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Professional Issues in Primary Care Nursing

Carol Cox (Editor), Marie Hill (Editor)
ISBN: 978-1-4051-8755-8
336 pages
February 2010, Wiley-Blackwell
Professional Issues in Primary Care Nursing (1405187557) cover image

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 enables nurses to get to grips with the professional issues that affect their practice in primary care.  It is structured around the RCN domains of practice and considers a wide variety of issues including health promotion, reflective practice and leadership. 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 is centred 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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Foreword by Betty Kershaw

Preface

Acknowledgements

Dedication

List of contributors

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

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

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 their role in primary care?

Carpe Diem

Conclusion

References

PM

3 Walk-in-centre nursing: the unique nature of walk-in-centre practice (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 and Competencies

Practice and WiC nursing and future directions of advanced clinical practice nursing

Conclusion

References

Part 2: Domains of Practice

Domain 1: Management of Patient Health/Illness Status

5 Critical thinking and diagnostic reasoning in clinical decision-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 (Daryl Evans).

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

Learning Outcomes

Background

Integrate with public health and health improvement strategies

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

Develop one-to-one skills of conversation and motivating behaviour change

Settings-based health promotion – working towards a healthy organisation

Involve local support groups and reach out to the local community

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 and strengthening 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 and cultural 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; learning through 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 inform practice (Jane Bickerton).

Introduction

Learning Outcomes

Background

Domain of practice

Health care research in practice

Conclusion

References

Domain 5: Managing and Negotiating the Health Care Delivery System

13 Collaboration and working with the multidisciplinary team and 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: the nurse’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 and practice

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 Care Practice

15 Implications of the new GMS contract (Marie Hill).

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 role development and expansion

Conclusion

References

16 Art and science of providing quality nursing care in general 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 in general 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 and walk-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 a multicultural society?

Conclusion

References

Index

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Carol Cox is Professor of Advanced Clinical Practice Nursing and Research Lead for the Department of Applied Biological Sciences in the School of Community and Health Sciences, City University London and Nursing Research Lead, Moorfields Eye Hospital NHS Foundation Trust.

Marie C. Hill is Senior Lecturer in Practice Nursing, Public Health, Primary Care & Food Policy Department, School of Community and Health Sciences, City University and Lead for Practice Nurse Development in City University.
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  • 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
See More
"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." (Doody's, 3 February 2012)

 

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