D o w n lo T ad e h d b y e S [ Fac “I found this book extremely easy to read and use … The book covers t ulty all pre-registration nursing branches and can be used throughout the ud of N u dthergoruegeh coouutr sthe ea nredm inaitnod reerg oisft merye dN nuursrisningg D. eI gwreilel uasned tbheisy obnodo,k a nd ent rsing, C would recommend it to my peers.” N hian g m Conor Hamilton, Student Nurse, Queens University Belfast, UK u a r i U s niv e e Tskhiilsls p arsa cdteiccaisl iboono mk apkreorvsid. Tesh ea bfroaomke uwseosrk c taos eass sainstd spturadcetnicta nl uerxsaems pinle ds etvoe hloeplpin g G rsity 5 relate theory to practice, starting with the transition to becoming a student nurse ui .62.15 and moving through the different stages of a pre-registration nursing course. d 6 .8 K• eLye atorpniicnsg etxop mloarkeed cinlicnliucdael :decisions e to 6] at [07/18 • Using knowledge to inform decisions D /16 e ]. C • Making decisions as part of a team c o p • Reflecting on practice and building a portfolio is yrig • Understanding ethical and legal issues involved in decision making ion ht © M c • Making the transition from being a student to making clinical decisions G M ra as a registered nurse. w a -H Clinical scenarios are used to highlight key points within the book and reflective k ill G i lo activities are included for students to complete and use as part of their portfolio n ba and skill development. g l E d i uca The Student Nurse Guide to Decision Making in Practice is designed to be used n tio n throughout the whole nursing programme, is suitable for all nursing branches P Ho and offers a useful guide for ongoing practice. ra lding Liz Aston is Associate Professor and Lead for Practice Learning in the Division c s, L t L of Nursing at the University of Nottingham, UK. ic C. N JiLL WAkefieLd is a health lecturer in the Division of Nursing at the University e ot to of Nottingham, UK. be re d RAcheL McGoWn is a deputy ward manager and Practitioner Health Lecturer aLiz istrib icno tnhet RDiivbiusitoon Rosf Nursing at the University of Nottingham, UK. nd Ra Asto uted or m Ian Simpson, Dawn Ritchie, Anne Bacon Cover Design: HandsD chel McGownn, Jill Wakefield LJREdiiailztlce dAhW Besyalt koMenfic, Gelodw ann d odified in any way without perm esign.c ission. a JOBNAME:McGraw−AstonWakefiel PAGE:2 SESS:8 OUTPUT:TueMay 415:36:472010 SUM:0412B78C /production/mcgraw−hill/booksxml/aston/01−halftitle 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 6 .8 6 ] 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 . KerrypressLtd–TypesetinXML A Division:01-halftitle F Sequential2 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:1 SESS:9 OUTPUT:TueMay 415:36:472010 SUM:0AD009ED /production/mcgraw−hill/booksxml/aston/01−halftitle D o w n lo a The Student Nurse Guide to de d b y [ F Decision Making in Practice ac 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 6 .8 6 ] 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 . KerrypressLtd–TypesetinXML A Division:01-halftitle F Sequential1 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:2 SESS:8 OUTPUT:TueMay 415:36:472010 SUM:0412B78C /production/mcgraw−hill/booksxml/aston/01−halftitle 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 6 .8 6 ] 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 . KerrypressLtd–TypesetinXML A Division:01-halftitle F Sequential2 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:1 SESS:9 OUTPUT:TueMay 415:36:512010 SUM:0CF1A4C7 /production/mcgraw−hill/booksxml/aston/02−title D o w n lo a The Student Nurse Guide to Decision de d b y [ F Making in Practice ac u lty o f N u rsin g Edited by , C h ia n Liz Aston, JillWakefield and Rachel McGown gm a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] 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 . KerrypressLtd–TypesetinXML A Division:02-title F Sequential1 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:1 SESS:13 OUTPUT:WedMay1911:12:532010 SUM:2B25D934 /production/mcgraw−hill/booksxml/aston/03−imprint D o w n lo a d OpenUniversityPress ed b McGraw-HillEducation y McGraw-HillHouse [ Fa c ShoppenhangersRoad ulty Maidenhead o Berkshire f N u England rsin SL62QL g, C h ia email:[email protected] ng m worldwideweb:www.openup.co.uk a i U n andTwoPennPlaza,NewYork,NY10121—2289,USA ive rsity 5 .6 2 Firstpublished2010 .1 5 6 .8 6 Copyright©LizAston,JillWakefieldandRachelMcGown2010 ] a t [0 7 Allrightsreserved.Exceptforthequotationofshortpassagesforthepurposeofcriticismandreview,nopart /1 8 ofthispublicationmayreproduced,storedinaretrievalsystem,ortransmitted,inanyformorbyanymeans, /1 6 electronic,mechanical,photocopying,recordingorotherwise,withoutthepriorwrittenpermissionofthe ]. C publisheroralicencefromtheCopyrightLicensingAgencyLimited.Detailsofsuchlicences(for op y reprographicreproduction)maybeobtainedfromtheCopyrightLicensingAgencyLtdofSaffronHouse, rig h 6–10KirbyStreet,London,EC1N8TS. t © M c AcataloguerecordofthisbookisavailablefromtheBritishLibrary G ra w IISSBBNN--1130::907-383-0-5-3233-656243-62640 -Hill G lo b a l E d u c a tio n H TypesetbyKerrypress,Luton,Bedfordshire old PrintedandboundintheUKbyBellandBainLtd.,Glasgow ing s, L L C . N Fictitiousnamesofcompanies,products,people,charactersand/ordatathatmaybeusedherein(incase o studiesorinexamples)arenotintendedtorepresentanyrealindividual,company,productorevent. 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 . KerrypressLtd–TypesetinXML A Division:03-imprint F Sequential1 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:1 SESS:18 OUTPUT:TueMay1815:00:282010 SUM:2588962C /production/mcgraw−hill/booksxml/aston/04−contents D o w n lo a d e d b y [ F a c u Contents 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 6 .8 6 ] a t [0 7 /1 8 /1 Listoffigures vii 6 ]. C Listoftables ix o p y Praiseforthisbook x rig h Abouttheeditors xi t © M c G 1 Makingthetransitiontostudentnurse 1 ra w 2 Usingprofessionalskillstosupportdecisionmaking: -H usingreflectiontolearnfromexperience 18 ill G lo 3 Usingevidence-basedpracticetosupportdecisionmaking 40 ba l E 4 Gettingthemostoutofyourmentorwhenmakingdecisions 56 d u c 5 Makingdecisionsaspartofateam 74 atio n 6 Ethicalandlegalissuesindecisionmaking 88 H o 7 Increasingcomplexityindecisionmaking 107 ld in g 8 Fromstudenttostaffnurse 127 s, L L C Index 141 . 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 . KerrypressLtd–TypesetinXML A Division:04-contents F Sequential1 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:2 SESS:17 OUTPUT:TueMay 415:36:582010 SUM:04AE1B5D /production/mcgraw−hill/booksxml/aston/04−contents 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 6 .8 6 ] 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 . KerrypressLtd–TypesetinXML A Division:04-contents F Sequential2 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:1 SESS:12 OUTPUT:TueMay 415:37:022010 SUM:172C76D4 /production/mcgraw−hill/booksxml/aston/05−figures D o w n lo a d e d b y [ F a c u Figures 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 6 .8 6 ] a t [0 7 /1 8 /1 1.1 Accountabilityasanurse 2 6 ]. C 1.2 The‘addonframework’fordecisionmaking 9 o p y 2.1 Theskillsescalator 24 rig h 4.1 Elementsofcompetence 60 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 . KerrypressLtd–TypesetinXML A Division:05-figures F Sequential1 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans JOBNAME:McGraw−AstonWakefiel PAGE:2 SESS:12 OUTPUT:TueMay 415:37:022010 SUM:04AE1B5D /production/mcgraw−hill/booksxml/aston/05−figures 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 6 .8 6 ] 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 . KerrypressLtd–TypesetinXML A Division:05-figures F Sequential2 www.kerrypress.co.uk-01582451331-www.xpp-web-services.co.uk McGrawHill-170mmx240mm-Fonts:Caslon,GillSans