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This stage occurs after five years or greater in the same area of nursing (experienced nurses changing areas of nursing practice may progress more quickly through the five stages)
The nurse develops an intuitive grasp of situations and experiences
The expert nurse operates from a deep, holistic understanding of the situation or experience (Frisch, 2009)
According to Altmann (as cited in Carper, 1978) the expert incorporates the ways of knowing, empiric knowledge, moral/ethical knowledge, personal knowledge, and aesthetics into their practice of nursing