A Textbook of Community Nursing
Edited by Sue Chilton Heather Bain
Third edition
About this book
This third edition is a comprehensive and evidence-based introduction to this essential area of practice. Fully updated to take into account the wide range of nursing roles in the community, it provides an integrated approach to care, with a focus on physical and mental wellbeing.
It covers a wide range of topics, including research and community nursing, public health, profes sional approaches to care, risk management, safeguarding, therapeutic relationships, care across the lifespan, community nursing assessment, mental health, carers and families, spirituality, collaborative working, acute care in community settings, long-term conditions, end-of-life care, organisation and management of care, leading person-centred care and digital healthcare.
Incorporating current theory, policy and guidelines for practice, and underpinned by a strong evi dence base, each chapter features learning objectives and activities. Case studies and examples from practice serve to illustrate the practical application of theory throughout.
This is an essential text for all pre-registration nursing students, students on post-registration spe cialist community nursing courses and qualified nurses entering community practice for the first time.
Questions & Answers from this book
Questions and answers are connected to the referenced book and its available source material.
Chapter 3: Public health and the promotion of wellbeing
Chapter 5: Risk identification, mitigation and management
Chapter 7: Therapeutic relationships across the lifespan
How do community nurses support self-care through therapeutic relationships as described in the chapter?
Community nurses support self-care through therapeutic relationships by fostering empowerment, autonomy, and decision-making. They use skills such as empathy, honesty, and effective communication to build trust and rapport, enabling patients to take an active role in their health and wellbeing.
What is the significance of the ATTACH mnemonic in building therapeutic relationships according to the chapter?
The ATTACH mnemonic is significant in building therapeutic relationships as it emphasizes key attributes such as authenticity, trustworthiness, time-making, approachability, consistent communication, and honesty. These attributes help establish rapport and trust, facilitating a person-centered care approach and improving satisfaction with care quality.
Chapter 8: The lifespan approach
How do self-awareness and reflective practice contribute to community nursing according to the chapter?
Self-awareness and reflective practice help community nurses connect with diverse individuals by understanding their own values and those of others. This understanding aids in forming therapeutic relationships and supports effective communication and interpersonal skills.
What are the four phases of Peplau's theory as outlined in the chapter?
The four phases of Peplau's theory are the Orientation phase, Identification phase, Exploitation phase, and Resolution phase.
Chapter 10: The role of the community nurse in mental health
Chapter 12: Spirituality: its place in a holistic approach to care
Chapter 13: Collaborative working
Chapter 14: Approaches to acute care
What role does the Complex Care at Home Team in Cardiff play in supporting acute care in the community?
The Complex Care at Home Team in Cardiff provides 24/7 care to individuals with acute care needs in the community, aiming to prevent hospital admissions and support individuals at home. The team is multidisciplinary, involving nurses, healthcare support workers, and assistant practitioners, and offers specialized care for complex conditions.
How does the Nursing and Midwifery Council (NMC) plan to address the regulation of advanced nursing and midwifery practice according to the chapter?
The Nursing and Midwifery Council (NMC) plans to address the regulation of advanced nursing and midwifery practice by reviewing whether these practices require regulation. They have commissioned independent research to explore this need as part of their 2020–2025 Strategy.
How does the chapter differentiate between patient-centred and person-centred care?
The chapter differentiates between patient-centred and person-centred care by highlighting that patient-centred care focuses on achieving a 'functional life' for the patient, while person-centred care emphasizes enabling a 'meaningful life.'
Chapter 15: Emerging issues in long-term conditions
What are the 12 key long-term conditions (LTCs) identified in the chapter?
The 12 key long-term conditions identified are coronary heart disease, stroke, chronic obstructive pulmonary disease, depression, lung cancer, diabetes, arthritis, colorectal cancer, asthma, kidney disease, oral disease, and osteoporosis.
How does the chapter define the term 'long-term conditions' in relation to chronic illness and non-communicable diseases?
The chapter defines 'long-term conditions' (LTCs) as conditions that last a year or longer and impact a person's life. LTCs, chronic illnesses, and chronic diseases are often used interchangeably, and in a global context, they are referred to as non-communicable diseases (NCDs). These conditions are long-term, not transmitted between individuals, and share common lifestyle-related factors.
What are the challenges faced by children diagnosed with long-term conditions according to Daniel and Brimble (2021)?
Children diagnosed with long-term conditions face challenges such as a sense of loss affecting the whole family, the need to manage complex co-morbidities, and an increased risk of mental health issues. They also require support transitioning from child to adult health services, and their needs change as they grow.
Chapter 16: Providing quality end-of-life care
How can community nurses address equality, diversity, and inclusion in end-of-life care according to the chapter?
Community nurses can address equality, diversity, and inclusion in end-of-life care by being knowledgeable and sensitive to the cultural, religious, and personal preferences of individuals and their families. They should provide care that respects diverse beliefs and practices, and ensure equitable access to support services for marginalized groups, such as the homeless and LGBTQ+ communities. This involves understanding unique needs, advocating for inclusive policies, and facilitating access to appropriate resources.
What are the emotional challenges faced by community nurses providing end-of-life care, as discussed in the chapter?
Community nurses providing end-of-life care face emotional challenges such as personal and emotional involvement beyond professional boundaries, triggering emotional responses from personal experiences of death, and limited resources for professional support. They may experience moral distress, burnout, compassion fatigue, and death anxiety. Reflective practice and access to debriefs are important for managing these challenges.
Chapter 17: Organisation and management of care
How does the chapter describe the role of informal carers in the context of community nursing?
The chapter describes informal carers as essential in community nursing, primarily meeting physical or mental health needs at home. Their contributions are valued at £162 billion annually, equivalent to the NHS's funding. Good care involves supporting informal carers through practical help, education, and inclusion in decision-making, while also addressing their needs and wellbeing.
What are the primary influences on decision-making in community nursing according to the chapter?
The primary influences on decision-making in community nursing include the locus of control, care decisions and delivery, risks, resources, and public health considerations. Community nurses often operate with a higher degree of autonomy and must balance patient-centered care with available resources and potential risks. Decision-making is also influenced by the need to integrate public health roles and manage the contributions of informal carers.
Chapter 18: Leading person-centred practice
Chapter 19: Digital healthcare
What are the key advantages of digital healthcare technologies as discussed in the chapter?
Digital healthcare technologies offer advantages such as supporting equitable access to health services, increasing efficiency and reliability, improving safety, reducing costs, and enhancing health outcomes. They empower individuals to participate in their own care and enable healthcare workers to work more efficiently and effectively. These technologies also facilitate remote monitoring, virtual care, and personalized healthcare solutions.
What are the key components of virtual ward platforms as described in the chapter?
Key components of virtual ward platforms include a public-facing app or website, medical devices for monitoring vital signs, and a digital platform for healthcare professionals. These platforms enable remote monitoring of patients' health conditions and facilitate communication between patients and healthcare providers.
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