Commentary on Christensen M (2011) Advancing nursing practice redefining the theoretical and practical integration of knowledge. Journal of Clinical Nursing 20, 873-881.

摘要

Ever since the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) promoted the concept of advanced practice in the UK in the early 1990s, I have thought that to attempt to pin down advanced practice in the form of a definition, a set of standards or a list of competencies is to destroy the very thing that we are attempting to understand. However, to claim that advanced practice cannot be defined is not to say that it cannot be discussed and theorised. Thus, the typology of knowledge for advanced practice that I first advocated in the 1990s (Rolfe 1998), and which Christensen (2011) has recently revived and revised, proposed that we understand advanced practice in terms of the process of knowledge acquisition, in much the same way that Benner (1984) had earlier attempted to characterise expertise. In fact, my vision of the development of the advanced practitioner more or less followed Benner's model of knowledge acquisition and simply added a further stage beyond expertise.