This provocative and timely book examines the current state of primary care practice and outlines a new vision for the delivery of primary care services, primarily in the UK but also internationally. Encouraging a social compact between citizens, governments and the providers of care, the book describes how this will necessitate a redesign of the welfare sector to ensure it is 'fit for purpose' in the digital world. It explores the respective roles of the inverse care law and the rule of halves, systems theory and learning organisations, mutuality and active citizenship, and how these can be applied to improve service delivery. Key Features Offers an alternative approach to thinking and a challenge to leaders within primary care and to those with administrative responsibility for the sector Reflects the multiple challenges facing primary care, including the rise in frail elderly patients, increasing multi-morbidities, the impact of changing demography with migration and much more Sets these challenges in a context of increasing workforce pressures, including changing attitudes to professionalism, burnout and recruitment difficulties Outlines a road map for improvement, responding to current challenges around social care as well as digital/e-health Aimed at, and written for, all those committed to improving the future of the primary care sector in the UK and internationally, this important book will be of interest to students, clinicians, managers, commissioners, policy makers and service users.

Diabetes is a chronic disease involving self-management by the patients. This book teaches providers the skills to translate and transfer complex medical information to empower patients to participate in making well-informed decisions about their own care on a daily basis, as directed by the American Diabetes Association. It provides the basic knowledge around the pathophysiology of diabetes, different management options including insulin management and calculations, information on how foods affect blood sugars and how to address cardiovascular risk factors. This book aims to change clinical outcomes through its unique presentation of information and its approach to awareness. Key Features Follows a unique approach in imparting techniques that bring long-term patient behaviour changes, making the provision of chronic disease management more efficient and satisfying Serves to help professionals in their day-to-day patient management to achieve better outcomes Addresses the area of need for primary care and helps to make well-informed decisions by understanding the essential cost of care

Life and Suicide Following Brain Injury tells the story of Tom, a 43 year-old man who acquired a brain injury from a road traffic accident at the age of 22. Tom survived but went on to take his own life 20 years later. As a vulnerable adult with mental health issues and long-term difficulties with substance misuse, this book tells Tom's story from his early childhood through to his death. In telling Tom's story, the author- a researcher in the brain injury field and Tom's sister- identifies the multiple suicide risk factors as well as the lack of understanding and inadequate service provision for people with complex needs following TBI. His story serves as a harrowing example of what can go wrong when timely intervention and support is not forthcoming, identifying a multitude of risk factors and possible points of intervention to improve care in the future. This book provides insight to professionals and academics across health and social care in the risks of suicide associated with TBI. It also provides support for those who have experienced the grief of losing a survivor to suicide, or those struggling to support a survivor who is suicidal.

This unique text and reference—the only book to address the full spectrum of clinical data management for the DNP student—instills a fundamental understanding of how clinical data is gathered, used, and analyzed, and how to incorporate this data into a quality DNP project. The new third edition is updated to reflect changes in national health policy such as quality measurements, bundled payments for specialty care, and Advances to the Affordable Care Act (ACA) and evolving programs through the Centers for Medicare and Medicaid Services (CMS). The third edition reflects the revision of 2021 AACN Essentials and provides data sets and other examples in Excel and SPSS format, along with several new chapters. This resource takes the DNP student step-by-step through the complete process of data management, from planning through presentation, clinical applications of data management that are discipline-specific, and customization of statistical techniques to address clinical data management goals. Chapters are brimming with descriptions, resources, and exemplars that are helpful to both faculty and students. Topics spotlight requisite competencies for DNP clinicians and leaders such as phases of clinical data management, statistics and analytics, assessment of clinical and economic outcomes, value-based care, quality improvement, benchmarking, and data visualization. A progressive case study highlights multiple techniques and methods throughout the text. Purchase includes online access via most mobile devices or computers. New to the Third Edition: New Chapter: Using EMR Data for the DNP Project New chapter solidifies link between EBP and Analytics for the DNP project New chapter highlights use of workflow mapping to transition between current and future state, while simultaneously visualizing process measures needed to ensure success of the DNP project Includes more examples to provide practical application exercises for students Key Features: Disseminates robust strategies for using available data from everyday practice to support trustworthy evaluation of outcomes Uses multiple tools to meet data management objectives [SPSS, Excel®, Tableau] Presents case studies to illustrate multiple techniques and methods throughout chapters Includes specific examples of the application and utility of these techniques using software that is familiar to graduate nursing students Offers real world examples of completed DNP projects Provides Instructor’s Manual, PowerPoint slides, data sets in SPSS and Excel, and forms for completion of data management and evaluation plan

The Health Services Executive (HSE (TM)): Tools for Leading Long-Term Care and Senior Living Organizations serves as a contemporary and comprehensive resource that addresses each of the core professional domains of practice and leadership essentials for long-term care administration students and professionals. With sections dedicated to post-acute care settings, operations, leadership and management, this textbook covers information pertinent to the spectrum of senior living service lines - from inpatient rehab facilities, long term acute care hospitals, nursing homes, assisted living and residential care communities to home-and-community-based services. It is a practical reference for both undergraduate and graduate students preparing to enter the field of long-term care administration and leadership, for professionals transitioning to another line of post-acute service. The textbook begins with a thorough history of the field, including the development of senior services in the United States. Section I then describes the components of customer care, supports, and services before transitioning into Section II, which addresses operations, including the core practice domains of effectively managing human resources, finances, and the environment. Section III offers a framework for leadership, covering strategic thinking and innovation, marketing and public relations, critical thinking and operation practice, working with people throughout the long-term care team, customer service, and personal development. Case examples, discussion questions, leadership essentials, high-impact practices, key points, and NAB domain competencies conclude each chapter. Written by two highly experienced long-term care administrators, this textbook is intended for those preparing for the examinations administered by the National Association of Long-Term Care Administrator Boards (NAB) for the HSE (TM) qualification or licensure for individual lines of service, such as for Nursing Home Administration (NHA), Residential Care and Assisted Living (RC/AL) and Home-and-Community-based Services (HCBS). Key Features: Provides best practices for leadership and management across the continuum of long-term care and senior living services Covers all five NAB professional practice domains - Customer Care, Supports and Services, Human Resources, Finance, Environment, and Leadership and Management Includes case problems, discussion questions and more to foster critical thinking and decision-making skills Offers coverage of the most unique differences among service lines that are part of the HSE (TM) initiative Insightful quotes from industry leaders woven throughout chapters for practical tips and words of wisdom Comes with access to a fully downloadable eBook, as well as a full suite of instructor resources including PowerPoint slides and a test bank

This landmark annual review has provided nearly three decades of knowledge, insight, and research on topics critical to nurses everywhere. The purpose of this Annual Review is to critically examine the full gamut of literature on key topics in nursing practice, including nursing theory, care delivery, nursing education, and the professional aspects of nursing.Environmental issues such as chemical exposures, air, and water pollution, climate change, and food sustainability impact health on both a local and global scale. This thirty-eighth volume of Annual Review of Nursing Research addresses the influence that nurses have on environmental health. It contains research, education, advocacy, and practice-based articles that provide nurses with a primer on this growing issue, as well as the information needed to provide capable care while supporting environmentally healthy solutions. Key Topics: Air Quality Impact Upon Human Health CHANT: Climate, Health, and Nursing Tool Climate Change Initiatives in Nursing Education Environmental Health Equity Nurse-Sensitive Environmental Indicators Nurses' Contributions to Health-Related Wildfire Research Per- and Polyfluoroalkyl Substances (PFAS) Water in Detroit and Flint Michigan

AJN Book of the Year 2016 First-Place Winner in Gerontological Nursing! The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres.Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. PowerPoint presentations and a test bank are available as instructor's resources. New Chapters: Informational Technology: Embedding CPGs Organizational Approaches to Promote Person-centered Care Environmental approaches to support aging friendly care HIV and the Older Adult LGBTQ Perspectives Key Features: Evidence-based geriatric protocols for best practices for in-patient, in-home, and long-term care settings Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol Guidelines that are developed by experts on the topics of each chapter and are based on the best available evidence The AGREE systematic method was used to evaluate each protocol and validate this book's content Instructor's resources including PowerPoints and a Test Bank

It is vital that healthcare practitioners understand the psychological impact of childbirth when caring for women. This accessible guide is designed to improve the care that women receive and, as a result, public health outcomes related to maternal and infant wellbeing. This book outlines how clinicians can offer practical support to women after birth. It: discusses what we know about how women adapt to motherhood and develop a post-childbirth identity; outlines some of the causes and manifestations of post-traumatic stress following childbirth; provides practical guidance for setting up postnatal pathways for women traumatised by birth and how to communicate effectively; equips practitioners with the knowledge and skills to support pregnant women with a fear of birth; incorporates narratives from women to demonstrate how their births and related events were perceived and processed, before discussing how women's views can be used to inform future practice; highlights the importance of restorative supervision for healthcare professionals working in this area to promote staff resilience and sustainability. Drawing together theoretical knowledge, evidence, practical skills and women's narratives to help clinicians understand the psychology of childbirth and support women, it is of significant value to all healthcare practitioners engaged in maternity services.

New methods, new approaches and advanced technologies have started to be used for patients to gain access to less costly and more quality diagnosis and treatment services in a shorter time. This book, which includes new approaches in health sciences, has been written by successful and expert researchers who work in different health disciplines of health sciences.

Inspiring your future as a health care professional, Honeycutt's UNDERSTANDING HUMAN BEHAVIOR, 10th Edition, delivers reliable, practical information that equips you with a solid understanding of basic psychological and behavioral concepts from a health care perspective. Updated with the latest industry trends and examples, it streamlines coverage spanning a wide, useful range of important mental health topics -- and their implications for you as a health care professional. It includes updated coverage of cultural bias and competence; developmental disorders; trauma-informed care; drug use in the U.S.; alternative, complementary and integrative medicine; stress-management and much more. This powerful resource presents both client and caregiver perspectives, exploring the behaviors, emotions and coping mechanisms you may encounter in a variety of health care situations and settings. Practical examples and activities help you apply what you learn to real-world scenarios.

Mental Wellbeing and Psychology unpacks the philosophical and psychological need to understand ourselves through an exploration of historical archives and artistic creativity. This focuses on some practical, evidence-based approaches to developing mental wellbeing. The book uses phenomenological psychology to explore the materials developed by the Stiwdio Arts group and offers an understanding of one's experiences of their world, recognising that these are embodied and perceived within a temporal and relational place. It offers examples for developing mental health and wellbeing interventions for charities, private care and the NHS. It provides an evidence base for the use of creativity and historical resources in mental health care. This book will be of great interest for academics, researchers and post-graduate students in the field of mental wellbeing, nursing and mentalhealth nursing, occupational therapy and social work.

The second edition to this successful textbook is for all physiotherapy students and newly qualified physiotherapists working in orthopaedics at both undergraduate and postgraduate levels. The authors have drawn on their many years of experience and clinical work in various orthopaedic settings to help students with clinical reasoning when faced with apparently diverse patient problems. The content of this book moves from normal to abnormal and from simple to complex. Case studies and self-assessment sections encourage participation by the reader to help students develop a reasoned and logical approach towards the management of their orthopaedic patients. Chapter summaries emphasize key areas of importance. Case studies illustrate problem-solving approaches and demonstrate how to manage specific client groups. Objectives and prerequisites are included for each section, alerting readers to what they should know before and after reading. Reading and practice assignments include recommended prerequisite knowledge and experience. Well-illustrated text includes line diagrams, photographs, and radiographs to clarify important concepts. New chapters on Hydrotherapy and Gait present current knowledge on these areas. Chapters have been updated to include more information on the upper limb. Chapters on Decision Making and Clinical Reasoning in Orthopaedics and Gait Analysis in the Clinical Situation have been thoroughly updated and revised.

The first pocket-size resource to guide PA students through their pediatrics rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Pediatrics edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as cough, fever, and skin changes. It also provides a systems-based approach to more than 60 of the most frequently encountered disease entities you will see in this rotation, including dermatitis, pharyngitis, and otitis media. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the pediatrics rotation, including foreign body removal, reduction of subluxed radial head, and administration of nebulizer treatments. A special chapter on management of urgent pediatric conditions, such as asthma exacerbation, head injuries, and fractures, is also included. Key Features: Provides a pocket-size overview of the PA pediatrics rotation Describes common clinical presentations, disease entities, and procedures Offers a step-by-step approach to diagnosis and treatment planning Includes clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Behavioral Health

Researching Patient Safety and Quality in Health Care: A Nordic Perspective is an anthology based on contributions from leading researchers on quality and safety in healthcare in the Nordic countries together with four internationally renowned patient safety authors. Research on patient safety and quality has been dominated by countries such as the USA, England, Canada, and Australia. This book addresses the current debates in research on patient safety and quality in healthcare from a Nordic perspective. What are the flavours of Nordic research within these topics? What does it add to the international research literature? This book illustrates the unique nature of researching patient safety and quality with the Nordic perspective as well as showcasing representative work. The book presents an overview of the status and evidence of international and Nordic research on quality and safety in healthcare. Four different perspectives are used to present the trends within the research field: a patient perspective, a methodological perspective, a theoretical perspective, and a clinical perspective. The book then presents the status of Nordic research in the field and displays a set of illustrative work and current research topics within the Nordic context, concluding with a discussion of the characteristic features of Nordic research on patient safety and quality in healthcare. The anthology presents an inter-professional perspective and researchers from disciplines such as medical and nursing sciences, humanities, social sciences and engineering. It is written to contribute to the patient safety cause with translational knowledge that will be useful to researchers, policy makers and healthcare managers within Nordic countries and internationally.

Law, Palliative Care and Dying critically examines the role of the legal framework in shaping the boundaries of palliative care practice. The work underlines the importance of a distinct legal framework for specialist palliative care which can provide clarity for both the healthcare professional and the patient. It examines the legal and ethical justifications for specialist palliative care practices and, in doing so, it questions the legitimacy of the distinction between euthanasia and practices such as palliative sedation. Moreover, this work discusses the influence of a human rights discourse on palliative care and examines the contribution of autonomy, dignity, and the right to palliative care. This book includes detailed comparative research on several European jurisdictions. The jurisdictions illustrate varied approaches to palliative care regulation and promotion. In this manner, the role of professional guidelines and legislation are drawn out and common themes in the regulation of palliative care emerge.

Depression in Girls and Women Across the Lifespan takes a broad biopsychosocial approach to understanding the onset and experience of depression in women. The book is structured around four major life transitions: depression during puberty and the transition to adolescence; Premenstrual Dysphoric Disorder and a woman's transition through monthly cycles of depression; depression during pregnancy, postpartum, and the transition to motherhood; and depression during perimenopause and the transition to menopause. Integrating cutting-edge research with a wealth of case examples and specific evidence-based interventions, the book expands our understanding of depression by taking into account the biological realities, psychological vulnerabilities, life stressors, and gendered cultural messages and expectations that intersect to shape the onset of depression in women's lives. Written in a clear, applicable style, Depression in Girls and Women Across the Lifespan enables mental health professionals to provide effective, gender-informed, depression-focused treatments that are tailored to girls' and women's unique needs.

The first pocket-size resource to guide PA students through their emergency medicine rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Emergency Medicine edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as chest pain, altered mental status, and headache. It also provides a systems-based approach to more than 40 of the most frequently encountered disease entities you will see in this rotation, including traumatic injury, cerebrovascular accident, and acute coronary syndrome. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the emergency medicine rotation, including incision and drainage, wound repair, and foreign body removal. Also included is a special chapter on non-medical situations you'll find in the emergency department, such as drug-seeking behavior, violent or incarcerated patients, and malingering and factitious disorders. Key Features: Provides a pocket-size overview of the PA emergency medicine rotation Describes common clinical presentations, disease entities, and procedures Offers clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes three bonus digital chapters! Guided case studies to reinforce clinical reasoning, 25 rotation exam-style questions with remediating rationales, and additional resources to enhance your emergency department experience Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Surgery; OB-GYN; Pediatrics; Behavioral Health

This critical-thinking blueprint for the triage nurse delivers essential knowledge for accurate decision-making in emergency triage situations. Formatted to provide easily accessible and retrievable information, the manual facilitates rapid recognition and understanding of acuity levels and their application to patient care. The newly updated second edition reflects current health conditions and scenarios in EDs, urgent care centers, offices, and first aid centers, both domestic and international. It contains important new information on program development, training, and quality management along with useful tips and tools. Completely new protocols, additional case studies, and quality management guidelines and tools further add to the merit of the second edition.The resource addresses a wide range of both adult and pediatric conditions that are system-based and listed in alphabetical order. Each protocol has been developed to ensure accuracy and consistency, regardless of which 5-tier triage system is in use. Abundant case studies and multiple appendices provide additional information to support the protocols, broadening the nurse's scope of knowledge and prompting in-depth examination of potentially lethal conditions. Additionally, appendices contain valuable training materials for program development, training, and quality management tips and tools. New to the Second Edition: Updated protocols reflecting current health conditions/situations in EDs, urgent care centers, offices, and first aid centers Important new information on program development, training, and quality management tips and tools Additional material including mass casualty, exposure (biological, chemical, disease), military care, infections (isolation concerns), behavioral issues (violence), and narcotic overdose New case studies Developing a triage program Quality management guidelines and tools Key Features: Facilitates consistency in triage decisions among different nurses Uses health care resources appropriately and efficiently Sets minimum expectations for triage decisions Guides nurses in asking the right questions, determining how soon the patient must be seen, and interventions to consider Serves as a valuable reference for both new and experienced nurses Serves as a training tool in orientation

Build the skills you need to understand and care for a wide diversity of patients! The Health Care Professional's Guide to Cultural Competence, 2nd Edition provides a guide to safe and effective cross-cultural care. Applying theory to practice, the book begins with an overview of clinical cultural competence. This guide shows how to apply cultural competence across diverse populations, and then in working with specific populations. Using this approach, you will develop a set of behaviours, attitudes, and policies that help you work effectively in many settings. From an expert team of authors led by Rani H. Srivastava, this guide will enhance your care of Indigenous, LGBTQ2, Black and People of Colour, and immigrant and refugee populations. UNIQUE approach looks at populations the way health care workers encounter them, not by ethno-cultural/religious labels. Accessible writing style relays information in a balanced and concise manner for undergraduate and graduate students as well as health care professionals. Multidisciplinary perspective is provided by authors who represent a variety of health disciplines and cultural identities, who may be educators or practitioners, each presenting complex ideas in understandable ways and controversial ideas in a transparent way. Cultural Considerations in Care and Cultural Competence in Action boxes integrate theory into practice and invite critical self-reflection. Teaching and learning tools include learning objectives and key terms at the beginning of each chapter, plus end-of-chapter group activities, review questions, and more. NEW! New chapters on Indigenous health, sexual and gender diversity, immigrant and refugee health, and community health are added to this edition, and new topics include cultural safety, cultural humility, the impacts of racism, working with interpreters and the use of technology, palliative care, and more. NEW! UNIQUE! Cultural competence and safety perspectives throughout the text help you to be more responsive in delivering culturally safe care, and in reaching the goal of equity and culturally competent care. NEW! Discussion of cultural issues addresses power, privilege, intersectionality, equity, advocacy, and being an ally. NEW! Up-to-date content includes the latest statistics, guidelines, research, references, and resources. NEW! Evolve website enhances your understanding with review questions, unfolding case studies, and more.

The only certification study guide to focus on advanced infant and child health assessment. This is the only study guide available focusing specifically on the specialized knowledge and skills required to conduct the pediatric health assessment. Designed to accompany the text Advanced Pediatric Assessment, it reinforces essential content through case studies and multiple choice Q&As that mirror the Pediatric Nurse Practitioner Certification Exam format. The third edition includes new critical thinking exercises, case studies, and certification-style Q&As. It delivers a completely new chapter that covers clinical decision-making, formulating differential diagnoses, and evidence-based practice. It also provides SOAP notes for the well and abnormal exams. The third edition continues to deliver essential practice items for all aspects of the exam, along with sample documentation and a space where students can practice their own subjective and objective findings. In addition, Anatomic Labeling Exercises reinforce knowledge essential to the APN role. Each chapter is formatted systematically for ease of use and includes chapter overview, learning objectives, essential terminology, case studies, the well child, the ill child/child with problem, multiple choice questions mirroring the exam format, SOAP notes for well and abnormal exams, and answers. New to the Third Edition: Includes new critical thinking exercises, case studies, and certification-style exam questions Delivers completely new chapter addressing clinical decision making, formulating differential diagnoses, and evidence-based practice Provides SOAP notes for well and abnormal exams Key Features: Reinforces content for Advanced Pediatric Assessment with case studies and multiple choice Q&As that mirror certification exam format Provides essential practice items for the exam Includes Anatomic Labeling Exercises to reinforce required knowledge Delivers essential terminology Offers sample documentation and space for students to practice their own documentation

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.

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 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.

This title was first published in 2001: Ethical thinking about medical decision-making has roots deep in history. This collection of contemporary essays by leading international scholars traces the development of modern bioethics and explores the theory and current issues surrounding this widely contested field.

This title was first published in 2002: Numerous reports have identified the serious problems of under-representation of, and discrimination against, minority ethnic groups in the British NHS. It is widely argued that this both raises issues of social justice and undermines the quality of service to minority ethnic patients. Nowhere are these problems more acute than among the largest occupational group in the NHS - nurses. This book reports the results of research carried out for the English National Board for Nursing, Midwifery and Health Visiting to evaluate NHS equal opportunities policy. Drawing on additional original research involving interviews with key policy actors, this fascinating book examines the prospects for a national strategy linking the business and justice cases for the delivery of greater equity in employment and service delivery.