Molly Courtenay - Advanced Nursing Skills: Principles and Practice
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The expanded practices and new roles which nurses are currently undertaking are often in areas in which a sound knowledge of the life sciences is essential. This book examines a number of advanced nursing skills, in each case describing the research evidence upon which the procedures discussed are based as well as the practical aspects of the procedures themselves. The knowledge of the life sciences that underpins these skills is also presented in each chapter and is always clearly linked to the advanced practices described. Although aimed primarily at post registered nurses, nurses undergoing pre-registration nurse education will find this book helpful as they themselves will be involved to a limited extent in the practices described.
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2000 Greenwich Medical Media 137 Euston Road London NW1 2AA
ISBN 1 84110 036 6
First published 2000
Apart from any fair dealing or the purposes of research or private study, or criticism or review, as permitted under the UK Copyright Designs and Patents Act, 1988, this publication may not be reproduced, stored, or transmitted, in any form or by any means, without the prior permission in writing of the publishers, or in the case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright Licensing Agency in the UK, or in accordance with the terms of the licences issued by the appropriate Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publishers at the London address printed above.
The right of Molly Courtenay to be identified as author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act 1988.
The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made.
A catalogue record for this book is available from the British Library.
Typeset by Saxon Graphics Ltd., Derby
Printed in the UK by the Alden Group, Oxford
Page iii
Advanced Nursing Skills
Principles and Practice
Molly Courtenay PhD, MSc, BSc, RGN, RNT, Cert Ed
Independent Consultant and Honorary Visiting Fellow Department of Professional Education in Community Studies The University of Reading
Page v
Contents
Preface
vii
Acknowledgements
ix
Introduction
1
Chapter 1 Venepuncture
3
Chapter 2 Peripheral Intravenous Cannulation
17
Chapter 3 Intravenous Drug Administration
27
Chapter 4 Reading and Interpreting the Electrocardiogram
39
Page vi
Chapter 5 Defibrillation
57
Chapter 6 Nutritional Assessment and Enteral Tube Feeding
67
Chapter 7 Suturing
85
Chapter 8 Male Catheterization
99
Appendix 1: Glossary of Terms
115
Index
119
Page vii
Preface
The initiative for the development of this book arose from the production of a series of distance learning packages designed to examine a number of advanced nursing skills. The learning packages were designed for nurses working in one Hospital Trust who had expanded their roles into a number of different clinical areas. At the time of the development of the packages, the Assistant Director of Nursing was concerned that her nursing staff were increasingly becoming involved in practical skills previously seen as medical territory, but lacked the necessary knowledge to make the professional decisions they were frequently required to make. Therefore, a central aim of the packages was to provide staff with the knowledge underpinning the practical skills in which they were involved, enabling them to exercise the professional judgements expected of them in the practice setting. The distance learning material that was eventually developed was positively received and has since been circulated and used in a number of hospital trusts.
Although there is coverage of some areas of expanded practice in some of the nursing journals, there would appear to be few books available examining these advanced nursing skills. Therefore, it was decided to develop the distance learning material into a book.
Page viii
The author has attempted to bring together widely available information into a single, easy to use, practice-based text. It should not be used in isolation but in conjunction with local policies and guidelines. It is hoped, that by identifying the knowledge base which underpins each of the advanced nursing skills described, along with the research evidence upon which each is based, that practitioners will be helped to feel competent in the many areas of expanded practice in which they are often involved.
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