This straightforward guide to evidence-based practice helps you to develop the knowledge and skills necessary to challenge practice that is not underpinned by research and to increase your understanding of the processes involved in accessing, appraising, and synthesizing good quality research. Providing a basic introduction to both quantitative and qualitative research, Debra Evans explores how to find out "what works best", the impact of something, and what requires more research. Readers will also learn the basic rules used in study design and statistics presented in research articles and systematic reviews. Each simply written chapter includes relevant theory, diagrams and tables, case studies, exercises, boxed summaries, and further reading. Packed with examples from practice across the nursing fields and at different levels, this book is essential for nurses - both student and qualified - who want to increase their confidence when it comes to research appraisal and evidence-based practice processes.

Developing Holistic Care for Long-term Conditions focuses on how to help people with long-term health conditions cope more effectively. It brings together physical and mental health, offering a holistic approach for students and practitioners in a variety of care settings. Comprising four sections, this text introduces the policy and background to caring for people with chronic illness as well as the psychosocial impact of long-term conditions. Essential skills for practice are explored including holistic assessment, symptom control and the promotion of effective partnership between client and carer in supporting coping, recovery and end of life care. There is an emphasis on maximising individual health potential and resilience with the role of nutrition, exercise, complementary therapy and spirituality considered. The focus is on client centred care which addresses the whole person, mind and body. The extensive final section presents examples of key health issues where UK national guidelines have been published including: Long-term neurological conditions Diabetes Mental health Cancer Coronary heart disease Older people This evidence-based book takes note of the relevant National Service Frameworks and offers an informative and pragmatic guide for all those learning about caring for the chronically ill, as well as providing a useful reference work for qualified nurses and allied health professionals.

This book introduces quality improvement for anyone studying or working in healthcare. Written in clear, straightforward language, it explores quality improvement from multiple perspectives and outlines a range models and toolkits you can use in practice. Encouraging you to reflect on your role as an improver, the book equips you with the knowledge and skills you need to work through each stage of the improvement process – from troubleshooting an issue, to working with others to make an improvement, through to its evaluation. Key features: -          Case studies and activities help you to apply theory and methodology to your everyday role. -          A comprehensive glossary introduces quality improvement terminology and concepts. -          A logical four-part structure moves from the basics up, building your knowledge and understanding as you go.

This title was first published in 2001. This work is a uniquely multi-disciplinary contribution to the existing bioethical literature on the topic of informed choice of medical services. It is also the first comprehensive bioethical text to confront the central issue of power in the clinical encounter and to argue for statutory protection of the right to informed choice. While the majority of bioethicists argue for a conciliatory, rather than adversarial, approach to the chronic problem of uninformed consent, the author of this work argues that the external regulation of medicine is essential if the right to informed choice is to be protected. This argument is based upon an extensive review of the bioethical, legal, political, medical, sociological and philosophical literature, as well as a wide range of empirical and anecdotal evidence, evolving from a detailed exploration of power and the limits of rationality in the clinical encounter.

Organized around a metaphor of an academic journey, D. Jean Clandinin offers published tracings of an unfolding journey over 40 years that, at its outset, appeared to focus only on questions of epistemology. However, the book illuminates how that apparent beginning focus shape-shifted to questions of methodology, ethics, ontology, and subsequently, political concerns. Clandinin shows that, even at the outset, her research wonders were grounded in relational understandings of experience, understandings that were simultaneously ontological, methodological, epistemological and ethical. Jean's work is collaborative, an engagement alongside others and within the contexts in which they and she lived and worked, including those who were participants in the research. She continues to acknowledge that narrative inquiry changes people's ways of being in the world, and those changes have ethical significance. While what she and her colleagues now call relational ethics has always been central, recently her sense of ethics has become more explicitly political. She shows the development of ideas over time, beginning as she entered doctoral work and continuing through 2019 and onward. Jean's work, centered on relational understandings of experience, highlights ethical dimensions, and has come to define narrative understandings for generations of researchers. This book will be an invaluable resource for researchers and graduate students, and professional researchers in both educational and healthcare settings. .

This innovative volume provides fresh perspectives on how medical students and patients construct identities in relation to each other, using stories of their clinical encounters. It explores how paying attention to medical students' and patients' stories in clinical teaching encounters can encourage empathy and the formation of professional identities that embody desirable values such as integrity and respect. Written by an experienced clinician and based on original, rigorous research combining ethnography and dialogic narrative analysis, Storytelling Encounters as Medical Education: Crafting Relational Identity includes patient stories alongside those of students and clinical teachers. This is an important contribution for all those interested in medical education, narrative medicine, person-centred care and identity formation in healthcare. It will also be of value to scholars in a range of other disciplines, who are using a dialogic approach.

Clinical Skills: an introduction for nursing and healthcare covers the essential clinical skills required by nurses. It offers an ideal introduction to clinical skills for adult nursing students, and it will also be useful for student nurses in other fields of practice, for trainee nursing associates and for other healthcare students who need to carry out clinical procedures when caring for people in a healthcare environment. Written in an engaging and accessible style, the book will help students to: develop their proficiency in carrying out the nursing procedures required to qualify as a Registered Nurse understand when and how to provide nursing intervention and support to people in their care broaden and deepen their knowledge through the use of realistic scenarios apply their knowledge in a person-centred and compassionate way reflect on their own values and learning experiences to enhance their nursing practice improve their nursing skills by using the 'hints for practice' and 'alerts' The clear, reader-friendly presentation will help students develop the underpinning knowledge and understanding of the clinical skills they will need throughout their healthcare career. "The clinical skills book is a gem, easy to follow, eye catching, and relevant to all skills modules across all years of the nursing programme." Lecturer in Adult Nursing, School of Health, Science and Wellbeing, Staffordshire University

Memorize the pharmacology facts you need to know - in a flash! Featuring more than 100 colorful 4 x 6 note cards, Mosby's Pharmacology Memory NoteCards: Visual, Mnemonic, & Memory Aids for Nurses, 6th Edition uses illustrations and humor to make studying easier and more fun. This unique pharmacology review may be used as either a spiral-bound notebook or as individual flashcards, so it's perfect for studying while on the go. Created by nursing educators JoAnn Zerwekh and Ashley Garneau, these durable note cards will help you prepare for class, clinicals, or the NCLEX (R) examination. There's no other study tool like it! UNIQUE! Color-highlighted monographs emphasize important nursing implications, frequent side effects, serious or life-threatening implications, and patient teaching, making it easier to identify nursing priorities on common medications. UNIQUE! Mnemonics and other proven memory aids help you grasp and remember even the most complex concepts. UNIQUE! More than 100 colorful cartoons offer humorous and memorable presentations of key drugs, and are ideal for visual learners. What You Need to Know sections on each card cover the most essential information in a quick and easy-to-review format. Thick pages and a spiral-bound format create a portable tool that is durable enough for use in the clinical environment. Colored thumb tabs at the bottom of the page allow you to find topics quickly. NEW! 8 brand-new cards are added on these topics: Pre-Exposure Prophylaxis (PrEP), Azoles, Mupirocin, Cyanocobalamin, Gabapentin, Corticosteroids, Clobetasol, and Folic Acid. NEW! Updated content is thoroughly reviewed and included throughout the cards.

Navigate every step of returning to nursing practice with this accessible guide Returning to Nursing Practice offers a step-by-step guide to navigate the challenges of returning to work after a practice break. It advocates renewed career pathways in healthcare for nurses rediscovering their professional identity and confidence. Common features of RTP courses are discussed including updating study and clinical skills and the importance of reflective practice. The book highlights the practical, psychological, and community-oriented aspects of returning to the profession and is an invaluable resource for any nurse considering or embarking on this journey. Returning to Nursing Practice readers will also find: Content designed to re-familiarise the returning nurse with updated healthcare practice An easy-to-use and readable style, supplemented throughout with figures and illustrations, and hints and tips from previous returners Careful attention to the student and practice assessor relationship, and the value of peer support, and well-being Returning to Nursing Practice is essential for nurses undertaking RTP courses and lapsed registration nurses considering a return to practice.

Advances in the field of Assisted Reproductive Technology (ART) have been revolutionary. This book focuses on the use of ARTs in the context of families who seek to conceive a matching sibling donor as a source of tissue to treat an existing sick child. Such children have been referred to as 'saviour siblings'. Considering the legal and regulatory frameworks that impact on the accessibility of this technology in Australia and the UK, the work analyses the ethical and moral issues that arise from the use of the technology for this specific purpose. The author claims the only justification for limiting a family's reproductive liberty in this context is where the exercise of reproductive decision-making results in harm to others. It is argued that the harm principle is the underlying feature of legislative action in Western democratic society, and as such, this principle provides the grounds upon which a strong and persuasive argument is made for a less-restrictive regulatory approach in the context of 'saviour siblings'. The book will be of great relevance and interest to academics, researchers, practitioners and policy makers in the fields of law, ethics, philosophy, science and medicine.

Patient organizations and social health movements offer one of the most important and illuminating examples of civil society engagement and participation in scientific research and research politics. Influencing the research agenda, and initiating, funding and accelerating the development of diagnostic tools, effective therapies and appropriate health-care for their area of interest, they may champion alternative, sometimes controversial, programs or critique dominant medical paradigms. Some movements and organizations advocate for medical recognition of contested illnesses, as with fibromyalgia orADHD, while some attempt to "de-medicalize" others, such as obesity or autism. Bringing together an international selection of leading scholars and representatives from patients' organizations, this comprehensive collection explores the interaction between civil society groups and biomedical science, technology development, and research politics. It takes stock of the key findings of the research conducted in the field over the past two decades and addresses emerging problems and future challenges concerning the interrelations between health movements and patient organisations on the one hand, and biomedical research and research policies on the other hand. Combining empirical case studies with conceptual discussion, the book discusses how public participation can contribute to, as well as restrict, the democratization of scientific knowledge production. This volume is an important reference for academics and researchers with an interest in the sociology of health and illness, science and technology studies, the sociology of knowledge, medical ethics or healthcare management and research, as well as medical researchers and those involved with health-related civil society organizations.

Designed to accompany Elkin's Nursing Interventions & Clinical Skills, 4th edition text, these handy checklists serve as a valuable assessment tool for each skill presented in the textbook.

Make sure you fully understand how to care for women and newborns! Foundations of Maternal-Newborn and Women's Health Nursing, 8th Edition integrates essential maternity information into the overall continuum of nursing care to show you how to provide safe care in the clinical setting. With easy-to-understand language, this updated text uses evidence-based guidelines and step-by-step instructions for assessments and interventions to help you quickly master key skills and techniques. Also emphasized is the importance of understanding family, communication, culture, patient teaching, and clinical decision making. Questions for the Next Generation NCLEX (c) in the text help you prepare for the exam. Contributing content from known experts in the field of maternal and women's health. Unfolding case studies help you apply what you've learned to practice. Safety checks integrated into the content help you develop competencies related to safe nursing practice. Chapter summaries appear at the end of each chapter and help you review core content in each chapter while on the go. Patient teaching boxes provide teaching guidelines, including communication guides, directed at patients and families. Critical to Remember boxes highlight and summarize need-to-know information. Application of Nursing Process sections help you apply the nursing process to clinical situations. Updated! Drug guides list important indications, adverse reactions, and nursing considerations for the most commonly used medications. Procedure boxes provide clear instructions for performing common maternity skills with rationales for each step. UNIQUE! Therapeutic Communications boxes present realistic nurse-patient dialogues, identifying communication techniques and showing ways to respond when encountering communication blocks. Knowledge Check helps you assess your mastery of key content. Glossary provides definitions of all key terms. NEW! Critical Care Obstetrics chapter features the latest information on this vital topic. NEW! Clinical judgment content and questions for the Next Generation NCLEX (R) help you prepare for the exam and clinical practice.

Partiality and Justice in Nursing Care examines the conflicting normative claims of partiality and impartiality in nursing care, looking in depth at how to reconcile reasonable concerns for one particular patient with equally important concerns for the maximisation of health-related welfare for all with relevant nursing-care needs, in a resource-limited setting. Drawing on moral philosophy, this book explores how discussions of partiality and impartiality in moral philosophy can have relevance to the professional context of clinical nursing care as well as in nursing ethics in general. It develops a framework for normative nursing ethics that incorporates a notion of permissible partiality, and specifies which concerns an ethics of nursing care should entail when balancing partialist and impartialist concerns. At the same time, Nordhaug argues that this partiality must also be constrained by both principled and context-sensitive assessments of patients' needs, as well as of the role-relative deontological restriction of minimising harm, something that could be mitigated by institutional and organisational arrangements. This thought-provoking volume is an important contribution to nursing ethics and philosophy.

For courses in thefundamentals of nursing. Preparing students tosucceed in modern nursing careers Nurses today must grow andevolve to meet the demands of a dramatically changing healthcare system. Kozier& Erb's Fundamentals of Nursing provides a core foundation ofcontemporary professional nursing so students can succeed in today'senvironment. From the integral aspects of nursing, such as managing andcommunicating, to assessing health and client care, the text sets the foundationfor nursing excellence. To help students develop their clinical-reasoningabilities, QSEN features throughout the 11th Edition draw connections toactual nursing practice. Students will learn to think like nurses as they seehow the material they are reading is applied in nursing practice. Other updatesinclude new examples, additional photos, and the latest standards of care.

Nurses typically go in to the profession of nursing because they want to "care" for patients, not knowing that the inherent stresses of the work environment put them at risk for developing psychological disorders such as burnout syndrome, posttraumatic stress disorder (PTSD), anxiety and depression. Symptoms of these disorders are often debilitating and affect the nurse's functioning on both a personal and professional level. While environmental and/or organizational strategies are important to help combat stress, oftentimes the triggers experienced by nurses are non-modifiable including patient deaths, prolonging life in futile conditions, delivering post-mortem care and the feeling of contributing to a patient's pain and suffering. It is paramount that nurses enhance their ability to adapt to their work environment. Resilience is a multidimensional psychological characteristic that enables one to thrive in the face of adversity and bounce back from hardships and trauma. Importantly, resilience can be learned. Factors that promote resilience include attention to physical well-being and development of adaptive coping skills. This book provides the nurse, and the administrators who manage them, with an overview of the psychological disorders that are prevalent in their profession, first-person narratives from nurses who share traumatic and/or stressful situations that have impacted their career and provide detailed descriptions of promising coping strategies that can be used to mitigate symptoms of distress.

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

This book, first published in 1989, attempts to identify from within religious cultures those elements of tradition, behaviour and lifestyle that are health protective in that, by adhering to them, physical, mental and social wellbeing will be maintained as people grow old. It examines how different faith traditions view aging and its impact on health.

The integrative role of religion has been a recurrent theme of sociological and anthropological theory. This role is apparent in the Greek-American community; religion functions as a cement of the social fabric. Indeed, it would be hard to overestimate the role of Greek Orthodoxy in joining people of Greek ancestry into a community and reinforcing their sense of ethnic identity. The nature of ethnic identity and the church's role in fostering and sustaining it are subjects of this study, first published in 1990. In ultimately focusing on the interplay between church, community and individual, the book suggests that understanding the relation of these people to their church is to understand them as a people.

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

"An engrossing human drama . . . The Shift is one nurse's story, but it contains elements of every nurse's experience."--The Wall Street Journal Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital's cancer ward. In the span of twelve hours, lives can be lost, life-altering treatment decisions made, and dreams fulfilled or irrevocably stolen. Unfolding in real time--under the watchful eyes of this dedicated professional and insightful chronicler of events--The Shift gives an unprecedented view into the individual struggles as well as the larger truths about medicine in this country. By shift's end, we have witnessed something profound about hope and humanity.

Now in its fourteenth edition, this best-selling textbook has been honed over many years to provide a clear, straightforward introduction to the human body for students of nursing, allied health or biomedical and paramedical science. The book covers the core essentials of anatomy and physiology, including basic pathology and pathophysiology of important diseases and disorders. This new edition presents additional illustrations to enhance understanding of key concepts, including pathophysiology and diagnostics. Included for the first time is an introduction to surface anatomy, while other updating reflects current scientific knowledge and developments, including coronavirus. Enhanced learning features and an extensive online resource help you grasp all the important areas. Like millions of readers before you, you will treasure Ross & Wilson as a go-to resource that you will refer to time and again to support this critical aspect of your healthcare education. Clear and easy to read - suitable for students new to the area and anyone whose first language is not English Hundreds of stunning illustrations and images to make learning easy Helpful learning features such as Learning Outcomes boxes, colour coding and orientation icons to facilitate navigation Definitions of common prefixes, suffixes and roots, examples, glossary and an appendix of normal biological values Self-assessment activities in each chapter, including 'spot check' questions for each section and case studies with answers to develop understanding of key principles Accompanying website with animations, videos, audio-glossary and other self-assessment material Evolve Study Resources Online content offered with Ross & Wilson Anatomy and Physiology in Health and Illness 14th edition includes: New for this edition - a set of expert-narrated 3D videos summarizing key topics in the book, powered by Complete Anatomy: the world's most advanced 3D anatomy platform Over 120 animations clarifying underlying principles and make learning fun More than 1700 audio glossary entries Body Spectrum (c) online colouring and self-test software Self-assessment questions to help students test their knowledge

Despite a long history in quantitative research, it is only recently that enthusiasm for secondary analysis of qualitative data has gained momentum across health and social science disciplines. Given that researchers have long known the inordinate amount of time and energy invested in conducting qualitative research, the appeal of secondary analysis of qualitative data is clear. Involving the use of an existing dataset to answer research questions that are different from those asked in the original study, this method allows researchers to once again make use of their hard-earned qualitative dataset and to listen to their participants' voices to the best of their ability in order to improve care and promote understanding. As secondary qualitative data analysis continues to evolve, more methodological guidance is needed. This book outlines three approaches to secondary data analysis and addresses the key issues that researchers need to wrestle with, such as ethical considerations, voice, and representation. Intellectual and interpretive hazards that can jeopardize the outcome of these analyses are highlighted and discussed, as are the criteria for assessing their quality and trustworthiness. Written as a thought-provoking guide for qualitative researchers from across the health and social sciences, this text includes a review of the state of the science in nursing and a number of in-depth illustrative case studies.

Despite a long history in quantitative research, it is only recently that enthusiasm for secondary analysis of qualitative data has gained momentum across health and social science disciplines. Given that researchers have long known the inordinate amount of time and energy invested in conducting qualitative research, the appeal of secondary analysis of qualitative data is clear. Involving the use of an existing dataset to answer research questions that are different from those asked in the original study, this method allows researchers to once again make use of their hard-earned qualitative dataset and to listen to their participants' voices to the best of their ability in order to improve care and promote understanding. As secondary qualitative data analysis continues to evolve, more methodological guidance is needed. This book outlines three approaches to secondary data analysis and addresses the key issues that researchers need to wrestle with, such as ethical considerations, voice, and representation. Intellectual and interpretive hazards that can jeopardize the outcome of these analyses are highlighted and discussed, as are the criteria for assessing their quality and trustworthiness. Written as a thought-provoking guide for qualitative researchers from across the health and social sciences, this text includes a review of the state of the science in nursing and a number of in-depth illustrative case studies.

How best to manage clients who present in crisis is a vital but much neglected area of clinical practice. "Tackling Mental Health Crises "aims to provide a practical guide to combining social and psychological responses to mental health problems.
David Kingdon and Marie Finn look at what constitutes a crisis, be it an individual crisis presentation or a situational crisis for services. . They reject current diagnostic approaches to mental health, focussing instead on a symptom-led approach and keeping an awareness of the intervention experience for clients and carers throughout. Subjects covered include:
- Engaging and assessing the client
- Risk assessment and management
- Emotional, behavioral, cognitive and physical presentations
- Service teams and settings
The emphasis throughout is on taking a holistic look at crisis prevention and management, encompassing both the work that takes place at an individual level and the wider impact of societal and political issues.
"Tackling Mental Health Crises" contains clear direction and practical advice, combined with numerous case studies and commentary from users and carers themselves. It will be of great use to anyone involved with dealing with mental health crises, including mental health nurses, social workers, psychologists, general practitioners and psychiatrists.