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 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 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.

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 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.

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.

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.

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.