Professional Issues in Primary Care Nursing / Edition 1

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Overview

As both [practice and walk-in centre] nurses continue to adapt to the constant on-going change demanded by both the public and the government paymasters they will face ever-growing self questioning about their role responsibilities and their need to remain competent, knowledgeable and safe practitioners. From the foreword by Professor Dame Betty Kershaw, DBE, FRCN, Education Advisor, The Royal College of Nursing, President of the Scholarship Society for Nurses and Midwives This book will enable you to get to grips with the professional issues that affect your practice in primary care. It is structured around the RCN domains of practice and considers a wide variety of issues such as health promotion, reflective practice and leadership. The book is divided into two sections. Part one sets the scene for the domains of practice which follow and considers the unique aspects of practice and walk-in centre nursing. Part two considers practical aspects of each of the RCN domains of practice in turn and centres around nurse patient relationships. Provides greater understanding of issues that affect the nature of practice Addresses the considerable changes in practice nursing and walk-in centres Evidence-based but also contains personal experiences Suitable for nurses undertaking community specialist practitioner degree courses, qualified practice nurses and walk-in centre staff

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Editorial Reviews

Doody's Review Service
Reviewer: Kathleen M Woodruff, DNP (Johns Hopkins University School of Nursing)
Description: This well-thought-out book presents the most pertinent issues faced by professional nurses practicing in walk-in center settings. It incorporates the Royal College of Nursing (2008) specific domain of Practice and Competencies delineated for advanced practice nurses.
Purpose: The purpose is to explore the professional issues that affect nurses in the practice of primary care. It encompasses issues such as health promotion, leadership, and the evolving nursing practice.
Audience: The audience includes qualified practice nurses, walk-in center staff, and nurses pursuing a degree as community specialists.
Features: The first part of the book focuses on setting the scene for practice and walk-in center nursing and the second part focuses on the domains of practice. The book identifies professional issues and how they affect nursing practice. This is an ideal reference since the material is clearly presented and delineated by the Royal College of Nursing Domains of Practice.
Assessment: This is an excellent resource for nurses working to achieve a greater understanding of the professional issues affecting nursing practice and the current economic environment. Evidence-based examples are presented throughout. Previous and current practices are reviewed and explored. This book helps nurses to better understand that the practice of nursing is ever evolving.
From the Publisher
"This is an excellent resource for nurses working to achieve agreater understanding of the professional issues affecting nursingpractice and the current economic environment. Evidence-basedexamples are presented throughout. Previous and current practicesare reviewed and explored. This book helps nurses to betterunderstand that the practice of nursing is ever evolving."(Doody's, 3 February 2012)
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Product Details

  • ISBN-13: 9781405187558
  • Publisher: Wiley
  • Publication date: 2/15/2010
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 336
  • Product dimensions: 6.70 (w) x 9.60 (h) x 0.90 (d)

Meet the Author

Carol Cox is Professor of Advanced Clinical Practice Nursingand Research Lead for the Department of Applied Biological Sciencesin the School of Community and Health Sciences, City UniversityLondon and Nursing Research Lead, Moorfields Eye Hospital NHSFoundation Trust.

Marie C. Hill is Senior Lecturer in Practice Nursing, PublicHealth, Primary Care & Food Policy Department, School ofCommunity and Health Sciences, City University and Lead forPractice Nurse Development in City University.

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Table of Contents

Foreword by Betty Kershaw

Preface

Acknowledgements

Dedication

List of contributors

Part I: Setting the Scene of Practice and Walk-in-CentreNursing

1 The historical development of practice nursing andwalk-in-centre nursing (Marie Hill, Carol L. Cox and ShulingBreckenridge).

Introduction

Learning Outcomes

Background

Practice nursing

WiC nursing

Extended role in PN and WiC nursing

Conclusion

References

2 Practice nursing: the unique nature of practice nursing(Marie Hill).

Introduction

Learning Outcomes

Background

The GMS contract

Practice nursing: a roller-coaster ride

Education and training: are today’s PNs equipped for theirrole in primary care?

Carpe Diem

Conclusion

References

PM

3 Walk-in-centre nursing: the unique nature of walk-in-centrepractice (Jane Bickerton).

Introduction

Learning Outcomes

Background

What is the clinical role of the nurse in the WiC setting?

Communication interactions

Promoting health and well-being in a WiC setting

Clinical decision-making support

Non-medical prescribers

Clinical supervision

Educating nurses in a WiC

A nurse-led service

Establishing a WiC

Urgent care environment

Patient satisfaction with WiC health care

Conclusion

References

4 The context of practice nursing and walk-in-centre nursing:domains of practice and competencies –setting the scene(Carol Cox).

Introduction

Learning Outcomes

Background

Origins of the advanced practice role in the UK

Delineation of advanced practice

Role of the advanced practice nurse

Educational preparation

RCN (2002, 2008) and NMC (2005) Domains of Practice andCompetencies

Practice and WiC nursing and future directions of advancedclinical practice nursing

Conclusion

References

Part 2: Domains of Practice

Domain 1: Management of Patient Health/IllnessStatus

5 Critical thinking and diagnostic reasoning in clinicaldecision-making (Nita Muir).

Introduction

Learning Outcomes

Background

What is a decision?

Theories of decision-making

The analytical stance on decision-making

The middle ground

Knowledge within decision-making

Errors within clinical decision-making

Systems that improve decision-making

Clinical decision support systems

Reflective practice

Conclusion

References

6 Health education and health promotion (DarylEvans).

Becoming a health-promoting nurse in general practice andwalk-in centres: Introduction

Learning Outcomes

Background

Integrate with public health and health improvementstrategies

Ensure the nursing care structure enables all opportunities forhealth promotion to be taken for every patient

Develop one-to-one skills of conversation and motivatingbehaviour change

Settings-based health promotion – working towards ahealthy organisation

Involve local support groups and reach out to the localcommunity

Keep up to date with news and take opportunities to study

Conclusion

References

Domain 2: The Nurse–Patient Relationship

7 Working with individual patients and groups: creating andstrengthening relationships (Karen Thompson).

Introduction

Learning Outcomes

Background

Verbal or vocal behaviours

Barriers to communication

Working with individual patients and clients

Working with groups

Conclusion

References

8 Confidentiality, privacy and dignity: ethical, legal andcultural issues (Nicci Whiteing).

Introduction

Learning Outcomes

Background

Domain of practice area with specific competencies

Key points in relation to the competencies for Domain 2

Conclusion

References

Domain 3: Education Function

9 Anticipatory guidance: National Service Frameworks(Vicky Lack).

Introduction

Learning Outcomes

Background

Domain 3: the education function

How does anticipatory guidance relate to the NSFs?

Knowledge of preventive strategies

Pre-requisites for giving anticipatory guidance

Conclusion

References

10 The creation of an environment for effective learning(Marie Hill).

Introduction

Learning Outcomes

Background

Adult learning theories

Adult learning

Domain 3: The Education Function

Creating a learning environment

Conclusion

References

46 PM

Domain 4: The Professional Role

11 Clinical supervision: reflective practice; learningthrough experience (Chris Johns).

Introduction

Learning Outcomes

Background

Reflective dialogue

Deeper reflection

Reflection

Burford reflective and holistic model

Conclusion

References

12 Use of theory and research to informpractice (Jane Bickerton).

Introduction

Learning Outcomes

Background

Domain of practice

Health care research in practice

Conclusion

References

Domain 5: Managing and Negotiating the Health CareDelivery System

13 Collaboration and working with the multidisciplinary teamand agencies (Kathryn Waddington).

Introduction

Learning Outcomes

Background

Communication and partnership working

Interprofessional discourses

Factors promoting effective collaboration

Organisational theories and collaboration

Using metaphor to understand collaborative working

Using metaphor to promote team reflexivity

Putting it all together

Conclusion

References

PM

14 Leadership and organisational decision-making: thenurse’s role in implementing policy and practice(Kathryn Waddington).

Introduction

Learning Outcomes

Background

The big picture

A critical approach

Policy formation, implementation and analysis

Policy and organisational decision-making

The sources and dynamics of power

The current policy environment

Looking back at leadership in the NHS

New leadership agendas for PNs – linking theory andpractice

Transformational and transactional leadership

Leading advanced practice in primary care

The ‘dark side’ of practice

Shifting dysfunctional cultural patterns

Conclusion

References

Domain 6: Monitoring and Ensuring Quality of Health CarePractice

15 Implications of the new GMS contract (MarieHill).

Introduction

Learning Outcomes

Background

Domain of practice area content with specific competencies

PNs and the new GMS contract

The QoF

The new GMS contract: is it working?

Practice nursing and the new GMS contract: implications of roledevelopment and expansion

Conclusion

References

16 Art and science of providing quality nursing care ingeneral practice and WiC settings (Carol Cox).

Introduction

Learning Outcomes

Background 47 PM

A framework for practice

Conclusion

References

Domain 7: Respecting Culture and Diversity

17 Meeting the cultural and spiritual needs of patients ingeneral practice and WiCs (Anjoti Harrington).

Introduction

Learning Outcomes

Background

Key concepts

Key concepts and diversity

A framework for care

Conclusion

References

18 Cultural diversity within the general practice andwalk-in-centre settings (Maisie Allen).

Introduction

Learning Outcomes

Background

Nature, nurture, culture

Nursing in a diverse and multicultural NHS

How does multiculturalism and diversity impact on health?

What can nurses in primary care do to improve health care in amulticultural society?

Conclusion

References

Index

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