Ian Peate - The Nursing Associate at a Glance

1 Cover

2 Series Page This title is also available as an e-book. For more details, please see www.wiley.com/buy/9781119724308 or scan this QR code:

3 Title Page

4 Copyright Page

5 Preface Terminology References

6 Acknowledgements

7 Platform 1: Being an accountable practitioner 1 The Code The Code Prioritise people Practise effectively Preserve safety Promote professionalism and trust 2 Legal and ethical The law and ethics Ethics Law 3 Duty of Candour The Duty of Candour Openness and Honesty Whistleblowing Challenges to the Duty of Candour Courage 4 Non‐discriminatory behaviour Protected characteristics Discriminatory behaviour Challenging discriminatory behaviour Chapter 5: The demands of professional practice Vulnerability Stress Recognising vulnerability Responding to stress Chapter 6: Health and well‐being The Nursing and Midwifery Council (NMC) Health and well‐being Resilience Self‐care Chapter 7: The principles of research and evidence‐based practice Research Evidence‐based practice 8 Emotional intelligence Definition Emotional intelligence Resilience 9 Effective communication Effective communication Engaging with patients and their families Effective communication Connecting with patients Unconditional positive regard 10 Maintaining appropriate relationships The Nursing Associate–patient relationship Professional boundaries Boundary violations Use of social media 11 Advocacy and person‐centred sensitive care Person‐centred sensitive care Advocacy 12 Reporting adverse incidents Safety and effective care Adverse incidents Reporting Duty of Candour 13 Numeracy, literacy, digital and technological skills Numeracy Literacy Digital and technological skills Digital literacies 14 Record keeping Keeping clear and accurate records Countersigning records Good record keeping Legal standards 15 Reflective practice Reflective practice Models of reflection The Nursing and Midwifery Council (NMC) and reflection 16 Promoting public confidence in the profession Professionalism The Code Good care

8 Platform 2: Promoting health and preventing ill health 17 Principles of health promotion Health promotion and health education Definition Health promotion models and approaches The Stages of Change model 18 Health behaviours Definition Health behaviours Patterns of behaviour 19 Epidemiology, demography and genomics Epidemiology Demography Genomics 20 Health inequalities Health inequalities Types of inequality Who experiences inequalities? How inequalities are experienced 21 Early years and childhood: life choices Adverse childhood experiences Toxic stress Consequences of ACEs Preventing ACEs 22 Health literacy Definition Health literacy Nutbeam’s Health Literacy Model 23 Health screening Health screening Purpose of screening programmes Screening and testing Population screening 24 Immunisation and vaccination Immunisation Immunisation and public health Immunity Vaccination Herd immunity 25 Infection, prevention and control Infection prevention and control Principles of infection, prevention and control Health care acquired infection Antimicrobial resistance Antibiotic stewardship

9 Platform 3: Provide and monitor care 26 Human development The lifespan Prenatal Infancy Early and middle childhood Adolescence Young and middle adulthood Late adulthood 27 Anatomy and physiology 28 Commonly encountered conditions when delivering care Parity of esteem 29 Pre‐procedure information giving Information giving Ideas, concerns and expectations (ICE) Giving information Information leaflets 30 Shared decision‐making Personalised care Shared decision‐making Shared decision‐making: care settings 31 Escalating concerns The deteriorating patient Measurement, documentation and reporting SBAR RSVP 32 Dignity and comfort Patient safety Dignity and privacy Comfort Sleep 33 Nutrition and hydration Malnutrition Hydration Bladder and bowel health 34 Mobility Disease processes Respect Nursing interventions 35 The deteriorating patient Failing to detect or to act on the deteriorating patient Deteriorating patients Factors impeding deterioration 36 Anxiety and confusion Generalised anxiety disorder Prevalence and risk Symptoms Treatment and support Confusion Symptoms Treatment and support 37 Discomfort and pain Pain Acute and chronic pain management 38 End‐of‐life care End of life Ethics Recognising end of life When death has occurred 39 End‐of‐life decisions and orders The law Approaching the end of life Advance care planning Discussing death 40 Medicines management I Medicines optimisation Effective administration of medicines 41 Medicines management II The effects of medicines Contraindications Allergy and drug sensitivity Adverse drug reaction 42 Medicines management III Oral Injection Sublingual and buccal Rectal Inhalation and nebulisation 43 Working in partnership with people, families and carers Partnership working Person‐centred care Monitoring effectiveness 44 Co‐morbidities and holistic care provision Co‐morbidities Holistic assessment Holistic care 45 Capacity: understanding information and making decisions Capacity Assessing capacity Principles 46 Self‐harm and suicide Definitions Suicidal ideation Suicide Self‐harm 47 Sharing information General Data Protection Regulation, Data Protection Act 208 and Human Rights Act Sharing information Consent

10 Platform 4: Working in teams 48 Roles and responsibilities Nursing Associates Scope of practice Collaborative practice Continuing professional development 49 Interacting with members of the care team The Code of Professional Conduct Emotional exhaustion Delegation 50 Human factors and team working Human factors Never events Learning from never events The Nursing Associate’s input 51 Data management Data The Professional Record Standards Body (PRSB) and the electronic health record e‐Health technologies 52 Prioritising care and co‐morbidities Co‐morbidities Targeted interventions Shared decisions Primary care 53 Giving and receiving constructive feedback Feedback How to give feedback 54 Role modelling Role models Supporting and supervising others Supervising and assessing: Nursing Associates

11 Platform 5: Improving safety and quality of care 55 Health and safety legislation Legislation Risk assessment Hazards 56 Clinical audit Florence Nightingale Audit Stages of the audit cycle 57 Risk assessment tools Risk assessment tools Tools and instruments Limitations 58 National Early Warning Score (NEWS2) National Early Warning Scores (NEWS) National Early Warning Score 2 A holistic approach 59 Hazards and incidents Hazards to staff Incidents, error and near misses Patient safety reporting systems Escalating concerns 60 Staffing and safe care Skill mix Impact of inadequate staffing levels The Nursing and Midwifery Council 61 Revalidation Revalidation The Nursing Associate’s responsibility Practice‐related feedback Written reflection

12 Platform 6: Contributing to integrated care 62 Being resilient Resilience Basic needs Emotional stability Confidence Social support Speaking your truth (be honest with yourself) Self‐awareness and insight Having faith 63 The roles of health and social care teams Integrated care Effective working relationships Understanding roles 64 Long‐term conditions Long‐term conditions Personalised care planning The pyramid of care for those with long‐term conditions 65 Promoting independence Intermediate care Core principles Risk Personalised goals 66 Accessing care The NHS England Access to services Barriers to accessing services Improving access to services 67 Discharge planning Discharge planning Transfer of care Hospital passport

13 Appendix (i): Annexes A and B (NMC, 2018)Annexe A: Communication and relationship management skills Annexe B: Procedures to be undertaken by the Nursing Associate

14 References and bibliography