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VII. Conceptual Approaches to Care

VII. Conceptual Approaches to Care

INTRODUCTION             The term ‘nursing model’ was probably introduced to you in your basic education, and used for assignment work. Nursing models are supposed to be used in practice but in reality they are generally not used well, and appear to serve more as checklists for care plans rather than […]

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VI. Working Collaboratively

VI. Working Collaboratively

    INTRODUCTION            The ability to work collaboratively has been highlighted in the professional Code of Conduct (NMC 2002a) as an essential part of a nurse’s role. There is an expectation that a nurse will work co-operatively with other professionals, respecting their skills, expertise and contributions.Additionally, a nurse must communicate […]

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V. Therapeutic  Relationships

V. Therapeutic Relationships

THE FEATURES OF A THERAPEUTIC RELATIONSHIP            The recognition of the importance of the therapeutic relationship is not a new phenomenon. Peplau’s (1952) theory of nursing is based upon the importance of the relationship between the nurse and the patient, and she asserts this is the way in which all nursing care is delivered. The […]

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IV. Personal Safety in the Community

IV. Personal Safety in the Community

                                                       INTRODUCTION           Working in the community provides many challenges and opportunities. When placed in non- hospital settings as a student nurse or embarking upon a career as a community staff nurse, it is timely to reflect upon personal safety. This chapter is not intended to deter nurses from choosing to work in a community […]

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II. New Ways of Working

II. New Ways of Working

  THE CHANGING PERCEPTION OF SERVICE DELIVERY           Previously the NHS has been service-led, with an authoritarian, ‘top–down’ approach. The medical model of health care has predominated (Burke 2001). In recent years there has been a paradigm shift in the underpinning philosophy of care delivery, and the focus is now on providing […]

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I. Setting the scene: an introduction

I. Setting the scene: an introduction

SOCIAL AND POLITICAL INFLUENCES UPON COMMUNITY NURSING            The economic crisis of the 1970s led to the first real major reforms in the National Health Service (NHS). The centralisation of administrative power led to dissatisfaction amongst NHS employees. In 1976 the Resource Allocation Working Party reviewed the allocation of funds and began the move away […]

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III: Nursing in a community environment

III: Nursing in a community environment

FACTORS INFLUENCING THE DELIVERY OF COMMUNITY HEALTH CARE SERVICES       Community nurses face many challenges within their evolving roles. The transition from working in an institutional setting to working in the community can be quite demanding at first. As a student on community placement or a newly employed staff nurse, it soon becomes apparent that […]

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New ways of working

New ways of working

Rapid changes have occurred within the NHS since the return of the Labour government to power in 1997. This commenced with The New NHS: Modern, Dependable (DOH 1997) and has  been consolidated in The NHS Plan (DOH 2000a). Health and social policy have provided the driver for change and health care professionals have been required […]

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Setting the scene: an introduction

Setting the scene: an introduction

These are exciting and challenging times for community nurses. Liberating the Talents (DOH 2002) provides a framework for the expansion ofclinical roles and calls for greater freedom to encourage creativity. This book has been designed to support staff who may be new to working in acommunity setting and is an essential guide to practice. We […]

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