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

598 Pages·2008·22.89 MB·English

by  Sue Hinchliff

NURSING
PRACTICE
AND
HEALTH CARE
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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
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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