Psychiatric-mental health advanced practice registered nurses (PMH-APRNs) are like water: they are flexible, they are fluid, and they go where they are needed. Deinstitutionalization of psychiatric patients resulted in not only more community-based treatment, but also new and expanded outpatient roles for psychiatric nurses. The third edition of Advanced Practice Psychiatric Nursing meets the practice standards developed by the American Psychiatric Nurses Association, the International Society of Psychiatric-Mental Health Nurses, and the American Nurses Association, which require all PMH-APRNs to have skills in psychotherapy, psychopharmacology, and holistic assessment. Each chapter reflects not only state-of-the-art knowledge, but decades of clinical wisdom. The book is divided into five sections: Section I provides an overview of the theoretical and evidence base for practice and an exploration of the concept of shared decision-making and reaching concordance between clinicians and clients. Section II explores the foundations necessary for the practitioner to implement integrated practice and discusses the synergistic effects of integrating practice concepts. This includes chapters presenting the overviews of psychotherapy, psychopharmacology, and complementary and alternative approaches in the context of the stages of treatment. A new chapter focuses on legal and ethical issues in treatment. Section III applies the information from previous chapters and focuses on integrative management of specific syndromes. The chapters discuss mood disorders, anxiety-related disorders, psychotic symptoms, sleep disturbances, disordered eating, disordered cognition, impulse control, disordered attention, self-directed injury, and other-directed violence. Section IV covers aspects of managing substance misuse, medical problems, pregnancy, telehealth, and forensic issues that often co-occur with psychiatric syndromes. A new chapter focuses on care for sexual and gender minority patients. Section V covers the importance of maintaining competence and quality in clinical practice. The section includes a new chapter on self-care among PMH-APRNs that focuses on resilience in practitioners, and the final chapter focuses on the global perspectives and the future of psychiatric-mental health advanced practice nursing.

This book arises from two core beliefs: (1) law is one of the most significant determinants of health; and, (2) a basic understanding of law—as the foundation for public health practice and as an interventional tool—is vital for the effective practice of public health in the 21st century. There is no public health without the law. The book makes law less scary and empowers students, public health practitioners, and researchers to see law as simply another tool in their toolbox—just like epidemiology, surveillance, biostatistics, and other traditional public health tools. It addresses major topics in public health law and provides a diversity of learners (from beginners to experienced public health practitioners and researchers) with a practice-based overview of the field. The book also provides students and public health professionals with context and essential concepts in law across a selection of public health topics. It can help students, practitioners, and researchers develop the vocabulary and savvy necessary to engage in productive conversations with their peers, the public, policymakers, partners, and lawyers about laws impacting individual wellbeing and public health. The book is organized into three parts. Part I covers key legal concepts undergirding the practice of public health and discusses the origins and nature of the law as it relates to public health. Part II features chapters focused on topics most prevalent in academic public health program areas and many that are addressed in national public health strategies. Part III has five chapters exploring the transdisciplinary and multi-sectoral nature of the practice and implementation of public health law and includes discussions of law and public health decision-making, law as a social determinant of health, health in all policies, and legal epidemiology.

This book provides a high-quality resource on evaluation for nurses. It addresses the special needs of Doctorate of Nursing Practice nurses to understand the principles of conducting large scale evaluations, and translating those principles into developing smaller projects, such as unit-based projects or projects required in DNP degree programs. Along with the higher expectations for DNP nurses come greater opportunities to lead evaluation teams and influence high-level decision making in all areas of health care. The book recognizes that the reader does not necessarily read a book from first chapter through the last. The intended audiences for this book are students enrolled in master and doctoral level programs, including advanced practice registered nurses (APRN) and DNP programs; DNP graduates and practicing APRNs; nurse administrators; directors of quality improvement; faculty teaching evaluation; and others interested in evaluation of health care from a practice and clinical perspective. The book provides an overview of the state of the science and knowledge of evaluation, and its application to common practice issues in which DNP, APRN, and master's prepared nurses lead and participate. Students, graduates, and colleagues provided information about their particular needs which was greatly appreciated. The intent of this book is to lay a foundation in evaluation for DNPs/APRNs to assume their important role in the process. Evaluation principles (concepts) as applied to health care continue to be underdeveloped and evolving. Evaluation is a nonlinear and messy process. While there is no one right way to conduct an evaluation, it is driven by the intended purpose and use of the evaluation findings.

The contemporary primary health care system is complex and challenging, and children are a particularly special population. The intricacies of child development, and the influences of genetic, epidemiologic, and environmental factors must be understood when providing pediatric primary care. Clinicians working with children and their families need an in-depth understanding of necessary approaches to working with children, normal child development, the health promotion process for children, and disease management. This text is laid out in a bulleted user-friendly fashion, making it simple for the experienced clinician to quickly reference a topic, and for the student nurse practitioner to thoroughly learn a particular concept. The emphasis of the text is on health supervision and promotion, as well as disease prevention and management from the primary care provider’s standpoint. The book focuses on the nurse practitioner’s level of diagnosis and management. Referral and consultation recommendations are provided for those health problems residing in the acute or specialty care realm. The book is organized in four units and each chapter within a unit is structured similarly to ease the learning process for the reader. The distinct layout provided in units 2, 3, and 4, improves readability and learner understanding of the content. Chapters begin with a list of student learning outcomes, an introduction, and a Pediatric Nursing Certification Board, Certified Pediatric Nurse Practitioner-Primary Care exam chapter map linking content areas with the certification exam outline; Pro Tips and Alerts are featured throughout the chapter; and a list of key points summarizes the content at the end. Current evidence-based guidelines, useful decision-making algorithms, and procedures are referenced throughout the text. Resources for families and nurse practitioners are provided with online links included as appropriate, such as Bright Futures and Mass General Pediatric symptom checklists, CDC immunization schedules, and other tools.

Nurses are finding themselves at the epicenter of a now well-entrenched shift from expert-driven practice to evidence-based healthcare. A culture where evidence is routinely used in daily practice to improve outcomes is an emerging reality. Producing, applying, and using that evidence in decision making is a critical task; a task to which all nurses strive. This expertise will position clinical leaders not only to make decisions about care based on evidence but to participate in systematic review teams to advance evidence for practice. Originally thought of to be a sophisticated review of the literature, systematic reviews are now seen as not only a legitimate research method, but also the foundation upon which to build an evidence-based practice. The third edition of this book not only helps those new to this method understand its foundation, but also guides those seeking to learn the latest developments in this rapidly developing field. To this end, all chapters have been updated and include descriptions of the latest methodological advances including living systematic reviews and dominance scores for economic review. Importantly, the book includes new chapters on choosing the right critical appraisal tool, writing the final report and disseminating the results of a review, including how to write a policy brief and/or press release on the results of a review. It represents an important resource for the next generation of health professionals and potential leaders in evidence-based health care. The book provides the readers with skill sets to identify, retrieve, appraise, and synthesize evidence for use at the point of care. It empowers and changes the way in which one approaches decision making. The book will ultimately improve the interactions with colleagues and patients alike and result in better health outcomes.

Aside from the study of theories of counseling and psychotherapy, there is probably no other area of study that is more related to the everyday practice of counseling that than the area of professional ethics. This book is a major revision of the prior edition, providing continuity to faculty who has used the book in teaching courses on ethics in counseling, but with notable changes and additions. The new edition has a distinct and timely focus on counseling as a profession. A new section provides material that not only applies to mental health practice generally, but it applies specifically to specialty practice with chapters specifically titled and focused on counseling specialties. Many of the early chapters are updated versions of those that appeared in the earlier edition. The book has been organized to provide the developing mental health professional with a clear and concise overview of ethical issues in counseling and psychotherapy. It intends to provide a thorough and scholarly foundation, defining ethical concepts and practice, legal issues, methods for clarifying values, decision-making models, and contemporaneous and emerging issues. The book is broad in its coverage of the most practiced specialties in mental health practice, and provides an efficient and effective overview of the broad scope of particular areas addressed in counseling. The specialities addressed are: mental health counseling; school counseling; couple, marital, and family counseling; rehabilitation counseling; addictions counseling; career counseling; and group counseling. It is hoped that this book will inspire ethically sensitive counselors and psychotherapists who will reflect before acting and who will consult with educated colleagues at those moments when ethical dilemmas arise. Ethical counselors and psychotherapists are those who have the best interests of their clients at heart, and who also respect the rights that derive from being professionals.

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 Pediatric and Adolescent Gynecology (PAG) nurse triage book is the first of its kind because it will serve as a guide to assist nurses in efficiently addressing common patient concerns in this population. Nurses serve as the first line of communication with patients and families via telephone and computerized messaging and are required to triage a wide variety of gynecologic medical questions and concerns. This triage guide has been thoughtfully constructed to approach problems from the nursing perspective. It follows a targeted format that allows nurses to easily find and scan information on common concerns faced in this patient population. The conditions and treatment plans in this younger population differ from adult gynecologic patients, which highlight the importance of a specialized triage guide. This guidebook differs from all other nursing resources currently available because it is the first text to focus on the specialized field of PAG. It addresses a multitude of commonly asked PAG patient questions and chief complaints, including acute and chronic symptoms and commonly prescribed medication side effects and use instructions. This book assists decision-making for nurses as they approach triage concerns in this specialized patient population.

This book is intended to be used as an addendum to a more comprehensive text associated with the Professional Counseling Orientation and Ethical Practice training required by the Council for the Accreditation of Counseling and Related Education Programs. It provides practical examples of managing ethical concerns for practicing counselors and counselors in training. Much has been made of the science-to-service problem in counseling, with the consensus being that there is a gap between the academics writing the books and papers and the clinicians actually doing the work. This text is an effort to meet the needs of both by providing an overview of case examples that are relatable and accessible and by providing responses to these cases that meet the careful scrutiny required by the American Counseling Association (ACA). The book includes 63 real-life case examples demonstrating step-by-step application of decision-making models. It teaches counselors how to think and act quickly when facing ethical dilemmas. It helps professionals to reconcile personal and professional values.

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.