Table of Contents
1 Cover
5 Preface Additional sources of information
7 Introduction to District Nursing
8 Part 1: Introduction 1 The early history of district nursing 2 History of the Queen’s Nursing Institute
9 Part 2: The learning environment 3 Preparation for a learning environment in the community Individual learning The environment of care Clinical staff 4 Providing student placements in the community 5 Supporting nursing students in the community Year 1 placement Year 2 Year 3 6 Mentorship and preceptorship Preceptorship Mentorship
10 Part 3: Working in the community 7 The role of the district nurse: autonomous practice Novice to expert Autonomous practice Physical examination and prescribing Summary 8 Evidence‐based practice Limitations in practice Accessing resources What constitutes good evidence? 9 Communication Family and carers Mobile technology 10 Initial assessment and collaborative working The multidisciplinary team Assessment and referral The third sector and carers 11 Safer caseloads: service planning and caseload allocation Patient demand Safer caseloads The process of caseload allocation Conclusion 12 Skill mix in the community Healthcare assistant Assistant practitioner/associate practitioner Nursing associate Community staff nurse District nurse Advanced nurse practitioner Conclusion 13 Nurse prescribing Nurse independent/supplementary prescriber Governance The future of non‐medical prescribing Medicines optimisation 14 Medicines management Medicines policies Medicines administration Community‐specific issues 15 Patient documentation Patient access 16 Risk management Risk scoring or grading Example 17 Measuring quality and patient outcomes Defining quality Understanding the patient experience Measuring quality 18 Caring for yourself in the community setting Travel Lone working