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Contexts of Nursing

Contexts of Nursing

John Daly | Sandra Speedy | Debra Jackson

(2017)

Additional Information

Book Details

Abstract

Contexts of Nursing: An Introduction, 5th edition provides comprehensive coverage of the key ideas underpinning contemporary nursing practice in Australia and New Zealand. Each chapter introduces nursing students to the big issues in nursing and healthcare, highlighting the theory, language, research and debate in a way that will challenge the reader and encourage reflection and discussion.

  • Highly respected editorial team and contributors who are at the forefront of nursing practice
  • Revised and updated learning objectives, key words, reflective questions, recommended readings and references
  • Emphasis on the different levels and roles in nursing, nursing specialisations and scope of practice to help students understand the ever evolving landscape of nursing
  • Content updated to reflect national registration and standards for practice of the NMBA and NCNZ
  • ‘Stories’ throughout – featuring case studies on chapter content
  • Reflection points throughout the chapters to encourage personal reflection
  • New chapters, including: - Nursing and social media - Health disparities: the social determinants of health - Mental health promotion - Global health and nursing
  • Includes eBook with print purchase on evolve

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Contexts of Nursing i
Copyright Page iv
Table Of Contents v
Contributors vii
Reviewers x
Preface xi
1 Presenting nursing … a career for life 1
Key words 1
Learning objectives 1
Why nursing? 2
Nursing: myths, legends and stereotypes 2
How to define nursing? 5
Choosing nursing 6
Nursing: what sustains us? 7
Types of nurse in Australia and New Zealand 9
Enrolled Nurse 10
Registered Nurse 10
Assistant in Nursing or Nurse’s Aide 11
Professional regulation and conduct 11
Conclusion 12
Recommended readings 12
References 13
2 Visioning the future by knowing the past 17
Key words 17
Learning objectives 17
History and its relevance to nursing 18
Traditional Views of History 18
An Enlightened View of the History of Nursing 19
The roots of modern nursing 19
Pre-Modern Nursing 20
Healthcare in early Australia and New Zealand 20
Establishing Institutions 21
Institutional nurses 21
Care Provided in the Community 22
Worldwide Calls to Reform Nursing 23
Institutional training schemes 24
Some historical influences on nursing 25
Voluntary Regulation 26
Statutory Regulation 27
Milestones in Australian and New Zealand nursing 28
War 28
The Anglo-Boer War, World Wars I and II 28
The sinking of the Vyner Brooke and the Bangka Island massacre 29
The sinking of the Australian Hospital Ship Centaur 29
On the home front 30
Developing Education 31
Streams of specialisation 32
History and identity 32
The Identity of Midwifery, Not ‘Nursing’ 33
Religious nurses 34
The Australian Inland Mission 35
Aboriginal nurses 35
The future 36
Conclusion 37
Reflective questions 38
Recommended readings 38
References 38
3 The gendered culture of nursing 43
Key words 43
Learning Learning Objectives 43
Introduction 44
Feminism: changing perspectives 44
The gendered nature of nursing work 46
The work of nursing 48
Feminism, science and nursing 51
Men in nursing 54
Conclusion 56
Recommended readings 56
References 56
4 Nursing and social media 61
Key words 61
Learning objectives 61
Introduction 62
What is social media? 62
Relevance to nursing and modern healthcare 63
Social media ethics and e-professionalism 65
Guidance, policy and regulation 65
Contemporary application in nursing 65
Patient Support and Nursing Interventions 65
Web publishing, blogging and online communities 66
Health promotion 68
Patient Services and Workforce 69
Education and Professional Development 69
Development of clinical skills 70
Policy, Procedure and Research 72
Conclusion 75
Reflective questions 75
Recommended resources 75
Recommended readings 75
References 76
5 Key concepts informing nursing 77
Key words 77
Learning objectives 77
Introduction 78
Nursing as art and science 78
Science and Nursing 78
Art and Nursing 82
Care, humanism and holistic nursing practice 83
Caring Through Engagement 84
Threats to Empathy and Compassion 85
Caring competence in nursing 87
Conclusion 88
Reflective questions 89
Recommended resources 89
Recommended readings 89
References 89
6 Becoming a critical thinker 93
Key words 93
Learning objectives 93
What is critical thinking? 94
The characteristics of critical thinking 95
Critical Thinking and Habits of Mind 96
An Holistic Definition of Critical Thinking 96
What is an argument? 97
What Makes a Sound Argument? 98
Critical thinking in nursing 100
Clinical Practice 100
Clinical Reasoning 101
The phases of clinical reasoning represented as an argument 102
Thinking Critically About Research 103
Thinking about ethics 105
The Situation 105
The Principles 106
Action 107
The ethics of critical thinking 107
Developing critical thinking skills 107
Conclusion 109
Reflective questions 109
Recommended readings 109
References 109
7 Reflective practice 111
Key words 111
Learning objectives 111
Introduction 112
Why be reflective? 112
What is reflection or reflective practice? 113
The roots of reflective practice 115
The benefits of reflection 117
Strategies for reflection 118
Writing 118
Journalling 118
Ethical and legal issues related to journalling 120
Critical incident analysis 121
Photography, Drawing and Other Forms of Creative Expression 122
Self-Awareness and Clinical Supervision 122
Problems, criticisms and responses 123
Conclusion 124
Reflective questions 125
Recommended readings 125
References 125
8 Research in nursing 129
Key words 129
Learning objectives 129
Introduction 130
What is research? 131
Nurses’ involvement in research 131
Nursing research approaches 133
Quantitative Research 134
Qualitative Research 134
Mixed Methods Research 135
The Research Process 136
Evidence-Based Practice 137
Critical Appraisal 137
Using Evidence in Practice 138
Where do we find research? 139
Peer-Reviewed Journals 139
Grey Literature 139
Online Portals 139
Conclusion 140
Recommended readings 140
References 140
9 Ethics in nursing 143
Key words 143
Learning objectives 143
Professional ethics 144
Nursing ethics 144
Ethical and unethical professional conduct 145
‘Everyday’ ethical issues in nursing 146
Future ethical challenges 148
What can nurses do? 149
Conclusion 150
Reflective questions 151
Recommended readings 151
References 151
10 An introduction to legal aspects of nursing practice 153
Key words 153
Learning objectives 153
Introduction 154
The common law basis 154
Civil law 157
Patient Safety 157
Defences 161
Negligent Advice 162
Patient Consent 163
Mental health patients 164
Intellectually impaired patients 165
Children 165
Defences 166
Patient Freedom of Movement 167
Defences 167
Patients’ Property 168
Criminal law 169
Criminal Assault 169
Defences 170
Criminal Negligence, Manslaughter and Murder 170
Vicarious liability 171
Patient records 172
Regulation of drugs 174
Regulation of nursing practice 174
Complaints 178
Conclusion 180
Reflective questions 181
Online resources 181
Recommended readings 181
References 181
11 Power and politics in the practice of nursing 183
Key words 183
Learning objectives 183
Nursing and politics 184
Understanding power 185
Politics and power 186
Nurses’ collective political power 187
Power in practice 189
Advocacy 191
Whistleblowing 193
Conclusion 195
Reflective questions 195
Recommended readings 195
References 195
12 Becoming a nurse leader 199
Key words 199
Learning objectives 199
Introduction 200
Healthcare in context 202
Opportunities for clinical nursing leaders 205
Policy frameworks for nursing practice 206
Changing models of care delivery 207
Leadership in action 208
What makes a clinical leader? 210
Promoting leadership in the practice setting 211
Professional Societies and Organisations to Promote Clinical Leadership 212
Leadership in evidence-based practice 214
Significance of Expert Clinical Practice 215
Looking to the future 215
Conclusion 216
Reflective questions 216
Recommended readings 216
References 216
13 Integrated care and multidisciplinary teamwork 219
Key words 219
Learning objectives 219
Introduction 220
What is integrated care and why is it important? 220
Chronic Care Model 221
Patient-centred care 222
Mead and Bower’s Patient-Centredness Conceptual Framework 222
What is the role of the nurse in multidisciplinary, interdisciplinary and transdisciplinary teamwork? 223
What attributes do nurses require to be effective integrated care team members? 225
Partnering with patients and families and developing shared goals 228
Developing collaborative team practices 228
Creating clearly defined roles 229
Foster mutual trust 229
Effective communication 230
The benefits of integrated care 232
Conclusion 232
Recommended readings 233
Recommended viewing 233
References 233
14 Technology and professional empowerment in nursing 235
Key words 235
Learning objectives 235
Nursing and technology 236
Interpreting technology 237
Artifacts and Resources 238
Knowledge and Skills 239
Technique 240
Technology, nursing and professional empowerment 242
Technology and Nursing Is Political 243
People Have a Right to Quality Care 244
Technology Is Not Neutral and Always Influences Nursing Practice 246
Good Healthcare Matters Because People Matter 247
Conclusion 248
Reflective question 249
Recommended readings 249
References 249
15 Nursing and informatics 253
Key Words 253
Learning objectives 253
Introduction 254
Origins of nursing informatics 254
Evolution of nursing informatics discipline 255
United States 256
Australia and New Zealand 256
Challenges in the evolution of nursing informatics 258
Innovative technology available to nurses delivering direct care 259
Articulation of nurses with HIT 261
Conclusion 266
Reflective Questions 267
Recommended resources 267
Recommended readings 267
References 267
16 Healthy communities 271
Key words 271
Learning objectives 271
Introduction 272
What do we mean by community? 272
Community nursing roles 274
Home Visiting 275
Nurse Navigators 278
Community Child and Family Health Nurses 278
School Health Nurses 280
Occupational Health Nurses 281
Practice Nurses 282
Community Mental Health Nurses 283
Nurse Practitioners 283
Goals for community health 284
Conclusion 285
Reflective questions 285
Recommended readings 285
References 285
17 Health disparities 287
Key words 287
Learning objectives 287
Introduction 288
Health disparities 288
Framing disparities within a social justice–rights–equity nexus 289
Social determinants of health 290
Effects of disparities in healthcare 292
Responding better to those belonging to groups commonly affected by disparities 294
Indigenous Peoples 294
Older People 295
LGBTQI People 296
Families Affected by Violence 297
Youth 298
Conclusion 300
Recommended readings 300
References 300
18 Mental health promotion 303
Key words 303
Learning objectives 303
Introduction 304
Population health 304
Social determinants of health 305
Employment and Income 305
Housing and Food 306
The Environment 306
Education 307
Health promotion 308
Mental health promotion programs 309
Stigma, recovery and health promotion 311
Barriers to mental health promotion 312
Education and mental health promotion 312
The role of media in mental health promotion 313
The role of the nurse 314
Conclusion 315
Reflective questions 316
Online resources 316
Recommended readings 316
References 317
19 The challenges and rewards of rural and remote nursing 321
Key words 321
Learning objectives 321
Introduction 322
Rural nursing 322
Introducing rural and remote populations 322
The tyranny of distance and population sparsity 323
The health of rural and remote communities 324
The challenge of providing health services in rural and remote locations 326
The nature of rural and remote nursing 327
Scope of practice 328
Extended, advanced and solo nursing roles 329
The challenge of sustaining the rural and remote workforce 330
Conclusion 331
Reflective questions 333
Recommended readings 333
References 333
20 Cultural safety in nursing and midwifery 337
Key words 337
Learning objectives 337
Before reading this chapter 338
Culture 338
The concept of culture and its relationship to nursing 338
Culture Is Dynamic 338
Cultural safety 339
Culturally competent or culturally capable? 339
Australia’s First Peoples 340
New Zealand’s first peoples 341
Multicultural Australia 342
Multicultural New Zealand 343
Correlations between culture and the social determinants of health 345
Refugees and asylum seekers 345
Providing culturally safe nursing care 346
Language 346
Belief Systems 346
Conclusion 347
Reflective questions 347
Recommended readings 347
References 347
21 Connecting clinical and theoretical knowledge for practice 351
Key words 351
Learning objectives 351
Introduction 352
Connecting clinical and theoretical learning to become knowledge-ABLE 352
Developing knowledge-ABILITY 355
Knowledge-ABILITY as action-oriented active learning 357
Appraisal as a strategy for knowledge-ABILITY 360
Connecting clinical and theoretical knowledge in clinical settings 361
Connecting clinical and theoretical knowledge to transition to practice 364
Connecting clinical and theoretical knowledge in ‘classroom’ learning 365
Conclusion 366
Reflective questions 367
Recommended readings 367
References 368
22 Global health and nursing 371
Key words 371
Learning objectives 371
Introduction 372
How global health strategies and policies are developed 373
Universal Health Coverage 374
The Millennium Development Goals 374
The Sustainable Development Goals 375
Health policy at a country and regional level 377
Current global and regional priorities in the health sector 378
Human Resources for Health 378
Ethical migration in line with the WHO code of practice on international recruitment 380
How nursing leaders influence global health planning 381
Governance 381
Associations 383
Regulation 383
Education 384
Conclusion 385
Reflective Questions 386
Recommended readings 386
References 387
Glossary 391
Index 401
A 401
B 402
C 402
D 405
E 406
F 407
G 407
H 408
I 410
J 411
K 411
L 412
M 412
N 414
O 417
P 417
Q 419
R 419
S 421
T 422
U 423
V 423
W 423
Y 424