In 1984, Benner outlined an adaptation of the Dreyfus model of skill acquisition (which was originally developed to train military helicopter pilots) as applied to Nursing Her model suggests a number of stages on the way to becoming a skilled practitioner. We use a model published by Gillies and Howard, adapted from Benner’s model which defines the competency level required for each skill area in terms of a six level model:
- Unskilled /Not Relevant The individual is unable to perform this skill even under instruction or the skill is not required in this role
- Novice The individual has little or no experience in this aspect. Able to perform only under close instruction or guidance.
- Learner The individual has some experience in this aspect and is able to perform with minimal day-to-day supervision but still requires regular instruction or guidance as new situations arise.
- Competent The individual performs in this aspect regularly and is able to work effectively, without supervision, on a day-to-day basis, but may need occasional instruction, guidance or support when confronted with unusual situations.
- Proficient Skilful in this aspect. The individual has a wealth of experience and functions with only managerial supervision. Is capable of demonstrating this aspect to others
- Expert Highly skilful in this aspect with several years experience. The individual has an intuitive grasp of the aspect and requires no supervision other than clinical governance. Acts as a mentor and innovator in this aspect.
Here’s another one of our films to help explain…
Using our training needs models we can help you with
- Formal assessment of capability & competency
- Nurse revalidation
- Highlighting areas for service improvement and progressive care
- Supporting improvement planning in the clinical environment
- Identifying investment required for the workforce
- Making best use of scarce training budgets
- Identifying product placement on clinical pathway
In addition, we can use a validated instrument for measuring emotional intelligence to investigate attitudes to care