This book is devoted to a discussion of the native American Indian health system and nursing. It is divided into three parts. Part I first provides a national and historical look at the peoples of what is now the United States. This is followed by a view of pre- and postcontact indigenous America and the effects on health resulting from policies by the new dominant culture. Next to be introduced is the idea that “nursing” has been occurring in indigenous America long before icons, such as Florence Nightingale, put a face to the profession. An introduction to nursing and the Indian Health Service (IHS) is then followed by health modalities outside of the IHS that is, indigenous knowledge and traditional healing. Part II shows how these experiences are/were played out in the various cultural regions of the United States: Northeastern Woodlands; Southeastern Woodlands; Southwest tribal regions; Great Basin; Indians-habitated California; Pacific Northwest; Alaska; and Northern Great Plains. Urban has been added to the regional groups found in the 48 contiguous states and Alaska. In Part III, the reader explores funding as a major component of increasing care options and access in Indian country. Two chapters discuss the issues of Indian health funding and American Indian nursing education.

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 highlights the enormity of the problems of child maltreatment and their relationship to poverty and other social ills. The first chapter introduces the reader to the issues that impact children, such as poverty, lack of education, and myriad other problems of child maltreatment including physical, emotional, and sexual abuse; physical and emotional neglect; as well as parental substance abuse and mental health problems. This is followed by a chapter that presents the private efforts to provide services to abused and neglected children that have transitioned through the years into significantly greater governmental roles. Chapter 3 addresses the fact that the majority of families known to the child welfare system live in poverty, and examines the relationship between poverty and child abuse and neglect, and the increased risk of coming into contact with child protection agencies. While the fourth chapter discusses relationship between the educational system and the child welfare system, the fifth and sixth examine the health issues of families known to child protection agencies, and children in the child welfare system and the juvenile justice system referred to as “crossover” or “dual status” youth. The court system plays a critical role in foster care. Adoption from child welfare agencies typically occurs after foster care placement when it becomes apparent that birth parents will be unable to reunite with their children. It can be extremely traumatic for birth parents to lose their children to the foster care system, and then to adoption.

This book provides both health professional students and experienced practitioners with the cognitive strategies for clinical leadership and opportunities for applying these strategies to the realities of advanced clinical practice. It offers advanced practice providers (APPs) a clear focus on clinical leadership while providing an important differentiation between true leadership skills and behaviors and mere task-oriented management skills. The book reports on various leadership theories/models and uses meaningful leadership research evidence that relates well to real-world clinical settings while cautioning the reader to understand that research findings may not always produce predictable leadership outcomes. It is an excellent resource for the next generation of leaders in health care. The book is organized into four parts. The first part discusses clinical leadership traits and behaviors. Part two presents administrative leadership strategies for physician assistants and nurse practitioners, vis-à-vis the financial principles of clinical leadership and change strategies used by clinical leaders to achieve desired, planned change in complex health care environments. Part three describes the human aspects of clinical leadership such as the importance of clinical leaders being ethical and culturally informed in their advanced practice; the potential for and qualities of being a spiritual leader in a clinical setting; teaching others and leading other leaders in a clinical setting; and resiliency of the clinical leader in preventing burnout. The final part invites readers to look ahead to the future and ponder the possibilities of a desired future for health care.

The doctor of nursing practice (DNP) capstone project is a scholarly method to directly impact quality of care and health care outcomes. Translating knowledge into practice and disseminating outcomes for care and policy are consistent with the call for action in the Institute of Medicine report. This book adds to the dialogue by presenting exemplary capstone projects that have provided leadership for change in clinical practice, enhanced interdisciplinary collaboration, promoted advocacy and policy changes, or contributed to quality improvement in health care systems. Each exemplar presented is linked to one or more of the DNP essentials. After a presentation on the impact of DNP degree on clinical practice, the book addresses issues related to the development of the bachelor’s in science of nursing to doctor of nursing (BSN-DNP) capstone curriculum. DNP education is heavily focused on innovative and evidence-based practices (EBPs), and the capstone exemplar describes how a DNP student was guided to design and implement an EBP capstone project. Subsequently, the book discusses burnout as a barrier to practice among nurse-midwives, describes a systems-level change in implementing diabetic group visits in a primary care clinic, and explains the development of a training program for emergency nurses to prevent compassion fatigue and strengthen resiliency skills. One of the chapters is devoted to the development of a data collection tool for microcosting provision of care within the freestanding birth center (FBC) model of maternity care.

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.

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.

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.

Incivility, bullying, and workplace violence in nursing is a significant problem–so much so that the American Nurses Association (ANA) developed a position statement in 2015 addressing the issue (ANA, 2015). ANA’s Code of Ethics for Nurses with Interpretive Statements notes that nurses are required to “create an ethical environment and culture of civility and kindness, treating colleagues, coworkers, employees, students, and others with dignity and respect”. This book explores the topic and gives the reader practical hands-on skills on how to identify and deal with this phenomenon. It provides detailed information, emphasizing why it is not okay to put new nurses “through the ringer” because we were once in that position. The book is intended to be a “field guide” to bullying and incivility: how to define, recognize, and deal with the behavior. It helps in understanding workplace violence in health care and the cost of nurse bullying on the health care system. The book explores the effects of bullying on the nurse and how to resolve and heal these effects, and the movement for formal workplace bullying legislation. It describes the responsibilities of nursing leadership and the employer and explains how to resist nurse bullying. Finally the book presents four case studies on bullying and the student nurse, bullying and the novice nurse, bullying in nursing education, and bullying in nursing administration.

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.