Crossing boundaries: a staff exchange initiative.
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Biomedical subjects
Publications and source records attributed to Sally Lawton.
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This article discusses some communication skills that may be challenging for district nurses who are working with palliative care patients. The article suggests that assessing what the patient knows about their illness is a key factor to effective communication. It pays particular attention to the first visit made by the district nurse. The article also discusses some specific situations that the district nurse may encounter, such as answering direct patient questions, denial, collusion and anger. A framework of communication styles developed by Wilkinson is used to understand the responses that may be given in such challenging situations.
Being assertive is not the same as being aggressive. Assertiveness is a tool for expressing ourselves confidently, and a way of saying 'yes' and 'no' in an appropriate way. This article explores issues concerned with assertiveness in district nurse settings. It outlines helpful techniques to develop assertiveness, such as the broken record, fogging, negative assertion and negative inquiry.
In the UK health sector, continuing professional development for nurses is now clearly identified as necessary to the continued improvement of clinical services. The clinical governance movement that is driving this improvement has had a great effect on the NHS and it is now necessary to demonstrate service maintenance and improvement. Lifelong learning and the enhancement of skills through training or self-development are mentioned as ways of providing staff governance (DoH 1999, SEDH 1999).