Class 2 Unit 8 COMMENT 1

Purpose: Comment the Discussion


Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources. A paragraph-200 words.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition


Topic 1: Conceptual-Theory-Empirical

Writing in the voice of your chosen theorist, describe the Conceptual-Theory-Empirical (C-T-E) structure process you used in creating your theory?

R/ Conceptual-Theory-Empirical

I have worked in various settings, including intensive care unit and emergency rooms. Over time I noticed that patient care and collaboration was impacted by nurses knowledge and skills (Brykczynski, 2014b). My theory was developed as a product of interviews, observations of nurses, and personal experience. My theory was influenced by Virginia Henderson and was guided by the Dreyfus Model of Skill Acquisition. I found that learning was not a one-time experience but happened along a continuum. I used the same steps identified by the Dreyfus Model, including novice, advanced beginner, competent, proficient and expert, thus establishing a connection between my theory and the Dreyfus’ concept model (Brykczynski, 2014a).


My theory is significant because it impact the standards of practice and has being used to provide a framework for nursing education and advancement. My theory remains relevant today as many facilities offer internship, externships, and classes for new nurses but a new standardized approach is needed to ensure consistency of quality, content, and structure (Parsh & Taylor, 2013). The concepts I have identified may be used to support novice nurses as they transition from the classroom to professional nursing practice to the advanced beginner stage of skill. As the complexity of healthcare increases and more nurses reach the stage of retirement, there will be fewer experience nurses and more novice nurses in the workforce. I use the same concepts throughout my theory to maintain consistency and by focusing on novice to expert, the theory remained concise. For example, a novice nurse is any nurse without experience for a new role, even if that nurse was an expert in another specialty.


My theory has proven successful through practical applications. Hill (2010) showed the practical significance and testability of my theory in research with findings that the years of experience support nursing expertise and have a positive impact on quality of care. Hill discovered that as nursing experience increased, the rates of falls and hospital acquired pressure ulcers decreased. My theory is useful as a framework of practice but has minimal ability for testing and predictions. The findings of my study have also been used to help nurses understand the complexity of practice and develop their own expertise.


Brykczynski, K. A. (2014a). Caring, clinical wisdom, and ethics in nursing practice. In M. Alligood (Ed.). Nursing theorist and their work (8th ed., pp. 120-146). St Louis, MO: Elsevier.

Brykczynski, K. A. (2014b). Benner’s philosophy in nursing practice. In M. Alligood (Ed.). Nursing theory: Utilization and application (5th ed., pp. 118-137). St Louis, MO: Elsevier.

Hill, K. (2010). Improving quality and patient safety by retaining nursing expertise. OJIN: The Online Journal of Issues in Nursing, 15(3). doi:10.3912/OJIN. Vol15No03PPT03

Masters, K. (2015). Clinical wisdom in nursing practice: Patricia Benner. In Nursing theories: A framework for professional practice (2nd ed., pp. 63-72). Burlington, MA: Jones & Bartlett Learning.

Parsh, B., & Taylor, E. (2013). Benefits of residency programs for new grad

Capstone Project: Milestone 1: Practice Issue And Evidence Summary Worksheet