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The Transition From Expert to Novice and Back to Expert

Ensuring Competent and Safe Practice

Dunbar, Ghada, DNP, RN, MHA, CENP, CNML; Kawar, Lina Najib, PhD, RN, CNS; Scruth, Elizabeth Ann, PhD, MPH, CNS, CCNS, CCRN, FCCM, CPHQ; Column Editor:

doi: 10.1097/NUR.0000000000000442
DEPARTMENTS: Legal and Ethical

Author Affiliations: Director of Tele Critical Care–Northern California, Clinical Quality Programs and Analytics, Regional Quality–Northern California (Dr Scruth); Nurse Scientist, Translational Research, Regional Nursing Research Program, Southern California Patient Care Services (Dr Kawar); and SCAL Regional Director, Patient Care Services, Professional Development & Education (Dr Dunbar), Kaiser Permanente, Oakland, California.

The authors report no conflicts of interest.

Correspondence: Elizabeth Ann Scruth, PhD, MPH, CNS, CCNS, CCRN, FCCM, CPHQ, 1950 Franklin Street, 14th Floor, Kaiser Permanente, Oakland, CA, 94612 (

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