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Cited by 27Nursing education and managementHealthcare Education and Workforce IssuesNursing Roles and Practices

The acquisition and exercise of nephrology nursing expertise: a grounded theory study

Open access
Bonner, Ann, Greenwood, Jennifer·2006·Journal of Clinical Nursing
DOI 10.1111/j.1365-2702.2006.01361.x
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Abstract

Aims and objectives. This purpose of this study was to describe the process of expertise acquisition in nephrology nursing practice. Background. It has been recognized for a number of decades that experts, compared with other practitioners in a number of professions and occupations, are the most knowledgeable and effective, in terms of both the quantity and quality of output. Studies relating to expertise have been undertaken in a range of nursing contexts and specialties; to date, however, none have been undertaken which focus on nephrology nursing. Design. This study, using grounded theory methodology, took place in one renal unit in New South Wales, Australia and involved six non‐expert and 11 expert nurses. Methods. Simultaneous data collection and analysis took place using participant observation, semi‐structured interviews and review of nursing documentation. Findings. The study revealed a three‐stage skills‐acquisitive process that was identified as non‐expert, experienced non‐expert and expert stages. Each stage was typified by four characteristics, which altered during the acquisitive process; these were knowledge, experience, skill and focus. Conclusion. This was the first study to explore nephrology nursing expertise and uncovered new aspects of expertise not documented in the literature and it also made explicit other areas, which had only been previously implied. Relevance to clinical practice. Of significance to nursing, the exercise of expertise is a function of the recognition of expertise by others and it includes the blurring of the normal boundaries of professional practice.

AI snapshot

Written from the paper’s full text.

TL;DR

This grounded theory study of nephrology nurses in one Australian renal unit describes expertise acquisition as a three-stage process (non-expert, experienced non-expert, expert) shaped by four interrelated characteristics: knowledge, experience, skill and focus. It adds two features not previously documented in nursing: the exercise of expertise depends on recognition by others, and experts blur the normal boundaries of professional practice.

Key findings

  • Expertise acquisition proceeded through three stages — non-expert, experienced non-expert and expert — each typified by four characteristics that altered across the process: knowledge (superficial → extensive), experience (limited → vast), skill (restricted/rule-bound → self-directing/autonomous) and focus (task → patient).
  • Progression to the expert stage required prerequisites absent in non-expert data and only limited in experienced non-expert data: recognition of expertise by others, obligation and commitment, and motivation for and enjoyment of nephrology nursing.
  • Two novel findings: expert nurses could exercise advanced skills only when others (patients, nurses, doctors) recognised them as experts, and only experts blurred professional boundaries — prescribing, dispensing and ordering pathology tests, and also blurring home/work boundaries by visiting patients off-duty.
  • Experience alone was insufficient: more than five years in nephrology nursing was not the sole determinant of expertise, and knowledge in isolation was likewise not sufficient.

Methods

  • Grounded theory study in one renal unit in New South Wales, Australia, with purposive then theoretical sampling of 6 non-expert and 11 expert nurses; participants were classified using selection criteria (postgraduate nephrology qualification, length of experience, level of practice, personal characteristics, peer rating) with a panel of senior nurses.
  • Data collected over nine months (June 1999–March 2000): 32 episodes (103 hours) of participant observation, 37 interviews (24 hours), and 10 episodes of nursing documentation; interviews followed every observation episode and were tape recorded and transcribed verbatim.
  • Simultaneous data collection and analysis using substantive and theoretical coding, beginning with line-by-line analysis; a third group, experienced non-experts, emerged for nurses who fitted neither original group.

Limitations

  • Stated by the authors: the study was descriptive and theory-generating, and findings cannot be generalised because the sample was confined to one renal unit with a small number of participants, so they may not apply to other nephrology nurses, renal units or fields of nursing.
  • Stated by the authors: only a limited amount of documentary data was collected, owing to specific contextual factors.
  • Evident in the text: expert/non-expert status was determined by a panel using preset criteria and peer recognition, so the expert group is defined partly by the same recognition mechanism the study identifies as central to expertise.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1111/j.1365-2702.2006.01361.x

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

4 of 37 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured

  • Interpretationcitation
    § Expert Nephrology Nurses

    In order to perform skills at this advanced level, expert nurses needed to be recognised by others as expert.

    “In order to perform skills at this advanced level, expert nurses needed to be recognised by others as expert (Bonner 2003).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Bonner 2003 source
  • Findingcitation
    § Discussion

    The centrality of the recognition of expertise was a necessary feature for the exercise of expert practice.

    “Firstly, the centrality of the recognition of expertise was a necessary feature for the exercise of expert practice.”
    • Also stated in: § Discussion · hedged
      “That is, expert nephrology nurses could only exercise their advanced nursing skills when others recognised them as having expertise (Bonner, 2003).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Bonner, 2003 source
  • Interpretationcitation
    § Abstract

    The exercise of expertise is a function of the recognition of expertise by others.

    “the exercise of expertise is a function of the recognition of expertise by others”
    • Also stated in: § Expert Nephrology Nurses · plain
      “In order to perform skills at this advanced level, expert nurses needed to be recognised by others as expert (Bonner 2003).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Bonner 2003 source

      The Recognition of expertise section and Conclusions say that nephrology nurses must be recognised by others as experts in order to practise as experts. The citing sentence captures that finding but states it about expertise generally, beyond the nephrology nursing setting studied. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Findingreasoning
    § Abstract

    The exercise of expertise includes the blurring of the normal boundaries of professional practice.

    “it includes the blurring of the normal boundaries of professional practice.”
    • Also stated in: § Expert Nephrology Nurses · plain
      “Such extension included the blurring of the boundaries of normal nursing practice; for example, they prescribed and dispensed medications.”
    Quote in the paperSubstantial claim
  • Findingnone given
    § [Insert diagram one]

    The level of domain-specific knowledge possessed by a nephrology nurse ranged from superficial (non-expert) to extensive (expert).

    “The level of domain-specific knowledge possessed by a nephrology nurse ranged from superficial (non-expert nurse) through to extensive (expert nurse).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 15
  • May combine two claims. 29

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    The nursing literature is replete with studies of novice-expert differences in the performance of particular nursing skills such as pressure sore treatment, pain assessment and administration of analgesia, and why an infant is crying.

    “To date, the nursing literature is replete with studies of novice-expert differences in the performance of particular nursing skills such as pressure sore treatment (Lamond & Farnell 1998), pain assessment and administration of analgesia (Noyes 1995, Hamers et al 1997) and why an infant is crying (Holden & Klinger 1988).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Lamond & Farnell 1998 source
    • cites Noyes 1995, Hamers et al 1997

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Holden & Klinger 1988 source

  • May combine two claims.

    Findingown data
    § Experienced Non-Expert Nephrology Nurses

    By the experienced non-expert stage, nurses had acquired adequate experience and were very good at exercising many routine skills required of nephrology nurses.

    “By this stage nurses have acquired adequate experience and were very good at”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingcitation
    § Discussion

    Expert nurses' focus of attention was the patient, while seamlessly integrating technology into everyday practice.

    “Their focus of attention, while seamlessly integrating technology into everyday practice (Cooper 1993, Walters 1995), was the patient”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Cooper 1993 source
    • cites Walters 1995 source

  • May combine two claims.

    Findingown data
    § Data Collection And Analysis

    During continued open coding of the non-expert data, it became clear that non-expert nurses' level of ability and depth of knowledge were different and could be contrasted with those of experts.

    “It became clear during continued open coding of the non-expert data that their level of ability and depth of knowledge were different and could be contrasted with those of experts.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Discussion

    Expert nurses chose the patients who needed single siting and established the sites.

    “expert nurses chose the patients who needed single siting and established the sites.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingnone given
    § [Insert diagram one]

    Observation of another nurse's practice was a source of both instruction and motivation.

    “Observation of another nurse's practice was a source of both instruction and motivation.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data
    § Non-Expert Nephrology Nurses

    Non-expert nurses possessed relatively little domain nursing knowledge and tended to rely on general nursing knowledge.

    “Non-expert nurses possessed relatively little domain nursing knowledge, and they tended to rely on general nursing knowledge.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Expert Nephrology Nurses

    Expert nurses felt an obligation and commitment to their patients and other nurses.

    “In addition, expert nurses felt an obligation and commitment to their patients and other nurses (see below)”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Non-Expert Nephrology Nurses

    As a result of possessing only superficial nephrology nursing knowledge, non-expert nurses frequently provided sketchy or insufficient rationales for their practice, and their responses when interviewed were often incorrect or revealed knowledge gaps.

    “As a result of possessing only superficial nephrology nursing knowledge, the non-expert nurses frequently provided sketchy or insufficient rationales for their practice, and their responses when interviewed were often incorrect or revealed knowledge gaps.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: In renal units, urea and creatinine tests are routinely conducted to determine the adequacy of haemodialysis treatment.

  • May combine two claims.

    Findingown data
    § Non-Expert Nephrology Nurses

    Although non-expert nurses believed their focus was on the patient, observational data showed their focus was on completing essential nursing tasks.

    “Although non-expert nephrology nurses believed that the focus of their attention was on the patient, it became apparent during observational data collection that their focus was clearly on trying to complete essential nursing tasks.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Experienced Non-Expert Nephrology Nurses

    Expert nursing data could be readily coded into all prerequisite categories and were seen frequently during observation and interviews.

    “Expert nursing data, in contrast, could be readily coded into all of these categories; they were seen frequently during observation episodes and were referred to frequently during interviews.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Expert Nephrology Nurses

    Expert nurses blur the boundaries between home and work time by working late in the unit when required and visiting patients at home when off-duty.

    “Expert nurses also blur the boundaries between home and work time; they will work late in the unit when required and will visit patients at home when they are off-duty:”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingreasoning
    § Expert Nephrology Nurses

    Nurses, doctors, and patients recognised some nurses as experts, and this privileged them to extend the boundaries of their practice.

    “For example, nurses, doctors, and patients recognised some nurses as experts and this privileged them to extend the boundaries of their practice.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Non-Expert Nephrology Nurses

    Non-expert nurses felt rushed, not organised, and found providing nursing care in busy periods difficult.

    “During interviews questions relating to how non-expert nurses organised their workload invariably evoked responses such as that they felt”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Discussion

    Experienced non-experts could explain why single siting was being done and who was most likely to need it.

    “experienced non-experts could explain why it was being done and who was most likely to need it;”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Experienced Non-Expert Nephrology Nurses

    Experienced non-expert nurses were able to guide and direct less experienced nurses in routine nephrology nursing care activities and to cope with most patient issues that arose.

    “They were able to guide and direct less experienced nurses in routine nephrology nursing care activities and to cope with most of the patient issues that arose.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § SUMMARY

    Four interrelated characteristics (knowledge, experience, skill and focus) simultaneously influenced the level at which the nurse practiced and demonstrated the process of expertise acquisition.

    “Of significance to nursing, it identified expertise as a function of four interconnected characteristics, namely, knowledge, experience, skill and focus, each of which alters during the acquisition process.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim.

    Findingnone given
    § Discussion

    This knowledge informed the nurses about what to do, why, when, with whom, how and the likely consequences of their actions.

    “This knowledge informed the nurses about what to do, why, when, with whom, how and the likely consequences of their actions.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Non-Expert Nephrology Nurses

    Non-expert nephrology nurses are not proficient in this specialised area; their understanding of what it is to be a nephrology nurse and how to practice nephrology nursing is limited.

    “Non-expert nephrology nurses are not proficient in this specialised area of nursing: that is, their understanding of what it is to be a nephrology nurse and how to practice nephrology nursing is limited.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § Expert Nephrology Nurses

    Expert nurses possessed extensive knowledge and vast experience which enabled them to be self-directing in their practice.

    “Expert nurses possessed extensive knowledge and vast experience which enabled them to be self-directing in their practice.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data
    § SUMMARY

    Two unique features of expert nursing practice were revealed during this study: recognition of expertise and blurring of boundaries.

    “Secondly, two unique features of expert nursing practice were revealed during this study; these were recognition of expertise and blurring the boundaries.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationreasoning
    § Expert Nephrology Nurses

    Having more experience provided expert nurses with a positive feedback loop in which experience increased confidence, and increased confidence led to more advanced nursing they undertook and were allowed to undertake.

    “Having more experience provided expert nurses with a positive feedback loop in which experience increased confidence in the practice of nephrology nursing; as they developed more confidence, the more advanced nursing they undertook (and were allowed to undertake).”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim.

    Interpretationreasoning
    § Discussion

    This definition of skills diverges from existing literature in which skills tend to be narrowly defined as the performance of tasks.

    “This definition diverges from existing literature in which skills tend to be narrowly defined as the performance of tasks.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Nephrology nursing takes place in situations of uncertainty and is more complex than the ability to perform individual tasks.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § INTRODUCTION

    Nephrology nursing encompasses several subspecialty areas such as general nephrology, peritoneal dialysis, haemodialysis and renal transplantation.

    “it encompasses several subspecialty areas such as general nephrology, peritoneal dialysis, haemodialysis and renal transplantation (Stewart & Bonner 2000).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Stewart & Bonner 2000 source

  • Classified as probably not a substantial claim.

    Premisecitation
    § INTRODUCTION

    Benner suggested that nurses pass through five levels of competence in clinical practice: novice, advanced beginner, competent, proficient, and expert.

    “Benner suggested that nurses pass through five levels of competence in clinical practice. These levels are novice, advanced beginner, competent, proficient and expert.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Benner 1984 source

  • May combine two claims.

    Interpretationown data
    § [Insert diagram one]

    When practising, nurses acquired feedback from themselves, patients, other nurses, equipment, etc., regarding their performance, and this feedback was incorporated into future performances.

    “When practising, nurses would also acquire feedback from themselves, patients, other nurses, equipment, etc, regarding their performance and this feedback would be incorporated into future performances of the procedure.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § INTRODUCTION

    Many nurses see the pinnacle of achievement as the attainment of expertise.

    “and many nurses see the pinnacle of achievement as the attainment of expertise (Jasper 1994).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jasper 1994 source

  • Classified as probably not a substantial claim.

    Premisenone given
    § INTRODUCTION

    The ability to move beyond theoretical principles distinguishes experts from non-experts.

    “This ability distinguishes experts from nonexperts”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data
    § Discussion

    This study adds to the literature on expertise acquisition and exercise in relation to the importance of expertise recognition in the exercise of expertise, the experts' blurring of boundaries to streamline and facilitate care, and focus of care.

    “Importantly, however, it also adds to this literature, particularly in relation to the importance of expertise recognition in the exercise of expertise; the experts' blurring of boundaries to streamline and facilitate care; and, focus of care.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim.

    Interpretationown data
    § Abstract

    The study made explicit areas of expertise that had only been previously implied.

    “it also made explicit other areas which had only been previously implied.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation
    § INTRODUCTION

    An expert nurse displays advanced levels of skill and knowledge gained through experience, with the ability not only to apply but also to move beyond theoretical principles.

    “An expert nurse is a person who displays advanced levels of skill and knowledge (Jasper 1994) gained through experience (Benner 1984) with the ability not only to apply but also to move beyond theoretical principles.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Jasper 1994 source
    • cites Benner 1984 source

  • Classified as probably not a substantial claim.

    Premisecitation
    § INTRODUCTION

    Nephrology nursing has evolved into a distinct specialty area of nursing in response to the complex health care needs of people with renal failure.

    “Nephrology nursing has evolved into a distinct specialty area of nursing in responses to the complex health care needs of people with renal failure (Parker 1998, Bevan 1998, Polaschek 2003)”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Parker 1998

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Bevan 1998 source
    • cites Polaschek 2003 source

  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given
    § Data Collection And Analysis

    Eventually no new categories emerged and a sense of closure of data collection was achieved.

    “Eventually no new categories emerged and a sense of closure of data collection was achieved.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data
    § Experienced Non-Expert Nephrology Nurses

    Progression to the final stage of expertise acquisition could only be achieved when several prerequisites had been satisfied: recognition of expertise by others, having an obligation and commitment to nephrology nursing, and having motivation for and enjoyment of nephrology nursing.

    “Progression to the final stage of expertise acquisition could only be achieved when several prerequisites had been satisfied.These were conceptualised as recognition of expertise [by others], having an obligation and commitment to and having motivation for and enjoyment of nephrology nursing.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Premisecitation
    § Discussion

    Domain knowledge informs practice and practice, in turn, shapes knowledge.

    “Domain knowledge, according to Reischman and Yarandi (2002), informs practice and practice, in turn, shapes knowledge.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Reischman and Yarandi (2002) source

  • May combine two claims.

    Interpretationown data
    § Non-Expert Nephrology Nurses

    During the non-expert stage, nurses learn ward routines, begin to understand typical patient issues, what nursing actions to implement, and can start to identify rationales underpinning those actions.

    “It is during this stage that non-expert nephrology nurses learn the ward routines, begin to understand typical patient issues or problems that arise, and what nursing actions to implement, and can start to identify the rationales underpinning those actions.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data
    § Expert Nephrology Nurses

    This extensive knowledge provided greater knowledge to support expert nurses' practice and allowed them to be at the forefront of nephrology nursing.

    “This provided greater knowledge to support their practice (rationales) and allowed them to be at the forefront of nephrology nursing.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationown data
    § Discussion

    Skills are a more generalised ability or expertness which came from or was learned from practice and experience.

    “the present study has extended the discipline's understanding of skilfulness by revealing that skills are a more generalised ability or expertness which came from or was learned from practice and experience.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Nephrology nursing takes place in situations of uncertainty and is more complex than the ability to perform individual tasks.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation
    § Discussion

    This finding is consistent with findings in other domains, for example chess, music and sports.

    “and this, too, is consistent with findings in other domains for example chess (Charness el al 1996), music (Sloboda 1996) and sports (Starkes et al 1996, Thomas & Thomas 1999).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Charness el al 1996

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Sloboda 1996

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Starkes et al 1996, Thomas & Thomas 1999

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationown data
    § Study Limitations

    The findings cannot be generalised as the sample was confined to one renal unit and consisted of a small number of participants.

    “The findings, however, cannot be generalised as the sample was confined to one renal unit and consisted of a small number of participants.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationnone given
    § Study Limitations

    The findings provide an important reference point for nurses seeking to examine the practice of expert nurses.

    “as they provide an important reference point for nurses seeking to examine the practice of expert nurses.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Study design and conductcitation
    § Study Limitations

    The findings can be verified.

    “Nevertheless the findings can be verified (Strauss & Corbin 1998)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Strauss & Corbin 1998

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

42 of 42

  • The paper relies on this without support.

    Experts, compared to other practitioners in a number of professions and occupations, are the most knowledgeable and effective in terms of both the quantity and quality of output.

    “It has been recognised for a number of decades that experts, compared to other practitioners in a number of professions and occupations, are the most knowledgeable and effective, in terms of both the quantity and quality of output.”
    “It has been recognised for a number of decades that experts, compared to other practitioners in a number of professions and occupations, are the most knowledgeable and effective, in terms of both the quantity and quality of output.”

  • The paper relies on this without support.

    In renal units, urea and creatinine tests are routinely conducted to determine the adequacy of haemodialysis treatment.

    “Urea and creatinine levels can reflect kidney function in the normal person but in renal units, these tests are routinely conducted to determine the adequacy of haemodialysis treatment.”

  • The paper relies on this without support.

    Nephrology nursing takes place in situations of uncertainty and is more complex than the ability to perform individual tasks.

    “Nephrology nursing, however, takes place in situations of uncertainty and is more complex than the ability to perform individual tasks.”
3 of 3

Cites

Flagged first, then by citations

Research works printed but not linked: 3

  1. Fitts PM, 1967, Human Performance
  2. Parker J, 1998, Contemporary nephrology nursing, 5
  3. Sloboda JA, 1996, The Road to Excellence: The Acquisition of Expert Performance in the Arts and Sciences, Sport, and Games, 127

Cited by

Sorted by citations

Related

Authors
Bonner, A., & Greenwood, J.
Affiliations
  • James Cook University (AU)
  • Western Sydney University (AU)
ORCID
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2006-03-13
Volume
15
Issue
4
Pages
480-489
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
DOI
10.1111/j.1365-2702.2006.01361.x
OpenAlex
W2105007490
Semantic Scholar
f0997766e1c4d5553f2401f2748c632b6336218b
Cited by
27
References
38
Citations by year
2024: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2014: 2 · 2013: 2 · 2012: 4
FWCI
6.19
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Clinical Nursing (publishedVersion)
  • PubMed (publishedVersion)
  • QUT ePrints (Queensland University of Technology) (submittedVersion)
  • ResearchOnline - JCU (James Cook University) (submittedVersion)
  • Charles Sturt University Research Output (CRO) (submittedVersion, other-oa)
  • Griffith Research Online (submittedVersion)
Topics
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
Keywords
nephrology nursing, nursing expertise, expertise acquisition, expert nurses, skill acquisition, recognition of expertise, nursing knowledge and experience
MeSH terms
Clinical Competence, Humans, Health Knowledge, Attitudes, Practice, Nephrology, New South Wales, Specialties, Nursing, Task Performance and Analysis

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