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.
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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
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 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
DNPdegree. 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 DNPdegree, 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 DNPdegree, 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 DNPdegree 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 DNPdegree along with a discussion of key competencies required for success in any DNParena, the guide examines the various roles a DNPgraduate 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 DNPEssentials. The book delivers practical guidance on the DNPdegree, potential roles, and career opportunities, describes how to integrate DNPEssentials into practice, and discusses key competencies required for success in any DNProle. It illustrates potential career paths with education and certification requirements, promotes self-reflection with thought-provoking questions, and includes resources for further exploration.
Fast Facts on Combating Nurse Bullying, Incivility, and Workplace Violence:What Nurses Need to Know in a Nutshell
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.
This book reflects the ongoing efforts and leadership of nurses to provide guidance and inform pediatric and child health nurses with standards of excellence as it pertains to the commonalities of practice that intersect with all areas of pediatric nursing. The guidelines provide a road map along the continuum to address health and the determinants of health for nurses in all roles providing care to children, teens, and their families. The book is organized around the identified guidelines of nursing excellence. It presents these seventeen guidelines as chapter titles. Each chapter concludes with a case study illustrating use of the guideline. The book will be an invaluable resource for nursing colleagues in clinical practice, education, research, and policy making. The following are some of the guidelines of nursing excellence addressed in the book: 1) Children and youth have an identified health care home (medical home). 2) Children, youth, and families receive care that supports growth and development. 3) Children, youth, families, and health care providers are partners in decisions, planning, and delivery of care, including appropriate community services. 4) Cultural values, beliefs, and preferences are integral to family-centered care. 5) Family concerns are recognized as a priority, and family strengths are respected and supported in the care of children and youth. 6) Children, youth, and families have high-quality, affordable, and accessible health care. 7) The child’s, youth’s, and family’s needs are identified, prioritized, and services are offered. 8) Children, youth, and families receive care that optimizes wellness, promotes and maintains physical and mental health, and prevents disease and injury. 9) Pregnant adolescents and women, children, youth, and families have access to genetic and genomic testing and genomic-appropriate counseling. 10) Children and youth receive care that is delivered in a physically and emotionally safe environment.
This book provides innovative ways to incorporate aging content into courses, trainings, and workshops for students or professionals. It presents activities which offer hands-on approaches to engage students of all backgrounds–from social workers to family caregivers, medical students to demographers, nurses to community planners, personal care attendants to students in introduction to gerontology courses. These faculty-tested, peer-reviewed educational activities cover topics ranging from physical aging, media, and demographic portrayals of older adults to disaster planning, public policy, and diversity among older adults. The book includes 32 unique and interesting activities. Each activity comes with detailed instructions, basic back-ground information, a materials list, and an explanation of how the specific content aligns with one or more of the Association for Gerontology in Higher Education (AGHE) competencies for undergraduate and graduate education in gerontology. The book is divide into eleven chapters. The first chapter explores teaching courses on aging, and the potential of experiential learning activities to engage students. The second chapter discusses ageism and aging in the media. The next four chapters talk about dementia, demography, health care, and housing for older adults. The seventh chapter describes physical aging. Chapter 8 analyzes public policy and aging. Chapter 9 describes positive interactions with older adults. Chapter 10 explains research projects and papers, and the final chapter discusses spirituality.
This comprehensive textbook contains information on a wide array of topics, including the organization of care, population health, the fundamental challenges of health disparities, health care financing and economics, and health information technology’s role in improving care and protecting privacy. New chapters on public health preparedness and its role in mitigating effects on health and the health system and the medical and social challenges of caring for older adults provide insight into important, ongoing challenges and what those challenges reflect about our system of care.
With an increased emphasis on health disparities, population health, and health equity, this textbook includes a timely focus on how social and behavioral determinants influence health outcomes. Students will gain a deeper understanding of public health systems and their societal role and of the economic perspectives that drive health care managers and the system. Thorough coverage of the rapid changes that are reshaping our system, in addition to an evaluation of our nation’s achievement of health care value, will equip students with the critical knowledge they need to enter this dynamic and complex field. The book also includes cutting-edge, evidence-based information on preventive medicine, innovative approaches to control health care costs, initiatives to achieve high-quality and value-based care, and much more from prominent scholars, practitioners, and educators within health care management, public health, population health, health policy, medical care, and nursing.
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.
This book examines how health care managers can initiate and direct the process of system transformation by understanding and using a greater "person focus" in their decision making. It helps to develop specific rules for improving the experience of care through better managerial decision making. Case studies with discussion questions facilitate creative problem solving based on sound decision making. A first fundamental component of patient-centered or person-focused care is the ability to take the patient perspective. Individual chapters provide a physician perspective of how the intensive care unit (ICU) can be transformed into a venue for physicians to interact with patients, explore how the physician-patient relationship affects patient engagement and perspectives of the patient and resident in long-term care, explain the relationship between health care payment systems and quality of care and consider how regulatory compliance in a health care environment impacts the entire enterprise. Other chapters separately explore how supply chain management typically contributes to the larger, system-wide "institutionalization" of care, help the readers to understand the importance of patient fears and discuss prevention of medical errors. Human factors have been identified as a root cause of medical errors, particularly diagnostic errors.
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.
Psychological trauma can occur when a person experiences an extreme stressor that negatively affects his or her emotional or physical well-being. This book encompasses theories, diagnosis, and treatment as well as how trauma affects family members and caregivers. It also addresses the variables of gender, race/ethnicity, and culture as they bear on trauma psychology and the potential health consequences of trauma. In addition, the book illuminates controversies in the field and such emerging topics as posttraumatic growth (PTG), multiple traumas, and how traumatic events affect communities. A person could be diagnosed with posttraumatic stress disorder (PTSD) only if he or she experienced a criterion A stressor, which comprises two components: the person experienced, witnessed events that involved actual threatened death/serious injury, or a threat to the physical integrity of self/others, and the person’s response involved intense fear, helplessness, or horror. Given the serious often life-threatening conditions that trauma survivors often have, an adequate health care system response is perhaps the most pressing need of survivors of traumatic events. Children of parents with PTSD often describe damaged, preoccupied parents who are emotionally limited. Self-care is critical when someone works with clients or patients who have experienced trauma. Burnout is possible, as are compassion fatigue and secondary traumatic stress. Evidence-based treatments for PTSD can be cognitive behavioral therapy (CBT) interventions, such as prolonged exposure therapy, cognitive processing therapy (CPT), and eye movement desensitization and reprocessing (
EMDR). The book also deals with alternative medicine treatments such as meditation and dance therapy and movement.
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.
The issues evoked by an aging world pose new challenges with regard to employment, health, retirement, families, and the economy. Societies respond to these challenges in varying ways and these responses can be subsumed under the rubric of social policies. Human rights apply to everyone; they do not diminish with age. This book discusses many of the key issues and concerns confronting older adults in the United States and the policies formulated to deal with them. The ways in which these policies reflect human rights is key in each chapter. The first chapter presents the background on social policy and human rights and how they pertain to and impact older adults. The second chapter focuses on the Older Americans Act (OAA), the foundation of aging policy in the United States, as well as on the federal government involvement by discussing the White Housing conferences on aging. While the third chapter addresses economic supports for older adults, the fourth chapter examines policies associated with liberty and security. The fifth and sixth chapters discuss physical and mental health, and focus on employment and the workplace. This is followed by a discussion on the social policy and the family and by examining how policy relates to vulnerable populations of older adults. The penultimate chapter of the book explores the ways in which various countries are developing policies for their older population and how these reflect human rights. The last chapter looks at the future policy challenges that must be met in order to ensure that rights of older adults are addressed.
This book has been written with a view of what the future practice of graduates from Doctor of Nursing Practice (DNP) programs and other advanced health care providers looks like. It provides the reader with more than an introductory level comprehension of statistics. In particular, the emphasis is on understanding the most commonly encountered statistical models in the research journals. The book is divided into five parts, covering basic statistical reasoning and four different classes of statistical models. Part I covers the principles of statistical inference in clinical trials and observational studies, reasons for why we use statistical testing, and how we use it in the context of different research designs, as well as an overview of the basic descriptive statistics. Part II discusses statistical models used with continuous and interval-level outcome variables, which include t-tests, linear regression, analysis of variance, and some extensions of these models. Part III addresses statistical tests and models appropriate for categorical outcome variables. Part IV explores the use of time-to-event or survival analysis, which are often used in clinical research. Parts V and VI provide an overview of measurement models with an emphasis on reliability and validity of self-report and medical test data, and look at data management and privacy concerns.
Teaching Cultural Competence in Nursing and Health Care, 3rd Edition:Inquiry, Action, and Innovation
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.
This book helps to foster the leadership expertise and partnerships that will facilitate the delivery of the highest-quality nursing care and health care. It focuses on building and maintaining effective partnerships, motivating and developing others in the team, organizational analysis, strategizing, communicating, planning and managing change, measuring team and partnership effectiveness through metrics, and leveraging results within and outside of the organization. The book is divided into four sections. Section I deals with nursing and health care team models and skills. Chapters cover building effective partnerships, strong teams and team strategies. The second section looks at the teams in action by discussing the team work, planning for team and partnership success, and measuring the success. Section III deals with the various nursing and health care team challenges. Team training is necessary for teams to thrive in an organization. SCAMPER method, TeamSTEPPS program, MedTeams programs and other techniques/programs are described in this section. The fourth section discusses the leveraging of nursing and health care team results by using self-advocacy, financial funding, and other mechanisms.
This book is part of the Critical Topics in an Aging Society series. It serves as a catalyst in the technological transformation of aging services through organized presentation and evaluation of tools for a broad health care audience. Geriatrics interprofessional care is a fundamental part of older adult clinical practice modeled on a team approach inclusive of various fields, among them social work, pharmacy, nursing, rehabilitation, administration, and medicine. All clinicians who treat older adults, from the independent to the frail, are engaged in geriatrics team care which is continually adapting and evolving for individuals based on functional status changes, new treatment paradigms, and different settings of care. The need for advanced technology is clearly evident as one enters a hospital, nursing home, or geriatric care setting, including the patient’s home. Older adults have limited abilities to adapt to changes across these care locations, and thoughtfully implemented technology may eliminate these obstacles while providing safer, more enjoyable, and cost-effective care. The book presents some of the latest medical technological innovations and discusses options to help improve not only transitions of care, but also independence and quality of life for older adults. It is organized into four sections. The first section discusses current major challenges in aging and targets for technology, and promoting technology adoption and engagement in aging. The second section focuses on transitions of care and technology integration, home telehealth, and telemedicine and its effects on elder care in rural areas. Section three explores technology design for frailty, technology and cognitive impairment, advances in medication adherence technology, and technological advancements in pain management in elderly population. The final section describes personalized medicine and wearable devices, social robots and other relational agents to improve patient care, artificial intelligence and its potential to improve health, and advances in health education technology.