This comprehensive manual contains essential elements aimed at improving the quality of healthcare provided to women across the life span. It provides an enhanced definition of the role and clinical skills of providers, including physician assistants (PAs), certified nurse midwives (CNMs), and nurse practitioners (NPs). The book offers an integrated and unique approach to the healthcare of women. It provides an excellent resource to link theory to clinical practice using critical thinking skills. The book is organized into 10 sections comprising 46 chapters. It begins with a comprehensive review of the basic anatomy and physiology of women. A complete understanding of the complexities of the menstrual cycle and normal vaginal flora, examined at the cellular level, is imperative for accurate understanding and diagnoses of conditions that affect women. The book discusses elements of a comprehensive, developmentally relevant health history with a unique approach to the physiological, psychological, and sociocultural components involved. The basic techniques of the physical examination—with a focus on the gynecologic examination—are outlined. The book provides a comprehensive guide to the assessment of obesity and body mass index. It discusses evaluation of special populations such as pregnant women, lesbian women, and transgenders. The book also describes evaluation of menopausal status, osteoporosis, vulvovaginal atrophy, pelvic pain, vulvodynia, polycystic ovarian syndrome, abnormal uterine bleeding, pelvic organ prolapse, and urinary incontinence. It contains critical information regarding women at risk for sexually transmitted infections. A nationally tested questionnaire is included to help identify the victims of violence and abuse. The book presents assessment of infertility and subfertility. It discusses contraception, cervical cancer prevention, vaginal microscopy, sonohysteroscopy, urinalysis, and other investigative procedures and workups. The book finally describes advanced techniques such as vulvar and endometrial biopsy, acrochordonectomy, cervical polypectomy, pessary insertion, intrauterine insemination, and percutaneous tibial nerve stimulation.
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Teaching With Technologies in Nursing and the Health Professions, 2nd Edition:Strategies for Engagement, Quality, and Safety
This book is designed for graduate students, faculty, and staff educators learning to use technologies effectively and efficiently in their teaching. It is conceptualized in three sections comprising 17 chapters. Chapters one and two remind readers of the basics of good teaching practices and reviews concepts of self-directed learning and lifelong learning. Chapter three introduces readers to concepts and theories that guide teaching with technology. Chapter four describes lesson plans as tools for organizing a plan to make technology an efficient part of teaching and students’ learning outcomes. Chapter five addresses student technology skills and information literacy, now critical competencies in all nursing programs. Chapter six explores good communication practices to guide teaching with technologies. Chapter seven provides facilitator strategies, faculty tools, and strategies to help diverse students learn with technologies. Chapter 8 deals with active learning that is an important part of learning with technology, engaging students via online opportunities and applied assignments. Chapter 9 discusses the faculty role in providing student feedback and debriefing. Chapters ten and eleven address online education, and the changing class room and technology. Chapter 12, addressing simulated clinical learning experiences, focuses on teaching and learning strategies to help students practice critical thinking and safety competencies in the safety of the clinical laboratory. Chapter 13 focuses on helping students gain skills with nursing informatics, including the tools of electronic health records (EHRs) to promote patient safety and care quality. Chapters 14 and 15 focus on teaching clinical technologies, engaging patients, and addressing population needs for health promotion. Chapter 16 emphasizes the technology leaders’ role in mentoring faculty, promoting needed curriculum change, and partnering with colleagues for technologies sharing. The final chapter explores the opportunities for using technology projects to further scholarship, engaging interprofessional teams, and reflecting about teaching with technologies into the future.
Handbook of Perinatal and Neonatal Palliative Care:A Guide for Nurses, Physicians, and Other Health Professionals
This book provides clinicians from multiple disciplines the opportunity to examine key topics that can be practically considered for implementation into practice. It provides information from a wide variety of viewpoints that will enable individual team members to forge interdisciplinary approaches to care, assess current programs, develop strategies to improve the quality of care, and tailor new models of care for patients in need of palliative care services. The book spans all aspects of the clinical and compassionate care of patients, families, and caregivers. Written by experts from all clinical disciplines, including medical and surgical physicians, mental health professionals, nurses, therapists, and chaplains, it shows great respect for and gives voice to affected families and their babies. It addresses the multidimensional aspects of perinatal and neonatal palliative care. Encompassing the perspectives of neonatologists, maternal-fetal medicine and other physicians, neonatal and perinatal nurse practitioners, midwives, nurses in all sectors of perinatal care, and child life specialists, chaplains, social workers, genetic counselors, lactation consultants, and others, the book underscores the unique aspects of perinatal and neonatal palliative care, with a focus on improving quality of life, as well as comfort at the end of life. It describes healthcare for neonates and pregnant mothers, care and support of the family, planning and decision making, and effective support for grief and bereavement. It addresses all palliative and neonatal palliative care settings, including home care, and covers elements of comfort care, such as pain medication and oxygen. The book focuses on the prenatal period after diagnosis of the expected baby’s life-threatening condition. These include such topics as care of the mother, delivering devastating news, and advance care planning.
Ideas are generated constantly as individuals interact with one another, attend and participate in improvement activities, and experience life. Ideas can remain stagnant or become innovative opportunities that change the future. As ideas are developed, transformation occurs. Prevailing practices and processes are challenged. When challenged, organizations must respond proactively and utilize the talents of others to create pathways to manage impending situations. Data and evidence are the primary drivers in these situations. Understanding and managing data is requisite for organizational change and sustainability in contemporary society. This textbook, originating from an idea, was developed using information from the literature, experiences as educators and managers, and contributions from others in various health and allied disciplines. It provides a snapshot to: improve decision-making; meet consumer demands; develop business cases; influence policy and regulation; understand the value of data collection, analysis, use, and diffusion that will inform quality, safety, and operational efficiency. The textbook’s unique attributes include “real-world” exemplars and reflection questions for each chapter that demonstrate how data and evidence inform the application of improvement tools, data analysis techniques, and concepts across interprofessional disciplines. The authors anticipate that the information provided will assist improvement teams to improve healthcare processes, guide educators to provide tools and techniques germane to education development, and help students glean knowledge necessary to lead improvement as future healthcare professionals and leaders. The book comprises of 14 chapters. Each of the chapters is central to understanding how data frames quality, safety, innovation, and sustainability in interprofessional practice as consumers become more engaged in their care.
This book intends to serve as an introduction to and a comprehensive resource for the work of translation. Consistent with the first edition, the focus is more precisely on the planning, execution, and achievement of important outcomes rather than the development of the science of implementation. It also intends to encourage and facilitate broad adoption of translation as a means to achieve the Quadruple Aim and to ground the work solidly in theory and evidence. The book can form the scaffold for
DNPeducation and the conduct of the scholarly project. It can also serve as a playbook for DNPsas they begin to practice nursing at the highest level and transform healthcare and the health of society. The third edition presents refreshed and expanded content to describe the work of translation. Examples of successful translation projects are presented to demonstrate the process of working from a problem; through meticulous prosecution of the evidence; to careful planning, execution, evaluation, and finally, broad dissemination. The exemplars demonstrate high-impact, sustainable change that transforms culture and practice. The book is structured into six discrete but compatible sections. Part I contains three chapters that describe the process of translation from a theoretical perspective and reviews the key tenets of evidence-based practice. Part II contains four chapters that describe the application of translation to select practice foci, including outcomes management, safety and quality, leadership, and health policy. Part III contains five chapters that describe a reliable and rigorous approach to the process of translation. Part IV is new to this edition. It presents content to support effective translation. Part V contains two chapters to promote successful translation. Part VI was entirely new in the second edition. It contains three chapters in which examples of successful translation projects are presented.
This book provides education, tools, and support for caregivers who care for high-risk maternal and neonatal patients so that they too can learn how to effectively and successfully provide high quality care coordination and family-centered care to patients and families in their daily care practice. It looks at the high-risk antepartum patient stay, the high-risk delivery, the NICU admission, the NICU journey, discharge home, special situations in the NICU, palliative and bereavement in the perinatal and neonatal period, and caring for the caregiver. Each chapter focuses on one of these areas and provides real examples of care situations, positive care coordination efforts, and exceptional psychosocial support that were provided to patients and families. One may even come across a few examples of where care coordination and psychosocial support did not go as well as it could have. Eighteen families have shared their very personal stories and experiences to increase the depth of the book and their words have not been altered. The book is intended primarily for the nursing and nurse practitioner audience. It is organized into six parts comprising 16 chapters. The first part presents an overview of nursing history, care coordination, and family-centered care. The second part discusses supporting patients in high-risk pregnancy and delivery. The third part deals with supporting patients and families in the NICU. The fourth part provides description on supporting patients with special challenges in the NICU. The fifth part talks about bereavement and palliative care support. The final part discusses therapeutic strategies for caregivers and patients.
This book begins by exploring how the role of the nurse practitioner has evolved and will continue to play an essential role in shaping healthcare–both today and in the future. Nursing has long been referred to as both an art and a science. It is a practice discipline. Advanced practice registered nurses (
APRNs) typically maintain competency by obtaining certifications, attending conferences, reading journals, and completing continuing education activities. The book describes what was learned and provides the reader with the current standards of practice in the evaluation and management of conditions typically presented in primary care settings. It stimulates both critical thinking and clinical reasoning. The book serves as a resource to advanced practice nursing students as well as practicing nurse practitioners. Each chapter presents a different clinical specialty area. Common primary care conditions are described with corresponding management plans. Although scientific and evidence-based, the format presents information to the reader as part of a journey, making the book more accessible than the traditional textbook. Global, complex health challenges must be solved in interdisciplinary, collaborative ways, and APRNsmust work alongside all members of the healthcare team meaningfully and effectively. The goal of this book is for a seasoned nurse practitioner to share practical guidance, which supports the reader to be better prepared in the provision of high-quality primary care to their clients and families.
This edition of the Handbook of
EEGInterpretation promises to be the best iteration yet. Each chapter is written by a professor of neurology subspecializing in the field of epilepsy. As in any field of medicine, the best quality of care evolves and is reflected by new knowledge borne by the practitioner. In the case of electroencephalography ( EEG), this knowledge is a function of exposure and of experience. Hence, the book hopes to fill a void that exists by providing quick and easy access to topics in EEGin the hopes of ultimately providing better patient care. The book reviews abnormal nonepileptiform EEG. In addition to the chapter on abnormal epileptiform EEG, these are foundational chapters necessary to provide an accurate clinical correlation and facilitate appropriate patient management of patients with seizures and neurological illnesses that may have management decisions predicated upon interpretation of EEG. The book summarizes pediatric seizures and the role of ambulatory EEG, in addition to video- EEGand adult seizures, new chapters to emphasize the increasing role of event recording with EEG. The chapter on sleep provides a focus on and correlation of patients with sleep disorders and epilepsy. The chapter on neurointensive intraoperative monitoring, adds very instructive information to performing a variety of monitoring techniques in the operating room, in addition to a chapter on electrocorticography, to expand on examples that involve patients with epilepsy, brain tumor, vascular malformations, and other diseases of the cerebrum. The excellent final chapter, magnetoencephalography, includes examples to illustrate the powerful source localizing capability of this technique. With completion of the third edition of the handbook, it is the authors hope that it will continue to serve clinicians young and old, experienced and novice, physician and technologist alike.
Intervention Research and Evidence-Based Quality Improvement, 2nd Edition:Designing, Conducting, Analyzing, and Funding
This book is a tremendous resource for researchers and clinicians alike and serves as a core text for students in doctoral nursing and other health sciences programs. Its detailed, step-by-step approach to designing, implementing, analyzing, and scaling interventions into real world settings will assist novice and skilled researchers alike. The inclusion of comparative effectiveness research is notable as health systems, clinicians, and patients want and need to make choices between available alternatives—understanding which intervention "works" for which patients in which settings. The book is organized into six parts comprising 29 chapters. It begins at the pilot study phase for intervention research and highlights every step of the way through to full-scale randomized controlled trials. Written in user-friendly format, the content covers designing, conducting, analyzing, and funding intervention studies that improve healthcare quality and people's health outcomes. Chapters cover writing grant applications and show examples of actual applications that have been funded by NIH and other organizations. The book provides additional content on how to move research-based interventions more quickly into real-world settings. It describes evidence-based quality improvement (EBQI) and specific steps in conducting EBQI projects, which are essential for enhancing healthcare quality, safety and costs along with enhancing population health outcomes. The book also highlights real-world examples of evidence-based quality improvement projects that have improved outcomes. It emphasizes the importance of interprofessional teams and focuses on using research-based interventions in real-world settings.
The value of advanced practice registered nurse (
APRN) practice is found in their impact on health care quality, especially in “comparative effectiveness data” that documents APRNadherence to best care practices while achieving desired patient health and care system outcomes. Today, APRNcare processes and health care outcomes form the basis for evaluating the educational preparation, individual provider and practice performance, policy initiatives that authorize APRNpractice, and also serve an increasing role in reimbursement for services. APRNsserve at the front lines of health care and are expected to make even greater contributions in the future to improve the health care system. This is in part because they have developed a reputation for providing accessible, high-quality, cost-effective care. This book provides APRNstudents and educators, practicing APRNs, and the administrators with whom they work up-to-date information on the advanced practice nursing care process as well as patient health outcome, population health outcome and system-based outcome assessment—the who, what, when, where, how, and why. It includes critical perspectives on not only the health effects of advanced practice nursing but also the economic impact of the practice. Its chapters, which synthesize current data on each APRNrole, will guide practice innovations and enhance practice authority. Content regarding identification of metrics, which will help APRNsquantify their impact, is especially relevant. Identified gaps in data will help one prioritize future research and develop new advanced practice nursing care models, which might lead to improvements in health and health care delivery. The authors provide the essential information to accomplish all of these important objectives. The true impact of advanced practice nursing care can be established only through continued focus on outcome assessment and evaluation—something that this book encourages readers to actively pursue.