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.
This book can serve as a guided learning text for any student, practitioner, educator, or administrator needing a graceful and inviting guide to translate and integrate the complexities of the abstract, philosophical-ethical worldview underlying the Human Caring Theory; finding ways to live out into concrete daily self-caring practices. It is organized into two sections containing 15 chapters. The book is arranged to provide a simple and direct method for learning about and working with Watson’s Theory of Human Caring. The first chapter describes the use of mindfulness to cultivate understanding of Watson’s Theory of Caring. Chapters two to four presents overview of Watson’s theory, Nhat Hanh’s mindfulness practices and perspectives, and Layers of Caring and Mindful Influence. Chapters five to fourteen describe each of Watson’s 10 Caritas Processes along with project abstracts that illustrate integration of the theory into professional practice in a variety of areas. The 10 Caritas Processes are as follows: embrace altruistic values and practice loving kindness with self and others; enable faith and hope, and honor others; be sensitive to self and others by nurturing individual beliefs and practices; develop helping-trusting-caring relationships; promote and accept positive and negative feelings as you authentically listen to another’s story; use creative scientific problem-solving methods for caring decision making and creative solution-seeking; share teaching and learning that addresses individual needs and comprehension styles; create a healing environment for the physical and spiritual self that respects human dignity; assist with basic physical, emotional, and spiritual human needs; and open to mystery and allow miracles to enter. The concluding chapter provides caring touchstones to support caring consciousness in day-to-day settings.
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.
Fast Facts to Loving your Research Project:A Stress-Free Guide for Novice Researchers in Nursing and Healthcare
This innovative resource is a user-friendly introduction to evidence-based practice and other types of research-based initiatives that improve patient outcomes. Using a method formed through years of teaching experience, the author translates the difficult and sometimes confusing language of research into everyday vocabulary, linking complicated concepts with easily understood scenarios. Written in quick-access Fast Facts style, the book presents knowledge in a consistent, step-by-step format characterized by bite-sized information. Each chapter opens with learning objectives that unfold into new concepts, followed by everyday life examples. Fast Facts boxes, systematized tables, and new vocabulary reinforce learning and highlight key concepts. This application-based approach helps students question their preconceived notions about research and then engage in it with a newfound confidence. The approach teaches the reader not only how to conduct a first research project but also how to construct an argument, a theory, and critically explore a belief. This method of conducting research engages the reader in active problem-solving, asking the right questions, finding answers, and being able to understand even the most complex problems. The book is divided into three sections: Part I: Define, Clarify, Search, Prepare introduces the reader to the vocabulary of research methods and the importance of defining the problem, identifying the discrepancy, and clarifying the specific problem at hand and the factors that are possible contributors to it. Part II: Starting the Actual Project investigates qualitative and quantitative research designs, methods of data collection, the reliability and validity of data, the sample from the population, and the ethical and legal considerations of engaging in research. Part III: Test, Analyze, Discuss dedicates to the proper collection and analysis of the data. The book also presents an easy guide through the steps needed to be taken when embarking on a research project.
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.
Embarking on triage orientation is both an exciting and a scary time in a nurse’s career, due to the geographical isolation of the triage area and the independent decision making required. Since the triage nurse makes quick decisions that can be the difference between life and death, excellent critical thinking skills and judgment are essential. In addition, the triage nurse must have the ability to multitask while simultaneously considering the needs of patients, colleagues, and the department as a whole. Triage orientation is critical to high-quality patient outcomes and a nurse’s success in the triage role. In preparing for triage orientation, the orientee may or may not have an opportunity to choose who shows him or her the ins and outs of triage. Nursing leadership or educators should be actively involved in carefully selecting triage preceptors. The preceptors chosen should be role model staff members who are passionate about teaching and who meet the recommended triage qualifications. Although triage may be a geographically isolated area, the role the triage nurse plays is an integral component of the treatment team. Communication with the charge nurse or patient flow coordinator regarding incoming patients and their acuity levels is critical to departmental flow and patient safety. A successful triage orientation requires a team approach to ensure the orientee grasps essential concepts and understands processes unique to the triage area. Acquiring the skills needed to effectively function at triage is beneficial to other staff on the treatment team once the orientee is practicing solo. Thus, throughout this book, content covered will build critical thinking skills and include key concepts to support success at triage.
This book describes the function of planning and why it is important to decision making in healthcare organizations. It explains the origins of planning, application to healthcare, and types of plans, and reviews the practical advantages and disadvantages of planning. The book provides an overview of the strategic planning process, including fundamental steps in the process, the influence of leadership, and the impact of quality improvement. It describes each of the steps in the strategic planning process, organizational purpose and the importance of an organization's mission to its planning and operational activities. The book also introduces the importance of a situational analysis to inform future direction and plans and describes the importance of setting objectives and why there might be resistance to setting organizational objectives. It explains how to accomplish objectives through the development and implementation of strategies and operational plans. The book also presents the relationship of strategies to objectives, methods for evaluating an organization's products and services, and the role of budgeting. It describes the feedback loop in the strategic planning processs—evaluation and control. The book finally discusses the importance of viewing strategic planning as a continuous process and common tools that are used to evaluate and improve plans.
A Practical Ethics Worktext for Professional Counselors:Applying Decision-Making Models to Case Examples
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 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
DNPdegree programs. Along with the higher expectations for DNPnurses 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 DNPprograms; DNPgraduates 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/ APRNsto 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.
This book focuses on the full spectrum of long-term care settings ranging from family and community based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. The book is organized in five parts: the context of long-term care, community-based long-term care, transitional long-term care, facility-based long-term care, and contemporary issues in long-term care. It describes ethical considerations in the provision of long-term care and decision-making in long-term care. It also explains fluidity and transitions in long-term care. The book further presents case studies as exemplars of three very different long-term care situations: a fairly typical family-supported trajectory of community-based care, the care of a person with Down syndrome, and the story of an increasingly common scenario of caregiving from a distance. The three vignettes provide a context for defining long-term care, explanation of the demographic processes that have resulted in the current situation of demand for long-term care, and description of the general characteristics of persons requiring long-term care and those who care for them.
This book is meant to educate and assist any healthcare professional who has the privilege of caring for patients with acute stroke. Although it is particularly helpful for clinicians who are involved with critical decision making, practitioners at all levels of training can use the book as a guide. The practice of stroke medicine has become quite complex over the past two decades. Fortunately, this is for good reasons. The intricacies associated with management of ischemic and hemorrhagic strokes reflect improved understanding of the disease process, advances in neuroimaging, and development of novel treatment options. In the first 24 to 72 hours of hospitalization, stroke patients are susceptible to a whole host of cerebral (neurological) and extracerebral (medical) complications. Being familiar with these complications and having the knowledge to properly identify and manage them can reduce length of hospital stay, adverse functional outcomes, and mortality. This book hopes that practitioners will appreciate acute stroke management as a dynamic process and understand the uniqueness of acute stroke as a clinical entity with its potential for complications that may be a direct or indirect consequence of the initial brain injury. The book consists of fifteen chapters. Chapter one provides an introduction to complications of acute stroke. Chapter two discusses cerebral ischemic infarction. Next three chapters focus on expansion of intracerebral hemorrhage; cerebral edema in stroke; and post-thrombolysis hemorrhage and hemorrhagic transformation of cerebral infarction. Chapters six and seven discuss endovascular and postprocedural complications and reperfusion injury in ischemic stroke. The next two chapters focus on stroke-related seizures, rebleeding, vasospasm, and hydrocephalus after subarachnoid Hemorrhage. Chapter ten describes the complications of cerebral venous thrombosis. The following four chapters discuss complications after stroke such as delirium, cardiac complications, pulmonary complications, and metabolic complications. The last chapter briefly describes poststroke infections.
Self-Neglect in Older Adults:A Global, Evidence-Based Resource for Nurses and Other Health Care Providers
Self-neglect is a global phenomenon and a serious public health issue. It is a poorly defined concept, which leads to challenges in identifying self-neglecting individuals as well as practical challenges in implementing interventions among health professionals, family members, and friends. This book is the first global, evidence-based resource that targets self-neglect and the important evidence-based interventions available to help older people in need. It is a road map for all clinicians and health care providers who come upon the complex and often heartbreaking phenomenon of self-neglect. The book is divided into twenty five chapters across six sections. Section I, Practical and Theoretical Perspectives, begins with a daughter profiling the progression of her mother’s condition over time to self-neglect from personal, social, and environmental perspectives, and describes self-neglect as the person’s inability or unwillingness to provide goods and services necessary to care for life’s needs. Section II, Issues Concerning the Self-Neglecting Individual, presents singular or multiple issues that either lead to or are a consequence of self-neglect such as mental health issues, delirium, hoarding, animal hoarding, farm animals and farmers, environmental neglect, and decision making. Section III, The Service Responds, details the response by health and social care professionals and agencies. Section IV, Research Evidence, profiles research evidence and delineate many lessons for health care professionals. Section V, Assessment and Measurement of Self-Neglect, presents methods of collecting and managing data on neglect and associated factors. The final section, Ethical and Education Issues, outlines the pedagogical demands placed on professional educators by the complex nature of self-neglect, and application of an ethical decision-making tool to a self-neglecting case.
The purpose of this book is to offer nurses, physicians, and other staff a primer on family-centered care of the newborn. It addresses the theme of family-centered care of the newborn and how to establish partnerships with the family prenatally and postnatally, as well as delineates best practices to improve both the quality of newborn care and family support. The book is based on four guiding principles that include treating people with dignity and respect, providing information in ways that are useful and affirming, welcoming family participation in care and decision-making at a level chosen by the family, and collaborating with families at the bedside and beyond. To participate effectively in shared information and decision-making with parents, people must improve their ability to communicate. Communication skills in these situations are as important as technical skills and clinical competence. The book offers strategies to promote implementation of a family-centered environment in the delivery room or neonatal intensive care unit (NICU), practical approaches to communicating with families before and after delivery, and tips on policy review to facilitate a culture of family-centered care. It also discusses how to welcome families during interdisciplinary rounds and nurse hand-offs, and ways to support families during procedures and resuscitation.
This book is a focused guide, written specifically by and for case managers on how to assess an individual, and together create a case management plan, designed with the individual’s goals at the center of the plan. It is intended to bring to case managers a relevant book to enable the care transition processes of integration, which are safe and well-coordinated. It is a reference manual for nurses and other health professionals and presents a Case Management Society of America (CMSA) tested approach toward systematically integrating physical and mental health case management principles and assessment tools. The book delves into the role of the case manager and unpacks how case managers assess and treat complex patients. The book is organized into four parts containing ten chapters. The first chapter details the evolution of case management and the professional case manager. The second chapter describes the mechanics of integrated case management, health complexity, and integration between behavioral health and physical health. The third chapter presents the global models of integrated case management. Chapters four and five discuss assessing the adult and pediatric patient using the integrated case management complexity assessment grid. Chapter six presents common physical and mental health conditions. Chapter seven addresses social determinants. Chapter eight discusses motivational interviewing and shared decision making for the medical complex patient and family caregiver. Chapter nine explores the role of interdisciplinary care teams fostering successful transitions of care. The final chapter presents professional case management accreditation care coordination measures and outcomes.
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.
This book presents a system to guide health care professionals in providing ethically sound care. It is grounded in the concept of “symphonia”, which, within the health care arena, is the study of agreements between health care professionals and patients and the ethical implications of these agreements. The book examines a variety of bioethical dilemmas from patients’ conflicts about their own care to withdrawing all life supports. It demonstrates the relevance of bioethical standards to these, and by extension to all, bioethical dilemmas. It also examines how to define and understand bioethical standards in different contexts in order to use them effectively in ethical decision making. In this way, even the novice health care professionals will have the tools to examine and manage ethical issues with their patients. Topics discussed in the book include: the ethical journey taken by the patient and nurse, the nurse-patient agreement, the bioethical standards and their role as preconditions of the agreement, the nature of the ethical context. contemporary ethical systems, legal decision making within a symphonological ethical perspective, practice-based ethics and moral distress. The book is intended to promote the welfare of both patient and health care provider.
This book is a collection of information about how pain works, how pain affects neonates physiologically and developmentally, and how to assess and treat pain in various ways. Th aim of the book is to make the text clear, concise, and to provide valuable information to the entire health care team. Neonatal pain management is the responsibility of everyone on the team physicians, nurse practitioners, nurses, pharmacists, respiratory therapists, speech/occupational/physical therapists, and family members to ensure that the needs of neonates are met and to advocate for our most fragile patients. The book also addresses special circumstances, such as prematurity, neonatal abstinence syndrome, and end-of-life care, as well as basic and useful information to care for all neonates who may experience pain. Finally, the book provides suggestions and thoughts on how best to address decision making and pain management to promote a peaceful, dignified death. Neonatal nurses face many challenges in their role as advocates in protecting their fragile patients and the book provides a resource for meeting those obligations as part of the health care team.
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 is a concise, step-by-step guide to conducting qualitative nursing research using various forms of historical analysis. The chapters in the book on historical research reflect the array of methods including autobiography, biography, oral history, and document review. The authors are experts in collecting historical data and their first-person accounts convey the richness of the designs. There are many ways to approach historical research. The different frameworks social, feminist, policy, biographical, or economic can shape the way the historical study develops. Each of these types of frameworks helps the researcher develop questions and explore the phenomenon under study. Written by a noted qualitative research scholar and contributing experts, the book describes the philosophical basis for conducting research using historical analysis and delivers an in-depth plan for applying its methodologies to a particular study, including appropriate methods, ethical considerations, and potential challenges. It presents practical strategies for solving problems related to the conduct of research using the various forms of analysis and presents a rich array of case examples from published nursing research. These include author analyses to support readers in decision making regarding their own projects. The book provides a variety of examples of historical method studies, on topics such as mental health research, working with Navajo communities, World War II evacuation nursing, and many others. Focused on the needs of both novice researchers and specialists, it will be of value to health institution research divisions, in-service educators and students, and graduate nursing educators and students.
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.
Advanced Practice Psychiatric Nursing, 3rd Edition:Integrating Psychotherapy, Psychopharmacology, and Complementary and Alternative Approaches Across the Life Span
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-APRNsto 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-APRNsthat focuses on resilience in practitioners, and the final chapter focuses on the global perspectives and the future of psychiatric-mental health advanced practice nursing.
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,
CDCimmunization schedules, and other tools.