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Vital Notes for Nurses: Principles of Care

ISBN: 978-1-4051-4598-5
246 pages
July 2007, Wiley-Blackwell
Vital Notes for Nurses: Principles of Care (1405145986) cover image
Vital Notes for Nurses: Principles of Care is an essential guide for nursing students and newly qualified nurses. It provides a concise introduction to the essential principles of nursing care. It encourages nurses to examine the principles and evidence underlying nursing practice and equips them with a thorough understanding of the complexities of patient care in different environments of care.

 

Principles of Care explores concepts of health and illness, conceptual frameworks for practice, principles of health care delivery, and professional standards. Key themes include assessment and planning, implementation and evaluation, patient education and health promotion, decision making and risk management, benchmarking, clinical effectiveness and practice development.

 

* Examines assessment, planning and evaluation of care
* Covers risk management and prioritisation of care
* Addresses the use of NICE guidance and National service frameworks
* Explores clinical effectiveness, practice development and quality assurance
* Includes learning objectives, scenarios and case studies

 

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About the authors ix

Preface xi

Acknowledgements xii

Section 1 Principles of Health and Illness

1 Concepts of Health 3

Introduction 3

Health and illness 3

Models of health behaviour 8

Responses to illness or the threat of illness 11

References 13

2 Behaviour in Health and Illness 15

Introduction 15

Health behaviour 16

Illness behaviour 16

Psychological perspectives 19

Cultural perspectives 21

Behaviour and beliefs in health and illness 23

References 25

3 Nursing Theories and Nursing Models 27

Introduction 27

Nursing theory 28

Nursing models 32

Nursing theorists 33

References 38

4 Principles of the Nursing Process 40

Introduction 40

Stages of the nursing process 41

The nursing process and nursing models 48

References 55

Section 2 Principles of Nursing Practice

5 Essence of Care and Individualised Nursing 59

Introduction 59

Essence of Care 59

Benchmarking 61

The organisation of nursing care 64

References 69

6 Principles of Communication 72

Introduction 72

Patient participation 73

Communication 74

Securing consent 79

Ethics 82

Patient advocacy 82

References 83

7 Developing Therapeutic Relationships 85

Introduction 85

Therapeutic relationships 86

Challenges 91

Counselling 92

Defence mechanisms 93

References 94

8 Patient Education and Health Promotion 96

Introduction 96

Patient education 96

Health promotion 100

References 104

Section 3 Principles of Health Care Delivery

9 Multi-disciplinary Working 109

Introduction 109

Multi-disciplinary working 109

Integrated care pathways 113

Patient journey 116

References 118

10 Decision Making 120

Introduction 120

What is decision making? 121

Decision making in nursing 122

Risks in decision making 122

Decision making theory 123

Factors affecting decision making in practice 127

References 130

11 Evidence-based Practice 133

Introduction 133

What is evidence-based practice? 134

Definitions of evidence-based practice 134

Why should practice be evidence-based? 135

What is evidence? 136

Finding–appraising–applying evidence 140

Barriers to achieving evidence-based practice in nursing 146

Resources to aid the implementation of evidence-based practice 147

Evaluating a change to practice 148

References 149

12 Environments of Care 151

Introduction 151

The need for changes to service delivery in health care 152

Environments of care 153

User involvement in health care 155

Patient choice 157

References 159

Section 4 Principles of Professional Issues

13 Modernisation and Role Development 165

Introduction 165

Modernisation 165

New initiatives 168

New roles and new skills for nurses 171

Regulation 177

References 178

14 Frameworks for Best Practice 180

Introduction 180

Clinical governance 181

Models of clinical governance 182

Implementing clinical governance 187

Support for the implementation of clinical governance 190

The cyclical nature of clinical governance: measuring performance 193

References 195

15 Practice Development and Clinical Effectiveness 198

Introduction 198

Change 199

Change theory 200

Practice development and clinical effectiveness 201

Practice development 201

Clinical effectiveness 206

Outcomes 209

References 210

16 Scope of Professional Practice 212

Introduction 212

The development of the nursing profession 213

Scope of practice and professional standards 214

Knowledge for practice 216

Professional regulation 222

The future 225

References 226

Index 230

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Hilary Lloyd is Principal Lecturer in Nursing Practice Development and Research and Deputy Head of Nursing R and D; this is a joint post between City Hospitals Sunderland NHS Foundation Trust and Northumbria University.

Helen Hancock is Postdoctoral Research Fellow in the Centre for Integrated Health Care Research, School for Health at Durham University.

Steven Campbell
is Head of Research and Development City Hospitals Sunderland NHS Foundation Trust and Chair of Nursing Practice, School of Health, Community and Education Studies, Northumbria University.
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* Examines assessment, planning and evaluation of care
* Covers risk management and prioritisation of care
* Addresses the use of NICE guidance and National service frameworks
* Explores clinical effectiveness, practice development and quality assurance
* Includes learning objectives, scenarios and case studies
See More
'...a useful resource for clinical staff, laying great emphasis on the evidence base for current practice.

Principles of Care is aimed at students and newly qualified staff and, in this respect, hits the bullseye...

This book is one which I would be glad to have on my bookshelf as a permanent reference.'

Nursing Standard

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