Professional Issues in Primary Care Nursing

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 practiceAddresses the considerable changes in practice nursing and walk–in centresEvidence–based but also contains personal experiencesSuitable for nurses undertaking community specialist practitioner degree courses, qualified practice nurses and walk–in centre staff

Spis treści:
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
Concl usion
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 clini cal 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