Vital Notes for Nurses: Professional Development, Reflection and Decision-making / Edition 1

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Vital Notes for Nurses: Professional Development, Reflection and Decision-making provides a concise, accessible introduction to professional development, reflective practice and clinical decision-making.

Vital Notes for Nurses: Professional Development, Reflection and Decision-making explores the core strategies of reflective practice and decision-making underlying professional nursing development. Separate chapters on reflective writing, evidence-based practice, clinical supervision and portfolios demonstrate the inter-relationship between professional development and professional practice. It is aimed at both student and qualified nurses, recognising that professional development is a life-long commitment. It provides clear guidance to help practitioners think critically about their actions, work within professional boundaries, be accountable for their actions and plan for their future.

* Provides a concise introduction to professional development, reflective practice, and clinical decision-making
* Written in a clear accessible style which assumes no prior knowledge
* Enables students to consider and develop their practice in order to become competent practitioners
* Each chapter includes learning objectives, scenarios and case studies
* In the Vital Notes for Nurses series

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Product Details

  • ISBN-13: 9781405132619
  • Publisher: Wiley
  • Publication date: 1/23/2007
  • Series: Vital Notes for Nurses Series, #4
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 266
  • Product dimensions: 6.90 (w) x 9.70 (h) x 0.62 (d)

Meet the Author

Melanie Jasper is Professor, Head of Health and Social Welfare Studies, Canterbury Christ Church University College and Editor of the Journal of Nursing Management.

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Table of Contents


Melanie Jasper.

The Context of Professional Development, Reflective Practice and.


The Context of Professional Development in Britain today.

Government influences on Continuing Professional Development.

Personal Development Plans.

The Knowledge and Skills Framework.

The Skills Escalator.

The Role of the Nursing and Midwifery Council.

Expectations of your employers.

Service user expectations.

Professional Development Activities.

A Model of Professional Development.

The novice nurse.

The competent nurse.

The proficient nurse.

The expert nurse.

A Strategy for Professional Development.

Relevant to your needs.

Easily defined.

Achievable in the time available.


Chapter Summary.



Melanie Jasper.

The Context of Reflective Practice.

Setting the Scene – Reflection, Reflective Learning and Reflective Practice.

Reflective Practice as Professional Practice and Development.

The Benefits of Practicing Reflectively.

Benefits for the individual.

Benefits for patients and service users.

Benefits for your employer.

Benefits for your profession.

Tools for Reflective Practice.

Experience – choosing a focus for reflection – the first side of the triangle.

Using the reflective processes – the second side of the triangle.

Using frameworks and models.

Creating a framework for reflection.

Putting the ‘action’ into reflective practice – the third side of the triangle.

What is action?.

Micro-methods for Reflective Practice.

How do you reflect – using micro-strategies.

Using the 5 WH cues.

Borton’s framework.

Developing critical thinking.

Using others to help your reflective activity.

Chapter Summary.




Melanie Jasper.

Reflective writing in professional development.

The nature of writing.

When to write?.

Structuring reflective writing.

Using the 5WH cues.

Strategies for reflective writing.

Techniques for reflective writing.

Short period/stimulatory/getting started techniques.

The three-a-day technique.

The credit card technique.

Time limited stimuli.

My day….

NMC code of professional code.

Medium term and developmental techniques.

Long term techniques.

Experienced nurses’ use of reflective writing in professional portfolios: a grounded theory.

Background to the use of reflective writing in CPD.


Data collection and analysis.

Presenting the theory.

Core category – developing evidence of accountable.


Main category one – professional development.

Main category two – personal development.

Main category three – critical thinking.

Main category four – outcomes for (clinical) practice.

Chapter summary.



Georgina Koubel.

Making Decisions.

Decision making in everyday life: intuitive and analytical thinking.

Personal and Professional Decision making.

The Legal and Social Context of Health Care.

Values and the Ethical Context of Professional Practice.

Decision Making Models.

A Process Model of Decision Making - using the 5wh cues.

Decision Making in Practice.


Capacity and Consent.

Chapter summary.




Gary Rolfe.


What is evidence-based practice?.


Evidence from research.

Other forms of evidence.

Hierarchies of evidence.

Judging evidence for use in practice.

Judgements based on hierarchies.

Judgements based on expertise.

Using evidence to support decisions in practice.

Chapter summary.



Melanie Jasper.

What is a portfolio?.

Defining a portfolio.

Qualified nurses’ use of portfolios.

Students’ use of portfolios.

The purpose of a portfolio.

Structuring a portfolio.

Defining the outcomes and setting objectives.

Using evidence in a portfolio.

Types of evidence.

Models of portfolios.

A portfolio structure to document professional development and accountability as a practitioner.

Professional development.

Personal development.

Critical thinking.

Outcomes for clinical practice.

Some strategies for portfolio construction.

Developing a learning contract.

Using the portfolio as a workbook.

Using a learning journal.

Using the NMC Code of Professional Conduct.

Using the NMC PREP standards.

In-depth analysis of a case study.

Ethical issues to be considered in portfolios.

Chapter summary.



Paul Elliot.

Defining clinical supervision.

Clinical supervision – a misunderstood term?.

Re-defining clinical supervision.

Applying theories and approaches in health psychology to person-centred development.

Origins and models.

Using the biopsychosocial approach.

Roles within the PCD process.

Other roles related to the PCD process.

Using PCD as a strategy for personal and professional development.

Chapter summary.



Melanie Jasper.


What is professional practice?.

Requiring higher education.

Having a body of knowledge and theory.

Providing vital human and social services.

Possessing autonomy, control and accountability.

Involving altruistic life work.

Having a code of ethics.

The Nursing and Midwifery Code of Professional Conduct: standards for conduct, performance and ethics 2004.

The Clauses of the Code of Professional Conduct.

Clause One: Respect for the patient and client as an individual.

Clause Two: Informed consent.

Clause Three: Confidentiality.

Record keeping.

What is a record?.

Content and style.

Legal issues related to record-keeping.

Access and ownership.

The Data Protection Act 1998.

The Freedom of Information Act 2000.

Computer-held records.

Clause Four: Co-operation with other members of the inter-professional team.

Clause Five: Maintaining professional knowledge and competence.

Clause Six: Being trustworthy.

Clause Seven: Identifying and minimising risks to patients and events.

Indemnity insurance.

Guidance for students.

Chapter summary.


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