonstrates skills competency to basic nursing procedures. Able to plan comprehensive NCP utilizing the nursing process. Charge Nurse/Headnurse/Nurse Clinician 1 With minimum of 9 units in MAN, with experience of 2 years related to clinical experience Standards/Activities (Refer to Handout)

COMPETENT
Able to rebate/confer/coordinate with physicians and other members of the health team on a specific and appropriate nursing management. Supervisors/Clinical Instructors/Nurse Clinician II With minimum of 30 units in MAN, with minimum of 5 years related clinical experience Standards/Activities (Refer to Handout)

PROFICIENT

Able to apply and implement innovations based on experiences/resources/studies in nursing care management. Chief Nurse/Clinical Nurse Specialist MAN, with 8 years related clinical experience preferably in area of specialization. Standards/Activities (Refer to Handout)

EXPERT
Act as consultant / resource person in nursing. Nursing consultant MAN, with doctoral units of PhD, with 12 years related clinical experience, with accredited nursing specialty Standard/Activities (Refer to Handout)

DREYFUS MODEL: From Novice to Expert

NOVICE
Person has no background experience of situation. To guide performance, context free rules & objective attributes must be given. Have difficulty discriminating between relevant & irrelevant aspects of a situation.

ADVANCE BEGINNER
Has sufficient experience to easily understand aspects of the situation. They view clinical situations as a challenge of their abilities & the demands of the situation placed on them instead of the patients needs. They feel more responsible for managing patient care, yet they still rely on the help of those who have more experience.

DREYFUS MODEL: From Novice to Expert

COMPETENT
It considers consistency, predictability & time management as essential components. Increase level of efficiency is evident.

PROFICIENT
Perceives the situation as a whole rather than in terms of aspects & performance is guided by maxims. They no longer rely on present goals for organization, & they show an increased confidence in their knowledge & skills.

DREYFUS MODEL: From Novice to Expert

EXPERT
Possess an intuitive grasp of the problem without losing time considering a range of alternative diagnosis & solutions. Key aspects are as follows: a) Demonstrating a clinical grasp & resource-based practice b) Possessing embodied knowledge c) Seeing the big picture d) Seeing the unexpected