This book presents theoretical underpinnings of perinatal and pediatric bereavement, chapters on dimensions of perinatal and pediatric loss that have been of interest recently, and clinical interventions derived from research. It is divided into two sections. The first section has 10 chapters focusing on aspects of perinatal loss. It presents background content on various grief theories developed in the past five decades. These theories have expanded our understanding of the processes of death, dying, and bereavement. Grief after pregnancy loss can be more complicated for certain groups. The book provides a comprehensive overview of perinatal grief among lesbian couples and an overview of perinatal loss in adolescents, discussing normal adolescent growth and development, and using Sanders’s integrated theory of bereavement to discuss the common physical, emotional, social, and cognitive reactions to loss. The second section has eight chapters focusing on various aspects of caring for families whose children are dying or who have died, and caring for children who are grieving. Sometimes, the death of a child can occur under traumatic circumstances, setting the stage for very intense psychological responses. The book focuses on the impact of the cause of the death on posttraumatic stress responses and overall parental health after the traumatic loss of a child and describes supportive interventions for bereaved parents. Suicide is one of the most traumatic losses a family can experience. Finally, the book presents the importance of creating and capturing meaningful moments in the time leading up to and after the death of a child, focusing on the importance of relationships among families and professionals as they prepare for the child’s death.
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The goal of this book is to teach the ability to form an autonomous and clinically useful opinion about any 12-lead electrocardiogram (EKG). It introduces basic principles of anatomy and physiology, including a review of the heart’s electrical system. The heart has an intricate electrical system, made up of highly specialized cells, that is responsible for generating each heart beat. The heart’s electrical system consists of five structures: the sinoatrial (SA node), the atrioventricular (AV node), the bundle of His, the right and left bundle branches, and the Purkinje fibers. One of the most basic yet important pieces of information the EKG provides is the heart rate (HR). The most accurate way to measure heart rate is by measuring the R-R interval. Learning the normal electrical direction of forces in the heart provides a simple and scientific way of understanding and interpreting an EKG. The book also discusses vital elements of cardiology, such as atrial and ventricular arrhythmias, conduction abnormalities and heart block, ischemic and nonischemic disorders, and more. It explains various types of heart blocks such as premature atrial contraction, sinus arrest and asystole, and various types of pacemakers such as ventricular pacemaker and artrial pacemakers. Drug effects and toxicities, electrolyte imbalances, trauma, pericardial diseases, lung disease, cancer, cardiomyopathies, and systemic diseases are conditions that can cause specific changes on the EKG.
This book guides readers through the process of developing a policy analysis. It illustrates questions to be addressed by using general policy issues as well as childhood obesity as a specific example. The book discusses specific areas of politics, policy, health, policy analysis, data, and analytical studies that will be important as readers work their way through the text. The statement of the policy issue is a very precise statement that narrows the focus of their area of concern to a specific area and geopolitical unit. The book deals with the importance of understanding the role of values in the political process. It explains the importance of coalitions, advocacy, and compromise in the political process and deals with the criteria for success, laying the foundation for policy evaluation and developing specific and measurable goals for their policy to achieve. The book further covers the systematic review of policy options within the framework. It discusses the various issues that readers will confront in evaluating one alternative versus another. It discusses the strengths and weaknesses of incrementalism and the role of evidence-based policy. Finally, the book deals with two different parts of the framework: recommendation and strategies. The most important element in terms of strategy is to gain a sense from policy makers how much political capital they are willing to expend to make this proposal a reality.
This book is a response that fosters education, practice development, and professionalism. The bachelor of science in nursing (BSN) is the essential educational foundation to give nurses the knowledge to improve health outcomes and provide the highest quality care. It provides the essentials of nursing theory and the importance of having a philosophy of nursing that informs our professional role. The book is written to assist with the transition from the role of the LPN to the baccalaureate-prepared registered nurse (RN). Licensed practical nurses (LPNs) who enter a university to advance their education through seeking a baccalaureate of nursing degree often find the experience of socializing into the new professional role challenging. The book analyzes the change process, discusses Benner’s stages of clinical competence, examines the philosophy of nursing and describes stress reduction measures. The terms leadership and management are described, and the role of the baccalaureate-prepared nurse as leader and manager is explored. Finally the book talks about the Skill Competencies required for the Baccalaureate-Prepared Nurse-electronic health records (EHRs); the Technology Informatics Guiding Education Reform (TIGER) Movement; Simulated E-Health Delivery System (SEEDS) and Nursing Informatics Education Model (NIEM). The Quality and Safety Education for Nurses (QSEN) program was created in 2005 by an expert panel of nursing educators with the aim of preparing future nurses to continuously advance the quality and safety of the health care system in which they practice. The group developed six core competencies to be incorporated into nursing curricula: client-centered care; teamwork and collaboration; evidence-based practice; quality improvement; safety; and informatics.
Many social service leaders with only a focus on promoting social justice had become increasingly aware that to grow, they needed to incorporate more financial and business management practices into their nonprofit organizations. Leaders in the for-profit world are becoming more concerned about the need for social responsibility and promoting programs that not only made a profit but also reflected a social justice perspective. This book explicitly integrates social justice principles into the management of a nonprofit organization. The book discusses the history of the development of nonprofit management up to the present day. It addresses legal and ethical considerations, organizational planning and staff management, finance, public relations, fundraising, public advocacy and volunteerism, program design and grant development, governance and board development, developing an international nonprofit, information technology, career development, and creating a nonprofit/social entrepreneurship organization. Additional chapters address quality improvement, mentoring, and proposal writing. The text is ideal for students and faculty in social service administration, human service leadership, social work management, public and community health, public administration, and health care administration and management.
This book describes innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services including primary care, health promotion, disease prevention, and behavioral health care to residents of underserved communities throughout the United States. The book provides a historical perspective on nurse-managed health centers (NMHCs), includes chapters on the practical aspects of starting and operating NMHCs, combined with case studies that illustrate the challenges, lessons learned, and successes of NMHCs, and deals with an assessment of the current status of NMHCs and a vision for their future. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform.
This book provides leaders and managers of nonprofit organizations with theoretical and conceptual frameworks, approaches, and strategies that will enable them to manage organizations that are financially sustainable. The book aims to equip students and nonprofit leaders with the information and conceptual frameworks needed to do financial analyses, manage budgets, and conduct various operations for organizational and financial sustainability. People have a tendency to think of financial sustainability almost exclusively in financial terms. The book argues that financial sustainability involves both financial and nonfinancial facets. To that end it provides a systemic conceptual framework. The chapters are articulated around four sections. The first part introduces the concepts of nonprofit organizations and financial sustainability. The second part is about key aspects of organization and planning for sustainability in a nonprofit organization. The third part discusses issues that are vital to the financial sustainability of a nonprofit organization. The last part emphasizes the contributions of management and leadership practices to the financial sustainability of nonprofit organizations. The book may serve as an introductory textbook for future leaders of nonprofit organizations, as well as students in schools or programs of nonprofit leadership, human service leadership, social work, public and community health, organization management, public administration, education, and other similar fields.
The ambulatory practice is the backbone of the United States health care system. Ambulatory practices exist in many forms – from solo, private, family medicine practices to the multispecialty, outpatient clinic enterprise of a large health system. The ambulatory practice offers many opportunities to enhance the care delivery process. Two of the more fundamental opportunities, which in the current environment are of import for future healthcare leaders, include cost and convenience. An ambulatory practice can be structured to provide high quality healthcare services with much reduced overhead from the traditional inpatient setting. The ambulatory practice setting is cost-effective, aligning well with one of the Triple Aim’s goal of lowering per capita expenditures, thus, creating an opportunity for societal benefit. Ambulatory care provides patients with choice and convenience given the ability to locate services proximate to patient demand. These qualities of the ambulatory practice among the others described in the book require a fundamentally different approach to management compared to the inpatient setting. As value-based reimbursement propels services to the lowest cost settings and patients’ expectations for convenient, accessible, affordable healthcare rise, a well-managed ambulatory practice is a necessary and vital component of an effective and efficient healthcare delivery system. This book provides current and future leaders with a thorough understanding of the foundations of a well-managed ambulatory practice. Commencing with the storied history of ambulatory care in the United States, The Well-Managed Ambulatory Practice takes readers on an evidence-informed journey designed to expand their knowledge about the unique aspects of ambulatory practice personnel; finances; quality, safety, and experience; organization; strategy; and operations. With the accelerating pace of ambulatory practice development and complexity, the book serves as an excellent source of contemporary knowledge and skills specific to leading and managing in the ambulatory setting.
Assisted Living Administration and Management, 2nd Edition:Effective Practices and Model Programs in Elder Care
This book makes a timely and essential contribution to professional training and is a welcome resource for those dedicated to improving long-term care services for older adults. It reflects the way society views the growing elderly population and the implications of this demographic trend for the field of long-term care. Long-term care continues to be the fastest growing segment of the healthcare industry; there is a critical need to educate and train a core of professional personnel with the knowledge and skills to address the complex issues in aging, health, and human services. The book aims to provide a useful reference of content information, effective practices, and model programs in elder care related to assisted living/residential care (
AL/ RC) administration. Similar to the first edition, this book is based on the core competencies required to operate assisted living communities. It contains five parts; each part focuses on a core competency in assisted living administration such as organizational management, human resources management, business and financial management, environmental management, and resident care management. The book embraces chapter features such as useful learning objectives, case studies, effective practices, and model programs in elder care that are relevant to assisted living communities. New chapters in this edition address topics such as inter-professional practice; home- and community-based services; information and communication technology; LGBTQand other diverse groups; memory care; and palliative and hospice care. Importantly, the book is based on core competencies required to operate assisted living communities, and each of its five parts focuses on a core competency (i.e., domain of practice). The book serves as a useful reference for professionals who are associated with AL/ RCorganizations. It can also function as a primary textbook for undergraduate and graduate courses in gerontology, health administration, and long-term care administration that focus on assisted living/residential care administration.
Fast Facts for the Antepartum and Postpartum Nurse:A Nursing Orientation and Care Guide in a Nutshell
This book provides a basic reference for nurses caring for women and their families during the antepartum and postpartum periods. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values.
This book describes the function of planning and why it is important to decision making in healthcare organizations. It explains the origins of planning, application to healthcare, and types of plans, and reviews the practical advantages and disadvantages of planning. The book provides an overview of the strategic planning process, including fundamental steps in the process, the influence of leadership, and the impact of quality improvement. It describes each of the steps in the strategic planning process, organizational purpose and the importance of an organization's mission to its planning and operational activities. The book also introduces the importance of a situational analysis to inform future direction and plans and describes the importance of setting objectives and why there might be resistance to setting organizational objectives. It explains how to accomplish objectives through the development and implementation of strategies and operational plans. The book also presents the relationship of strategies to objectives, methods for evaluating an organization's products and services, and the role of budgeting. It describes the feedback loop in the strategic planning processs—evaluation and control. The book finally discusses the importance of viewing strategic planning as a continuous process and common tools that are used to evaluate and improve plans.
Assisted Living Administration and Management Review:Practice Questions for
An aging population is one where the number and proportion of older people increases over time. This is referred to as demographic aging or population aging. Demographic changes since the second half of the last century have led to a global aging population resulting in important economic and social concerns worldwide. The main causes of aging populations are declining fertility rates and increasing life expectancy. This review book compares and contrasts the five domains of practice to the four domains identified in the National Association of Long Term Care Administrator Boards (
NAB) criteria effective 2022. Except for NAB'srealignment from five to four domains of practice, the content information, knowledge base and tasks are equivalent. Each of the five parts of this Review Book focuses sequentially on the five domains of practice resulting from this comparative analysis. It is evident that this Review Book has retained the initial knowledge areas or domains of practice; the Review Book also reflects the Second Edition of Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care upon which it is based. Part One covers Domain of Practice 1, organizational management; Part Two explores Domain of Practice 2, human resources management; Part Three focuses on Domain of Practice 3, business and financial management; Part Four includes Domain of Practice 4, Environmental management; and Part Five involves Domain of practice 5, Resident care management. Aspiring residential care/assisted living administrators must identify a particular path to fulfill their professional goal and obtain a career in long-term care administration. While there are different options for students and practitioners, the review book explores possible steps to becoming a residential care/assisted living administrator.
Women have unique biopsychosocial factors that make them more vulnerable to mental illness. Many of these mental illnesses can elicit enormous physical, emotional, financial, and social barriers. This is books serves as a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. The book is divided into four sections. The first section deals with the role of cultural competence in mental health and the various types of violence such as sexual assault, rape and stalking perpetrated on women. It emphasizes key stressors specific to women that are precursors to mental illness. The second section looks at the mental disorders affecting special populations among women including girl children and adolescent females, and aged women. Disorders for other unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence are also discussed here. In the third section, chapters address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. The final section of the book is devoted to the discussion of the various psychiatric issues common to women: anxiety disorders; mood disorders; eating disorders; personality disorders; psychotic disorders; sleep disorders; substance abuse disorders; grief and loss; schizophrenia; and sexual dysfunction.
Long-term care (LTC) involves a continuum of care required to meet the differential needs of older adults. This book provides multifaceted insights to address the ever-changing world of the LTC industry, and contains effective practices and quality programs in eldercare. It provides the necessary tools and tips to maximize the quality of care and quality of life for older adults living in LTC communities. The book covers the most crucial aspects of management, including federal and/or state regulations overseeing the operation of LTC facilities. It offers advice on care at home, naturally occurring retirement communities, and continuing-care retirement communities; client care, staff retention, preventing elder abuse and neglect, and anticipating and managing litigation and arbitration in LTC; aging and human diversity, Alzheimer’s disease, palliative care, and care transitions; and much more. This book consists of 3 parts and 18 chapters. Each chapter includes helpful pedagogical features such as learning objectives, an introduction, case studies, effective practices, and/or model programs in eldercare that are useful in the administration of LTC communities, as well as a chapter summary and references. Figures and/or tables are used when warranted. The book will serve as a helpful reference for professionals who are associated with Leading Age California, the American College of Healthcare Administrators, the American Society of Aging, the Association for Gerontology in Higher Education, the Gerontological Society of America, and other aging and LTC administration organizations.
This book focuses on the full spectrum of long-term care settings ranging from family and community based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. The book is organized in five parts: the context of long-term care, community-based long-term care, transitional long-term care, facility-based long-term care, and contemporary issues in long-term care. It describes ethical considerations in the provision of long-term care and decision-making in long-term care. It also explains fluidity and transitions in long-term care. The book further presents case studies as exemplars of three very different long-term care situations: a fairly typical family-supported trajectory of community-based care, the care of a person with Down syndrome, and the story of an increasingly common scenario of caregiving from a distance. The three vignettes provide a context for defining long-term care, explanation of the demographic processes that have resulted in the current situation of demand for long-term care, and description of the general characteristics of persons requiring long-term care and those who care for them.
This book is designed for nurses who are beginning to work field of pediatrics, and can be a great asset to the novice nurse who is orienting to the unit, or even to the student nurse who is beginning a clinical rotation in the specialized area of pediatric nursing. It presents suggestions on how to communicate and work with children using age-appropriate techniques. The book is divided into three parts. Part I deals with the pediatric principles with chapters highlighting the tips for working with children, discussing immunizations, preventive care and anticipatory guidance for the well child care. Physical examination and reporting child abuse are also described. The role of the pediatric nurse is focused in the second part, which discusses health care delivery and hospitalization. The nurse’s role in medical administration is also explained in this section. Part III reviews the common pediatric disorders such as emotional or behavioural disorders, neurologic and chromosomal disorders, skin disorders, respiratory disorders, cardiovascular disorders, blood and lymphatic disorders, gastrointestinal disorders, genitourinary disorders and muscoskeletal disorders. The book ends with a discussion on communical diseases of childhood.
The field of senior care is changing in a variety of ways predicated by demographic shifts, consumer preferences, available resources, government policies and other factors. In the senior care space, the National Association of Long-Term Care Administrator Boards (
NAB) conducts a professional practice analysis about every five to seven years to determine the knowledge and skills a person should possess to lead a senior care organization, referred to as its “Domains of Practice”. NAB’s “Health Services Executive™” ( HSE) qualification is a credential that allows individuals to practice along the continuum of health services and supports and enhances the portability of their administrator license. This book provides a comprehensive and practical study tool for all students and professionals seeking HSE™ qualification. It helps an individual assess his or her knowledge and competency in a variety of established areas and across the post-acute continuum of care and services. Divided into two parts, this resource allows readers to test their knowledge in each area covered by the HSE™ exam established by the NAB. Part One features multiple choice, single-best answer questions grouped by domain of practice with rationales accompanying each “best” answer. Part Two simulates the Core Knowledge Exam, offering a separate exam for the core content and each of the three lines of service – Nursing Home Administration, Residential Care/Assisted Living, and Home- and Community-Based Service. These exams are structured to model the current content blueprint of the NABlicensure exams, and include best answer rationales to enhance self-assessment and further learning. This Q&Areview is one of the most authoritative and comprehensive available. It contains over 470 questions with best-answer rationales. It is a “must-have” supplemental resource for leaders in the field, whether taking their initial licensure exams or completing the remaining lines of service exams.
Infusion therapy can be delivered safely and effectively in the home setting. Successful home care agencies provide knowledgeable and qualified home care nurses and have structures and processes in place to ensure quality patient care. As an invaluable resource, this book can provide the framework for an effective home infusion therapy program that ensures optimal outcomes and patient safety. The first part of the book addresses the foundations of home infusion therapy. It describes the author’s model for safe infusion therapy, which provides a framework for the subsequent chapters. This model predicts that positive outcomes, including the absence of infusion therapy-related complications, patient satisfaction, and health care provider satisfaction, are maximized when four aspects of care are addressed during the home care planning process and during the process of providing care. The part discusses the importance of patient education. The role that patients and caregivers play in home infusion therapy is what makes home care unique. The nurse’s skill in teaching patients is equally important to any infusion administration skills. The part also describes concepts in infection prevention, an important goal of infusion therapy in all health care settings. The second part of the book addresses access devices and methods, including peripheral catheters, the growing use of midline catheters, and central vascular access devices, as well as subcutaneous infusion and intrathecal catheters. The final part of the book includes a chapter on infusion methods and issues followed by infusion therapy-specific chapters. Each of these chapters follows a similar format based upon the author’s model.
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.
The years that encompass the period of adolescence are largely socially constructed and dependent upon the norms, beliefs, and behaviors of society. Adults interacting with teens, whether in their personal or professional lives, know the rewards, challenges, and sometimes the mysteries of these experiences. This book is designed to assist nursing and health care professionals to understand and to be successful in these interactions, to have positive impacts on teens, and to advocate effectively for youth. Teen development is an ongoing process of engagement with friends, adults, and institutions, and teens’ own perspectives that frame their individual responses, thoughts, and actions. Knowledge of brain development helps us to understand some aspects of teen behavior characteristic of early, middle, and late adolescence. Adolescent development, factors affecting teen health, suggestions for working and communicating with teens, and issues impacting adolescents in six holistic health domains, namely physical, intellectual, emotional, spiritual, sexual, and relational are addressed in the book. Selected issues facing teens with acute and chronic illness, matters associated with teens and technology, legal and ethical issues, and the marginalization of youth challenge readers to ponder their perceptions about adolescents.
This book emphasizes the importance of sleep across states of health, health care settings, and at all stages of human development. It uses an evidence-based approach to synthesize and integrate nursing and interdisciplinary research on sleep to serve as a foundation for curriculum, teaching, practice, and researchactivities. The book is divided into four units. Unit I addresses aspects of normal sleep, including normal sleep physiology and behavior and developmental and gender aspects. In Unit II, the book provides an overview of the importance of sleep and its consequences from an epidemiological perspective, extant sleep-related nosologies, and a guide to sleep assessment. Unit II also discusses the epidemiology, consequences, assessment, and treatment of the sleep disorders such as insomnia, sleep-related breathing disorders including central sleep apnea (CSA), parasomnias, narcolepsy and circadian rhythm disorders (CRD), and psychaitric and pediatric disorders, the health disparities associated with sleep disorders, and provides an overview of complementary and alternative therapies for sleep. Unit III focuses on integration of the clinical research on sleep into specific settings where many nurses work (occupational health, primary care, acute care, long-term care, psychiatric settings, pediatric primary care, pediatric acute care, and maternal-child health). In Unit IV, the book presents suggestions about ways to integrate sleep and sleep disorders into pre-licensure and graduate nursing education, ideas about the future of nursing practice related to sleep, and proposed directions for future research.
This book is meant to be a practice resource for a medical-surgical nurse and guides the nurse through the most common conditions seen on the medical-surgical unit. It covers assessment, key clinical skills/procedures, and documentation of care in an easily digestible, bulleted format. Clinical chapters organized by body system for easy reference present common conditions seen in medical-surgical nursing and unit emergencies, along with focused assessments and PQRST system, lab work overview, related procedures and skills, a documentation guide, and common medications including those for pain management. The medical conditions and emergencies and their treatments discussed in the book are: neurological deficits, cardiac events, respiratory emergencies, gastrointestinal conditions, genitourinary alterations, wound infection, hip fracture, and endocrine disorders. Chapters also cover pre-operative and post-operative care for all conditions. Evaluation of level of consciousness (LOC) and mentation are the most important parts of the neurological exam. The final chapter is a must-have resource guide, including common pain scales; calculation guides; documentation scales for blood pressure, edema, and pulse; intramuscular technique hints; fall and restraint reduction guides; prevention of central line infection; syringe-size guides; intravenous solution review; intake and output guide.
This book focuses on common mental illnesses and weaves both the psychodynamic and neurobiological concepts into evidence-based strategies for nursing interventions. It provides information on descriptive psychiatric diagnoses, quality and safety education for nurses (QSEN) criteria, and NANDA-based care plans, case scenarios, evidence-based practice, patient and family education tips, drug summary lists, and complementary and alternative therapy approaches. The book also provides new information on psychopharmacology, compassion fatigue and a recovery model, use of informed consent, and cognitive behavioral therapy. Psychiatric-mental health nursing care is practiced in multiple settings across the health care continuum. Patients of all ages in need of psychiatric-mental health nursing care can be found in hospitals, community agencies, and residential settings. Critical thinking and clinical decision making are crucial elements to ensure that the patient’s needs are assessed, relevant problems are identified, and therapeutic nursing interventions are planned, implemented, and evaluated. Clinical decision making based on critical thinking is similar across all clinical settings. One unique dimension of critical thinking in psychiatric-mental health nursing is the importance of the interpersonal relationship as a major healing factor in delivering psychiatric nursing care. The book focuses on how psychiatric nurses integrate the concepts of critical thinking, clinical decision making, and the nursing process within the interpersonal relationship to address patient needs and delivery of nursing care.
The Health Services Executive (HSE™):Tools for Leading Long-Term Care and Senior Living Organizations
The long-term care administrative profession has not received the attention that it requires to train future leaders for what likely lies ahead, and that needs to change. This book comes at a critical moment when demographics are changing rapidly. Millions of Americans are turning 75 years old every year, and many will need care, services, and supports. Skilled nursing facilities have become small hospitals. Assisted living communities are offering services more like the nursing homes of the past. The multitude of community and home-based services has grown exponentially, making it possible for older adults to remain in their homes longer. The book provides basic tools for successfully leading senior living organizations with a purposeful emphasis on the importance of exercising sound executive judgment and using the right tools for the job. It follows the National Association of Long Term Care Administrator Boards’ (
NAB) current approach in describing the knowledge and skills covered. The book is divided into three sections. Section one provides an overview of the senior living field today. Section two addresses the nuts and bolts of operating the nonclinical support systems. Section three spreads the final NABdomain over the rest of the chapters, tying together theory and practical application with an intentional emphasis on leadership. Inserted throughout the chapters are relevant insights and recommendations shared by many of the profession’s most highly respected and accomplished leaders. The authors intend for this book to serve as much more than a study guide for preparing to pass a licensure examination. The chief goal of the book is to provide relevant guidance to both those entering the field and those wishing to strengthen their credentials and career options, to equip them with tools for remaining nimble in a field that is becoming more complex at increasing speed.
The goal of this book is to develop competencies in the use of quantitative and qualitative analysis as well as 3D Maps—all within Excel! This book works through real-world examples based on healthcare datasets. Developed from the standpoint of active learning and engagement in the real world, this textbook includes supplementary health datasets such as, Hospital Compare Assessment of Healthcare Providers and Systems (
HCAHPS), historical and current National Health Expenditure, and Community Health Rankings. In addition, the book also includes a select list of categorized sources of healthcare data. This categorized list was developed as part of a Digital Humanities Seed Grant Through the Center for Faculty Development at Seton Hall University. Since tests of hypotheses are based on sample data, a brief overview of sampling and research design is included. In a first of its kind, this book provides a hands-on approach to analyzing hypothetical qualitative hospital review comments through the MeaningCloud Add-in. This qualitative analysis includes text categorization, sentiment analysis, and topic extraction. The book uses a competency-based, application-oriented approach through a conversational style. Each chapter starts with a short vignette to motivate the content and uses screen captures together with step-by-step commentary to explain the procedures undertaken in Excel. There is minimal use of statistical formulae and jargon and no appendices in this book—since the focus is on application and interpretation. To make the most of this book, make sure to use the supplementary datasets to work along with the examples in the text and complete the practice problems found at the end of specific chapters.
This book was designed to be a high-speed review – a last-minute gut check before the Pediatric Nursing Certification Board (
PNCB) and American Nurses Credentialing Center ( ANCC) exam day. The authors created this review, which is a quick summary of the key topics one'll encounter on the exam, to supplement their certification preparation studies. They encourages the reader to use it in conjunction with other study aids to ensure the readers are as prepared as possible for the exam. This book follows the most recent exam content outlines from the PNCBand ANCC, and uses a succinct, bulleted format to highlight what one need to know. The aim of this book is to help the readers solidify their retention of information in the month or so leading up to their exam. It is written by certified pediatric nurses who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including: Complications: Problems that can arise with certain disease states or procedures; Nursing Pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations or when to transfer care; Pop Quizzes: Critical-thinking questions to test one’s ability to synthesize what one learned; and List of Abbreviations: A useful appendix to help guide you through the alphabet soup of clinical terms.
This book has been designed to be a high-speed review—a last-minute gut check before the C-EFM® exam day. The authors created this review, which is a quick summary of the key topics one”ll encounter on the exam, to supplement their certification preparation studies. They encourage the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book follows the National Certification Corporation’s (
NCC) most recent exam content outline. It uses a succinct, bulleted format with sample electronic fetal monitoring ( EFM) tracings to highlight essential knowledge. The aim of the book is to help the readers solidify their retention of information in the month or so leading up to their exam. It is written by certified nurse practitioners who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including the following: Complications: Problems that can arise with certain patient conditions or procedures; Nursing Pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations or when to transfer care; Pop Quizzes: Critical thinking questions to test ones’ ability to synthesize what they learned; and List of Abbreviations: A useful appendix to help guide us through the alphabet soup of clinical terms. Chapters cover maternal and fetal physiology, internal and external fetal monitoring equipment, fetal assessment methods, EFMpattern recognition, fetal and maternal complications, ethical and legal issues, and more.
This book was designed to be a high-speed review—a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book, written by certified critical care nurses, follows the American Association of Critical-Care Nurses’ (
AACN®) most recent exam content outline, and uses a succinct, bulleted format to highlight what one need to know. It will help the readers solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information, including: complications: Problems that can arise with certain disease states or procedures; pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations; pop quizzes: Critical-thinking questions to test your ability to synthesize what you learned; medication tables: Handy tables at the end of each body system chapter highlighting the indications, mechanisms of action, contraindications, and adverse effects of commonly administered medications; and list of abbreviations: A useful appendix to help guide us through the alphabet soup of clinical terms. We know life is busy. Being able to prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.
This book was designed to be a high-speed review—a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book, written by certified critical care nurses, follows the American Association of Critical-Care Nurses’ (
AACN®) most recent exam content outline, and uses a succinct, bulleted format to highlight what one need to know. It will help the readers solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information, including: complications: Problems that can arise with certain disease states or procedures; pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations; pop quizzes: Critical-thinking questions to test your ability to synthesize what you learned; medication tables: Handy tables at the end of each body system chapter highlighting the indications, mechanisms of action, contraindications, and adverse effects of commonly administered medications; and list of abbreviations: A useful appendix to help guide you through the alphabet soup of clinical terms. We know life is busy. Being able to prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.
This book was designed to be a high-speed review —a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book follows Competency & Credentialing Institute’s (
CCI®) most recent exam content outlines, and uses a succinct, bulleted format to highlight what one need to know. The aim of this book is to help one solidify their retention of information in the month or so leading up to their exam. It is written by certified perioperative nurses who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including: complications: problems that can arise with certain disease states or procedures; pearls: additional patient care insights and strategies for knowledge retention; alerts: need-to-know details on how to handle emergency situations or when to transfer care; pop quizzes: critical-thinking questions to test our ability to synthesize what we learned; unfolding scenarios: case studies that develop over the course of the chapter to challenge our critical -thinking skills; and list of abbreviations: a useful appendix to help guide us through the alphabet soup of clinical terms. We know life is busy. Being able xto prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.
This book focuses on a unique body of knowledge known as population health management (
PHM). Population health, an approach closely aligned with many public health strategies, enjoys strong general awareness and popularity among health professionals. Although population health books are abundant, a smaller number of population health management texts exist, and these vary considerably depending on the writers’ background, field of expertise, and perspective. It is not easy to bridge concepts from community, public, and global health, and then align them with the essential applications of health management. Combining these interrelated perspectives is the primary goal for the textbook. By melding together fundamental strategies, approaches, and tools from these diverse health-related disciplines, students learn to provide quality care, efficient health services, and produce successful outcomes that are sensitive to the needs of diverse populations. The book is divided into four sections and each section integrates a scaffolding framework that begins with PHMfundamentals and introductions to innovative strategies/tools, moves to problem-based applications, and culminates with integrated skill outcomes. Written by experts in their respective disciplines, each chapter is relatable for students from diverse health related programs such as health management, public health, social work, clinical degrees, and other health professions. As major Population Health Management transformations continue to evolve in the workplace, health management educators recognize the immediate need to design curriculums, introduce new skill-building approaches and tools, and enhance student competencies to meet the challenges and find solutions for a future healthscape that achieves the quadruple aim of access, cost, quality, and patient experience. The book provides students with the knowledge, skills, intentional mind-set to jettison the past in order to transition successfully for today and transform the future of population health management.
Improving Financial and Operations Performance: A Healthcare Leader’s Guide lies at the intersection of leadership effectiveness, performance improvement, operations efficiency, and financial management. It is the product of extensive field work in countless healthcare provider organizations with shared insight from seasoned healthcare leaders. It is based upon five key premises: leaders are accountable for the financial performance of their organizations; financial management is a significant challenge to improving organizational performance; effective financial management skills enable effective leadership and decision-making; leaders have significant influence over their organizations’ financial performance, yet are not effectively trained or given adequate resources; and healthcare is a business–a business of caring for people with growing demands on increasingly scarce resources. The primary purpose of this work is to provide a practical and applicable approach to understanding and improving financial performance through sharing effective tips, tools, and techniques based on real world challenges. The first section of this book is relatively basic and intended for newer leaders to level-set their understanding of healthcare and financial management, while the later sections are more advanced and complex in scope. The book presents key terms and concepts in easy-to-understand language. Each major topic includes a detailed illustration of a relevant scenario with step-by-step instructions for leaders to apply within their own organizations. The book is laid out with a logical and sequential flow of information with major sections that follow the four continuous phases of the Effective Financial and Operations Management Cycle: Planning, Assessing, Managing, and Monitoring. This book was written for both new and experienced healthcare leaders who want a leg-up to better understand and successfully tackle the myriad of complex challenges within their organizations.
At no time in recent memory has the practice of public health leadership been more challenging. This book, and its accompanying set of diverse and accessible learning experiences (interviews with notable leaders, case studies, self-assessments, reflection exercises, and the like), provides a solid foundation for the practice of leadership in organizations focusing on such leadership topics as strategic leadership, systems thinking, team leadership, change leadership, and the development of others. Further, the book exposes readers to the challenges, actions, and lessons learned from the
COVID-19 pandemic and other public health and healthcare crises—from after-action reviews to interviews and insights from those on the front lines—culminating in the development of a leadership framework to inform leadership practice. The intended audience for this textbook includes candidates for MHA, DrPH, and MPH degrees, as well as leaders in healthcare, health administration, and public health seeking to further develop their leadership practice. Although key leadership theories will be explored and integrated, the primary focus of this book is on the practice of leadership. The key differentiating feature of the book is that it gives voice to those who practice leadership and have the credibility to discuss the popular as well as the academic literature on a topic—building on a solid foundation of theory, skills, behaviors, and lessons about the challenges leaders face and the contexts in which they must succeed. The book also provides a wide and rich array of learning experiences that incorporate lessons and insights from public health and healthcare leaders. It is organized into four parts. Part I details leadership basics. Part II focuses on key leadership theories and their application. Part III discusses the context and challenges of leadership practice. The final part focuses more specifically on the practice of leadership.
Nursing Home Administration, Eighth Edition, includes over 50 years of the authors’ collective experience, research, and knowledge in the nursing facility industry. This newest edition is fully updated in all areas and is organized into six parts. Part 1, “Learning How to Manage the Healthcare Organization,” introduces the reader to the concept of the nursing facility administrator being the leader of the facility. Part 2, “Understanding the Departments and Managing Human Resources,” introduces the many departments of the nursing facility and their functions, as well as how each department is dependent on the others. Part 3, “Learning to Manage the Organization’s Finances,” examines the financial role of the administrator. The nursing facility administrator must be an expert in finance, billing, budgeting, financial documents, and accounting. Part 4, “Learning the Continuum of Long-Term Care,” discusses the framework of federal, state, and local laws. The administrator must be aware of Medicare, Medicaid, and other laws to be successful. Part 5, “Building Your Resident Care Skills,” provides fundamental clinical aspects within the facility. Part 6, “Putting the Systems Together,” provides a cursory set of developed policies and procedures upon which a facility can operate. The nursing facility administrator and the director of nursing are uniquely responsible for the quality of care and quality of life of the residents/patients and staff in their facility. Successfully administering a nursing facility is one of the most complex and challenging tasks one can undertake, and one of the most rewarding professional commitments available in the healthcare field.
This book is about how to manage healthcare operations. It combines clinicians’ and administrators’ viewpoints to provide a common platform and framework for building competitive advantage through superior operations. A strategic perspective is taken by achieving excellence in the four competitive priorities of an operations strategy: quality, cost, on-time and fast delivery, and flexibility. The competitive priorities should not be pursued in isolation. They are indeed interrelated, with excellent quality laying the foundation for performance in the other competitive priorities, and with targeted improvement initiatives having synergistic effects. The book is organized in six parts, with a special emphasis on the competitive priorities. Part one covers a brief history of healthcare, the challenges it faces today, the role of operations in overcoming these challenges, and describes the process of strategy development, and addresses the concepts and techniques of project management. Part two covers methodologies, tools, and techniques central to quality improvement. Patients’ perceptions of quality (the “voice of the customer”) are translated into objective process metrics using a framework called the “house of quality”. Total quality management, Lean, and Six Sigma principles are described along with tools and statistical process control techniques to uncover problems and direct improvements. Part three deals with process analysis and design principles, and presents techniques to determine optimal capacity levels and formulate patient-centric schedules. Part four covers quantitative forecasting techniques and qualitative techniques such as the Delphi method, emphasizes the importance of selecting the right suppliers and managing relationships with them, and explores the concepts related to the costs of healthcare services. Part five explores the multiple facets of flexibility and its drivers and highlights the role of technology in facilitating the flow of consistent information, part six mentions the merits of accreditation and urges organizations to go beyond meeting the standards.
Our nation has embarked on an ambitious attempt to reshape how we go about taking care of the health concerns of our population and, with a new administration, faces scrutiny and attempts to dismantle and defund the Patient Protection and Affordable Care Act. On the one hand, there is a renewed energy to develop initiatives that focus on keeping people healthy. On the other hand, there is a great deal of experimenting with the organization of the care system that addresses the needs of people who have medical problems associated with injuries and disease. The aim of this experimentation is to improve the quality of health and medical care and to bring costs in line with what Americans can afford and want to spend on the health sector. This book lays out the evidence of what has and has not worked in health care, and where the challenges lie ahead. It helps readers become more knowledgeable about how the health system works and explains why it is so complicated to make the system work better. The book describes the current status of the U.S. health care system and explains the complicated public policy process that has so much influence on the way health care is delivered and financed in this country. It addresses both the challenge of keeping people healthy and the challenge of delivering efficient medical care that helps people recover from medical conditions that do occur. The book ends with a consideration of where the health system might be headed in the years to come and what forces will shape it over time. Each chapter provides a list of the learning objectives, a list of key words that are central to the chapter’s focus, an outline of what is to come, and a list of discussion questions.
This book describes the health care system in the United States today—the settings for health care delivery, the health care workforce, the medical products needed for diagnosis and treatment, the leadership and governance, the financing organizations and mechanisms, and the evaluation of system performance and the role of information technology. The focus of this book is the U.S. health care system, with some comparisons to certain peer industrialized countries, including Western European nations, Canada, Australia, and Japan. The book discusses the past and how it has shaped the present including values and traditions underlying the current U.S. system of health care delivery; and the history of major efforts to reform the system, particularly the most recent reform—the Affordable Care Act (
ACA) or Obamacare. Themes in the book are the significance of the private–public nature of the U.S. health care system; the importance of data as the basis of evidence-based decision-making; the difficulty of bringing about change; and the complexity of the U.S. health care system and attempts to simplify. The book discusses clinical outcomes research and evidence-based medicine, as well as the organizations that have been in the forefront of this movement to improve the quality of health care. In addition, it briefly discusses population health orientation and its indicators of health care quality. The book ends with a discussion of expectations for the future of the system.
This book serves as a clinical guide to assist clinicians in prescribing psychotropic medications to address mental health conditions. It is used to assist clinicians to understand the key aspects of psychopharmacology. This is the first practical guide for novice and experienced nurse practitioners for explaining and choosing appropriate psychiatric medications. This clinical reference is ideal for students and all clinically oriented healthcare professionals since it provides concise, bulleted-style text for easy access to pertinent information. The book offers readers a broad understanding of the key aspects of psychotropic medications used in general psychiatry and primary-care settings and includes strategies to ease medication decision-making and evidence-based best practices to select and manage psychotropic medications. It is organized into two parts. Part I begins with an overview of general pharmacological principles and a brief overview of neurotransmitters, and covers the rationale for medication use and the risks and benefits of the major classes of psychotropic medications. Part II includes medications across drug classes that are divided by age population and includes practice management strategies, safety considerations, drug interactions, identification of side effects and adverse reactions, basic laboratory test recommendations, treatment options, and self-management strategies. The book ends with important concepts for patient and/or caregiver education and advocacy. It is intended for clinical healthcare providers, including physicians, nurses,
APRNs, and other healthcare clinicians who need a practice guide, test review, or clinical resource guide that is easy to access and use.
Designed as a last-minute gut check for the certification exam, this guide, written by medical-surgical nurses, provides quick, digestible nuggets of the most pertinent topics they encounter on the Medical-Surgical Nursing Certification Board (
MSNCB) and American Nurses Credentialing Center ( ANCC) exams. It can be used in conjunction with other study aids to ensure nurses are as prepared as possible for the exam. The certification helps to ensure quality patient care, indicates expert knowledge in the area of practice, and builds trust on the part of the patient and facility. It also establishes a high level of standards within healthcare, strengthens the nurse’s resume and job qualifications, and increases the potential for earning power. The book follows the most recent exam content outlines from the Certified Medical-Surgical Registered Nurse ( CMSRN®) Certification Examination and the Medical-Surgical Nursing Board Certification Examination blueprints and uses a succinct, bulleted format to highlight what nurses need to know. It helps nurses solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information including complications, nursing pearls, alerts, pop quizzes, and a list of abbreviations. The nursing pearls cover additional patient care insights and strategies for knowledge retention. The alerts include need-to-know details on how to handle emergency situations or when to transfer care. The pop quizzes cover critical-thinking questions to test nurses’ ability to synthesize what they have learned. Nurses encounter ethical dilemmas in caring for patients, including issues concerning access to care, informed consent, and treatment goals. Legal issues for nurses include both professional-centered and patient-centered concerns. The book deals with these professional and legal issues and the ways to address them. It serves as a quick refresher for registered nurses preparing for their certification examination.
This book is a “how-to” guide that describes the problem-solving method in detail. It provides an overview of the method, and step-by-step instructions, tips, tools, activities, and cases to facilitate practicing and learning the problem-solving method. The problem-solving method comprises of three phases, each of which has several steps namely how to define the problem, how to study the problem, and how to decide upon and implement the best course of action to resolve the problem. It imposes a logical thought process that builds leadership competencies in accurately and effectively defining problems, especially around very complex organizational issues that may involve multiple root causes, and supports arriving at recommendations that get implemented and actually solve the problem at hand. The book is especially useful in supporting experiential learning and coaching for students and professionals early in their careers—specifically providing a problem-solving method and tools for students, student teams, and early careerists working with healthcare organizations on consulting projects, or on projects as an administrative intern, resident, or fellow. It assists in facilitating teaching a structured approach to problem-solving and decision-making in undergraduate or graduate level case study, experiential learning, problem-solving and management decision-making courses. The book also supports teaching leadership and problem-solving skills in early careerist leadership training programs within organizations. It will be instructive for organizations that wish to enhance the problem-solving and decision making skills of its workforce more broadly. Organizations who adopt the text as part of their administrative fellowship development programs will find benefit in using the Problem-Solving Method as a structured approach to support the success of fellows in developing their ability to excel on their assigned organizational projects.
This book is the first comprehensive case-based text combining essential quality management knowledge with real-world scenarios. With in-depth healthcare quality management case studies, tools, activities, and discussion questions, the text will help build the competencies needed to succeed in quality management. Written in an easy-to-read style, Part One of the textbook introduces students to fundamentals of quality management, including history, culture, and different quality management philosophies, such as Lean and Six Sigma. It additionally explains the A3 problem-solving template, used to follow the Plan-Do-Study-Act (
PDSA) or Define, Measure, Analyze, Improve and Control ( DMAIC) cycles, that guide one’s completion of the problem-solving exercises found in Part Two. The bulk of the textbook includes realistic and engaging case studies featuring common quality management problems encountered in a variety of healthcare settings. The case studies feature engaging scenarios, descriptions, opinions, charts, and data, covering such contemporary topics as provider burnout, artificial intelligence, the opioid overdose epidemic, among many more. Serving as a powerful replacement to more theory-based quality management textbooks, the book provides context to challenging situations encountered by any healthcare manager, including the health administrator, nurse, physician, social worker, or allied health professional. It includes 25 realistic case studies that explore challenging process improvement, patient experience, patient safety, and performance improvement quality management scenarios set in various healthcare settings.