Benner's Stages of Clinical Competence
Benner’s theory (based on the Dreyfus Model of Skill Acquisition) suggests that education and experience, contribute to a nurse’s development in a way that enables them to fully understand what it means to provide high quality patient care. Benner believes that the best nurses develop skills over time, a theory that became known as “Novice to Expert”.
- Expert
- Proficient
- Competent Leader
- Advance Beginner
- Novice
A nurse gains knowledge and skills (even when they don’t realise it) that adds to their personal expertise. This idea became the “Knowing how, knowing that” element of this theory. This process follows specific steps of development, allowing an individual to progress from Novice to Expert, when given enough time and support.
Download a copy of the NAPPI Adapted Benner Chart by clicking here.
NAPPI physical skills have all undergone extensive assessment using Benner’s Stages of Clinical Competence and other assessment tools. The NAPPI risk assessment documents were developed by an Independent Biomechanical Expert who used Benner’s Stages during the review as required every two years by the Restraint Reduction Network (RRN) Training Standards (2019).
Self-Protection Skills
| Name of Skill | Benner Score |
|
| X-Shield | Novice (or above) |
|
| Grab Release | Novice (or above) |
|
| Hair Pull Release | Advanced Beginner (or above) |
|
| Bite Avoidance | Novice (or above) |
|
| Front Choke Escape | Novice (or above) |
|
NAPPI Restrictive Skills
| Name of Skill | Benner Score |
|
| Capture Wrap | Staff 1: Competent Leader (or above) - Staff 2: Advanced Beginner (or above) |
|
| Capture Wrap to Two Person Moving | Staff 1: Competent Leader (or above) - Staff 2: Advanced Beginner (or above) |
|
| Two Person Moving | Staff 1: Novice (or above) - Staff 2: Novice (or above) |
|
| Two Person Moving to Capture Wrap | Staff 1: Competent Leader (or above) - Staff 2: Advanced Beginner (or above) |
|
| One Arm Body Wrap | Competent Leader (or above) |
|
| Capture Wrap to Seated | Staff 1: Competent Leader (or above) - Staff 2: Advanced Beginner (or above) |
|
| Seated | Staff 1: Novice (or above) - Staff 2: Novice (or above) |
|
| Supine | Staff 1 & 2: One Competent Leader (or above) and One Advanced Beginner (or above) - Staff 3: Novice (or above) - Staff 4: Novice (or above) |
|
| Recovery Position | Right Arm: Competent Leader (or above) - Left Arm: Novice (or above) - Legs: Competent Leader (or above) |
|
NAPPI Clinical Holding Skills
| Name of Skill | Benner Score |
|
| One Person Stationary Laying | Staff 1: Competent Leader (or above) - Staff 2: Novice (or above) |
|
| One Person Stationary Seated | Novice (or above) |
|
| One Person Stationary Standing | Novice (or above) |
|
| Two Person Rolling Technique | Staff 1: Competent Leader (or above) - Staff 2: Novice (or above) |
|
| Two Person Stationary Laying | Securing Head: Novice (or above) - Securing Legs: Novice (or above) |
|
| Two Person Stationary Seated | Staff 1: Novice (or above) - Staff 2: Novice (or above) |
|
| Two Person Stationary Standing | Right Side: Novice (or above) - Left Side: Novice (or above) |
|
Contact Us
For further information about NAPPI Restrictive Physical skills or Clinical Holding skills and how they link to the NAPPI PBS Model, please contact the team on:
Call 01723 353353 to speak to NAPPI uk
Click here to email NAPPI uk