Surgery How to Rehearse Before You See the Nurse

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Author :
Publisher : AuthorHouse
ISBN 13 : 1425902545
Total Pages : 209 pages
Book Rating : 4.4/5 (259 download)

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Book Synopsis Surgery How to Rehearse Before You See the Nurse by : Rosann Argenti

Download or read book Surgery How to Rehearse Before You See the Nurse written by Rosann Argenti and published by AuthorHouse. This book was released on 2006-04 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgery - How to Rehearse Before You See the Nurse A Practical Guide to an Easier Time Do you need to go "under the knife" for any reason? Are you anticipating an extended or short-term hospital visit? Do you feel uncertain, overwhelmed, or ill prepared? If so, you will need this complete 'survival kit' to prepare for surgery, your hospital stay, and recuperation at home. This instructive easy-to-read book is a practical guide written from the patient's perspective. It is designed to help you through one of the most challenging journeys you can experience - surgery. The witty title, courtesy of comedian Jackie Mason, illustrates the style of the book - a good-humored approach to a potentially harrowing experience. Rosann Argenti, an accomplished social worker, Tai Chi Master-instructor, and Licensed Massage therapist, relates her personal saga about her operation. Argenti provides a wealth of information for patients and their families to use both before and after surgery. Through a series of carefully designed questionnaires, you will gain the confidence that you are making appropriate decisions. You will also derive emotional sustenance to help you as you venture through the medical arena. This book offers an abundance of useful and effective recommendations on exercise, breathing and relaxation, music therapy, self-massage, aromatherapy, drug dependency, depression, diet, and nutrition. Furthermore, you are provided with a complete 'survival kit' for your hospital stay. There are also very useful sections on "Helpful Hints for Family and Friends', 'Living Will/Advance Directive', and 'Helpful Hints Regarding Your Hospital Bill'. Rosann offers unique and creative guidelines to make healing at home a comfortable experience and an opportunity to develop self-confidence. "Surgery - How to Rehearse Before You See the Nurse is accurate, up-to-date, entertaining, and informative. I heartily recommend it as useful reading for patients, families, and

Clinical Skills for Nursing Practice

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Author :
Publisher : Routledge
ISBN 13 : 1315528754
Total Pages : 718 pages
Book Rating : 4.3/5 (155 download)

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Book Synopsis Clinical Skills for Nursing Practice by : Tina Moore

Download or read book Clinical Skills for Nursing Practice written by Tina Moore and published by Routledge. This book was released on 2016-12-01 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: Employing an evidence-based approach, this comprehensive textbook introduces the core clinical skills and competencies a newly-qualified nurse is required to have for professional practice. It is divided into five broad sections looking at: Care and compassion and communication, including personal care and pain assessment Essential skills, including observations, monitoring and emergency management Organisational aspects of care, including moving and handling, and wound care Safety and protection, including medicine management and infection control Nutrition and fluid balance, including hydration and nutrition. Designed to allow readers to develop and enhance their clinical skills with one key textbook, each chapter contains learning outcomes, recommendations for practice, case studies, activities, ‘clinical significance’ highlights and step-by-step guides to important procedures. This invaluable clinical skills textbook is an essential reference for pre-registration nursing students of all fields of nursing.

Effective Communication for Nursing Practice

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Author :
Publisher : Learning Matters
ISBN 13 : 1529679400
Total Pages : 199 pages
Book Rating : 4.5/5 (296 download)

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Book Synopsis Effective Communication for Nursing Practice by : Naomi Anna Watson

Download or read book Effective Communication for Nursing Practice written by Naomi Anna Watson and published by Learning Matters. This book was released on 2024-04-13 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective communication is at the heart of the nursing role. From providing person-centred care to collaborating with the multi-disciplinary team, this book will develop your communication and interpersonal skills and support you in finding your own voice. It equips you with key theory and principles and shows how to apply them to practice, from communicating with compassion to overcoming barriers to communication. This is your go to guide for effective communication in your everyday practice. Key features: · Each chapter is mapped to the 2018 NMC Standards · Takes a lifespan approach, covering communication with different groups across all fields of practice · Content and examples explore communication in relation to diversity, equity and inclusion, encouraging culturally competent and emotionally intelligent practice · Filled with activities and case studies to support critical thinking, reflection and application of theory to everyday nursing practice

Placement Learning in Surgical Nursing

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702043052
Total Pages : 215 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Placement Learning in Surgical Nursing by : Karen Holland

Download or read book Placement Learning in Surgical Nursing written by Karen Holland and published by Elsevier Health Sciences. This book was released on 2012-10-10 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you unsure about your surgical nursing placement? Do you need guidance on what to prepare to get the most out of your practice learning? Will you have the range of skills to care for people undergoing surgery? What learning opportunities will there be to meet your competencies? How can you maximise your learning during this placement? This book will help you with all these concerns. It will advise you on what to expect from the placement, what you can learn, how to link theory and practice, and how to make the most of your learning opportunities and meet your competencies. Takes a logical, step-by-step approach to preparing for learning on a surgical placement Provides an introduction to the principles of care, treatment and management of an individual undergoing surgery, linking university-learned theory to clinical practice Gives helpful evidence-based practice examples and resources to support placement learning Identifies clinical skills that underpin care of a person undergoing surgery Highlights potential learning opportunities and experiences available on a surgical nursing placement Explains how to develop your clinical portfolio by completing specific exercises and activities Maps all activities and exercises to the NMC competencies Discusses the possible challenges that may arise during a surgical placement and advises on approaches to a range of situations Adopts a case study/patient pathway approach to learning, from pre-admission to discharge. Series features: A unique guide to getting the most from clinical placements How to prepare for your placement What you can expect to learn during a placement Clear links to, and examples of, achieving NMC competencies Guidance on what to use as evidence for your portfolio Case studies that link theory with practice How to consolidate your experience and learn from the placement Tips, activities, further reading suggestions and useful websites. Worried about your next placement? Will you 'fit in'? Will you have the right skills? What do you need to learn to meet practice assessments? This series will help you with all these concerns. It will tell you what to expect from each placement, what you can learn, how to link theory and practice, and how to make the most of your learning opportunities. This is the only series specifically for student nurses undertaking specific practice placements, and will give you all the information you need in a user-friendly format. Each book in the series covers a specific area of practice for a typical placement on a pre-registration nursing course. Titles in this series: Surgical nursing Medical nursing Cancer and palliative care nursing Mental health nursing Community care nursing Older people nursing Each book also covers: A unique guide to getting the most from clinical placements What to expect before a placement What you can expect to learn on placement How to consolidate your experience and learning Clear links and examples with NMC proficiencies Guidance on what to use as evidence for portfolios Short case studies to link theory with practice Key points reminder boxes

Alexander's Nursing Practice E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702065021
Total Pages : 992 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Alexander's Nursing Practice E-Book by : Ian Peate

Download or read book Alexander's Nursing Practice E-Book written by Ian Peate and published by Elsevier Health Sciences. This book was released on 2019-08-20 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: The latest edition of this popular volume has been fully updated throughout to meet the needs of the 2018 NMC Standards of Proficiency. Richly illustrated throughout, the book comes with ‘real-life’ Case Studies to help readers contextualise and apply new information, pathophysiology to explain disease processes, enhanced discussion of pharmacology and medicines management to assist with ‘prescribing readiness’, and helpful learning features which include Key Nursing Issues and Reflection and Learning – What Next? Available with a range of supplementary online tools and learning activities, Alexander’s Nursing Practice, fifth edition, will be ideal for all undergraduate adult nursing students, the Trainee Nursing Associate, and anyone returning to practice. New edition of the UK’s most comprehensive textbook on Adult Nursing! Retains the popular ‘three-part’ structure to ensure comprehensive coverage of the subject area – Common Disorders, Core Nursing Issues and Specific Patient Groups Illustrative A&P and pathophysiology help explain key diseases and disorders ‘Real-life’ Case Studies help contextualise and apply new information Explains relevant tests and investigations and, when needed, the role of the nurse in the context of each of them Helpful learning features include Key Nursing Issues and Reflection and Learning – What Next? Encourages readers to critically examine issues that are related to care provision Useful icons throughout the text directs readers to additional online material Glossary contains over 300 entries to explain new terminology and concepts Appendices include notes on Système International (SI) units and reference ranges for common biochemical and haematological values Perfect for second and third-year undergraduate nursing students, senior Trainee Nursing Associates, those ‘returning to practice’ or needing to review practice and prepare for revalidation Edited by the world-renowned Ian Peate – editor of the British Journal of Nursing – who brings together a new line up of contributors from across the UK and Australia Reflects contemporary issues such as the complexity of acute admissions and the increasing importance of the multidisciplinary approach to patient care Reflects the 2018 NMC Standards of Proficiency for Nurses and the NMC 2018 Code Helps prepare students for ‘prescribing readiness’, with basic principles of pharmacology, evidence-based person-centred approaches to medicines management and an understanding of the regulatory, professional legal and ethical frameworks Recognises the introduction of the Nursing Associate role in England

Nurse Practitioners in Primary Care

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Author :
Publisher : Routledge
ISBN 13 : 1498789692
Total Pages : 139 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Nurse Practitioners in Primary Care by : Naomi Chambers

Download or read book Nurse Practitioners in Primary Care written by Naomi Chambers and published by Routledge. This book was released on 2021-04-05 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text examines the potential of nurses to provide a first-point-of-contact consultation service as an alternative to going to see the doctor. It analyzes the different nurse practitioners models around the world and presents a proposal for the UK. Using research material to describe the impact of this kind of nurse practitioners on patients, doctors and other nurses, the book proposes practical steps through which this model can be implemented and considers the professional implications for doctors and nurses.

Essentials for Nursing Practice - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323554717
Total Pages : 1299 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Essentials for Nursing Practice - E-Book by : Patricia A. Potter

Download or read book Essentials for Nursing Practice - E-Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2018-03-12 with total page 1299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a solid foundation in essential nursing principles, concepts, and skills! Essentials for Nursing Practice, 9th Edition combines everything you need from your fundamentals course and streamlines it into a format that’s perfect for busy nursing students. The ninth edition retains many classic features, including chapter case studies, procedural guidelines, and special considerations for various age groups, along with new content including a chapter on Complementary and Alternative Therapies, interactive clinical case studies on Evolve, a new Reflective Learning section, and QSEN activities to encourage active learning. Thoroughly reviewed by nursing clinical experts and educators, this new edition ensures you learn nursing Essentials with the most accurate, up-to-date, and easy-to-understand book on the market. Progressive case studies are introduced at the beginning of the chapter and are then used to tie together the care plan, concept map, and clinical decision-making exercises. Focused Patient Assessment tables include actual questions to help you learn how to effectively phrase questions to patients as well as target physical assessment techniques. Nursing skills at the end of each chapter feature full-bleed coloring on the edge of the page to make them easy to locate. Safety guidelines for nursing skills sections precede each skills section to help you focus on safe and effective skills performance. Detailed care plans in the text and on Evolve demonstrate the application of the 5-step nursing process to individual patient problems to help you understand how a plan is developed and how to evaluate care. Unexpected outcomes and related interventions for skills alert you to possible problems and appropriate nursing action. Patient Teaching boxes help you plan effective teaching by first identifying an outcome, then developing strategies on how to teach, and finally, implementing measures to evaluate learning. Care of the Older Adult boxes highlight key aspects of nursing assessment and care for this growing population. Key points neatly summarize the most important content for each chapter to help you review and evaluate learning. Evidence-Based Practice boxes include a PICO question, summary of the results of a research study, and a F description of how the study has affected nursing practice — in every chapter. Patient-Centered Care boxes address racial and ethnic diversity along with the cultural differences that impact socioeconomic status, values, geography, and religion. 65 Skills and procedural guidelines provide clear, step-by-step instructions for providing safe nursing care. 5-step nursing process provides a consistent framework for clinical chapters. Concept maps visually demonstrate planning care for patients with multiple diagnoses. NOC outcomes, NIC interventions, and NANDA diagnoses are incorporated in care plans to reflect the standard used by institutions nationwide.

Atlantic Reporter

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Publisher :
ISBN 13 :
Total Pages : 1134 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis Atlantic Reporter by :

Download or read book Atlantic Reporter written by and published by . This book was released on 1913 with total page 1134 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Nursing Practice

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119237483
Total Pages : 987 pages
Book Rating : 4.1/5 (192 download)

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Book Synopsis Nursing Practice by : Ian Peate

Download or read book Nursing Practice written by Ian Peate and published by John Wiley & Sons. This book was released on 2017-11-20 with total page 987 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of the successful and definitive nursing textbook, Nursing Practice is designed to support the student throughout the entire nursing degree. Structured around the latest Nursing and Midwifery Council Code of Conduct, it explores a range of clinical and professional issues that the student will need to know, in one complete and accessible volume. Thoroughly updated and with full-colour, high quality illustrations throughout, this new edition features an additional chapter on the principles of supporting families and carers in practice, advice on revalidation, as well as a number of learning features and activities to help consolidate learning. Nursing Practice provides invaluable information to enable not just student nurses, but also those who are qualified and members of the extended nursing family, to develop a deeper understanding of their patients’ needs and to ensure that they are practicing safely and effectively.

Lewis's Medical-Surgical Nursing E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323792324
Total Pages : 1829 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Lewis's Medical-Surgical Nursing E-Book by : Mariann M. Harding

Download or read book Lewis's Medical-Surgical Nursing E-Book written by Mariann M. Harding and published by Elsevier Health Sciences. This book was released on 2022-07-02 with total page 1829 pages. Available in PDF, EPUB and Kindle. Book excerpt: **American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Medical-Surgical Nursing, 2023** **Selected for Doody’s Core Titles® 2024 with "Essential Purchase" designation in Medical/Surgical** Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a rapidly changing healthcare environment. Comprehensive chapters cover topics including nursing management and collaboration, health promotion, acute interventions, and ambulatory care. Summary tables and boxes make it easy to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. In addition to three new chapters, this edition includes a stronger focus on the nursing process, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.

Kelly Vana's Nursing Leadership and Management

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Publisher : John Wiley & Sons
ISBN 13 : 1119596637
Total Pages : 867 pages
Book Rating : 4.1/5 (195 download)

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Book Synopsis Kelly Vana's Nursing Leadership and Management by : Patricia Kelly Vana

Download or read book Kelly Vana's Nursing Leadership and Management written by Patricia Kelly Vana and published by John Wiley & Sons. This book was released on 2021-03-29 with total page 867 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing Leadership & Management, Fourth Edition provides a comprehensive look at the knowledge and skills required to lead and manage at every level of nursing, emphasizing the crucial role nurses play in patient safety and the delivery of quality health care. Presented in three units, readers are introduced to a conceptual framework that highlights nursing leadership and management responsibilities for patient-centered care delivery to the patient, to the community, to the agency, and to the self. This valuable new edition: Includes new and up-to-date information from national and state health care and nursing organizations, as well as new chapters on the historical context of nursing leadership and management and the organization of patient care in high reliability health care organizations Explores each of the six Quality and Safety in Nursing (QSEN) competencies: Patient-Centered Care, Teamwork and Collaboration, Evidence-based Practice (EBP), Quality Improvement (QI), Safety, and Informatics Provides review questions for all chapters to help students prepare for course exams and NCLEX state board exams Features contributions from experts in the field, with perspectives from bedside nurses, faculty, directors of nursing, nursing historians, physicians, lawyers, psychologists and more Nursing Leadership & Management, Fourth Edition provides a strong foundation for evidence-based, high-quality health care for undergraduate nursing students, working nurses, managers, educators, and clinical specialists.

International Record of Medicine and General Practice Clinics

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Publisher :
ISBN 13 :
Total Pages : 1396 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis International Record of Medicine and General Practice Clinics by : Frank Pierce Foster

Download or read book International Record of Medicine and General Practice Clinics written by Frank Pierce Foster and published by . This book was released on 1909 with total page 1396 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Team Working and Professional Practice for Nursing Associates

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Publisher : Learning Matters
ISBN 13 : 1529787033
Total Pages : 144 pages
Book Rating : 4.5/5 (297 download)

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Book Synopsis Team Working and Professional Practice for Nursing Associates by : Safina Bibi

Download or read book Team Working and Professional Practice for Nursing Associates written by Safina Bibi and published by Learning Matters. This book was released on 2022-11-23 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a trainee nursing associate, it is essential to understand what it means to be a registered professional and to know your role within an interdisciplinary team. This book will help you to develop your professional identity and give you the skills and knowledge to become a valued team member. Covering important topics such as understanding your responsibilities as a registered professional and how to be heard in difficult situations, this guide will enable you to become a confident and successful team player. Key features: · Fully mapped to the NMC standards of proficiency for nursing associates (2018) · Case studies and activities illustrate theory in different practice settings across all fields of nursing · Written specifically to address the unique experiences, challenges and requirements of the nursing associate role ABOUT THE SERIES: The Understanding Nursing Associate Practice series (UNAP) is a new collection of books uniquely designed to support trainee nursing associates throughout their training and into a professional career.

Community/Public Health Nursing Practice

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Publisher : Elsevier Health Sciences
ISBN 13 : 1455707627
Total Pages : 891 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Community/Public Health Nursing Practice by : Frances A. Maurer

Download or read book Community/Public Health Nursing Practice written by Frances A. Maurer and published by Elsevier Health Sciences. This book was released on 2012-10-01 with total page 891 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on practical, need-to-know information, Community/Public Health Nursing Practice helps you learn how to apply the nursing process at the community and family level. It features an engaging, easy-to-understand writing style, as well as assessment tools, detailed case studies, and clinical examples that demonstrate how key concepts apply to real-world practice. Additional resources on the companion Evolve website expand and enhance content within the text. Practical features including Case Studies, Ethics in Practice, and The Nursing Process in Practice illustrate real-world applications of key community/public health nursing concepts. A complete unit on the community as client helps you understand how the assessment, diagnosis, planning, intervention, and evaluation steps of the nursing process apply to the community, as opposed to an individual. A chapter devoted to community assessment provides a complete assessment tool and shows you how the tool applies to two different types of communities. UNIQUE! A chapter on screening and referral promotes population-focused practice, which is the crux of community/public health nursing. A separate unit on the family emphasizes the importance of viewing the family as a singular client. A complete discussion of the Minnesota Wheel helps you better understand this widely-accepted framework for community/public health nursing practice. Helpful sections such as Focus Questions, Chapter Outlines, Key Ideas, and Learning by Experience and Reflection help you pinpoint essential information. NEW! Healthy People 2020 objectives throughout the text help you identify common health risk factors in populations and families. NEW! Coverage of health care reform, including the Patient Protection and Affordable Care Act of 2010 (PPACA), explores how current health care legislation impacts community/public health nursing. NEW! Discussions of community health "hot button" issues, such as human trafficking, genital circumcision, and bullying, introduce you to today's health care challenges. NEW! Information on weather-related disaster fatalities, bioterrorism, and national and state planning responses familiarize you with current, relevant issues which affect the health of populations worldwide and shape the role of the community/public health nurse.

Journal of the American Medical Association

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Publisher :
ISBN 13 :
Total Pages : 1120 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Journal of the American Medical Association by :

Download or read book Journal of the American Medical Association written by and published by . This book was released on 1918 with total page 1120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes proceedings of the association, papers read at the annual sessions, and lists of current medical literature.

Practice Based Learning in Nursing, Health and Social Care: Mentorship, Facilitation and Supervision

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Publisher : John Wiley & Sons
ISBN 13 : 1118488199
Total Pages : 226 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis Practice Based Learning in Nursing, Health and Social Care: Mentorship, Facilitation and Supervision by : Ian Scott

Download or read book Practice Based Learning in Nursing, Health and Social Care: Mentorship, Facilitation and Supervision written by Ian Scott and published by John Wiley & Sons. This book was released on 2013-02-07 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Work-based learning facilitation, mentoring and coaching are all integral to the healthcare professions. Practice Based Learning in Nursing, Health and Social Care promotes effective professional learning in the workplace and helps healthcare professionals to develop, enhance, reflect on and change their practice and perceptions of mentoring, facilitating, and supervision. Aimed at the health and social care practitioner who is involved in facilitating learning, teaching and assessing learners in practice, this essential, comprehensive text explores several key themes, including: The nature of facilitating (coaching, supervision, mentoring) within professional contexts Learning in communities of practice Becoming an effective facilitator/mentor Understand and supporting work-based learning Managing the unusual, such as failing learners or those with special needs Giving and documenting feedback Managing workloads in busy environments Professional development issues Special features: A clear, accessible guide for new and experienced practice educators/facilitators alike A comprehensive, applied text for practitioners of all levels of experience in facilitation and supervision Written by authors with extensive experience in the field Uniquely focuses on the professional development of the mentor/facilitator themselves Provides case studies throughout showing illustrating common issues and how to engage in formal theories of professional practice Multiprofessional focus - aimed at all health and social care practitioners

General Practice Revisited

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Publisher : Taylor & Francis
ISBN 13 : 1003862551
Total Pages : 243 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis General Practice Revisited by : Ann Cartwright

Download or read book General Practice Revisited written by Ann Cartwright and published by Taylor & Francis. This book was released on 2024-04-01 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: ‘This study of general practice and the attitudes of patients and general practitioners to it is the most significant book yet written about the NHS.’ This was how the reviewer in the ‘British Medical Journal’ reviewed Ann Cartwright’s earlier book Patients and their Doctors. In General Practice Revisited, originally published in 1981, Ann Cartwright and Robert Anderson compare the experiences and views described in the first study, carried out in 1964, with those revealed by a second survey in 1977.In the intervening period there were a great many changes in the organization of general practice. For example appointment systems and nurses working in the surgery became the rule rather than the exception, and the number of doctors working in health centres or using deputizing services rose dramatically. This study shows how the basic patient-doctor relationship has been affected by these changes. A fundamental feature of the survey is the demonstration that the attitudes and practices of patients and doctors are linked, and that it is possible to relate the experiences and degree of satisfaction of patients to the doctor’s age, sex, size of practice, equipment, ancillary help, and indeed to the doctor’s views and habits.By bringing the picture of general practice up-to-date Ann Cartwright and Robert Anderson provided the basic data for any discussion of primary health care in this country at the time.