Nursing Practice Policy and Change 1st edition by Marjorie Gott 9781315358598 131535859X

1 Nursing practice, policy and change

Influences on nursing

Medicine

Gender

Technology

Nursing practice and health policy

Nurses and primary healthcare

A way forward

Conclusions

References

2 Talking about nursing

Preliminary findings

Education for practice

The need for case studies of good practice

References

Section Two: The United Kingdom

Introduction: Healthcare, health policy and nursing

Nurses and other health professionals

Public health

References

3 A UK nurse practitioner study

The development of nurse practitioner models in the UK

Training and preparation of nurse practitioners

Triggers and barriers to the development of the UK nurse practitioner

Derbyshire nurse practitioner project

The patient consultation

The organisation of primary healthcare services

Professional implications for doctors and nurses

A 1998 update on the Derbyshire project

Changes since 1993

Nurse practitioners and primary care management

Nurse practitioners and patient care

Nurse practitioner role and doctor-nurse relations

Conclusions

References

4 Serving the community: a nurse-led minor injuries service

The service and its context

The nurse-led minor injuries unit (NLMIU)

Range of methods used in the project

Findings

Range and type of service

Delivering service and service outcomes

Implications for nursing and service delivery

Conclusions: advancing and extending nursing practice

References

Section Three: The United States

Introduction: Healthcare, health policy and nursing

The healthcare market

Managed care

Public health services

Nursing

References

5 The nurse practitioner in the US

The development of nursing in the US

New roles for nurses

Education of nurse practitioners

Curricula

Political organisation and autonomy

Standards of practice and credentialling

Managed care and the rise of nurse practitioners

Delivering change: three nursing case studies

Nurse One

Nurse Two

Nurse Three

Conclusions

References

6 Improving the preparation of nursing professionals through community-campus partnerships

Introduction

The rationale for the community-campus movement in the United States

The healthcare climate in the United States

The policy implications for community-campus partnerships

The HPSISN programme and CCPH: strategies to improve student education and community health

An overview of service-learning: opportunities for nursing education

Service-learning in nursing education: the Linkages programme at Virginia Commonwealth University

The Virginia Commonwealth University Service-Learning Perspective

An overview of the Linkages programme goals and objectives

Discovery and application of knowledge by students in the Linkages programme

Community partnership building in the Linkages programme

Reflection activities in the Linkages programme

Challenges in the Linkages programme

Lessons learned in the Linkages programme

The impact of service-learning in health professions education: lessons from the Health Professions Schools in Service to the Nation sites

What can nurse educators do? Recommendations for the future

International and national

In the US

Local/institutional level

Conclusion

References

Further reading

Section Four: Australia

Introduction: Healthcare, health policy and nursing

Public health

Health policy

Nursing

References

7 Serving the community: the rural general practice nurse

Rural nursing: responding to and driving policy

Primary healthcare in Australia

The extended role of rural nurses

The shortage of medical practitioners and allied health professionals: nurses ‘filling the gap’

Improving the cost-effectiveness of services

The call for acceptance and legitimisation

Nursing standards

Rural nursing practice: legislation and nurse prescribing rights

Recruitment and retention of health professionals in rural areas

Case study: the rural general practice nurse

Conclusion

References

8 Nurse practitioners in Australia

The development of the nurse practitioner in South Australia

Role of the Department of Human Services

Current examples of advanced practice nurses in South Australia

Metropolitan

Rural

Remote

The South Australia Nurse Practitioner Project

Advisory Committee

Reference Groups

Defining features of a nurse practitioner

Operational exemplars

Clinical and admitting privileges

Outcomes of the nurse practitioner project

Comments from professional colleges and associations who assisted with the NUPRAC project

Royal College of Nursing, Australia (South Australia Chapter)

Australian Nurses’ Federation

Australian Medical Association

Conclusions

References

Section Five: Nurse entrepreneurs for health

9 Making a difference

The healthcare context

Reorientation of healthcare

Team working

Managing care: use of common protocols

Serving the community: needs driven service development

Patient satisfaction with services

Cost-effectiveness

Nursing standards, competence and evidence-based practice

Reorientation of professional education

Limits to progress

The healthcare market

The law

Institutional opposition

Regulating and validating bodies

Lack of autonomy

The curriculum

Conclusions: the need to showcase nursing skills

References

10 Nursing practice, policy and change: the future

The healthcare context

Education and practice: serving the community

Entrepreneurial skills

Leadership skills

Information technology skills

Changing health policy: the female future

Conclusion: advancing nursing and healthcare practice