Developing Community Nursing Practice

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

4

Concepts of risk in the development
of practice

Glenda Cook and Wilma W. Ayris


Chapter Summary

This chapter will explore influences on the ways in which practitioners identify and manage uncertainty and risk in their efforts to develop their practice. It is recognized that risk is implicit in many aspects of practice, particularly in situations where practice is changed and developed. Such situations may place the individual practitioner and their employing organization in a tenuous position. Therefore strategies for moving practice forward within current health and social care policy as well as legal and professional practice frameworks will be discussed to promote innovation in practice, while actively seeking to manage risk. The chapter will start by examining the nature of risk in health care, and then move on to explore the assessment and management of risk in practice development.


Introduction

Meeting the needs of the service user is a central concern to all practitioners, regardless of the level within the infrastructure in which the individual practises. Service commissioners/planners, managers and those involved in direct contact with clients face the challenge of responding to client needs. The ways in which these challenges are addressed differ, reflecting their individual practice perspective and the scope or limitation of their decision making capacity. Inevitably, this leads to conflict and frustration between responding to the needs of the individual client and/or community and working within the constraints of the organization. Practitioners who strive toward enhancing the quality of services

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