This title provides an overview and update of the continuing healthcare quality crisis, emphasizing its foundational relational core through an evolving middle-range theory, and offers opportunities for application at several levels. It highlights the importance of caring relationships in improving the safety and quality of health systems. Moreover, it is a call to action for healthcare workers, especially nurses. Safe, quality healthcare, meaningful work, and overall well-being are at stake. By exploring several theoretical concepts drawn from multiple sources, the book articulates the Quality-Caring Model©. It illuminates and updates the critical relationships with self, the community served, patients and families, and the healthcare team for current and future practice. Applying the model in clinical, educational, and leadership practice offers possibilities for advancing the value of the nation’s health systems while providing the context for meaningful work. Using the Quality-Caring Model© as a foundation for research may point to new evidence regarding the contribution of caring relationships to quality health outcomes. This revised edition is intended for use by nursing students, and nursing scholars as well as clinical nurses, nurse educators, nurse researchers, and those in nursing leadership positions. Health professionals in other disciplines may also find it helpful. Each chapter contains objectives, an introductory section followed by specific narratives holding new information or applications. They also include a specific focus area to highlight their importance and specific “Calls to Action.” Multiple case examples and reflective questions are provided as well as practice analyses for use in formal education programs, continuing education, workshops and conferences, and general clinical practice. The appendices provide additional resources for those interested in caring relationships in health systems.

Distinguished by abundant patient and health provider narratives highlighting the impact of health disparities on health outcomes worldwide, A Population Health Approach to Health Disparities for Nurses is a scholarly yet practical text that prepares RN-BSN, DNP, and PhD students to work toward improving community health for a variety of underserved and vulnerable populations. Grounded in the population health approach addressed in the American Association of Colleges of Nursing (AACN) Essentials, it delivers practical steps nurses can take to address population health goals, including the improvement of quality of care, access to healthcare, outcomes, and cost management. Written by lawyers, physicians, social workers, statisticians and economists, psychologists, ethicists, finance experts, population health specialists, anthropologists, and nurses, the text emphasizes an interdisciplinary approach to learning and all components of healthcare—delivery of care, policy, research, and teaching. It examines demographic differences, chronic and acute health conditions, and the health needs of the unserved/underserved across the life cycle. It highlights the importance of understanding the social determinants of health and discusses ways to address health disparities through changes in public policy, attitudes, beliefs, education, research, and advocacy.

This book highlights the alarming statistics regarding medical errors and the most common causes. A thorough review of the literature identified the most significant errors and their causes. The significance of critical thinking, logic, and clinical judgment has been well established, and the book includes strategies for developing and improving these skills. It addresses case studies, exemplars, tips from the field, discussion questions, and special topics that support the integration and application of the important concepts. The book is structured and organized around two major units. Unit I addresses the severity of the issue and common causes. It provides an overview of the issue and the agencies that focus on patient safety. Despite numerous policy changes and strategies, patient errors have continued to increase after a previous improvement that stemmed from the initiatives after the landmark report To Err Is Human. Common medical errors include medication errors, patient falls, pressure ulcers, infections, and surgical errors. Unit I also describes the primary causes with poor communication being one of the most common causes. Unit II focuses on improving patient safety and decreasing adverse events. It focuses on ways to become a safe practitioner through education and competency development. It also highlights several theories that can be used to promote quality of care and decrease adverse outcomes. It then focuses on the significance of critical thinking in promoting patient outcomes and ways to develop and improve critical thinking and reasoning. The book focuses on prioritization and delegation and ways to develop these skills in addition to the scope of practice, intuition, and ethics. It focuses on leadership and emotional intelligence and finally focuses on the issue from a holistic approach and includes cultural humility and artificial intelligence.

This nursing handbook introduces and defines key terms about race and racism for nurses, nursing students, and nurse educators. It addresses how race and racism act as structural and core social determinants of health and propel health inequities. It moves beyond a focus on multicultural approaches for understanding inequity toward a recognition of the broader impact that both systemic and structural racism have had on inequality in health and life opportunities. Through a social justice lens, the book underscores how nurses, as frontline health professionals, need to understand racism as a factor behind these inequities and its significance to their working environment and nursing practice.

In concise chapters with brief paragraphs and bulleted information, this practical handbook offers strategies for how to productively engage in a dialogue about race and racism. It considers the history of racism in the United States and then breaks down how it operates at structural, institutional, and individual levels. Case studies illustrate such concepts as microaggressions, implicit bias, power, privilege, and intersectionality in order to foster understanding and provide opportunities for both self-reflection and collective conversation.

This book follows one of the most challenging years for the U.S. health care patients and providers. The 2021 edition of The Essentials: Core Competencies for Professional Nursing Education from the American Association of Colleges of Nursing promotes competencies for Doctor of Nursing Practices (DNPs) that include resource allocation, cost containment, knowledge of reimbursement models and collaboration that promotes effective and sustainable interventions. Given the current context of uncertain and often limited health care resources balanced against serious healthcare disparities and demands, it is apt that relevant competencies from The Essentials are threaded throughout the chapters in this third edition. Part one lays the groundwork, presenting the context of US healthcare economics, fundamentals of insurance coverage, population health management, and an overview of international health finance models. Part two presents budgeting concepts for acute care and outpatient settings, as well as capital budgeting, and reviews financial statements. Part three presents concepts of quality management, data analysis and informatics, as well as legal, ethical, and policy issues that are all closely related to financial management in healthcare settings. Part four helps the reader build skills in project management, grant writing, and entrepreneurship offering insights on administrative partnerships within the C-suite and between healthcare and academic institutions. Part five discusses financial management strategies in these times of uncertainty and change, and envisions the hospital of the future. This is a textbook that will guide the theory and practice of financial management by DNPs now and for years to come. The ultimate goal of this book is to provide DNP-prepared nurse leaders with the business acumen and financial skills to have meaningful conversations with their chief financial officers regarding the value of nursing, to be able to build a comprehensive business plan, and to “talk the talk”.

Policies are essential opportunities for nurses to take ownership of advocacy. This completely updated third edition provides a hands-on approach to help nurses across a variety of settings to develop health policy competencies for managing an ever-changing health and uncertain policy arena. Four major units provide a framework for the authors approach as the chapters of the book take the reader on a journey through all the steps of the policy-making process. Leadership, ethical, and social justice principles are unifying concepts integrated across chapters. Throughout each new or revised chapter, policy development is exemplified from the grand scale of global or national to the local level. The authors believe that policymaking at all these levels is essential. Often, however, the interplay between levels is not always recognized or acknowledged. The key features of each chapter covers specific aspects of the policy-making process including learning objectives, an introduction, policy challenge and solutions, policies on the scene, key concepts, future implications, summary, learning activities, and e-resources. These features in each of the 15 chapters have been thoroughly revised. Each chapter introduces a key aspect of the policy-making process framing the important details for the reader. The Policy Challenge presents a particular dilemma or issue in policy with a Policy Solution illustrating the outcome at the end of the chapter. Policies on the Scene provide short vignettes about the policy journeys of nurse leaders and aspiring policy activists. Implications for the Future describe projected developments in nursing and healthcare that have the potential to influence policy. Key Concepts aid learning by taking readers through the steps of the policy process to enhance their policy skills. The Learning Activities are designed to enhance critical thinking. E-Resources reflect key information from a variety of sources important for policy savvy nurses.

The only policy text written specifically for APRN students, this preeminent resource delivers a sweeping examination of policy impact on the full implementation of the APRN role across all environments, including its effectiveness on specific patient populations. The expanded third edition–containing six new chapters–includes expanded information on policy analysis, nursing roles, and the impact of technology. It provides practical knowledge on developing policy to advocate for vulnerable populations–bolstered by case examples–and discusses how interprofessional education has changed and will continue to alter health policy in the United States and internationally. Additionally, the text discusses the evolving influence of the Patient Protection Affordable Care Act (PPACA) and the implications of current and future health policy changes as they affect APRN practice. New doctoral-level content adds to the book’s relevance for DNP students.

The text addresses the initiative within nursing for Full Practice Authority for all APRNs, which enables them to practice to the full extent of their educational preparation. Edited by experienced APRN leaders who have been closely involved with health policy development, the text meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for the inclusion of health policy and advocacy in the curriculum. This “call to action” for APRNs is specifically designed for courses serving a variety of APRN trajectories and includes content from all APRN role perspectives in every section.

This book provides a comprehensive understanding of the essential Quality and Safety Education for Nurses (QSEN) competencies for nurses. As students graduate from nursing programs and transition into their practice role, they are expected to be able to use informatics, function within an interprofessional team, deliver patient-centered care, incorporate evidence-based nursing practice, focus on patient safety, and engage in quality improvement activities. The book discusses many practical examples from real-life experiences for students. The contributors to this text include nurse educators, nurse faculty, nurse researchers, library scientists, nurse administrators, nurse case managers, physicians, lawyers, nurse quality improvement and patient safety practitioners, nurse practitioners, nurse entrepreneurs, psychologists, and others. The contributors are from all over the United States, emphasizing a broad view of quality and safety as well as leadership and care management. Each chapter includes interviews with experts in their respective healthcare field to provide an interprofessional team perspective. The book consists of 16 chapters. Each chapter provides nursing students and beginning nurses with a background and foundational knowledge of quality and safety to assist them in their role as nurses in today’s healthcare environment. New to the Third Edition is a mapping of the 2021 AACN Essentials to each chapter. A robust online evolving clinical case study is available as an instructional supplement for faculty to guide teaching the content, with options for how to use the case study for student learning. The content includes discussion questions for each section of the case study or guidance for a written paper assignment. The evolving case study pulls content from the text into how to address an evidence-based quality improvement project as a new nurse.

Telemedicine is one of the quickest growing field inside of medicine. In one form or another, it has been around for generations. The World Health Organization (WHO) and the various academies of specialties and state board of medicine or nursing all offer opinions on the efficacy and need for digital health platforms. An organization must analyze the base information from these resources and formulate how to implement in their own organization. This is not an easy task, but to use the road already paved by others and build upon it eases the burden. This book answers these topics and enlightens emerging providers, administrators and payers to the benefits of telemedicine and telehealth. With knowledge comes power and the ability to effect change. The future of telemedicine is in the hands of those who are rendering the services. The technology can and always catch up to the demand. The legislation and business need to be motivated to change. This comes with continued proof that this method of practicing medicine is cost-effective with high patient and provider satisfaction. Deciding if the complaint the patient is presenting for is appropriate for the digital platform is important for the successful completion of the telemedical or telehealth visit. While the provider cannot perform a physical exam via telemedicine, there are techniques that can be implementing uses family, or another trusted person. The book discusses means for self-evaluation and or coaching family and friends through the physical exam. Special equipment can be utilized to also assist in the digital physical exam. Telehealth can also include medical education, administrative care, training events and follow up evaluations with nurses, dieticians, physical and occupational therapists. Telehealth also incorporates the ability to provide medical education and offer an ability to provide in-service to providers and staff.