This book updates current trends in practice and reviews the origins, standards, and competencies of the advanced practice registered nurses (APRNs) in the United States. It discusses APRN roles within a nursing context, identifies organizational roles for APRNs, and examines ethics in guiding APRN clinical decision making. The book is organized into three parts comprising 16 chapters. It examines and addresses all four APRN roles. The book reviews useful tools in advanced clinical decision making, practice issues (regulation, certification prescriptive authority, credentialing, and liability), and the exploration of employment opportunities and strategies. It explores the role of the APRN in the team’s formation and leadership. The chapter discusses the composition of interprofessional teams that will include a variety of healthcare providers. It challenges APRNs to assume more prominent leadership roles in healthcare delivery systems. The book emphasizes the importance of leadership competencies necessary for the delivery of quality care, evidence-based practice, and patient safety. Different leadership development models and curricula related to leadership in master’s and doctor of nursing practice (DNP) programs are considered. The book describes the multifaceted roles of APRNs internationally. The Patient Protection and Affordable Care Act (ACA) has placed APRNs on the front lines of healthcare reform. The book reviews the critical events that have sculpted the APRN policy role in influencing and creating legislation and discusses how to become an engaged citizen in directing change. It discusses health information technology competencies for nurses and APRNs, as well as common information management resources that APRNs are using or likely to encounter in the near future. The book explores the multiple modalities that are incorporated into the scholarship of practice, such as sharing tricks of the trade, completing quality improvement projects, collaborating with nursing researchers, and being an active member in professional organizations.
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This book provides information and strategies to help an experienced nurse begin her journey forward and achieve her educational and career goals. It is divided into three units. The first unit deals with the starting of the journey, with the first chapter covering the transtheoretical model (TTM). TTM is composed of four constructs: stages of change, decisional balance, self-efficacy, and processes of change. The chapter on decisional balance focuses on the motivations and barriers nurses may consider when making the decision to return to getting educated. Others chapters cover the various choices, which nurses have for getting educated again, and the steps necessary to apply to a graduate nursing program. Unit II deals with the preparation at various levels that have to be undertaken by the nurses to succeed in their efforts with the chapters discussing the mental-emotional preparation, financial preparation, computer and technology preparation, academic preparation, family/social preparation, physical preparation and work preparation. Nurses need to know to how handle change in their lives and self-assess their attitudes, the various financing options available, and to use social media to access sites of professional organizations. In addition, nurses need to have academic skills essential for success, and family and social support when they return to the school. They also have to maintain their physical health while in school and negotiate their work schedule to fit with the school. Unit III highlights the need to enjoy the journey back to school and to stay motivated.
Over the years there has been a call and mandates by national originations such as the Quality and Safety Education for Nurses (QSEN), Institute of Medicine (IOM), and American Nurses Association (ANA) that nurses have more technology skills to meet ever-evolving workforce demands in the newer high-tech healthcare practice environments. This book provides a basic understanding of technology requirements using nursing informatics (NI) knowledge and skills needed in today's practice workforce as well as the basic considerations needed for professional development and lifelong learning. First it provides a foundation explaining the rapid evolution and importance of NI. The book then provides the basics to understating the primary tool used by nurses in today's clinical practice—the computer—as well as other technology and software needed in practice. It presents case scenarios and critical thinking questions and activities to engage the reader and enhance understanding of concepts. The book takes the reader further into clinical application such as general, everyday uses in project management as correlated with the nursing process, applications of NI and computer concepts used in research, as well as how NI and technology tie into and support education. It provides an overview of the connection between data, information, knowledge, and wisdom; definitions for quality and data quality; and criteria for quality data and information during input, storage, and at retrieval, display, and printing. The book also reviews competencies needed by the baccalaureate-prepared nurse in today's healthcare setting to recognize data quality, problems with data quality, and corrective measures.
Health care delivery is complex and scientifically grounded, and requires its practitioners to possess considerable knowledge and expertise. This book guides the reader through a conceptual framework for building effective patient relationships. Based on concepts of mindfulness, it provides a kind of mental scaffolding or operating platform on which to build thoughts, perspectives, and skills that help the busy clinician to achieve inner composure, attain greater self-awareness, and develop critical interpersonal skills that result in satisfying and compassionate patient care. In the first section of the book, mindfulness principles are embedded in discussions of the critical elements of interpersonal effectiveness, such as hope, empathy, and listening. The second section discusses how to navigate professional communication challenges. The third section provides chapters in which mindfulness principles are applied to challenging clinical situations. The fourth section describes effective approaches with challenging populations. Together, the applications in third and fourth sections give the reader concrete examples of mindfulness in action. The scenarios depicted throughout the book involve practitioners primarily from medicine and nursing. Nurses and physicians, trainees, social workers, and others are also presented in examples. However, with slight modifications, the scenarios are applicable across disciplines. Although the roles of nurses, social workers, and physicians certainly vary, the fundamental principles for establishing effective patient-provider encounters remain constant. And although the primary aim of the book is to promote mindfulness as a powerful method of enhancing patient-provider communication, the secondary aim is to promote mindfulness as a means of enhancing cross-disciplinary understanding.
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 provides a dynamic and comprehensive interprofessional approach to building a culture of safety by using simulation across clinical and education spheres in healthcare. It provides a narrative account of the origins of Patient Safety Institute (PSI) that emphasizes its integration and alignment with the strategic goals of the larger health care system an example, in effect, of innovation that, from within the organization, creates new capabilities. It also illustrates the concept of systems integration as representing a fourth domain of simulation, in addition to teaching/education, assessment, and research. In devising methods to improve the interprofessional response to acute medical emergencies in a psychiatric hospital, the book provides an instructive example of the ways in which simulation offers distinctive advantages over simple hands-on training and code drills. It also provides an in-depth summary of simulation in an emergency medicine residency program. After pioneering work in anesthesiology, pediatrics and perinatal medicine became two of the first disciplines in which providers recognized the considerable potential for simulation. The book further provides accounts of several programs that indicate both the depth and range of simulation.
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.
Global health policy should be of interest to nurses and other providers involved in all aspects of the healthcare, including practice, education, and administration. This book disseminates policy analysis of key health issues that have a global impact from the perspective of nurses. It is a compilation of case studies that highlight global initiatives to eradicate disease and promote health. The contributors are nurses who possess expertise in the global implications of the health issues and related policies of selected topics. Some of the topics included are transgender health, immigrant healthcare, chronic disease, human trafficking, pandemics, and infection control. These topics, as well as the others covered, are timely and of global significance. The case study approach provides the reader with an in-depth treatment of each topic’s health issue and the global policy implications. The goal of the book is to provide the unique perspective of nurses who live and work with these implications as they strive to provide care and educate future nursing professionals. Because the case studies presented provide an overview of a variety of significant global health issues and the policies that impact them, the book is appropriate for students of public health and medical anthropology/sociology as well as graduate nursing students. The book is organized into three parts. Part I discusses policy implications for global health, some of the policy-related research around major disease outbreaks, epidemics, and pandemics of recent years, and policies related to healthcare funding for immigrants and refugees. It also documents the case study of two foreign-born physicians experiencing transition from foreign medical doctor in the country where the medical degree was obtained to nurse practitioner in the United States. Part II discusses exemplars of health policy in specific countries and Part III discusses exemplars of health policy related to specific conditions.
Clinical nurse educators support students to gain new competencies in a broad spectrum of skills; providing them challenges and opportunities to grow. Clinical nursing education today is incredibly complex and every clinical nurse educator needs some familiarity with clinical education pedagogies and evaluation methods; clinical agency policy standards; and academic policies. This book was developed by expert nurse educators in academia and clinical practice to assist others in obtaining wanted certification. Chapter one describes the
CNEcltest specifics to help readers grasp the parameters of the examination. Chapter two reviews test-taking strategies because even though nurse educators teach; when anyone is placed back into the student role; a review assists them to apply concepts to themselves. Chapters three to five address aspects of “Functioning within the Education and Healthcare Environments”. Chapter three addresses the content outline scope within the test plan by reviewing the clinical nurse educator role. Chapter four operationalizes the curriculum and describes the process of transference of knowledge from classroom to patient care. Chapter five reviews legal and ethical issues faced by clinical nurse educators in the increasingly complex healthcare system. Chapter six describes the learning process experienced within the clinical environment and Chapter seven addresses interprofessional relationships. Interprofessional relationship development is the key for all healthcare students to maintain patient safety. The focus of Chapter eight is clinical expertise and how the clinical nurse educator can incorporate expertise to enhance and expand student learning opportunities. Chapter nine discusses student socialization; an important consideration for all nurse educators when educating healthcare professionals. Chapter ten reviews the parameters of student assessment and evaluation within the clinical learning environment. Chapter eleven offers an entire practice test and Chapter twelve provides questions; answers; and rationales that are designed to prepare nurses for the clinical nurse educator certification examination.
Child and Adolescent Psychopathology for School Psychology: A Practical Approach is the only text to address child and adolescent psychopathology from the viewpoint of the school psychologist. Integrating, comparing, and distinguishing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (
DSM-5) diagnoses from Individuals with Disabilities Education Improvement Act ( IDEA) disability classifications, it provides a comprehensive overview of mental health conditions in this population. This book addresses the impact of these conditions at school and at home, along with a description of practical, evidence-based educational and mental health interventions that can be implemented in school environments. It addresses the role of the school psychologist and details a variety of educational supports and school-based mental health services as they apply to specific conditions. This resource provides comprehensive coverage of school psychologists’ responsibilities, including assessment, educational and skill-based interventions and supports, consulting with key stakeholders, and advocacy. Case studies address classification issues and varied approaches psychologists can use to support students. Chapters provide a variety of features to reinforce knowledge, including quick facts, discussion questions, and sources for additional resources. Instructor’s supplements include an instructor’s manual with discussion questions and mapping to National Association of School Psychologists ( NASP) domains, PowerPoints, and a test bank.