Posted: July 28th, 2021

Judgment In Nursing Practice And Education -Myassignmenthelp.Com


The CAET ETNEP Program provides certification throughout the Enterostomal Treatment to the baccalaureate prepared registered nurses.  The goal of the venture is to cost private diploma of competency throughout the apply area of Wound, Ostomy and continence using the Dreyfus/Benner Model. For each of three apply areas two finding out targets will be equipped which will be anticipated to be achieved by taking the CAET ETNEP Program. The importance of this practice earlier to taking this technique may also be talked about.


On this area I want to worth myself as advance beginner as per the Dreyfus/Benner Model.

All through my first experience, with my affected particular person John, I've learnt that wound care means treating the complete affected particular person, and by no means merely specializing within the wound. Whereas working with my mentor, all through final 12 months, she evaluated my experience. As per her outcomes, I am competent in preliminary analysis and evaluating the wound analysis information for designing the remedy plan. However, I was not competent about deciphering a number of sorts of wound ulcers, variations in administration of malignant wound and enchancment of care plan. I was competent in guiding completely different nurses in wound care course of.

In line with the Dreyfus/Benner model, a newly graduated nurse might be on this stage, acutely aware of her approved obligation for victims nonetheless have not carried out the manager capabilities. At this stage a nurse pays shut consideration to the effectivity of colleagues. However, might extraordinarily rely on the textbook accounts of victims indicators and uncover it is troublesome to measure the diploma of severity and delicate variation which explains my experience (Benner, 2004)).   

By taking the CAET ETNEP program I would hope to realize the competence related to-

  • Deciphering the data related to pressure ulcer (historic previous, wound and risk analysis) and arrange a plan of take care of specific ulcer
  • Interpretation of data pertaining to malignant wound and nursing intervention related to its administration


Throughout the area of Ostomy care, I would worth myself as advance beginner, as per the Dreyfus/Benner Model.

As a model new graduate nurse, I am not assured totally about performing ostomy care independently. I am not scholar, nonetheless not even a registered nurse. All through my preliminary years of graduation, I felt scared of ostomy than one other surgical course of. My experiences with mentor helped me purchase intense knowledge in ostomy care. I understand the pathophysiology, anatomy of gastrointestinal system and surgical procedures associated to it. I was competent in giving personalised care and serving to in sustaining healthful energetic lifestyle, to one in every of many affected particular person in geriatric care. He was 65 years outdated, with abdominoperineal resection,. I was competent in stomach analysis, and deciding on the position of the stoma, that is easy for the affected particular person to take care. I had realized a variety of ostomy course of counting on the position of the sickness. However, I was not competent in stoma care in a number of age groups as a result of it requires completely completely different experience.

In line with Brykczynski (2013), Dreyfus/Benner Model, in a number of areas of apply a practioner is also at completely completely different ranges of experience primarily based totally on experience and knowledge. For example caring for grownup and youthful teen for equivalent illness might require completely completely different expertise set. The expertise model talked about by Dreyfus/Benner emphasise that further experience comes from elevated grasp on express scientific state of affairs, which furthers guides the nursing interactions and actions.

By taking the CAET ETNEP program I would hope to realize the subsequent finding out targets on this area-

  • Provoke measures to mange a fistula (topical damaging pressure treatment, suction, pouching system and others)
  • Implement measures to deal with and cease peritube pores and pores and skin hurt



Owing to my experience and knowledge, I would worth myself on this area as advance beginner considering the Dreyfus/Benner Model.

As a model new graduate nurse on this area, I am properly acquainted with the ultimate concepts of continence. I can implement continence promotion and coaching in every day apply. I am self assured regarding the continence analysis. All through my final 12 months, I labored with my mentor on affected particular person with bowel incontinence and malignancy. It was extraordinarily troublesome for me to interpret information related to bowel incontinence along with malignancies and fistula. However, I managed to design a care plan with out help of senior nurse. I needed help of books and video tutorials for administration of bowel incontinence significantly antigrade colonic course of. I was competent in researching about new nursing developments in nursing administration of urinary or faecal incontinence. I did not interpret information pertaining to urinary incontinence involving Paget’s sickness, in a single case of male affected particular person.

In line with Golnik (2014), Dreyfus/Benner Model, the centre to the logic of fantastic apply, is responding about express concern in any state of affairs. Interventions might be greater developed by clarifying the character of the particular scientific state of affairs. Advance rookies nonetheless, do not actually really feel the need to look to completely different nurses to fulfil their obligation. At this stage, a nurse can seek for credible sources and provide of data to position into use when caught with express scientific state of affairs.

By taking the CAET ETNEP program I would hope to realize the subsequent finding out targets on this area-

  • To understand competence in implementing interventions to deal with urinary incontinence significantly suprapubic catheterization and intermittent catheterization
  • Deal with bowel incontinences via nursing interventions akin to affected particular person teaching and adjust to up, and containment devices

Significance of ending the form of practice earlier to starting the ETNEP program

It is extremely vital perform the form of practice, earlier to starting the ETNEP program to guage and doc expert competencies. It is needed all through the, context of fixing desires in apply and coaching. It is extremely vital think about effectivity, for making use of the nursing knowledge efficiently (Lyon, 2014). This form of apply helps set up the areas of enchancment and finding out targets for future apply, as one shows on moments from earlier and concrete experiences.  It explains what is assumed and what have to be excelled to vary into an skilled nurse (Tranquillo & Stecker, 2016).


In conclusion, Dreyfus/Benner Model is useful framework for assessing the completely completely different phases progress of nurses. This model is further centered on explaining how nurses buy the info and experience required in apply. It could be concluded from personal experience that, experience acquisition is the long term course of. It takes variety of scientific conditions and engagement with victims and households. A beginner nurse is one which follows a set protocol nonetheless the skilled nurse is the one who can current most lovely nursing care. The coaching targets might help in personal transition to skilled nurse, by taking the ETNEP program.



Benner, P. (2004). Using the Dreyfus model of expertise acquisition to clarify and interpret expertise acquisition and scientific judgment in nursing apply and coaching. Bulletin of science, know-how & society, vol. 24 no. three, pp. 188-199. doi/abs/10.1177/0270467604265061

Brykczynski, Okay. A. (2013). Benner’s philosophy in nursing apply. Nursing Precept-E-E-book: Utilization & Software program, pp. 118. Retrieved from:

Golnik, Okay. C. (2014). Analysis concepts and devices. Middle East African journal of ophthalmology, vol. 21 no. 2, pp. 109. doi:  10.4103/0974-9233.129746

Lyon, L. J. (2014). Progress of teaching expertise thought of via the Dreyfus model of expertise acquisition. Journal of the Scholarship of Educating and Finding out, vol. 15 no. 1, pp. 88-105. Retrieved from:

Tranquillo, J., & Stecker, M. (2016). Using intrinsic and extrinsic motivation in persevering with expert coaching. Surgical neurology worldwide, 7(Suppl 7), S197. doi:  10.4103/2152-7806.179231

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