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 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

ISBN 1405187557   Pages 336 ISBN13 9781405187558 (What's this?)   Weight (grammes) 604 Publisher John Wiley and Sons Ltd   Published in Chicester Imprint Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)   Height (mm) 246 Format Paperback   Width (mm) 181 Publication date 22 Jan 2010   Spine width (mm) 18 DEWEY 610.730692   Academic level Professional / Scholarly DEWEY edition DC22

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 guid

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