Professional Issues in Primary Care Nursing 1st Edition by Carol Cox, Marie Hill 9781444323672 1444323679

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ISBN 10: 1444323679
ISBN 13: 9781444323672
Author: Carol Cox, Marie Hill

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

Professional Issues in Primary Care Nursing 1st Table of contents:

Part I: Setting the Scene of Practice and Walk-in-Centre Nursing
1 The historical development of practice nursing and walk-in-centre nursing

• 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

• 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

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

• 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

• 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

• 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

• 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 everyone
  • 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

• 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

• 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

• Introduction
• Learning Outcomes
• Background
• Domain 3: The education function
• How does anticipatory guidance relate to the NSFs?
• Knowledge of preventive strategies
• Prerequisites for giving anticipatory guidance
• Conclusion
• References

10 The creation of an environment for effective learning

• Introduction
• Learning Outcomes
• Background
• Adult learning theories
• Adult learning
• Domain 3: The Education Function
• Creating a learning environment
• Conclusion
• References

Domain 4: The Professional Role
11 Clinical supervision: reflective practice; learning through experience

• 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

• 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

• 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

14 Leadership and organisational decision-making: the nurse’s role in implementing policy and practice

• 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

• 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

• Introduction
• Learning Outcomes
• Background
• 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

• 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

• 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

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