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Nursing Practice and Health Care, 5th Edition (Hodder Arnold Publication) PDF

598 Pages·2008·22.89 MB·English
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NURSING PRACTICE AND HEALTH CARE This page intentionally left blank NURSING PRACTICE AND HEALTH CARE 5th Edition Edited by Sue HinchliffRN RNT BA MSc,Consultant to the Nursing and Midwifery Council; Consultant to the Royal College of Nursing Accreditation Unit; Nurse Advisor to THET;Visiting Professor in Nursing and Nursing Education to London South Bank University Sue Norman RN BEd (Hons) RNT NDNCert Hon DSc, previously Chief Executive/Registrar, United Kingdom Central Council for Nursing, Midwifery and Health Visitors;Visiting Professor in Nursing Policy and Development to London South Bank University Jane Schober MN RN DipN (Lond) DipN Ed RNT RCNT, Principal Lecturer, School of Nursing and Midwifery,De Montfort University,Leicester PART OF HACHETTE LIVRE UK First published in Great Britain in 1989 by Hodder Arnold Second edition 1993 Third edition 1998 Fourth edition 2003 This fifth edition published in 2008 by Hodder Arnold,an imprint of Hodder Education,part of Hachette Livre UK 338 Euston Road,London NW1 3BH www.hoddereducation.com © 2008 Edward Arnold (Publishers) Ltd All rights reserved.Apart from any use permitted under UK copyright law,this publication may only be reproduced,stored or transmitted,in any form,or by any means with prior permission in writing of the pub- lishers or in the case of reprographic production in accordance with the terms of licences issued by the Copyright Licensing Agency.In the United Kingdom such licences are issued by the Copyright Licensing Agency: Saffron House,6–10 Kirby Street,London EC1N 8TS Hachette Livre UK’s policy is to use papers that are natural,renewable and recyclable products and made from wood grown in sustainable forests.The logging and manufacturing processes are expected to conform to the environmental regulations of the country of origin. Whilst the advice and information in this book are believed to be true and accurate at the date of going to press,neither the authors nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made.In particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however it is still possible that errors have been missed. Furthermore,dosage schedules are constantly being revised and new side-effects recognised.For these rea- sons the reader is strongly urged to consult the drug companies’printed instructions before administering any of the drugs recommended in this book. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN 978 0 340 92888 2 1 2 3 4 5 6 7 8 9 10 Commissioning Editor: Joanna Koster/Naomi Wilkinson Production Controller: Andre Sim Project Editor: Clare Patterson Cover Designer: Laura De Grasse Artwork: Charon Tec Ltd. Index: Dr Laurence Errington Typeset in 10.5/12.5 Gillsans by Charon Tec Ltd.,A Macmillan Company. Printed and bound in Italy What do you think about this book? Or any other Hodder Arnold title? Please visit our website: www.hoddereducation.com Contents Contributors vii Foreword by Christine Hancock ix Preface xi How to use this book xiii Acknowledgements xv Part 1:Perspectives on nursing 1 1 Receiving nursing:a patient reflects on his journey 3 James Partridge 2 Being a nurse 9 Angela Barry 3 What is nursing? 18 June Clark Part 2:Learning nursing 43 4 Learning nursing 45 Penny Tremayne 5 Support networks for students 64 Nick Salter Part 3:Practising nursing 87 6 Principles of professional practice 89 Caroline Woolrich 7 Maintaining professional standards 114 Susan Savage 8 Clinical governance and accountable practice 148 Jacqueline McKenna 9 Ethical dimensions of practice 175 Paul Gibbons 10 Care settings 201 Rosemary Cook 11 Nursing in an electronic world 226 June Clark Part 4:Key aspects of care 247 12 Frameworks for practice 249 Jane Schober v Contents 13 Loving nursing:nursing beyond boundaries and the search for well-being 265 Stephen G Wright 14 Assessment:the foundation of good practice 290 Ruth Beretta 15 The needs of children 318 Catherine Lawrence 16 The needs of young people 347 Marcelle de Sousa 17 The needs of the acutely ill adult 365 Jacqueline Elton and Hayley Reading 18 Long-term health needs and rehabilitation 391 Jacqueline Elton and Judith Evans 19 The needs of older people 412 Sue Davies and Mike Nolan 20 Care needs at home and in the community 445 Rosemary Cook 21 Expected and unexpected death 468 Christine Eberhardie Part 5:Professional support and development 491 22 Supporting practitioners in giving high-quality care 493 John Fowler 23 Your career:your opportunity as a professional nurse 521 Jane Schober Appendix 1 The NMC Code (2008) 543 Appendix 2 Standards of education to achieve the NMC standards of proficiency 548 Appendix 3 An NMC guide for students of nursing and midwifery 562 Index 567 vi Contributors Angela Barry RN Student Midwife,City University,London,UK Ruth Beretta RNDipN BSc(Hons) MA MScRNT Curriculum Area Manager, Social Science, Social Work and Health Professions, Cornwall College,Cornwall,UK June ClarkDBEPhDRNFRCN Professor Emeritus,Swansea University,Swansea,UK Rosemary CookCBE MScPGDip(AppliedSocialResearch) RGN PN Cert Director,Queen’s Nursing Institute,London,UK Sue DaviesPhD MScBScRGN RHV Visiting Reader,School of Nursing and Midwifery,University of Sheffield,Sheffield,UK Christine EberhardieTD MScRN RNT FHEA CertHSM Honorary Principal Lecturer in Nursing, Faculty of Health and Social Care Sciences, Kingston University and St George’s,University of London,London,UK Jacqueline EltonMA BSc(Hons) RN Matron, Directorate of Medical and ED Services, University Hospitals of Leicester NHS Trust, Leicester,UK Judith EvansBA MInstLM RN Matron,Cardio-Respiratory Directorate,University Hospitals of Leicester NHS Trust,Leicester,UK John FowlerPhD MA BA RGN RMN DipN RCNT CertEdRNT Principal Lecturer,School of Nursing and Midwifery,De Montfort University,Leicester,UK Paul GibbonsRNDipNDiploma in Philosophy and Health Care Health Care Governance Consultant,North Yorkshire Catherine LawrenceMScBSc (Lon) RSCN DipN(Lon) DipN Ed(Lon) Principal Lecturer in the Department of Children’s Nursing, London South Bank University, London,UK Jacqueline McKennaRN DipN MMedSci Director of Nursing and Strategic Planning,Medway NHS Foundation Trust,Gillingham,UK Mike NolanBEdMA MScPhD RGN RMN Professor of Gerontological Nursing, Sheffield Institute for Studies on Ageing, School of Medicine and Biomedical Sciences,University of Sheffield,Sheffield,UK James Partridge OBE DSc (Hon) FRCSEd(Hon) MScMA Chief Executive,Changing Faces,London,UK Hayley ReadingBA (Hons) DipIC RN Matron, Directorate of Medical and ED Services, University Hospitals of Leicester NHS Trust, Leicester,UK vii Contributors Nick SalterRNA MA BSc(Hons) DipN CertEdHEA (Fellow) Principal Lecturer, Adult Nursing, School of Nursing and Midwifery, De Montfort University, Leicester,UK Susan SavageMScBNURS (Hons) RN RSCPHN-HV PCT Executive Nurse,Heywood,Middleton and Rochdale Primary Care Trust,Rochdale,UK Jane SchoberMN RN DipNEdDipN LondRCNT RNT Principal Lecturer,School of Nursing and Midwifery,De Montfort University,Leicester,UK Marcelle de Sousa RSCN RGN BSc(Hons) MA Adolescent Nurse Specialist,UCL Hospitals NHS Foundation Trust,London,UK Penny TremayneMScPGDip(Ed) BSc(Hons) DipNS RGN Senior Lecturer,School of Nursing and Midwifery,De Montfort University,Leicester,UK Caroline WoolrichRN Advice Centre Professional Adviser,Nursing and Midwifery Council,London,UK Stephen G WrightFRCN,MBE Faculty of Health,Medical Sciences and Social Care,University of Cumbria Carlisle; and Chair, the Sacred Space Foundation,Sparket,UK viii Foreword Good health is probably one of the most precious personal assets that an individual can possess. Like much in life,we take it for granted until our health,or that of our family or friends,is com- promised in some way.As a reader of this successful and important textbook,you will be some- where on your journey towards or returning to gaining a licence to practise as a registered nurse and therefore in a position to make a difference to people’s health and well-being. I have had the privilege to witness the enormous positive contribution that nurses and nurs- ing make to the lives of individuals, families and communities nationally and internationally. Challenges to health,not least lifestyle,longevity and enduring illnesses,are constantly emerg- ing and changing.Meeting these challenges demands development of knowledge and practice based on evidence and skills,while maintaining the humanity and compassion that are at the heart of nursing care.This book makes a significant contribution to that development. We are fortunate in the UK to have strong professional self-regulation made explicit in the NMC Code (2008),which sets out standards of conduct,performance and ethics for nurses and midwives.These standards are a pledge to the public as a statement of what can be expected of qualified nurses and midwives,and they articulate the values that underpin nursing and mid- wifery education and practice.That’s why this book is important – it is the first in which the 2008 NMC Code forms a major theme throughout. Public and patient involvement and the importance of the patient experience are now key fea- tures of health care development,and I am delighted to see that the first chapter of this book is writ- ten by a patient about his experience and expectations of nursing.Equally important is the chapter that follows on the perspective of someone who is experiencing what it is like learning to become a nurse.These first two chapters followed by Professor Dame June Clark’s chapter on the essence of nursing set the tone for a text that helps to create a practical,academically robust and highly relevant foundation for current and future nursing practice – one of the best careers in the world. I hope you enjoy your journey. Christine Hancock ix

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Nursing Practice and Health Care is an essential companion to pre-registration nursing education programmes, for those studying at degree and diploma level, and for students on post-registration courses. This fifth edition has been completely revised to reflect the current professional and education
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