Preparing nurses and other health professionals to provide quality health care in the increasingly multicultural and global society of the 21st century requires a comprehensive approach that emphasizes cultural competence education throughout professional education and professional life. The ideas and suggestions presented in this book are offered to stimulate new ideas and invite health professionals to explore new paths on the journey to developing cultural competence in themselves and in others. The book is divided into five parts. Part I is composed of three chapters filled with resources to help educators begin teaching cultural competence. Essential background information about the multidimensional process of teaching cultural competence offers a valuable guide for educators at all levels who are planning, implementing, and evaluating cultural competence education. Educators and researchers are continually challenged to measure outcomes following educational interventions. Part II addresses this challenge by introducing several quantitative questionnaires and assessment tools and discussing implementation and data interpretation strategies in a detailed, user-friendly approach that can be easily adapted by novice and advanced researchers. The tools include Transcultural Self-Efficacy Tool (TSET) and Clinical Setting Assessment Tool-Diversity and Disparity (CSAT-DD). Parts III, IV, and V offer a wide selection of educational activities that can easily be applied by educators everywhere. Three chapters provide a general overview and a menu of activities for use in three areas: the academic setting, the health care institution, and professional associations. Five chapters creatively link strategies via detailed case exemplars that spotlight various populations and settings. The book’s final chapter presents important implications for educators everywhere.

Encompassing the wisdom of both established and emerging nurse leaders, this book demonstrates proof of theory in action and the influence of our great nursing legacy on today’s luminaries as they carve out new terrain to benefit current and future health care needs. Readers are handed both a guidebook and compass for personal-professional growth through the intimate narratives of nursing’s most adventurous pioneers, boldest activists, and emerging voices. The book includes chapters from renowned leaders who discuss aspects of their professional contributions in detail and guide the reader to unleash his or her future potential through the lens of nursing. These deeply connect the reader to one of the main intentions of the book: to assert and validate that nurses and a nursing sensibility are vital for the continued evolution of humanity and to ensure that dignity, humane caring, and compassionate, courageous leadership continue to pave the path for the profession and beyond. The book also encapsulates the experiences, messages, work to date, and future directions of accomplished and inspiring nurses who are continuing the conversations started by those who have laid the groundwork or claiming a new domain with which readers can coidentify. It further provides alternate views of nursing as a discipline, promoting leadership capacity for the reader and encouraging individuality and authenticity in nursing praxis.

This book on nursing care of adoption and kinship families begins with a chapter, which focuses on the historical, cultural, and legal landscape that has shaped adoption and kinship care in the United States and describes the types of adoption, trends in adoption, and processes involved in adopting a child. This is followed by a discussion highlighting the common health care needs of both adoptive and kinship children. Some birth parents do not voluntarily release parental rights of their children and experience grief and postpartum depression after relinquishing a baby. Parental postadoption depression (PAD) should be screened for by advanced practice nurses (APNs) to optimize parental functioning and avoid negative outcomes. The book discusses the broader issues like maltreatment of children, educational and social issues, and transracial adoption, and the outcomes of children adopted by same-sex individuals. It explores the role and needs of kinship parents, a unique, vulnerable, diverse population with health risk factors compounded by the responsibilities of raising children as older adults. Complex and diverse relationships exist among birth parents, their children, and the kinship caregivers who have stepped in as surrogate parents. Children under the care of kin experience maltreatment and traumatic events. The book also provides an overview of systems and practices that surround adoption and kinship triads.

Qualitative research has gained wide acceptance in nursing research. This book examines ethnography as a research design of particular relevance to nursing and provides specific information to guide graduate students or experienced nurses who are novices in the designs in conducting studies from the point of view of patients and their families. It reviews the philosophical basis for choosing ethnography as a research tool and describes in depth its key features and development level. The book provides directives on how to solve practical problems related to ethnography research, nursing examples, and discussion of the current state of the art. This includes a comprehensive plan for conducting studies and a discussion of appropriate measures, ethical considerations, and potential problems. It describes the meaning of health and well-being from the emic viewpoint of rural Nicaraguan men and talks about a study which explored health care providers’ perspectives regarding guideline compliance for rapid malaria testing in peripheral health facilities in Ghana. The book reviews the culture of the indigenous Zapotec Indians of Oaxaca, Mexico, and the application of Leininger’s transcultural nursing theory and describes a study, which examined childbirth in Fiji, compared the culturally specific methods used during childbirth to control pain and to reduce the risk of injury to the mother and the infant. It also deals with the needle exchange program to reduce the incidence rate of hepatitis and presents an ethnographic study done with a small group of poor and working-class Black American women who are sustained by their storefront church. The book also discusses other issues such as recovery of women from alcohol abuse, and personal privacy and interactional patterns in a nursing home.

Choosing the journey to pursue a doctoral degree is an exciting time but can also be an arduous experience. The authors believed that it would be extremely helpful to have a practical guidebook that clearly identified the options available to a nurse with a DNP degree. This book provides a current overview of the roles that can be held by DNP-prepared nurses and how to successfully use the degree to enhance an individual’s practice choices. It emphasizes the different role options available to nurses pursuing the DNP degree, including those who remain at the bedside or the clinic and those who assume leadership and faculty positions. This engaging handbook delivers practical guidance on the burgeoning roles and career opportunities afforded by the DNP degree, as well as the knowledge and skills required for career advancement. It provides students and professionals with a fundamental understanding of the value of the DNP degree and how it supports opportunities for nurses to shape the future of health care at academic, policy, organizational, site, and patient-care levels. Following an overview of the DNP degree along with a discussion of key competencies required for success in any DNP arena, the guide examines the various roles a DNP graduate can hold. The chapters highlight potential career paths, education and certification requirements, opportunities and challenges, and the integration of relevant American Association of Colleges of Nursing DNP Essentials. The book delivers practical guidance on the DNP degree, potential roles, and career opportunities, describes how to integrate DNP Essentials into practice, and discusses key competencies required for success in any DNP role. It illustrates potential career paths with education and certification requirements, promotes self-reflection with thought-provoking questions, and includes resources for further exploration.

This book is addressed to nurses, administrators, nursing academics, nursing students, as well as other health care professionals, and to the interested general reader. Nightingale was far ahead of her time in setting out the core principles of the new nursing profession, with demanding ethical standards and continuing education to keep up with best practice. The book is organized into two parts containing twelve chapters. Part I, Nightingale’s Nursing: Then and Now, presents what she wrote and did in key areas of nursing and health care: patient care, health promotion, ethics, infection control, pediatric nursing, long-term and palliative care, administration, and research and policy development. Part II, In Nightingale’s Own Words, takes the reader into Nightingale’s best writing itself. It provides selections of Nightingale’s most important writing from 1858 to 1893, thus facilitating the tracing of her ideas as they evolved. Nightingale’s writings are categorized into Nightingale’s early writing on hospitals and nursing, Nightingale’s writing on nursing for the poorest, and Nightingale’s late writing on nursing, hospitals, and disease prevention. The book shows how Nightingale interacted with leading physicians and other health science experts. The prime purpose of this book is to bring Nightingale’s ideas and work to the attention of nurses today, not as a historical figure but as a source of principles, vision, and sound practice in the here and now.

This book attempts to correct the dearth of nursing-relevant information about religions. The information in the book can help nurses to avoid being negligent to patients whose religiosity overtly and covertly influences their responses to health-related challenges and transitions. The book redresses the damage done by the prevailing discourse in the nursing literature that disparages religion in favor of a generic spirituality. It is divided into two parts. Part I discusses religion and nursing care, and explores the need for nurses to offer religious “interventions” at the bedside, provides information about how to talk with patients about religion and information about how to assess religiosity, addresses how nurses can support overt rituals, and offers legal and ethical perspectives in integrating this information in clinical care. The last chapter in this section reflects on the impact of a nurse’s religiosity on nursing practice. Several federal laws and most states have “conscience clauses”, which allow a nurse to refuse to participate for religious reasons in an abortion, sterilization, and often other procedures. Section II is the focal point of the book since it features contributions from 22 religionists who are not only experts about a faith tradition but also adherents of it. The religious groups covered in this section include Anabaptist-descended groups, Anglicans and Episcopalians, Baptists, Christian scientists, Latter-Day Saints, Lutherans and Methodists, Orthodox Christians, Pentecostals, Roman Catholics, Jehovah’s witnesses, Buddhists, Hindus, Jews, Muslims, Sikhs and atheists.

This book provides an overview of nursing professional practice models; their potential value to patients, nurses, and health systems; an orderly process of ensuring their translation into daily workflow; and the requisites for demonstrating their impact. It highlights the contribution that exemplary professional nursing practice can make to patients, families, professional nurses, and the health care system, given a systematic and thorough approach to its integration. The book is divided into three parts. Part I focuses on the definition, value, and disciplinary need for professional practice models (PPMs), and includes practical steps required in preparation for model integration. The emphasis of Part II is eventual enculturation and it fulfills this purpose through repeated examples and exemplars, concentrating on the nurse–nurse leader relationship and associated strategies. Chapters deal with the importance of the chief nursing executive during the implementation of PPMs, usage of unit-level formative data, adoption of Quality-Caring Model and learning how PPM became a Magnet exemplar. Part III centers on sustaining the "transformed culture" and spreading PPMs through specific communication mechanisms, and special relationships and practices. This part of the book concludes with a chapter on creating impact— influencing change beyond the doors of a single organization—adding value, and building an impressive future. Examples and other resources are presented in the appendices.

This book discusses CenteringPregnancy and CenteringParenting^®, their facilitation and implementation, and focuses on prenatal/postpartum/well-baby care. The book has three main sections. The first focuses on the Centering model by describing its basic tenets; delineating the basic assumptions, practices, and outcomes of the first group prenatal care model, CenteringPregnancy^®; exploring the three CenteringPregnancy^® group care components of health care, interactive learning and community building; and illustrating how a Circle/Centering model may improve the quality of life for new parents. Specific guidelines on the importance of screening women for depression during the prenatal and postpartum periods are presented. Facilitation is presented as the key part of the model design, allowing for group discussion and problem solving that may lead to behavioral change. The second section has three chapters, one on implementation of the model and the other two on expansion of the model: the need for interprofessional education and the development of chronic group care. The third section explores the role of policy and advocacy in the scale, spread, and sustainability of Centering, documents research-funded studies including the integration of Mindfulness-Based Childbirth and Parenting (MBCP) into CenteringPregnancy and CenteringPregnancy and Oral Health. Latter chapters deal with how CenteringPregnancy^® can address quality of antenatal care (ANC) globally.

This book is designed to introduce the historical, global, societal, and scientific events that have patterned and influenced today's health care system. It helps us to understand the significance of the transformation in nursing and the profound influences these changes have had on our approach to nursing practice today. The book showcases the role of nursing and its key place within the development of medicine from ancient and medieval times to the present. It delves into the unique role of the nurse in the care of the injured during wartime; traces the impact of key events, such as Florence Nightingale's effect on the care of soldiers during the Crimean War and nursing's role in subsequent wars, on today's practice of nursing; and describes the future of health care and its direct influence on the nursing profession. The history of the nursing profession is closely intertwined with that of health care, medicine, society, and public policy. This book helps nurses understand the important events and influential nurses that shaped nursing as a professional practice discipline. It provides key information in an easy-to-read format, with "Fast Facts in a Nutshell" identifying key points throughout every chapter. The book includes an interview with a nurse historian, Dr. Jean Whelan. It provides a brief historical overview of the origins of nursing and the profession. The book next focuses on Florence Nightingale and her significant contributions to nursing, nursing in early 1900s and new developments in nursing, such as public health nursing, and the impact of both world wars. It provides a more in-depth account that focuses on the tremendous growth and professional development over the past 100 years. Finally, the book looks closely at nursing theorists and leaders, nursing education, nursing research, professional organizations, and the future of nursing.