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competence, critical care nursing, graduate nurse, internship, precepting



  1. Reddish, Myra V. MSN, RN
  2. Kaplan, Lewis J. MD, FACS, FCCM


Transitioning from the graduate nurse level to that of competent practitioner may be characterized as 5 distinct stages instead of 3 as previously thought. Educational and performance goals and challenges may be described for each stage to track a nurse's progress through a critical care nursing development program without the traditional prerequisite period of general ward service.