1. Multidimensional factors determine skill acquisition development in Guided <scp>Self‐Determination</scp> : A qualitative study
- Author
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Pernille Dehn, Susan Munch Simonsen, and Mette Linnet Olesen
- Subjects
professional competence [mesh] ,Motivation ,Public Health, Environmental and Occupational Health ,education [CINAHL subject heading] ,learning [mesh] ,Guided Self-Determination ,patient-centred care [mesh] ,Dreyfus model of skill acquisition ,Patient-Centered Care ,Humans ,Learning ,Female ,person-centred care ,Delivery of Health Care ,Qualitative Research ,competence development - Abstract
AIM: The aim of the study was to investigate nurses' skill acquisition in Guided Self-Determination according to the Dreyfus model of skill acquisition and Patricia Benner's studies based on the same model.BACKGROUND: Globally, person-centred care is acknowledged as an essential aspect of quality in health care. To succeed with person-centred care methods and skills are necessary. Guided Self-Determination is a person-centred method developed in the field of nursing. The method represents a new way of skill acquisition requiring knowledge of how skills are acquired, unfolded and best supported in Guided Self-Determination.DESIGN: Qualitative interview study.METHOD: From January 2019 to August 2019, 16 nurses were interviewed about their experiences of learning and using Guided Self-Determination in three different gynaecological settings: cancer, endometriosis and sexual abuse. The study was registered with the Danish Data Protection Agency (file no.: VD-2018-445, I-Suite no.: 6700).RESULTS: The spectrum in Guided Self-Determination acquisition skills ranged from following schematical procedures in a rigorous way to an extended understanding of exploring and supporting the person-centred concept. Two main themes were identified: Elements in the transition of knowledge from theory to practice and Aspects associated with Guided Self-Determination skill acquisition.CONCLUSIONS: Nurses practised Guided Self-Determination at different levels. Quantity of practising Guided Self-Determination was not the only aspect determining rapid progression. The Dreyfus model lacked several explanatory components of skill acquisition, such as personal dispositions, preferences, motivation, personal values and context.
- Published
- 2022
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