Developing Community Nursing Practice

By Sue Spencer; John Unsworth et al. | Go to book overview

Introduction

The latter part of the twentieth century saw a period of extensive and radical change in the structure and operating practices of the UK National Health Service (NHS). The dawn of the twenty-first century heralds a new era, during which the pace of change will be no less dynamic. The publication of the NHS Plan (Department of Health 2000a) presents new challenges for both NHS management and practitioners as the government seeks to modernize the delivery of health care. While the NHS Plan represents a top-down drive towards the development of clinical practice and patient-focused services, opportunities also exist for practitioners themselves to initiate change. The current climate of commissioning and quality provide a unique combination of challenges to nurses working within the community. On one hand, they can begin to visibly contribute opinions as to how services should be provided but on the other hand, they also have to demonstrate effectiveness, and develop their own practice and the way they deliver services. These two challenges may be seen by some as the Straw that breaks the camel's back and sends them off into early retirement or long-term sick-leave. However, the contributors to this book have, collectively and differently, seen these challenges as the greatest opportunity community nurses have had to demonstrate their contribution to health benefits for the population.

The UK NHS is different, if not unique, in terms of its organizational structure. Not only is the health service the largest single employer in Europe, but it is also a highly complex bureaucracy, with many interconnecting constituent parts. Most organizations separate out the functions of manufacture and new product development/innovation. Rarely, if ever, is an employee on the shop floor expected to generate ideas about new ways of working, never mind plan their implementation and

-1-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Developing Community Nursing Practice
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen
/ 200

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.