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9781444306439

Advanced Practice in Nursing and the Allied Health Professions, 3rd Edition

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  • ISBN13:

    9781444306439

  • ISBN10:

    144430643X

  • Format: eBook
  • Copyright: 2009-06-01
  • Publisher: Wiley-Blackwell
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Summary

Advanced Practice in Nursing and the Allied Health Professions enables nurses and members of allied health professions to effectively diagnose and treat patients, in a wide variety of settings. It is especially relevant in regions where access to other health providers is limited.This new, completely revised, third edition shows how advanced practice continues to develop in response to the impact of health service reforms, the introduction of health policies aimed at developing a patient-led service based in primary care and changes in working conditions. Advanced Practice in Nursing and the Allied Health Professions presents an examination of the potential for advanced practitioners, at all levels, to have a significant effect on the health of the population and provide holistic care for the sick. Practice is identified as the central and most important feature of the advanced role in nursing and allied health professions.Advanced Practice in Nursing and the Allied Health Professions also considers: The development of advanced practice in nursing and the allied health professions and the implications for future health and social care services; Challenging professional boundaries that hinder the provision of care and pioneering innovation within a diverse society; The relationship between health policy and service reforms, current and future advanced roles; International developments in advanced practice; Leadership, management in relation to advanced roles; The responsibilities of advanced practitioners in meeting healthcare needs in a diverse society; Educating advanced practitioners and tracking their career development; The future possibilities for advanced practice and an agenda for research.

Table of Contents

Contributors
Introduction
The Development of Advanced Nursing Practice in the United Kingdom
Introduction
Health policies and reforms
The UKCC and higher-level
practice
The interface with medicine
The introduction of new roles
Modern matrons
Nurse consultants
Physicians' assistants
Nurse practitioners and the Royal College of Nursing
The Nursing and Midwifery Council
Conclusion
Key questions for Chapter 1
References
UK Health Policy and Health Service Reform
Introduction
The policy process
Labour health policy since 1997
UK health policy and its implications for advanced nursing practice
Advanced nursing practice
Advanced nurses as policy implementers
Conclusion
Key questions for Chapter 2
References
Advanced Practice in Allied Health Professions
Introduction
The introduction of the consultant allied health professional
Physiotherapy
Radiography and sonography
Sonography: an example of advanced radiography role
Are these new roles in physiotherapy and radiography/sonography advanced?
Conclusion
Key questions for Chapter 3
References
The Conceptualisation of Advanced Practice
Introduction
The context of the development of advanced practice
The nature of advanced practice
Professional maturity
Challenging professional boundaries
Pioneering innovations
Is advanced practice a generic term?
Conclusion
Key questions for Chapter 4
References
Advanced Assessment and Differential Diagnosis
Introduction
The nature of advanced assessment
Types of advanced assessment
Conducting an advanced assessment
Limitations of advanced assessment
Formulating a differential diagnosis
Conclusion
Key questions for Chapter 5
References
Prescribing and Advanced Practice
Introduction
Recent developments in non-medical prescribing
Preparation for prescribing
Who may prescribe what?
Nurses
Allied health professionals
Controlled medicines
Patient group directions
Emergency situations
The principles of safe prescribing
Safety and clinical governance
The future of non-medical prescribing
Conclusion
Key questions for Chapter 6
References
Advanced Practice in Dietetics
Introduction
Reasons for the development of consultant roles in dietetics
The consultant role
Working as a consultant in obesity management
Role development
Clinical practice
Professional leadership
Education, training and professional development
Service development, research and evaluation
Setting up a consultant post
Examples of dietetic consultant roles
Conclusion - the future for consultant dietitians
Key questions for Chapter 7
Acknowledgements
References
Advanced Practice in Occupational Therapy
Introduction
Advanced practice in occupational therapy
Specialist roles in occupational therapy
Clinical caseload and expertise
Clinical leadership
Clinical teaching and mentoring
Specialist advisory role
Consultant roles in occupational therapy
Expert clinical practice
Practice and service development
Professional leadership and consultancy
Research audit and evaluation
Education, training and development
The clinical specialist and consultant occupational therapist as advanced roles
Current issues for consultant occupational therapists
The future for occupational therapists
Conclusion
Key questions for Chapter 8
References
Working as an Advanced Nurse Practitioner
Introduction
Defining a need
Organisational preparation
Job planning
Maintaining focus and delivery
Developing strategic influence
Consultancy and entrepreneurship
Review and evaluation
Career progression
Conclusion
Key questions for Chapter 9
Acknowledgements
References
Pioneering New Practice
Introduction
Background to the quadrant model
The quadrant model
pioneering innovations in technical acute cure cultures
pioneering innovations in high-technology/care cultures
pioneering innovation in low-technology/cure cultures - strategies for patient education and rehabilitation
Development of ICD nursing expertise
Development of heart failure nursing expertise
pioneering innovations in low-technology/care quadrant
Conclusion
Key questions for Chapter 10
References
Cultural Competence in Advanced Practice
Introduction
Culture and equality
Cultural relationships among health, illness, treatment and care
Theoretical approaches to culturally competent practice
Papadopoulos, Tilki and Taylor's theory of cultural competence
Purnell and Paulanka's theory of cultural competence
McGee's theory of cultural competence
Relevance of theory to advanced practice
Conclusion
Key questions for Chapter 11
References
Leadership in Advanced Practice: Challenging Professional Boundaries
Introduction
Leadership in advanced practice
Theories and characteristics of leadership
What leadership is not
Leadership can be learned
What is leadership?
Theories of leadership
Key elements of leadership
Other important leadership characteristics
The setting for leadership
The followers
Leadership styles and their relevance for advanced practice
Sustaining and nurturing leaders
Indicators of effective leadership
Conclusion
Key questions for Chapter 12
Acknowledgements
References
Management Issues in Advanced Practice
Introduction
Managing the self
Management issues and their implications for advanced practitioners
Current health service priorities
Modernising health professionals' careers
Patient and public involvement in health care
The strategic and business plans
Managing advanced practice roles
The advanced practitioner as manager
Conclusion
Key questions for Chapter 13
References
The Preparation of Advanced Practitioners
Introduction
The concept of competence
Competencies for advanced practice
The educational preparation of advanced practitioners
Clinical doctorates
Conclusion
Key questions for Chapter 14
References
The Careers of Advanced Practitioners
Introduction
Context of the survey
Findings
Employment issues
Perceptions of the role and its effects on practice
Evaluation of the advanced practice role
Perceived helpfulness of the preparation for the advanced practice role
Career development
Consultant practitioners
Discussion
Conclusion
Key questions for Chapter 15
References
An International Perspective of Advanced Nursing Practice
Introduction
Factors contributing to the emergence of advanced nursing practice globally
Extent of international presence
An international presence marked by confusion
Advanced nursing practice defined: an international view
Characteristics
Country illustrations of development
The role of international organisations
Scope of practice, regulation and standards
Practice settings
Interaction with health professionals
Future directions in advanced nursing practice
Conclusion
Key questions for Chapter 16
Acknowledgements
References
The Future for Advanced Practice
Introduction
An agenda for research
Direct practice
Collaboration with service users
Diversity and inclusiveness
Professional regulation and control
Education and assessment
Recording developments
Conclusion
References
Index
Table of Contents provided by Publisher. All Rights Reserved.

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