Preparing nurses and other health professionals to provide quality health care in the increasingly multicultural and global society of the 21st century requires a comprehensive approach that emphasizes cultural competence education throughout professional education and professional life. The ideas and suggestions presented in this book are offered to stimulate new ideas and invite health professionals to explore new paths on the journey to developing cultural competence in themselves and in others. The book is divided into five parts. Part I is composed of three chapters filled with resources to help educators begin teaching cultural competence. Essential background information about the multidimensional process of teaching cultural competence offers a valuable guide for educators at all levels who are planning, implementing, and evaluating cultural competence education. Educators and researchers are continually challenged to measure outcomes following educational interventions. Part II addresses this challenge by introducing several quantitative questionnaires and assessment tools and discussing implementation and data interpretation strategies in a detailed, user-friendly approach that can be easily adapted by novice and advanced researchers. The tools include Transcultural Self-Efficacy Tool (TSET) and Clinical Setting Assessment Tool-Diversity and Disparity (CSAT-DD). Parts III, IV, and V offer a wide selection of educational activities that can easily be applied by educators everywhere. Three chapters provide a general overview and a menu of activities for use in three areas: the academic setting, the health care institution, and professional associations. Five chapters creatively link strategies via detailed case exemplars that spotlight various populations and settings. The book’s final chapter presents important implications for educators everywhere.

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

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

Encompassing the wisdom of both established and emerging nurse leaders, this book demonstrates proof of theory in action and the influence of our great nursing legacy on today’s luminaries as they carve out new terrain to benefit current and future health care needs. Readers are handed both a guidebook and compass for personal-professional growth through the intimate narratives of nursing’s most adventurous pioneers, boldest activists, and emerging voices. The book includes chapters from renowned leaders who discuss aspects of their professional contributions in detail and guide the reader to unleash his or her future potential through the lens of nursing. These deeply connect the reader to one of the main intentions of the book: to assert and validate that nurses and a nursing sensibility are vital for the continued evolution of humanity and to ensure that dignity, humane caring, and compassionate, courageous leadership continue to pave the path for the profession and beyond. The book also encapsulates the experiences, messages, work to date, and future directions of accomplished and inspiring nurses who are continuing the conversations started by those who have laid the groundwork or claiming a new domain with which readers can coidentify. It further provides alternate views of nursing as a discipline, promoting leadership capacity for the reader and encouraging individuality and authenticity in nursing praxis.

This book on nursing care of adoption and kinship families begins with a chapter, which focuses on the historical, cultural, and legal landscape that has shaped adoption and kinship care in the United States and describes the types of adoption, trends in adoption, and processes involved in adopting a child. This is followed by a discussion highlighting the common health care needs of both adoptive and kinship children. Some birth parents do not voluntarily release parental rights of their children and experience grief and postpartum depression after relinquishing a baby. Parental postadoption depression (PAD) should be screened for by advanced practice nurses (APNs) to optimize parental functioning and avoid negative outcomes. The book discusses the broader issues like maltreatment of children, educational and social issues, and transracial adoption, and the outcomes of children adopted by same-sex individuals. It explores the role and needs of kinship parents, a unique, vulnerable, diverse population with health risk factors compounded by the responsibilities of raising children as older adults. Complex and diverse relationships exist among birth parents, their children, and the kinship caregivers who have stepped in as surrogate parents. Children under the care of kin experience maltreatment and traumatic events. The book also provides an overview of systems and practices that surround adoption and kinship triads.

Qualitative research has gained wide acceptance in nursing research. This book examines ethnography as a research design of particular relevance to nursing and provides specific information to guide graduate students or experienced nurses who are novices in the designs in conducting studies from the point of view of patients and their families. It reviews the philosophical basis for choosing ethnography as a research tool and describes in depth its key features and development level. The book provides directives on how to solve practical problems related to ethnography research, nursing examples, and discussion of the current state of the art. This includes a comprehensive plan for conducting studies and a discussion of appropriate measures, ethical considerations, and potential problems. It describes the meaning of health and well-being from the emic viewpoint of rural Nicaraguan men and talks about a study which explored health care providers’ perspectives regarding guideline compliance for rapid malaria testing in peripheral health facilities in Ghana. The book reviews the culture of the indigenous Zapotec Indians of Oaxaca, Mexico, and the application of Leininger’s transcultural nursing theory and describes a study, which examined childbirth in Fiji, compared the culturally specific methods used during childbirth to control pain and to reduce the risk of injury to the mother and the infant. It also deals with the needle exchange program to reduce the incidence rate of hepatitis and presents an ethnographic study done with a small group of poor and working-class Black American women who are sustained by their storefront church. The book also discusses other issues such as recovery of women from alcohol abuse, and personal privacy and interactional patterns in a nursing home.

Choosing the journey to pursue a doctoral degree is an exciting time but can also be an arduous experience. The authors believed that it would be extremely helpful to have a practical guidebook that clearly identified the options available to a nurse with a DNP degree. This book provides a current overview of the roles that can be held by DNP-prepared nurses and how to successfully use the degree to enhance an individual’s practice choices. It emphasizes the different role options available to nurses pursuing the DNP degree, including those who remain at the bedside or the clinic and those who assume leadership and faculty positions. This engaging handbook delivers practical guidance on the burgeoning roles and career opportunities afforded by the DNP degree, as well as the knowledge and skills required for career advancement. It provides students and professionals with a fundamental understanding of the value of the DNP degree and how it supports opportunities for nurses to shape the future of health care at academic, policy, organizational, site, and patient-care levels. Following an overview of the DNP degree along with a discussion of key competencies required for success in any DNP arena, the guide examines the various roles a DNP graduate can hold. The chapters highlight potential career paths, education and certification requirements, opportunities and challenges, and the integration of relevant American Association of Colleges of Nursing DNP Essentials. The book delivers practical guidance on the DNP degree, potential roles, and career opportunities, describes how to integrate DNP Essentials into practice, and discusses key competencies required for success in any DNP role. It illustrates potential career paths with education and certification requirements, promotes self-reflection with thought-provoking questions, and includes resources for further exploration.

This book provides innovative ways to incorporate aging content into courses, trainings, and workshops for students or professionals. It presents activities which offer hands-on approaches to engage students of all backgrounds–from social workers to family caregivers, medical students to demographers, nurses to community planners, personal care attendants to students in introduction to gerontology courses. These faculty-tested, peer-reviewed educational activities cover topics ranging from physical aging, media, and demographic portrayals of older adults to disaster planning, public policy, and diversity among older adults. The book includes 32 unique and interesting activities. Each activity comes with detailed instructions, basic back-ground information, a materials list, and an explanation of how the specific content aligns with one or more of the Association for Gerontology in Higher Education (AGHE) competencies for undergraduate and graduate education in gerontology. The book is divide into eleven chapters. The first chapter explores teaching courses on aging, and the potential of experiential learning activities to engage students. The second chapter discusses ageism and aging in the media. The next four chapters talk about dementia, demography, health care, and housing for older adults. The seventh chapter describes physical aging. Chapter 8 analyzes public policy and aging. Chapter 9 describes positive interactions with older adults. Chapter 10 explains research projects and papers, and the final chapter discusses spirituality.

This book reflects the ongoing efforts and leadership of nurses to provide guidance and inform pediatric and child health nurses with standards of excellence as it pertains to the commonalities of practice that intersect with all areas of pediatric nursing. The guidelines provide a road map along the continuum to address health and the determinants of health for nurses in all roles providing care to children, teens, and their families. The book is organized around the identified guidelines of nursing excellence. It presents these seventeen guidelines as chapter titles. Each chapter concludes with a case study illustrating use of the guideline. The book will be an invaluable resource for nursing colleagues in clinical practice, education, research, and policy making. The following are some of the guidelines of nursing excellence addressed in the book: 1) Children and youth have an identified health care home (medical home). 2) Children, youth, and families receive care that supports growth and development. 3) Children, youth, families, and health care providers are partners in decisions, planning, and delivery of care, including appropriate community services. 4) Cultural values, beliefs, and preferences are integral to family-centered care. 5) Family concerns are recognized as a priority, and family strengths are respected and supported in the care of children and youth. 6) Children, youth, and families have high-quality, affordable, and accessible health care. 7) The child’s, youth’s, and family’s needs are identified, prioritized, and services are offered. 8) Children, youth, and families receive care that optimizes wellness, promotes and maintains physical and mental health, and prevents disease and injury. 9) Pregnant adolescents and women, children, youth, and families have access to genetic and genomic testing and genomic-appropriate counseling. 10) Children and youth receive care that is delivered in a physically and emotionally safe environment.

This book is addressed to nurses, administrators, nursing academics, nursing students, as well as other health care professionals, and to the interested general reader. Nightingale was far ahead of her time in setting out the core principles of the new nursing profession, with demanding ethical standards and continuing education to keep up with best practice. The book is organized into two parts containing twelve chapters. Part I, Nightingale’s Nursing: Then and Now, presents what she wrote and did in key areas of nursing and health care: patient care, health promotion, ethics, infection control, pediatric nursing, long-term and palliative care, administration, and research and policy development. Part II, In Nightingale’s Own Words, takes the reader into Nightingale’s best writing itself. It provides selections of Nightingale’s most important writing from 1858 to 1893, thus facilitating the tracing of her ideas as they evolved. Nightingale’s writings are categorized into Nightingale’s early writing on hospitals and nursing, Nightingale’s writing on nursing for the poorest, and Nightingale’s late writing on nursing, hospitals, and disease prevention. The book shows how Nightingale interacted with leading physicians and other health science experts. The prime purpose of this book is to bring Nightingale’s ideas and work to the attention of nurses today, not as a historical figure but as a source of principles, vision, and sound practice in the here and now.