Professional Issues in Primary Care Nursing PDF
Preview Professional Issues in Primary Care Nursing
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk Professional Issues in Primary Care Nursing TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk Professional Issues in Primary Care Nursing Edited by Carol Lynn Cox PhD, MSc, MA Ed, PG Dip Ed, BSc (Hons), RN, ENB 254, FHEA Marie C. Hill M.H.M., Pg Dip, BSc (Hons), RN This edition fi rst published 2010 © 2010 Blackwell Publishing Ltd Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing programme has been merged with Wiley’s global Scientifi c, Technical, and Medical business to form Wiley-Blackwell. Registered offi ce John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, United Kingdom Editorial offi ces 9600 Garsington Road, Oxford, OX4 2DQ, United Kingdom 2121 State Avenue, Ames, Iowa 50014-8300, USA For details of our global editorial offi ces, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell. The right of the author to be identifi ed as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Library of Congress Cataloging-in-Publication Data Professional issues in primary care nusing / edited by Carol Lynn Cox, Marie Hill. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4051-8755-8 (pbk. : alk. paper) 1. Primary nursing. I. Cox, Carol Lynn. II. Hill, Marie, 1959– [DNLM: 1. Primary Nusing Care. 2. Ambulatory Care. 3. Nurse–Patient Relations. WY 101 P964 2010] RT90.7.P76 2010 610.73—dc22 2009028298 A catalogue record for this book is available from the British Library. Set in 10 on 12.5 pt Sabon by MPS Limited, A Macmillan Company Printed in Malaysia 1 2010 Contents Foreword by Betty Kershaw xii Preface xiv Acknowledgements xv Dedication xvi List of contributors xvii Part I: Setting the Scene of Practice and Walk-in-Centre Nursing 1 1 The historical development of practice nursing and walk-in-centre nursing 3 Marie C. Hill, Carol L. Cox and Shuling Breckenridge Introduction 3 Learning Outcomes 3 Background 3 Practice nursing 4 WiC nursing 5 Extended role in PN and WiC nursing 8 Conclusion 8 References 9 2 Practice nursing: the unique nature of practice nursing 11 Marie C. Hill Introduction 11 Learning Outcomes 11 Background 11 The GMS contract 14 Practice nursing: a roller-coaster ride 14 Education and training: are today’s PNs equipped for their role in primary care? 16 Carpe Diem 19 Conclusion 20 References 20 vi Contents 3 Walk-in-centre nursing: the unique nature of walk-in-centre practice 22 Jane Bickerton Introduction 22 Learning Outcomes 22 Background 23 What is the clinical role of the nurse in the WiC setting? 23 Communication interactions 26 Promoting health and well-being in a WiC setting 27 Clinical decision-making support 27 Non-medical prescribers 28 Clinical supervision 29 Educating nurses in a WiC 29 A nurse-led service 32 Establishing a WiC 33 Urgent care environment 34 Patient satisfaction with WiC health care 35 Conclusion 35 References 36 4 The context of practice nursing and walk-in-centre nursing: domains of practice and competencies – setting the scene 39 Carol L. Cox Introduction 39 Learning Outcomes 39 Background 40 Origins of the advanced practice role in the UK 41 Delineation of advanced practice 42 Role of the advanced practice nurse 44 Educational preparation 45 RCN (2002, 2008) and NMC (2005) Domains of Practice and Competencies 46 Practice and WiC nursing and future directions of advanced clinical practice nursing 49 Conclusion 50 References 51 Part 2: Domains of Practice 55 Domain 1: Management of Patient Health/Illness Status 57 5 Critical thinking and diagnostic reasoning in clinical decision-making 59 Nita Muir Introduction 59 Contents vii Learning Outcomes 60 Background 60 What is a decision? 61 Theories of decision-making 61 The analytical stance on decision-making 62 The middle ground 66 Knowledge within decision-making 68 Errors within clinical decision-making 70 Systems that improve decision-making 71 Clinical decision support systems 72 Refl ective practice 73 Conclusion 73 References 74 6 Health education and health promotion 78 Daryl Evans Becoming a health-promoting nurse in general practice and walk-in centres: Introduction 78 Learning Outcomes 79 Background 79 Integrate with public health and health improvement strategies 80 Ensure the nursing care structure enables all opportunities for health promotion to be taken for every patient 82 Develop one-to-one skills of conversation and motivating behaviour change 84 Settings-based health promotion – working towards a healthy organisation 86 Involve local support groups and reach out to the local community 89 Keep up to date with news and take opportunities to study 90 Conclusion 92 References 93 Domain 2: The Nurse–Patient Relationship 95 7 Working with individual patients and groups: creating and strengthening relationships 97 Karen Thompson Introduction 97 Learning Outcomes 97 Background 98
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