Achieving Competencies For Nursing Practice: a Handbook For Student Nurses

290 Pages·2014·44.469 MB·English

by  Webster, Brian, Reading, Sheila

AchiEving compEtEnciES
D
o
w
foR nuRSing pRActicE n
lo
a
d
e
d
A hAndbook for student nurses Edited by Sheila Reading by
fA [ F
oc and Brian Webster ac
u
Rh lty
o
“The must-have book on achieving competence for any nursing student in the UK.” niE f Nu
Melanie Jasper, Professor of Nursing and Head of the College of Human and Health uv rsin
i g
Sciences, Swansea University, UK Rn , C
h
Sg ian
“To provide patient care without expertise in the competencies required would be like i c gma
starting a new journey without a map. This book is one of the best maps of the competency no i Un
terrain that I have come across. I recommend with enthusiasm this book to would-be gm ive
readers. It is a solid and significant contribution to the on-going development of best nursing pp rsity 5
practice.” Professor Hugh P. McKenna CBE, Pro Vice Chancellor, University of Ulster, UK RE .62
At .15
8
E .1
c 1
Qtnhuuerasirle itesyd bupecaatttiteeionr ntu cnaadnreder sdretealvineedslo tophnien gtch ocema drpeeeemtre.o ntnchsiitesrsa e tsixocenitt ioonufg tc tobemyxt ptbheoetoe knn Micsie Cds ea bsnyidg nneeuqdrus itepos t hhaeet lmpa l lst ostu taadcgeheniste voef ticnciE 7] at [07/18
and demonstrate competency as they prepare to qualify as nurses. ES /16]. C
o
the book is divided into sections that address the four domains of competency: stuA h pyrig
deAn ht ©
•• PCroomfemsusnioicnaatilo Vna aluned sinterpersonal skills •• NLeuardseinrsgh pipr,a mctaicnea gaenmde dnet cainsdio tne amma kwinorgking nt nursdbook f McGraw-H
suitable for all student nurses on pre-registration degree programmes in nursing across the esor ill G
lo
uk, the book includes examples and insights from the fields of adult, child, mental health ba
l E
and learning disability that reflect a range of clinical and community settings. d
u
c
a
tio
Written by experts, each chapter challenges you to reflect on your own values and beliefs, n H
o
giving you opportunities to learn and reflect on your nursing skills and knowledge. the AchiEving compEtEnciES ldin
chapters include reflective activities, portfolio activities, case studies & vignettes, key gs, L
points and further resources. An essential purchase for all student nurses. L
C
foR nuRSing pRActicE . N
o
Sheila Reading is a Principal Teaching Fellow in the Faculty of Health Sciences, t to
b
University of Southampton. Sheila is a qualified Adult Nurse. e re
d
Brian Webster is Professor of Nursing and Assistant Dean at the Faculty of Health, A hAndbook for student nurses istrib
u
te
Life & Social Sciences at Edinburgh Napier University. Brian is a qualified Adult and d
aR o
Mental Health Nurse. ne r m
da od
Coownetnri bbuatror,r sP:a Mulainrye Abdladcok,, hJaecakthiee rb briadigne, sd, eAblibsioen b barnokwsn, ,M Jeaaryn- JCaonwe ibe,a ker, Web ding ified in a
debbie Good, ruth taylor, kate Goodhand, Chris McLean, Yvonne s ny
t w
Middlewick, Avril Milne, eloise Monger, delia Pogson, Mark rawlinson, e ay
beth sepion, steve smith, Cathy sullivan, kay townsend, Alison trenerry. r w
ith
o
u
t p
e
www.openup.co.uk rm
issio
n
.
D
o
w
n
lo
a
d
e
d
b
y
[ F
a
c
Achieving Competencies for ulty
o
Nursing Practice f N
u
rsin
A handbook for student nurses g, C
h
ia
n
g
m
a
i U
n
iv
e
rsity
5
.6
2
.1
5
8
.1
1
7
] a
t [0
7
/1
8
/1
6
]. C
o
p
y
rig
h
t ©
M
c
G
ra
w
-H
ill G
lo
b
a
l E
d
u
c
a
tio
n
H
o
ld
in
g
s, L
L
C
. N
o
t to
b
e
re
d
istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
n
.
MHBK103-FM.indd 1 12/11/13 5:39 PM
D
o
w
n
lo
a
d
e
d
b
y
[ F
a
c
u
lty
o
f N
u
rsin
g
, C
h
ia
n
g
m
a
i U
n
iv
e
rsity
5
.6
2
.1
5
8
.1
1
7
] a
t [0
7
/1
8
/1
6
]. C
o
p
y
rig
h
t ©
M
c
G
ra
w
-H
ill G
lo
b
a
l E
d
u
c
a
tio
n
H
o
ld
in
g
s, L
L
C
. N
o
t to
b
e
re
d
istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
n
.
MHBK103-FM.indd 2 12/11/13 5:39 PM
D
o
w
n
lo
a
d
e
d
b
y
[ F
a
Achieving Competencies for cu
lty
o
f N
Nursing Practice ursin
g
, C
h
A handbook for student nurses ia
n
g
m
a
i U
n
iv
e
rsity
5
Edited by Sheila Reading and Brian Webster .62
.1
5
8
.1
1
7
] a
t [0
7
/1
8
/1
6
]. C
o
p
y
rig
h
t ©
M
c
G
ra
w
-H
ill G
lo
b
a
l E
d
u
c
a
tio
n
H
o
ld
in
g
s, L
L
C
. N
o
t to
b
e
re
d
istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
n
.
MHBK103-FM.indd 3 12/11/13 5:39 PM
D
o
w
n
lo
a
d
e
d
b
Open University Press y [ F
McGraw-Hill Education ac
u
McGraw-Hill House lty
o
Shoppenhangers Road f N
MBearikdsehnihreead ursing
England , Ch
ia
SL6 2QL ng
m
a
i U
email: [email protected] n
iv
world wide web: www.openup.co.uk ersity
5
and Two Penn Plaza, New York, NY 10121-2289, USA .6
2
.1
5
8
First published 2013 .11
7
] a
Copyright © Sheila Reading and Brian Webster 2014 t [0
7
/1
8
/1
All rights reserved. Except for the quotation of short passages for the purposes of criticism and 6
review, no part of this publication may be reproduced, stored in a retrieval system, or transmitted, ]. C
o
p
in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without yrig
the prior written permission of the publisher or a licence from the Copyright Licensing Agency h
t ©
Limited. Details of such licences (for reprographic reproduction) may be obtained from the Copyright M
Licensing Agency Ltd of Saffron House, 6-10 Kirby Street, London, EC1N 8TS. cG
ra
w
A catalogue record of this book is available from the British Library -Hill G
lo
ISBN-13: 978-0-335-24674-8 ba
ISBN-10: 0-335-24674-5 l Ed
u
eISBN: 978-0-335-24675-5 ca
tio
n
H
Library of Congress Cataloging-in-Publication Data o
ld
CIP data applied for in
g
s, L
L
Typeset by Aptara, Inc. C
. N
o
Fictitious names of companies, products, people, characters and/or data that may be used herein t to
b
(in case studies or in examples) are not intended to represent any real individual, company, product e re
d
or event. istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
n
.
MHBK103-FM.indd 4 12/11/13 5:39 PM
D
o
w
n
lo
a
d
e
Praise for this book d b
y
[ F
a
c
u
lty
o
f N
u
“What we have in this textbook is a user friendly but rigorous presentation of the main rsin
g
competencies for professional nursing practice. Its easy style and ‘readability’ is one of its , C
h
most pleasing features and the case studies, information boxes and key learning points ia
n
g
give structure to the book as well as helping to engage readers. The short chapters are ma
i U
interesting and authoritative and can be read on a ‘stand-alone’ basis, allowing readers n
iv
to ‘dip in and out’. ersity
This book has arrived at an opportune time. The public and the nursing profession has 5
.6
been shocked by the findings of the Francis Review of the Mid Staffordshire NHS Foun- 2.1
5
8
dation Trust. Research informed competencies were never more necessary. To provide .1
1
7
patient care without expertise in the competencies required would be like starting a new ] a
journey without a map. This book is one of the best maps of the competency terrain that t [0
7
/1
I have come across. 8/1
6
I recommend with enthusiasm this book to would-be readers. It is a solid and signifi- ]. C
o
cant contribution to the on-going development of best nursing practice. It should be on the p
y
recommended reading list of any nurse who plans, delivers and evaluates patient care.” righ
t ©
Professor Hugh P. McKenna CBE, PhD, B.Sc(Hons), RMN, RGN, RNT, DipN(Lond), M
c
G
AdvDipEd, FFN RCSI, FEANS, FRCN, FAAN, Pro Vice Chancellor, ra
w
Research and Innovation, University of Ulster, UK -H
ill G
“[This book] clearly fills an important niche in the market. It frames the notions of compe- lo
b
a
tence, and addresses the NMC standards for pre-registration nursing clearly for students, l E
d
mentors and educators in ways that are easy to understand, and encourages students uc
a
to consider the implications behind the words they encounter and what these mean for tion
H
them in their own practice. The expertise held by the range of authors ensures the book o
ld
presents informed detail relating to nursing domains and competencies, and enhances the ing
relevance of interpretation and examples through the four fields of nursing and both core s, LL
C
and field specific concepts. To date, I would consider this the ‘must-have’ book on achiev- . N
o
ing competence for any nursing student in all four countries of the United Kingdom.” t to
b
e
Melanie Jasper, Professor of Nursing and Head of the College of Human re
d
and Health Sciences, Swansea University, UK istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
v n
.
MHBK103-FM.indd 5 12/11/13 5:39 PM
D
o
w
n
lo
a
d
e
d
b
y
[ F
a
c
u
lty
o
f N
u
rsin
g
, C
h
ia
n
g
m
a
i U
n
iv
e
rsity
5
.6
2
.1
5
8
.1
1
7
] a
t [0
7
/1
8
/1
6
]. C
o
p
y
rig
h
t ©
M
c
G
ra
w
-H
ill G
lo
b
a
l E
d
u
c
a
tio
n
H
o
ld
in
g
s, L
L
C
. N
o
t to
b
e
re
d
istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
n
.
MHBK103-FM.indd 6 12/11/13 5:39 PM
D
o
w
n
lo
a
d
e
Contents d b
y
[ F
a
c
u
lty
o
The editors and contributors xiii f Nu
rsin
Foreword xvii g, C
h
Introduction 1 ian
g
m
a
1. The importance of evidence-based professional nursing practice 5 i U
n
Sheila Reading and Brian Webster ive
rsity
5
Section 1: Professional values 19 .62
.1
5
8
2. Professional values for nursing 21 .1
1
7
Owen Barr and Chris McLean ] a
t [0
3. Owning your standards of care 37 7/1
8
Ruth Taylor and Debbie Banks /16
]. C
o
p
Section 2: Communication and interpersonal skills 51 yrig
h
4. Developing effective communication and interpersonal skills 53 t ©
M
Mary Addo and Alison Brown cG
ra
w
5. Developing skills in solution-focused interactions 67 -H
Steve Smith ill G
lo
b
6. Com munication in difficult situations 81 al E
d
Kay Townsend, Beth Sepion and Delia Pogson uc
a
tio
n
Section 3: Nursing practice and decision-making 95 Ho
ld
in
g
7. An introduction to clinical decision-making in practice 97 s, L
Mary-Jane Baker LC
. N
8. Advanced decision-making: involving patients and relatives ot to
in decisions on care 113 b
e
Jackie Bridges red
istrib
u
Section 4: Leadership, management and team working 125 ted
o
r m
9. Effective leadership, management and team working skills 127 o
d
Yvonne Middlewick ifie
d
in
10. Enhancing and developing leadership, management and team working an
y
skills in the community setting 141 w
a
y
Heather Bain and Mark Rawlinson w
ith
o
11. Leadership, management and team working in an acute care setting 157 ut p
e
Debbie Goode and Pauline Black rm
issio
vii n
.
MHBK103-FM.indd 7 12/11/13 5:39 PM
Contents
D
o
w
n
lo
Section 5: Achieving competencies: simulation, working ad
e
d
with mentors and learning when working abroad 173 by
[ F
12. Simulation: crafting your care 175 ac
u
Eloise Monger and Kate Goodhand lty o
f N
13. Working with mentors: how to get the most from working with ursin
your mentors in practice 187 g
, C
Sheila Reading, Alison Trenerry and Cathy Sullivan hia
n
g
m
14. Learning abroad: the student experience of nursing in a European a
i U
or international context 203 n
iv
Avril Milne, Jean Cowie and Brian Webster ersity
5
.6
Domains Appendix: NMC Competencies for entry to the register 219 2.1
5
8
.1
1
Index 253 7] a
t [0
7
/1
8
/1
6
]. C
o
p
y
rig
h
t ©
M
c
G
ra
w
-H
ill G
lo
b
a
l E
d
u
c
a
tio
n
H
o
ld
in
g
s, L
L
C
. N
o
t to
b
e
re
d
istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
viii n
.
MHBK103-FM.indd 8 12/11/13 7:10 PM
D
o
w
n
lo
a
d
e
List of tables d b
y
[ F
a
c
u
lty
o
2.1 A good life for me 24 7.3 Stages of reflection model f Nu
6.1 Common fears, beliefs and challenges (Driscoll 2000) 110 rsin
g
that hamper effective communication 13.1 An example of a learning contract 194 , Ch
ia
(adapted from National End of Life 14.1 The benefits of learning abroad: ng
m
a
Care Programme 2011b) 86 student evaluations 206 i U
n
6.2 Understanding parents and children 14.2 Key personal and professional iv
e
in end-of-life care 87 prerequisites for a learning rsity
5
7.1 Possible stages of decision-making 102 abroad experience 213 .6
2
.1
7.2 Patterns of knowing 106 14.3 Key tips for a learning abroad 5
8
.1
experience 214 1
7
] a
t [0
7
/1
8
/1
6
]. C
o
p
y
rig
h
t ©
M
c
G
ra
w
-H
ill G
lo
b
a
l E
d
u
c
a
tio
n
H
o
ld
in
g
s, L
L
C
. N
o
t to
b
e
re
d
istrib
u
te
d
o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
ix n
.
MHBK103-FM.indd 9 12/11/13 5:39 PM