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District Nursing Manual of Clinical Procedures

Posted by:

31 January, 2013

Title: District Nursing Manual of Clinical Procedures

Edited by: Liz O’Brien

Publisher: Wiley-Blackwell

Reviewer: Helen Reeves, clinical nurse manager, St Giles Walsall Hospice

What was it like?

District Nursing Manual of Clinical Procedures is an evidence-based manual, which depicts the clinical skills necessary when in the community.  This manual is the first of its kind because it focuses fully on the skills that district nurses use in the community setting. The title provides the underlying theory and evidence for district nurses to base their care on.

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What were the highlights? 

All procedures included in the manual cover the rationale. This allows the reader not only to understand how they are doing a procedure but why they are doing it as well. Procedures are based on up to date evidence, ensuring nurses are basing their care on best practice. It focuses on the core aspects of a district nurses caseload and identifies aspects that nurses may find most difficult while in patients’ homes and provides them why and how to carry out the complex procedures. 

Strengths and weaknesses:  

The manual is easy to use and well set out. It provides a good overview of procedures performed by district nurses, and also provides the rationale for the actions identified.  As well as basing the manual on procedures, it also incorporates concerns that many district nurses encounter when caring for patients in their own homes for example assessment and communication, discharge planning and infection prevention and control. Being the first book of its kind for district nurses it only focuses on a small number of procedures, bowel management, blood glucose monitoring for people with diabetes mellitus and ear irrigation to name a few. Although a good starting point, it does not fully encompass all the clinical procedures that district nurses perform in their job. It would be beneficial for the next edition to incorporate more of the district nurse’s clinical skills and also would be beneficial to have a section about how to maintain personal safety while in patients’ homes. Overall a good manual that gives a good overview of the key aspects of a district nurses role.

Who should read it?

This book is ideally placed for student nurses, nurses new into the community setting and experienced district nurses as a reference guide to base their practice on.

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