Grounded theory is a systematic qualitative research method of data collection and analysis, ultimately leading to a theoretical explanation (a “grounded theory”) that is grounded in those data and that explains a phenomenon of interest. Widely used in nursing, grounded theory enables researchers to apply what they learn from interviewees to a wider client population. This book describes traditional and focused grounded theory, phases of research, and methodology from sample and setting to dissemination and follow-up. The grounded theory method was developed by Glaser and Strauss, in response to Blumer’s call for a method founded on concepts of symbolic interactionism, the social psychological theoretical framework that provides the guiding tenets of grounded theory methodology. Over the years, grounded theory has undergone an evolution of sorts. An alternate method of grounding data in qualitative research is dimensional analysis. Other scholars have developed variants of grounded theory, such as constructivist grounded theory and situational analysis. The book describes the extent to which nurse researchers have published grounded theory and presents an overview of the process of conducting a qualitative study using grounded theory as the method. Varied case studies range from promoting health for an overweight child to psychological adjustment of Chinese women with breast cancer to a study of nursing students’ experiences in the off-campus clinical setting, among many others. The book also discusses techniques whereby researchers can ensure high standards of rigor. Examples from published nursing research, with author commentary, help support new and experienced researchers in making decisions and facing challenges.
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Field education has been identified as the “signature pedagogy” social work education. The practice of having students working alongside community practitioners is almost as old as the social work profession itself. Field education, which involves students working with practicing social workers to learn the knowledge, skills, and values of the social work profession, brings the intellectual content of the classroom into focus with everyday tasks and responsibilities. Therefore, the work of community-based practitioners who supervise social work interns is essential to our profession. This book includes content on how to recruit a practicum student, as well as useful information about effective supervision, learning assessment planning and development, integration of theory and practice, helpful evaluation techniques, and teaching social work ethics. It provides an introduction to the practice of field education, along with useful recommendations about how to maximize the learning experience of practicum students. College and university social work programs provide regular orientations to their field education programs. Students should adhere to agency expectations regarding dress, language, and boundaries. Once students are aware of the agency culture, they should be held accountable for meeting those expectations. Effective communication between the academic institution and the field instructor/agency setting is indispensable to the social work practicum process. Several models exist to help students determine an ethical course of action or to resolve an ethical dilemma. Practicing as an ethical social worker requires not only knowledge of the National Association of Social Workers (NASW) Code of Ethics, but also the ability to apply sound decision-making strategies to everyday situations encountered in social work practice.
Pharmacological Considerations in Gerontology:A Patient-Centered Guide for Advanced Practice Registered Nurses and Related Health Professions
This book is an effort to combine the presentation of chronic health conditions experienced by aging patients with pharmacologic considerations that are unique to this population. Nurse practitioners are increasingly responsible for delivering care to elderly patients in primary care who present with complex conditions, medication regimens, and numerous specialty providers. This reference will provide a “big picture” look at how to approach pharmacotherapy and present principles to guide decision-making so that adverse drug events may be prevented. An evidence-based, quick-access reference for adult gerontology nurse practitioners and related health care providers, this book describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. The book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in long-term care facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners.
This book delivers analyses of 30 core concepts that define nursing theory, research, education, and professional practice. Grounded in the concept analysis framework developed by Walker and Avant, the book clearly demonstrates how concepts are used to build theory, support research, and improve education and professional practice. Expert authors from clinical and research disciplines focus on the core of nursing-- the nurse-patient relationship--grouping concepts into the categories of patient/client-focused concepts, career-focused concepts, and organizational/systems-focused concepts. The concept analyses follow a specific method, with defining attributes, antecedents, and consequences given. It talks about the personal characteristics of patients/clients experiencing health/illness. These concepts include hardiness, hope, motivation and self-motivation. The book then explains the caregiver-focused concepts such as anxiety, caregiver burden, clinical autonomy, compassion fatigue, cultural competence, decision making, emotional intelligence, empathy and so on. It also presents analysis of concepts pertinent to nurse workaround, commitment, teamwork, transformational leadership, work engagement, and nurse manager accountability. Nurse workarounds are described as nurses devising an alternative work procedure to address a block in the workforce, even though these alternatives are deviations from policies, procedures, and work processes. The book also includes diagrams of characteristics across concepts for comparison. It helps nurse scholars to develop a sophisticated analytic ability and provide graduate nursing students with a foundation for developing a DNP capstone or PhD research project.
This book on leadership and management includes all of the basic content that registered nurse (RN) -to- bachelor of science in nursing (BSN) students need. It is organized into 5 parts comprising 17 chapters. Part I provides introductory information such as leadership attributes, leadership and management roles in professional nursing, and foundational aspects of leadership. Part II discusses leadership skills that are essential to the practice of nursing. Those skills include handling stress, setting priorities, managing time, communication, accountability, delegation, teams, problem solving, decision-making, and confliict resolution. Given the need for nurses to lead us to a preferred healthcare future, Part III focuses on leading change. The book introduces the readers to the factors that influence organizational culture, innovation, change, power, politics, and managing quality and safety. Part IV concentrates on the business aspect of healthcare by reviewing how to manage human and fiscal resources. Finally, Part V of the book helps the reader to contemplate his or her evolution as a professional by discussing how to integrate leadership and management competencies into his or her nursing practice. Although one book cannot cover all aspects of leadership and management, our goal is to provide a core framework and useful skills and strategies to successfully lead nursing and healthcare forward. Each chapter of the book contains essential information that acknowledges the prior learning experience of the practicing nurse who is now an RN-to-BSN or RN-to-master of science in nursing student. Each chapter begins with a brief overview of specific leadership and management topics. The book presents case scenarios throughout the chapters to help readers apply the information to practical situations. It provides concise and application-based examples that help promote selfgrowth as a professional.
This book teaches readers about becoming an nurse practitioner (NP) and invites them to consider topics of importance to both NP students and engaged NPs. The role of the NP is a hot topic in today’s ever- changing, ever- challenging, and economically driven health care system. This book explores reasons to become an NP, provides insight on issues related to NP education, clarifies hot topics related to NP practice, and proposes how the role of the NP is continuing to evolve. It guides the reader through the entire process of becoming an NP, from the initial decision to the selection of the right educational program to licensure. It discusses the contractual relationship with institutions and related health providers, along with legal and administrative issues. Currently practicing NPs offer words of wisdom on how to survive the first year of practice, and stories from the author and her colleagues provide an intimate look at everyday realities. The book is the all-in-one reference for potential or current NP students as well as newly practicing NPs. Its chapters contain learning objectives, checklists to facilitate important decision making, charts and tables highlighting hot topics or key elements, and testimonials from currently practicing NPs, as well as the author’s own poignant moments as a new and experienced NP that will be helpful to any new or soon-to-be- new practitioner. Significant points are set in boldface type throughout, and pertinent information is summarized in boxes that offer “Fast Facts in a Nutshell”.
The authors have had many years of leadership and management experience in a variety of settings and have discovered that there are few books that cover the majority of topics related to leadership and management specifically for social work education and practice. This book covers all the main areas of expertise required in a typical social work leadership and management experience. It incorporates all 21 competencies and 126 practice behaviors from the Network on Social Work Management (
NSWM) and nine competencies and 29 practice behaviors espoused by the Council on Social Work Education ( CSWE) and can serve as a textbook for social work programs at the graduate level. The book has many unique features. It provides a comprehensive list of leadership and management competencies from the NSWMand the CSWEalong with a list of competencies and practice behaviors. The book presents leadership and management competencies and practice behaviors each chapter along with cases, examples, and activities of how to use them in practice situations. It discusses in detail the differences between management and leadership along with best management and leadership practices. The book provides examples of how to motive and successfully work with different age cohorts. It presents effective communication and marketing strategies. The book discusses in detail how to effectively work with groups and give examples of how to make meetings productive. It exhibits specific problem-solving and decision-making strategies along with examples. The book summarizes how to manage a range of organizational functions. It discusses the importance of collaborating with community groups and other stakeholders to succeed in making a difference. The book contains five parts that replicate the NSWM’s four domains of leadership: executive leadership in social work; resources management practices; strategic management and administrative skills for organizational growth and success; community collaboration; and supplemental materials.
A Guide to the Standard EMDR Therapy Protocols for Clinicians, Supervisors, and Consultants, 2nd Edition
The book describes updated information on mechanisms of action of eye movement desensitization and reprocessing (
EMDR) therapy. It delivers clear, concise treatment guidelines for students, practicing clinicians, supervisors, clinic directors, and hospital administrators involved in the treatment of those with posttraumatic stress disorder (PTSD), Specific Phobias, and Panic Disorder. In EMDR therapy, various strategies can be employed to support the goals of stabilization and symptom reduction. Some stabilization strategies commonly used in EMDR therapy were developed in other traditions such as progressive relaxation, self-hypnosis, biofeedback, and meditation. The book provides an overview of the standard eight-phase model of EMDR therapy and the general three-pronged protocol that provides the framework for the specific treatment protocols for diagnostic groups. It briefly touches on clinical situations where the general principle of treatment planning based on the three-pronged protocol must give way to an initially inverted protocol for treatment planning that starts with reprocessing targets in the future, then on the present, and addresses past targets only after significant treatment gains have been achieved. The book explores the theoretical and practical aspects of the EMDR therapy approach to case formulation, treatment planning, and selecting and preparing patients with PTSD and other post-traumatic syndromes for EMDR reprocessing. Screening for a possible dissociative disorder is essential before offering EMDR reprocessing on either traumatic targets or resource installation. Case studies with transcripts illustrate the different protocols and further guide practitioners of EMDR therapy in informed decision-making.
The practice of nursing is both art and science. It requires a broad range of skills and capabilities. This book takes complex topics and legal theories, explains them in no-nonsense, understandable language, and makes them relevant to the current world in which nurses practice their profession. The book is organized into twelve chapters. Each chapter begins with a statement of objectives, which will make the reading of the chapter most meaningful. The first chapter presents an overview of law relevant to nurses’ interests, including basic legal principles that underlie and form the framework for the practice of nursing. The second chapter describes the challenges facing advanced practice registered nurses (APRNs) in a rapidly changing health care delivery system. It focuses on the practice areas of the APRN and the pivotal roles they play in the delivery of health care. The third chapter is about nursing malpractice and negligence. Chapter four presents the fundamentals and principles of documentation and systems of documentation, including electronic systems, and contains numerous legal cases. The fifth chapter covers patient rights with regard to care, decision making, and privacy issues. Chapter six talks about risk management and continuing quality improvement. Chapter seven outlines the major laws governing disaster and emergency events. Chapter eight covers the law of corporations and provides information on the types of business structures that can be used for health care business and facility operations. Chapter nine addresses the developing area of corporate compliance and the nurse’s role in regard to it. The tenth chapter provides comprehensive information on employment and employment-related law. Chapter eleven focuses on both civil and criminal trials. The final chapter discusses alternate methods of dispute resolution: arbitration, mediation, and negotiation.
The nurse executive must navigate a healthcare environment with competing priorities and conflicting pressures. The rapid changes and economic demands in healthcare present challenges and ethical dilemmas for the nurse executive. The nurse executive is to be professionally and morally responsible to meet the expectation of the role in accordance with ethical standards of the nursing profession. Professional moral courage (
PMC) is the quality necessary to influence decisions and actions when advocating for the nurse and the patient that also benefits the organization. The nurse executive has an enormous amount of responsibility and accountability for how the organization delivers care and for maintaining the balance between quality and cost. Setting priorities and developing strategies to position the nursing department and the overall organization for effective growth is a necessity. Leading a healthcare organization and redesigning the way it delivers care requires PMC. The literature confirms a gap in the field regarding the construct of PMCin the nurse executive population. Therefore, identifying PMCas a recognized executive leadership competency sets the expectation for nurse executive practice. This book provides information and guides nurse executive practice and promotes the PMCcompetency framework. The objectives for this book include the following: provide the nurse executive with a foundation and understanding of PMC; discuss current healthcare challenges and dilemmas; review why PMCis important to the nurse executive role; describe the ethical components and decision-making in executive leadership; identify what is needed for the ability to lead with PMC; examine a measurement tool to evaluate PMCfor existing and future nurse executive professional development; and provide guidance on how a nurse executive may develop and enhance PMC.