Jacqueline Bloomfield, Anne Pegram, Rhonda Wilson, Alan Pearson, Nicholas Procter, Bill McGuiness, Jane Stein-Parbury, Sally Bristow, Julie Dally, Brigid Gillespie, Benjamin Hay, Richard Lakeman, Deborah Norton-Westwood, Zaneta Smith, Elicia Kunst, Suzanne Robertson-Malt, Ramon Shaban, Thea van de Mortel, Peta-Anne Zimmerman, Erica Wood and Marilyn Cruickshank
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Bloomfield Pegram Wilson Pearson Procter McGuiness Stein-Parbury Bristow Dally Gillespie Hay Lakeman Kunst Smith Norton-Westwood Robertson-Malt Shaban van de Mortel
CLINICAL NURSING SKILLS CLINICAL NURSING SKILLS An Australian perspective Bloomfield Pegram Wilson Pearson Procter McGuiness Stein-Parbury Bristow Dally Gillespie Hay Lakeman Kunst Smith Norton-Westwood Robertson-Malt Shaban van de Mortel
Bloomfield Bloomfield Pegram Pegram Wilson Wilson Pearson Pearson DATE PUBLISHED: October 2016 Procter Procter ISBN: 9781316620212 McGuiness McGuiness Bloomfield Bloomfield FORMAT: Paperback with VitalSource interactive eText Stein-Parbury Stein-Parbury Pegram Pegram Bloomfield Bloomfield Bristow Bristow Wilson Wilson Pegram Pegram Dally Dally Pearson Pearson Wilson Wilson Gillespie Gillespie Procter Procter Pearson Pearson Hay Hay McGuiness McGuiness Procter Procter Lakeman Lakeman Stein-Parbury Stein-Parbury McGuiness McGuiness Kunst Kunst Bristow Bristow Stein-Parbury Stein-Parbury Smith Smith Dally Dally Bristow Bristow Norton-Westwood Norton-Westwood Gillespie Gillespie Dally Dally Robertson-Malt Robertson-Malt Hay Hay Gillespie Gillespie Shaban Shaban Lakeman Lakeman Hay Hay van van de de Mortel Mortel Kunst Kunst
An Australian perspective
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CLINICAL NURSING SKILLS AN AUSTRALIAN PERSPECTIVE
Clinical Nursing Skills is a highly practical and authoritative resource designed to educate Clinical Nursing Skills provides students with a strong, industry-focused foundation in nursing across various clinical settings. It includes the essential theory as well as relevant practical examples, which illustrate the skills required to prepare students for the workplace and help them achieve clinical competence. Each chapter is written by academics who are leaders in their field. Topics are based on the national competency standards, and provide a connection to the profession by linking knowledge, understanding and practice. The learning experience is supported by superior pedagogical features.
PEDAGOGICAL FEATURES:
Learning objectives Reflective questions Clinical tips Full-colour images In-situ troubleshooting case studies Skills in practice case studies Keys terms and definitions Research topics for further study
WHY CHOOSE THIS TEXT Includes the essential theory as well as relevant practical examples, to prepare students for the workplace and help them achieve clinical competence Links to the national standards for nursing practice demonstrating how the content connects to practice Learning experience supported by superior pedagogical features including clinical tips, learning objectives, skills in practice and troubleshooting case studies, reflective questions and research topics for further study
ADDITIONAL RESOURCES Purchase this book to gain access to your complementary VitalSource interactive etext. Fully integrated with the print book, this enhanced version of Clinical Nursing Skills houses homework assignments, tutorial assistance, guided solutions and additional content in one convenient resource, which you can download to your computer or mobile device.
DATE PUBLISHED: October 2016 ISBN: 9781316620212 FORMAT: Paperback with VitalSource interactive eText
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CONTENTS
CONTRIBUTORS:
Part I: Skills in Nursing 1 Australian Healthcare Context 2 Clinical skills and nursing care 3 An introduction to evidence-based practice in nursing
David Jackson; Elizabeth Mackey; Nikki Brown; Janet Green; Colleen Doyle; Dorothy Manwa; Kate Cameron; Chris Christensen; Christine Michael; Terri Dunstan; Kylie Rushford; Monika Ferguson.
Part II: Communication and Assessment 4 Interpersonal Communication Skills 5 Patient assessment
ABOUT THE AUTHORS: Jacqueline Bloomfield, University of Sydney Anne Pegram, King’s College London
Part III: Fundamental Skills for Patient Care 6 Infection prevention and control 7 Personal hygiene 8 Elimination 9 Nutrition 10 Medication administration 11 Promoting comfort 12 Mental Health 13 Respiratory Skills 14 Perioperative Care 15 Blood transfusion 16 Wound Management
Rhonda Wilson, University of New England Alan Pearson, University of Adelaide Nicholas Procter, University of South Australia Bill McGuiness, La Trobe University, Victoria Jane Stein-Parbury, University of Technology, Sydney Sally Bristow, University of New England, Australia Julie Dally, University of Notre Dame Brigid Gillespie, Griffith University, Queensland Benjamin Hay, University of Notre Dame
Part IV: Skills required for caring for patients with specific needs 17 Care of the deteriorating and unconscious patient 18 Essential paediatric and neonatal skills 19 Care of the elderly 20 Care of the person with a chronic disease
Richard Lakeman, Southern Cross University, Australia Deborah Norton-Westwood, Sidra Medical and Research Centre Zaneta Smith, Independent Perioperative Nursing Consultant Elicia Kunst, Southern Cross University, Australia Suzanne Robertson-Malt, EBP - Cleveland Clinic Abu Dhabi
Frameworks for chronic care management
Ramon Shaban, Griffith University, Queensland
1 table 1.1
Chapter 1: Frameworks for chronic care management
Registered nurse standards and competencies for practice
Australia – registered nurse standards for practice
Judith Anderson, Linda Deravin-Malone and Karen Francis
LeArning obJectives After studying this chapter, you should be able to:
new Zealand – competencies for registered nurses
Standard 1: Thinks critically and analyses nursing practice
Competency 1.4: Promotes an environment that enables health consumer safety, independence, quality of life, and health
Standard 2: Engages in therapeutic and professional relationships
Competency 2.6: Evaluates health consumer’s progress toward expected outcomes in partnership with health consumers
Standard 6: Provides safe, appropriate and responsive quality nursing practice
Competency 4.1: Collaborates and participates with colleagues and members of the health care team to facilitate and coordinate care
Standard 7: Evaluates outcomes to inform nursing practice
Competency 4.3: Participates in quality improvement activities to monitor and improve standards of nursing
Sources: Nursing and Midwifery Board of Australia, 2016; Nursing Council of New Zealand, 2007.
• understand the impact of chronic disease burden on communities both in Australia and New Zealand as the ICCCF, which describes three levels of care (the micro, meso and macro levels) • describe what a model of care is and how this applies to chronic care management (Frogner, Waters & Anderson, 2011). Models of care indicate to staff what their roles are, • outline the Chronic Care Model developed by Wagner et al. who they may interact with and what pressures they may face as they undertake their • describe the Innovative Care for Chronic Conditions Framework • explain the value of evidence-based practice to patient outcomes and the nursing profession tasks. A good model of care will identify aspects of health care that may otherwise be overlooked. For this reason, a model of care is especially useful for new practitioners in relation to chronic conditions.
to assist them in providing appropriate care for people (NSW Agency for Clinical Innovation, 2013). At higher levels, identifying how patients/clients move through a model of care can assist in identifying gaps in the care being provided or a duplication of services that could be altered. This level of a model of care is useful for managers and organisations (NSW Agency for Clinical Innovation, 2013). Models of care should also cover situations that are unusual or unlikely, and be adaptable to change in order to maintain their currency. Research into successful models of providing chronic care has been undertaken over many years. Due to the overarching nature of many proposed models of care for people with chronic conditions, sometimes parts of the models, rather than the entire model, are evaluated or researched (Nuño et al., 2012). Although some specific models to implement chronic care exist in Australia, such as those developed for Indigenous peoples, this text will focus on a model developed for the international market as it is important for nurses to be aware of what is happening globally and to have a framework that can be implemented in any environment. The ICCCF, which has evolved from the earlier work of the CCM, guides this text and will be described in greater detail. 3
The Chronic Care Model Effective management of chronic conditions requires a coordinated, system-wide approach. Wagner, Davis, Schaefer, Von Korff and Austin (1999) developed the Chronic Care Model (CCM; see Figure 1.1) in order to provide a systematic approach to chronic
5
Thea van de Mortel, Griffith University, Queensland Peta-Anne Zimmerman, Griffith University, Queensland Erica Wood, Monash University, Victoria Marilyn Cruickshank, Griffith University, Queensland