The Nursing Associate

Stepping into Practice
Herausgeber: Coulson, Annabel

• Broschiertes Buch

Produktbeschreibung

A complete guide to the challenges and opportunities of the nursing associate role, and its potential to improve patient outcomes The Nursing Associate: Stepping into Practice provides essential insights into the important, emerging role of the nursing associate within clinical practice, the importance of professional development, and the core skills and competencies outlined by the Nursing and Midwifery Council (NMC, 2018). This book carefully considers how these skills align with the NMC Standards for Nurse Education and the Future Nurse expectations, and where appropriate, outlines their relationship directly to the Standards of Proficiency. Each chapter includes further reading to enable the reader to expand their understanding in relation to their own experiences and practice needs. The Nursing Associate includes information on: * The importance of decision-making, evidence-based practice, and professionalism as a nursing associate * Approaches to ensuring a person-centred mindset during admission and the provision of safe and effective care * Effective communication skills aimed at supporting individuality, gaining trust, and ensuring the patient voice is recognised * The relevance of duty of care, candour, equality and diversity, and how the three concepts interlink * The transition into becoming a registrant, covering changes in responsibility and accountability level as well as new skill development The Nursing Associate is an essential read for all current and aspiring nursing associates seeking to understand their role, maximise their effectiveness in team support and patient outcomes, and taking the next step in their careers.

---

Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.

Produktdetails

• Verlag: John Wiley & Sons Inc
• Seitenzahl: 208
• Erscheinungstermin: 10. April 2025
• Englisch
• Abmessung: 279mm x 216mm
• ISBN-13: 9781119698562
• ISBN-10: 1119698561
• Artikelnr.: 72599598

Autorenporträt

Annabel Coulson, Practice Learning Lead and Programme Leader for FdSc Nursing Associate, University Hospitals of Leicester, UK.

Inhaltsangabe

Notes on Contributors xiii 
Acknowledgements xvii 
Introduction xix 
1 Understanding Your Apprenticeship 1 
Annabel Coulson 
Introduction 1 
Aims of This Chapter 1 
The History of Nurse Education and the Apprenticeship Model 2 
What Is an Apprenticeship? 4 
The Apprenticeship Standards for Nursing Associates (ST0827) 5 
'On-the-Job' Time 5 
'Off- the-Job' Learning 6 
Getting the Right Balance 8 
Postregistration Opportunities 9 
Preceptorship 9 
What Are Postregistration Opportunities? 9 
Chapter Summary 11 
References. 11 
2 Embedding the Nursing Associate in Practice 12 
Jacqueline Elton 
Introduction 12 
Aims of This Chapter 12 
Related NMC Standards. 12 
Why the Need for a New Role? 13 
Is the NA a Reinvention of the SEN? 15 
Potential Difficulties with the Introduction of New Roles. 17 
Understanding of the Role 18 
The Reality of the NA Role 18 
Annabel - Programme Lead 18 
Jenny - Senior Nurse Manager Acute Hospital Inpatient Setting 20 
Claire and Amanda - Community NAs 21 
Louise - Trainee Nurse Associate Acute Inpatient Trust 22 
Steph and Sonal - Nursing Associates Supporting and Developing Other Nurse
Associates 23 
Chapter Summary 24 
References 25 
3 Being a Professional: The Importance of Scope of Practice 27 
Claire Agnew van Asch 
Introduction 27 
Aims of This Chapter 27 
Related NMC Standards 28 
Being a Professional 28 
Modern Nursing Origins 28 
Defining a 'Profession' 28 
Professional Regulation 28 
Being a Nursing Associate 30 
Advocacy 30 
Barriers to Effective Advocacy 31 
Advocacy Skills 31 
Empathy 33 
Active Listening 33 
Professional Autonomy and Working within Your Scope of Practice. 35 
What Is Scope of Practice? 35 
Practise Effectively 36 
Preserve Safety 36 
Ensuring You Are within Scope of Practice 36 
Clinical Competence 37 
Professional Judgement and Clinical Decision Making 37 
Clinical Decision Making 37 
Critical Thinking and Using the Evidence 39 
Using Evidence-based Practice 39 
Foundations for the Nursing Associate Role 40 
The Nurse-Patient Relationship 40 
Requirements for a Successful Nurse-Patient Relationship 41 
Prioritise People 41 
Promote Professionalism and Trust 42 
How Do You Build a Nurse-Patient Relationship? 42 
Holistic Nursing Care 43 
The Unpopular Patient. 43 
The Nursing Process 44 
What Is the Nursing Process? 44 
Practise Effectively 47 
NMC Proficiencies 47 
Chapter Summary 47 
Suggested Answers for Advocacy Scenarios 48 
References 49 
Further Reading 50 
4 Applying Person-centred Approaches to Care 51 
Leigh-Ann Cowell 
Introduction 51 
Aims of This Chapter 51 
Related NMC Standards 52 
What Is Person-centred Care? 52 
Nursing Theories and Models 55 
Popular Nursing Models 56 
Orem (1980) 56 
Peplau's Theory of Nursing (1991) 56 
Roper, Logan and Tierney (2000) 57 
Recovery Star 57 
The Nursing Process. 58 
Patient and Family-centred Care 59 
Person-centred Care at End of Life 61 
Supporting Person-centred Care with Cultural Competence 62 
Cultural Awareness 63 
Cultural Knowledge 63 
Cultural Skill 63 
Cultural Encounters 63 
Cultural Desire 63 
Chapter Summary 64 
References 64 
Further Reading 65 
5 Effective Communication for the Nursing Associate 67 
Michelle Richardson 
Introduction 67 
Aims of This Chapter 67 
Related to NMC Standards 67 
The Importance of 'Good' Communication 68 
Underpinning Theories 68 
Understanding Ourselves and How We Develop Our Own Communication 69 
Developing an Effective Therapeutic Relationship 72 
Using Communication to Engage and Develop Care 74 
Heron's (2001) Six-stage Interventional Analysis 74 
Recognised Barriers to Effective Communication 75 
Communicating with Children 76 
Tools to Aid Communication 76 
Cultural Awareness 77 
Questions to Consider when Developing an Effective Nurse-Patient
Relationship 78 
Barriers to Supporting Cultural Awareness 79 
Sensory and Altered Perceptions 80 
Physical Causes of Communication Barriers 82 
Challenging Conversations - Breaking Bad News and Emotionally Charged
Situations 84 
Spikes 85 
Setting Up the Interview 86 
Perception (Assessing the Patient's Perception) 86 
Invitation (Obtaining the Patient Invitation) 86 
Knowledge (Giving Knowledge and Information to the Patient) 86 
Emotions (Addressing the Patient's Emotions with Empathetic Responses) 87 
Strategy and Summary 87 
Conflict and Challenging Behaviour 87 
Application to Practice 89 
Professional and Team Communication 90 
Resources 90 
Chapter Summary 91 
References 91 
Further Reading 92 
6 The Nursing Associate and Duty of Care, Candour, Equality and Diversity
93 
Marie Knight 
Introduction 93 
Aims of This Chapter 93 
Related NMC Standards 94 
Duty of Care 94 
Prioritise People 94 
Professional Competence 95 
Effective Communication 96 
Advocacy 96 
Ethical Practice 97 
Continuous Improvement 97 
Duty of Candour 99 
Disclosure of Adverse Events. 99 
Supporting the Patient 100 
Documentation and Reporting 100 
Mental Capacity 100 
Equality and Diversity 102 
Chapter Summary 104 
References 104 
Further Reading 105 
7 The Team Around the Patient 106 
Colette Orton 
Introduction 106 
Aims of the Chapter 107 
Related NMC Standards 107 
Teams 107 
Barriers to Team Development 109 
Changing Roles 109 
Changing Settings. 110 
Instability of Teams. 110 
Communication in Teams. 110 
Critical Thinking, Problem Solving and Decision Making 112 
Critical Thinking. 113 
Problem Solving. 113 
Incidents and Accidents: Patient Safety Incident Response Framework
(PSIRF). 114 
Culture 117 
Leadership, Psychological Safety, Learning Environments, Change and
Improvements 119 
Autocratic 120 
Democratic 120 
Laissez Faire 120 
Chapter Summary 121 
References 122 
Further Reading 123 
8 Nursing Associates and the Importance of Being Curious 124 
Rose Webster 
Introduction 124 
Aims of This Chapter 124 
Related NMC Standards 125 
What Is Evidence-based Practice? 126 
Historical Context of Evidence-based Practice 126 
Evidence-based Nursing Practice 127 
Using Evidence in Practice. 129 
Being Aware of the Evidence Underpinning your Practice 129 
Finding Evidence to Support your Practice 129 
Evaluating the Available Evidence 129 
Finding New Evidence 130 
Translating Evidence into Practice 130 
Monitoring Evidence-based Practice 130 
What Is the Evidence Base for Practice? 130 
Finding the Evidence for Practice 131 
Clinical Policies and Guidelines as a Source of Evidence for Practice 131 
Reviewing the Literature to Find Evidence for Practice 133 
What Published Evidence Should I Look At? 134 
Finding Evidence Collated by Others 135 
Searching the Published Literature 135 
Evaluating the Evidence That You Find 136 
Finding New Evidence for Practice 136 
Evidence from Systematic Enquiry through Research 137 
Research Methods 137 
Quantitative Methods 137 
Qualitative Methods 139 
Limitations of Systematic Research as a Source of Evidence to Inform
Practice 140 
Evidence from Clinical Expertise 140 
Evidence from Patient or Service User Experience, Preference and Values
141 
Translating Evidence into Practice 142 
Clinical Decision Making 143 
Monitoring Evidence in Practice 144 
Service Evaluation 144 
Clinical Audit 144 
Chapter Summary 145 
References 145 
Further Reading 147 
Evidence-based practice 147 
Research methods 147 
Use of clinical guidelines in practice. 147 
Patients as sources of evidence for practice 147 
Factors influencing the translation of evidence into nursing practice 148 
Clinical decision making 148 
Clinical audit 148 
Service evaluation 148 
Hand hygiene 148 
Wound dressings and wound care 148 
Prevention of pressure ulcers 149 
MMR vaccine uptake 149 
The nursing associate role 149 
9 Supporting Learners: The Role of the Nursing Associate 150 
Annabel Coulson 
Introduction 150 
Aims of This Chapter 151 
Related NMC Standards. 151 
Platform 4. 151 
NMC Standards of Student Support and Supervision 151 
Experiences of Student Nursing Associates: Lessons Learnt 153 
The Learning Environment 154 
SLOT Analysis of a Learning Environment 155 
Learning in Practice 156 
Learning Cultures 157 
Supporting Learners 158 
Importance of Your Learners' Experience 159 
Optimising the Learning Experience 159 
Teachable Moments: Creating Opportunities to Learn in Practice 160 
Using Delegation to Support Learning 161 
Barriers to Delegation 162 
Impact of Good Delegation 163 
Impact of Ineffective Delegation 163 
Providing Effective Feedback 164 
Struggling Learners 165 
Chapter Summary 166 
References 166 
Further Reading 167 
Index169