A Clinician's Survival Guide to District Nursing

1st Edition - October 3, 2024
Imprint: Elsevier
Editors: Neesha Oozageer Gunowa, Michelle McBride
Language: English
Paperback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 4 8 1 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 5 5 0 - 8

A Clinician’s Survival Guide to District Nursing covers the specialist skills and knowledge nurses need to join the rapidly expanding, increasingly important community nursing w… Read more

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A Clinician’s Survival Guide to District Nursing covers the specialist skills and knowledge nurses need to join the rapidly expanding, increasingly important community nursing workforce.

The book is a quick reference guide designed to support autonomous decision making amid the wide range of conditions district nurses are expected to manage, recognising and highlighting the advanced skills of district nurses. It will help the reader understand what it means to work in the community, acquire the fundamental knowledge of clinical skills necessary to ensure best practice, and explore ways of working to ensure optimal care delivery through joined-up health and social services.

Written by specialists in community nursing, this indispensable new book is ideal for students exploring district nursing as a career option, as well as nurses transitioning to a district nursing team role.

Title of Book
Cover image
Title page
Table of Contents
Copyright
Dedication
Foreword
PREFACE
Contributors
CHAPTER 1. The Role of Community and District Nurses
1.1 Introduction
1.2 The Role of Community Nurses in Care Homes
1.3 History of District Nursing
1.4 Policy and District Nursing
1.5 Nurse Education in the Community
1.6 District Nursing as a Career Choice
1.7 Career Transition Into the Community
1.8 Conclusion
CHAPTER 2. Community Nursing and System Working
2.1 Introduction
2.2 Background
2.2.1 Collaboration
2.2.2 Commissioning
2.3 Recent Policy Context
2.4 Integrated Care Systems
2.5 The Role of the Community Nurse in Commissioning
2.6 Conclusion
CHAPTER 3. Economic Value of Community Nursing
3.1 Introduction
Personal Value
Technical Value
Population Value
3.2 Demonstrating the Value of Community Nursing
3.3 Patient-Reported Outcomes in Community Nursing
3.4 Conclusion
CHAPTER 4. Autonomous Practice and Safe Ways of Working Alone
4.1 Introduction
4.2 Autonomous Practice as a Skill
4.3 Autonomy and Critical Thinking Skills
4.4 Working Within One’s Sphere of Knowledge
4.5 Significant Developments in Nursing Autonomy
4.6 Work-Based Pressures
4.7 Recognising Safety in the Patient’s Home
4.8 Managing Risks and Risk Assessment at Work
4.9 Duty of Care
4.10 Conclusion
CHAPTER 5. Infection Prevention and Control in the Community
5.1 Introduction
5.2 Background
5.3 Infection Prevention and Control in District Nursing Practice
5.3.1 Standard Precautions
5.3.2 Hand Hygiene
5.3.3 Personal Protective Equipment
5.3.4 Waste Management
5.4 Decontamination of Equipment
5.4.1 Uniforms
5.4.2 Wound Management and Infection
5.4.3 Invasive Devices and Procedures
5.4.4 Environmental Cleanliness and Hygiene Issues
5.5 Keeping Your IPC Practice Up to Date and Evidence Based
5.5.1 Staff Education
5.5.2 Accessing Resources
5.6 Conclusion
CHAPTER 6. Promoting Equity in Community Nursing
6.1 Introduction
6.2 International Policy
6.3 Definitions of Equity and Equality
6.4 Health Outcomes
6.5 Conclusion
CHAPTER 7. Intersecting Pathways: Exploring Population Health, Public Health and Health Promotion
7.1 Population Health, Public Health and Health Promotion
7.2 Population Health and Community Nursing
7.3 Public Health in Community Nursing
7.4 Health Promotion in Community Nursing
7.5 Behaviour Change in Community Nursing
7.6 Making Every Contact Count in Community Nursing
7.7 Environmentally Sustainable Care in Community Nursing to Linking Sustainability to Public Health in Community Nursing
7.8 Climate Change and Health
7.9 Lower Carbon Care
7.10 Community Nurses and Environmentally Sustainable Care
7.11 Examples in Focus: High-Quality Care in the Community
7.12 Conclusion
CHAPTER 8. Clinical Assessment
8.1 Introduction
8.2 Background
8.3 Holistic Assessment
8.4 Initial Impression
8.5 Developing a Rapport
8.6 Privacy and Dignity
8.7 History Taking
8.8 Differential Diagnosis
8.9 Physical Examination
8.10 Appropriate Investigations
8.11 Diagnosis and Continuous Assessment
8.12 Patient Empowerment
8.13 Effective Communication
8.14 Mental Capacity
8.15 Conclusion
CHAPTER 9. Long-Term Conditions Management
9.1 Introduction
9.2 Support Planning for People With LTCs
9.3 Self-Care for People With LTCs
9.4 Motivational Interviewing
9.5 Collaborative Working
9.6 Conclusion
CHAPTER 11. Mental Health in Community Nursing
11.1 The Mental Health Impact of Living With a Physical Long-Term Condition
11.1.1 Introduction
11.1.2 Considerations and Skills for Community Nurses
11.1.3 Building Therapeutic Relationships
11.1.3.1 Showing Genuineness, Empathy and Listening to the Person
11.1.4 Referral to Mental Health Services
11.1.5 CONCLUSION
11.2 Mental Illness and Concurrent Physical Health Issues
11.2.1 Introduction
11.2.2 Background and Context
11.2.3 Principle Statistics
11.2.4 Health Disparities
11.2.5 Parity of Esteem
11.2.6 Assessment Approaches
11.2.7 Make Every Contact Count
11.2.8 Trauma-Informed Care Principles
11.2.8.1 Be Trauma Informed
11.2.9 CONCLUSION
11.3 Learning Disabilities: Key Considerations for Community Nurses
11.3.1 Introduction
11.3.2 Statistics
11.3.3 Conceptual Approaches
11.3.4 Classification of Learning Disabilities
11.3.5 Degree of Learning Disability
11.3.6 Health Disparities
11.3.7 The Mental Capacity Act
11.3.8 Diagnostic Overshadowing
11.3.9 CONCLUSION
CHAPTER 12. Palliative Care by Community Nurses
12.1 Introduction
12.2 Personal Choices at End of Life
12.3 Planning and Supporting End-of-Life Care
12.4 Supportive and Palliative Care in Socially Excluded Groups
12.4.1 Poverty
12.4.1.1 Gypsy, Roma, Travellers
12.5 Working in Multidisciplinary Teams
12.6 Conclusion
CHAPTER 13. Caseload Management
13.1 Service Planning and Caseload Allocation
13.1.1 Introduction
13.1.2 Background
13.1.3 Caseload Management
13.1.4 Caseload Review
13.1.5 Complexity of Caseloads
13.1.6 Service Planning
13.1.7 CONCLUSION
13.2 Skill Mix in the Community
13.2.1 Introduction
13.2.2 Professional Judgement and Skill Mix
13.2.3 Barriers to Implementing Skill Mix
13.2.4 CONCLUSION
13.3 Effective Hospital Discharge Planning Onto Community Caseloads
13.3.1 Introduction
13.3.2 Hospital Discharge Back to the Community
13.3.3 Communication and Information Sharing
13.3.4 Hospital Discharges
13.3.5 Mental Status/Capacity
13.3.6 Immediately Prior to Discharge
13.3.7 Barriers to Discharge Planning
13.4 Discharge Planning
13.4.1 Discharge of Patients from District Nurse Caseload
13.4.2 CONCLUSION
13.5 Conclusion
CHAPTER 14. Leadership and Career Progression
14.1 Introduction
14.2 Definition and Importance of Leadership in Community Nursing
14.3 Leadership Theories and Models
14.4 Essential Leadership Qualities in Community Nursing
14.5 Professional Development and Continuous Learning
14.5.1 District Nurse
14.5.2 Leadership Courses and Programmes
14.5.3 Leadership Roles
14.5.4 Clinical Leadership Roles
14.5.5 Management Positions
14.5.6 Research and Education
14.5.7 Professional Networks and Associations
14.5.8 Continuous Self-Assessment and Reflection
14.5.9 Mentoring
14.6 The Role of Social Media and Building a Professional Network
14.6.1 Creating A Professional Network Using Social Media
14.7 Conclusion
CHAPTER 15. Quality and Safety in the Community
15.1 Patient Safety
15.1.1 Introduction
15.1.2 Background
15.1.3 Safer Culture And Safer Systems
15.1.4 The Study Of Human Factors
15.1.5 Learning From Excellence
15.1.6 Learning From Harm
15.1.6.1 The Role of the Community Nurse
15.1.7 Risk
15.1.7.1 Managing Risk
15.1.8 CONCLUSION
15.2 Patient Documentation
15.2.1 Introduction
15.2.2 The Legal Aspect Of Documentation
15.2.3 Effective Record Keeping
15.2.4 Involving Patients In Record Keeping
15.2.5 Information Technology And Barriers To Effective Record Keeping
15.2.6 CONCLUSION
15.3 Measuring Quality and Patient Outcomes in the Community
15.3.1 Introduction
15.3.2 Quality Management System
15.3.3 Using Data Day To Day
15.3.4 Application To Practice
15.3.5 The Four Qs: Fundamental Components Of Quality Management
15.3.5.1 Quality Planning
15.3.5.2 Quality Control
15.3.5.3 Quality Assurance
15.3.5.4 Quality Improvement
15.3.6 CONCLUSION
15.4 Medicines Optimisation and Nurse Prescribing in the Community
15.4.1 Introduction
15.4.2 Medicines Administration In The Community
15.4.3 Medication In The Patient's Home
15.4.4 Administration Of Medication In The Patient’s Home
15.4.5 Medicines Administration Record (Mar) Charts
15.4.6 Managing Errors Or Incidents In The Use Of Medicines
15.4.7 Storage Of Drugs In The Community
15.4.8 Controlled Drugs
15.4.8.1 Drug Reactions
15.4.9 Disposal Of Medication In The Community
15.5 Prescribing in the Community
15.5.1 History
15.5.2 The Independent Prescriber Course
The Nursing and Midwifery Council (NMC)
The Royal College of Nursing (RCN)
Medicines and Healthcare Products Regulatory Agency (MHRA)
The Royal Pharmaceutical Society (RPS)
15.5.3 Limitations Of Prescribing And The Scope Of Practice
15.5.4 CONCLUSION
CHAPTER 16. Introduction to Digital Health Management
16.1 Introduction
16.1.1 Engaging Patients Through Digital Tools
16.1.2 Electronic Health Records
16.1.3 Virtual Wards
16.1.4 The National Health Service App
16.1.5 Telehealth And Remote Monitoring
16.1.6 Patient Online Learning Modules And Educational Resources
16.1.7 Digital Coaching And Support Systems
16.2 Digital Inclusion and Exclusion
Enhancing Wound Care Equity With Digital Visual Solutions
Background
The Procurement Process
Implementation and Impact
Evaluation
Summary
16.3 Challenges of Implementing Digital Healthcare Technologies
16.3.1 Inadequate Stakeholder Engagement And User Resistance
16.3.2 Insufficient Organisational Readiness And Change Management
16.3.3 Interoperability And Data Integration Issues
16.3.4 Privacy, Security, And Regulatory Compliance Concerns
16.3.5 Disruption To Clinical Workflows And Inefficiencies
16.3.6 Insufficient Evaluation And Continuous Improvement
16.3.7 Lack Of Leadership And Sustained Commitment
16.4 Governance
16.5 Cultivating a Mindset of Lifelong Learning and Adaptability
16.5.1 National Health Service Digital Academy
16.5.2 National Health Service Digital Innovation Hubs
16.5.3 Networks And Forums
16.5.4 National Digital Shared Decision-Making Council
16.5.5 Regional Councils
16.5.6 Shuri Network
16.5.7 Florence Nightingale Foundation Innovation And Entrepreneurship Subject Expert Group
16.5.8 Digital Health Networks Chief Nursing Information Officer Network
16.6 Conclusion
CHAPTER 17. Nursing Research in the Community
17.1 Introduction
17.2 Funding Streams
17.2.1 The National Institute for Health and Care Research (NIHR)
17.2.2 Funding Programmes
17.2.3 Investing in Infrastructure
17.2.4 Delivering National Research Studies
17.2.5 Engaging And Partnering With the Public
Community Nursing Top 10
17.3 Community Nurses and Research
17.3.1 Embedded Implementation Research and Coproduction
17.3.2 Critically Appraised Topics
17.3.3 Training Researchers
17.3.4 Applicability to Community Nursing
17.3.5 Dissemination of Research
17.3.6 Dissemination Plans
17.4 Conclusion
CHAPTER 18. Health and Well-being of District and Community Nurses
18.1 Introduction
18.2 Community Nursing and Psychological Well-being
18.3 Advocating for Education and Quality Improvement Model
18.3.1 The Four Key Aspects to the A-Equip Model Explained
18.3.1.1 Restorative Clinical Supervision
18.3.1.2 Personal Action for Quality Improvement
18.3.1.3 Education and Development
18.3.1.4 Monitoring Evaluation and Quality Control
18.3.2 Role of Professional Nurse Advocates
18.4 The Power of Self-compassion
18.4.1 Why is Self-Compassion Important For Nurses?
18.4.2 Developing the Skills of Self-Compassion and Self-Forgiveness
18.4.3 Self-Forgiveness
Self-Forgiveness Journaling Exercise
18.4.4 Taking Things Forward
18.5 Practical Support for Your Mental Health and Well-Being
Exercise
18.5.1 Stress Factors
18.5.2 Neurodivergence
18.5.3 Inclusive Workspace
18.6 Conclusion
Index

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A Clinician's Survival Guide to District Nursing

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Neesha Oozageer Gunowa

Michelle McBride

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