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Download Adult nursing : preparing for practice by Dave Barton, Andreé le May PDF

By Dave Barton, Andreé le May

A whole source on your occupation in nursing; this booklet can provide a legitimate wisdom foundation for potent care and top perform in health center and neighborhood settings and, along this, explores the numerous routes your specialist improvement can take.

Part one explores the most important features of the adventure from starting your grownup nursing reports to turning into a specialist practitioner, researcher, supervisor or instructor, with the focal point constantly on constructing the very best care.

Part seems on the 5 significant care issues: first touch, entry and pressing care; helping long-term and palliative care; acute and significant clinic care; psychological well-being and psychosocial care; and public health and wellbeing and first care. A holistic and sensible procedure attracts jointly examine, coverage guidance, and nurse and sufferer experiences.

A better half site offers annotated weblinks to worthwhile assets, PowerPoint shows, interactive MCQs, and an 'ask the authors' feature.

  • Presents the simplest facts for practice
  • Reflects united kingdom coverage instructions and worldwide well-being trends
  • Text gains comprise medical case reviews, sufferer views, key issues, color illustrations and actions to help learning
  • Highlights profession pathways and key parts for carrying on with expert development

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On payment of the NMC fee, I realised that ‘this is it, I am registered and qualified to practise as a general nurse’; that’s when I first discovered butterflies in my stomach. My first day as a staff nurse was very scary. I was so nervous and worried as I thought that this would be it, me on my own. I felt stupid at times because all I appeared to do was ask questions. I would find myself being asked by doctors, patients and relatives questions that most of the time I could not answer. ’ However, my confidence began to grow, and I was assigned two mentors within 2 weeks of starting my employment, along with a new set of competencies to work through within my preceptorship.

These have been highlighted by the Darzi Report, and I present them here in modified form. Finally, there is the domain that is structured on the foundational pillars of professional nurse role development as identified by the Modernising Nursing Careers agenda in its Advanced Practice Toolkit (Department of Health, 2010). 3 Career domains The registrant fields of practice Areas of care (modified Darzi) Pillars of role development (the Advanced Practice Toolkit) Child Acute Care Clinical Adult Unscheduled Care Research Learning Disability Chronic and Palliative Care Education Mental Health Critical and Emergency Care Management and Leadership Mental Health Public Health and Community Care (Specialist and Advanced Practice cut across these areas of care) The question, however, relates to how you, the newly qualified nurse, will draw all these domains together to map and plan your career.

Nurses aspire to professional status but historically would not have met the above criteria on several points. 1 below reveals how this situation has evolved over time. 1 Nursing as a profession Nursing as a profession 1970 2010 Provide a service to society that cannot ordinarily be carried out by all members of society (a special skill or knowledge) Yes Yes Have a standard of practice or code of conduct No Yes Be regulated by a governing body Yes Yes Have a well-defined membership (a register of practising membership) No – prior to the 1979 Nurses Act the Nursing Register was lifelong – and thus did not represent a list of ‘practising’ nurses A live (living and practising) Register came into place in 1980 Have autonomy of practice No – nurses’ activity was directed primarily by the medical profession Arguably, the situation has changed, with nurses taking far more autonomous responsibility Have a gate of entry (minimum standards to access training and education) Yes – although nurse education was service-driven and vocational, rather than a university-based process Yes – all graduate entry Have a rigorous and long training and education Yes – but not academically recognised Yes Have a career progression that requires lifelong education No – there was no requirement for further education, and career progression was limited Yes – nurses must demonstrate ongoing education, and the career structure is far more established Have a unique body of knowledge Not really – nursing theory was underdeveloped, and nursing research was rare Yes – nursing is now much more clearly defined in terms of theory and evidence Receive high remuneration No – nurses’ pay was traditionally poor Much improved – nurses today can command good salaries 29 30 Planning your nursing career Thus, as you can see, nursing was an aspirant profession that has over the last 40 years striven to meet the criteria for greater professional acknowledgement.

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