1. Uncovering the Knowledge Embedded in Clinical Nursing Practice. 2. The Dreyfus Model of Skill Acquisition Applied to Nursing. 3. An Interpretive Approach Identifying and Describing Knowledge. 4. Helping Role. 5. Teaching-Coaching Function. 6. Diagnostic Monitoring 7. Effective Management Rapidly Changing Situations. 8. Administering Therapeutic Interventions Regimens. 9. Ensuring Quality Health Care Practices. 10. Organizational Work-Role Competencies. 11. Implications for Research 12....

Numerical simulation of large-scale dynamical systems plays a fundamental role in studying wide range complex physical phenomena; however, the inherent nature models often leads to unmanageable demands on computational resources. Model reduction aims reduce this burden by generating reduced that are faster and cheaper simulate, yet accurately represent original system behavior. linear, nonparametric has reached considerable level maturity, as reflected several survey papers books. However,...

Three studies using the Dreyfus model of skill acquisition were conducted over a period 21 years. Nurses with range experience and reported skill-fulness interviewed. Each study used nurses’ narrative accounts actual clinical situations. A subsample participants observed interviewed at work. These extend understanding to complex, underdetermined, fast-paced practices. The involvement development moral agency are linked expertise, change as practitioner becomes more skillful. who had some...

Nurses' discourse about knowing the patient emerged as a recurring theme in an interpretive phenomenological study of development expertise critical care nursing. The purpose this article is to present analyses related meaning patient, and its role everyday nursing practice. informants were 130 nurses who practiced adult, pediatric newborn intensive units eight hospitals three metropolitan areas. data group interviews which gave narrative accounts exemplars from their practice; addition,...

A Heideggerian phenomenological approach to explanation, prediction, and understanding in the study of health, illness, disease is presented. The extremes objectification subjectivism as barriers illness suffering are explored. It argued that meaning terms essential when studying practical activity relational issues, a privileged position not gained by developing structural analyses or power get behind beyond meaning. Hermeneutics, interpretive methodology, holistic strategy because it seeks...

The purpose of this study was to further explicate the Dreyfus Model Skill Acquisition in practice critical care nursing. For analysis data were used from a sample 105 nurses practicing adult, pediatric, and newborn intensive units eight hospitals three metropolitan areas. composed group interviews which gave narrative accounts exemplars their close observations personal history subsample nurses. Two interrelated aspects found distinguish four levels practice, advanced beginner through...

Abstract We study large‐scale, continuous‐time linear time‐invariant control systems with a sparse or structured state matrix and relatively small number of inputs outputs. The main contributions this paper are numerical algorithms for the solution large algebraic Lyapunov Riccati equations linear‐quadratic optimal problems, which arise from such systems. First, we review an alternating direction implicit iteration‐based method to compute approximate low‐rank Cholesky factors large‐scale...

We discuss the relation of a certain type generalized Lyapunov equations to Gramians stochastic and bilinear systems together with corresponding energy functionals. While functionals linear show strong correspondence analogous objects for deterministic systems, is less obvious. results from literature latter problem provide new characterizations input output energies in terms algebraic satisfying equations. In any considered cases, definition allows us compute balancing transformations...

Abstract The purpose of this work is the development a trained artificial neural network for surrogate modeling mechanical response elasto-viscoplastic grain microstructures. To end, U-Net-based convolutional (CNN) using results von Mises stress field from numerical solution initial-boundary-value problems (IBVPs) equilibrium in such microstructures subject to quasi-static uniaxial extension. resulting CNN (tCNN) accurately reproduces about 500 times faster than solutions corresponding IBVP...

The Poisson-Boltzmann equation (PBE) is an implicit solvent continuum model for calculating the electrostatic potential and energies of ionic solvated biomolecules. However, its numerical solution remains a significant challenge due strong singularities nonlinearity caused by singular source terms exponential nonlinear terms, respectively. An efficient method treatment in linear PBE was introduced \cite{BeKKKS:18}, that based on RS tensor decomposition both discretized Dirac delta...

1A clinical nurse II in the Cancer Research Institute at University of California San Francisco. At time described this exemplar, Ms. Orlick was working on a general surgical unit California, Francisco Medical Center 2Associate professor School Nursing Francisco, is consultant for column

Abstract Nursing practice invites nurses to embody caring practices that meet, comfort and empower vulnerable others. Such a requires commitment meeting helping the other in ways liberate strengthen avoid imposing will of caregiver on patient. Being good acting well ( phronesis ) occur particular situations. A socially constituted embodied view agency, as developed by Merleau‐Ponty, provides an alternative Cartesian Kantian views agency. constituted, agency is less mechanistic deterministic...