The British apprenticeship model of nurse training, developed under Florence Nightingale's influence from 1860 at St Thomas's Hospital, gained national and world-wide recognition. Its end was heralded with the publication of the last national syllabus from the General Nursing Council for England and Wales in 1977. This apprenticeship model, a crucial part of the history of British health care for over a century, is the subject of this book. Primary evidence, much of it original, is gained from Parliamentary debates and reports, syllabuses, long neglected nursing textbooks, major governmental and professional reports, and the voices of nurses themselves expressed through their professional journals. Primary sources are systematically re-examined and contextually interpreted in the light of new evidence. The study in particular interprets the contemporary attitudes and moral values underpinning the apprenticeship system, especially the place of vocation. The reasons for the ending of this system, arising in part from the cultural shifts of the 1960s, are explained in relation to this historical moral context. The reader sees how the self-understanding of the profession shifts, with much tension and disagreement, as mores change. The book fills a major gap in the history of nurse training, by giving a sustained account of the apprenticeship model of nursing in context, and charting changing values away from the historic vocational tradition. Its copious use of primary sources will make this a key text for nurses, historians and policy makers.

First book to show how qualitative and quantitative methods in health and social care are used in practice. Ideal for helping students make an informed decision on what research methods to use for their research projects. Relates social research methodology to social research studies done in the real world and demonstrates the link between research and changing and improving practice. Ideal for students at level 4 to 6.

Why should researchers be interested in their feelings and emotions as they carry out research? Emotion is what it is to exist, to be human, and is present in every sphere of our lives. All activities are infused with emotion, even those that are constructed as 'rational', because rationality and emotionality are interpenetrated and entwined because all thinking is tinged with feeling, and all feeling is tinged with thinking. This book illuminates the emotional processes of doing social and organizational research, and the implications of this for the outcomes of research. With contributions from leading academics and research practitioners, it addresses the significant issue of the sometimes intense emotional experiences involved in doing research and the implications it has for the theory and practice of social research. By examining the nature of feelings and emotions, it explores how we might understand researchers' emotions and experiences, and considers the often powerful feelings encountered in a variety of research contexts. Topics discussed include: power relations; psycho-social explanations of researcher emotions; paradoxical relations with research participants and the sometimes disturbing data that is gained; research supervision; the politics of research; gender; publishing, undergoing vivas and presenting at conferences. This book will therefore be a valuable companion to researchers and research students from the start of their career onwards.

Fluids and Electrolytes: Essentials for Healthcare Practice is designed to give a solid understanding of fluid and electrolyte physiology and its implications for practice, including acid-base balance and intravenous (IV) therapy, in a concise and easily understandable format. Chapters incorporate physiological, developmental and practical aspects, highlighting some of the key issues that arise from childhood to old age. This accessible text is presented with clear graphical representations of key processes, numerous tables and contains interesting facts to explore some common myths about human fluid and electrolyte physiology. A valuable resource for healthcare students, this book also provides a strong comprehensive overview for practitioners, nurses, physiotherapists and paramedics.

The NHS Experience is an accessible and engaging guide for all those journeying through the NHS, whether as patients, carers or professionals. It draws on the experience of staff and families at Great Ormond Street Hospital to provide good practice guidance for both users and providers of health care. Based on the successful Snakes and Ladders drama programme developed at Great Ormond Street Hospital, this unique book uses the story of Daniel, a fictional child with the life-limiting disease cystic fibrosis, to provide insight into the enormous challenges faced by patients, their families and the professionals involved in their care. Asking difficult questions about how we can improve the NHS experience for everyone at the front line, Daniel's story builds on information from a wealth of sources to highlight: the practical, ethical, resource and financial dilemmas integral to the NHS the vital issues around communication, trust, management of clinical errors, consent, shared decision-making and bereavement the realities of fragmented care, bed shortages, uncertain diagnoses, and complex and difficult treatment choices. This is a book that should be read by all healthcare professionals and everyone who uses the NHS.

Fully revised second edition. Includes glossary of key social work terms. Includes detailed discussions of the changes to the organisation of social work practice and education in the countries of the UK. In addition to this, there is greater international content. Covers the full range of social work, not just one group/type, with discussions of children, adults and the elderly over topics including immigration, people trafficking and refugees, protection, substance abuse and socially excluded groups.

A complete one-stop-shop for any student of health promotion. How to improve and protect public health is one of the biggest questions facing the 21st century and this book exists to help tackle it head on. Setting out the What, Why, When, Who, Where and How of health promotion across 20 bite-sized chapters. It explores the full range of theories, context and strategies that influence contemporary health promotion. Key features: Comprehensive coverage: all facets of health promotion introduced and explained Combines the theoretical with the practical: knowledge blended with the key skills and attributes needed for effective health promotion Extensive range of global case studies: read about the enormous range of possibilities and creative ways health promotion can be achieved This is the ideal textbook for any undergraduate or pre-registration student starting their health promotion or public health journey. It provides a complete package of information that will lay the groundwork for your learning and future practice and will help you succeed with assignments, essays and exams.

What constitutes qualitative evidence? This book breaks new ground by providing urgently needed standards for qualitative inquiry and addresses the significant issues of what constitutes qualitative evidence. In particular, this book will address the place of qualitative evidence in the planning delivery, and evaluation of health care. The authors first examine the status of qualitative research as evidence versus "opinion." They then examine such topics as: who decides what counts as evidence, the nature of outcomes, how to evaluate qualitative evidence, constructing evidence within the qualitative project, and research utilization and qualitative research. They conclude with perspectives on the issue of standards for qualitative investigation.

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.

Pediatric integrative medicine is a rapidly evolving field with great potential to improve the quality of preventive health in children and expand treatment options for children living with chronic disease. Many families actively use integrative therapies making familiarity with the field essential for clinicians working with pediatrics patients. This book provides a clear, evidence-based overview of the field. Foundations of pediatric health are covered with a goal of reviewing classic information and introducing emerging research in areas such as nutrition science, physical activity and mind-body therapies. Complementary medicine therapies are reviewed with an eye to expanding the conventionally trained clinician's awareness about traditional healing approaches. Clinical applications explored include: Allergy Asthma Mental health IBS Bullying Obesity Environmental health ADHD Autism The book provides an excellent introduction to a relatively young field and will help the reader understand the scope of current evidence for integrative therapies in children and how to introduce integrative concepts into clinical practice. Integrative Pediatrics is a refreshing must-read for all students and health professionals focused on pediatrics, especially those new to the field or studying at graduate level.

Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this 'ask' is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge their existence. From a range of international standpoints and perspectives, contributors to this book focus on aspects of EBP that require development. This focus is always robust and at times it is unashamedly provocative. Contributors challenge readers to engage with anomalies that surround the subject and readers are asked to consider the often precarious assumptions that underpin key aspects of EBP. While both conflict and concord are evident among the various offerings presented here, the book nonetheless creates and sustains a narrative that is bigger or more substantial than the sum of individual parts. And, across contributions, a self-assuredly critical stance towards EBP as currently practiced, conceptualized and taught coexists alongside respectful admiration for all who make it happen. Exploring Evidence-based Practice: Debates and Challenges in Nursing should be considered essential reading for academics and postgraduate students with an interest in evidence-based practice and nursing research.

Ignorance is mostly framed as a void, a gap to be filled with appropriate knowledge. In nursing and health care, concerns about ignorance fuel searches for knowledge expected to bring certainty to care provision, preventing risk, accidents, or mistakes. This unique volume turns the focus on ignorance as something productive in itself and works to understand how ignorance and its operations shape what we do and do not know. Focusing explicitly on nursing practice and its organization within contemporary health settings, Perron and Rudge draw on contemporary interdisciplinary debates to discuss social processes informed by ignorance, ignorance's temporal and spatial boundaries, and how ignorance defines what can be known by specific groups with differential access to power and social status. Using feminist, postcolonial and historical analyses, this book challenges dominant conceptualizations and discusses a range of "nonknowledges" in nursing and health work, including uncertainty, abjection, denial, deceit and taboo. It also explores the way dominant research and managerial practices perpetuate ignorance in healthcare organisations. In health contexts, productive forms of ignorance can help to future-proof understandings about the management of healthy/sick bodies and those caring for them. Linking these considerations to nurses' approaches to challenges in practice, this book helps to unpack the power situated in the use of ignorance and pays special attention to what is safe or unsafe to know, from both individual and organisational perspectives. On the Politics of Ignorance in Nursing and Health Care is an innovative read for all students and researchers in nursing and the health sciences interested in understanding more about transactions between epistemologies, knowledge building practices and research in the health domain. It will also be of interest to scholars involved in the interdisciplinary study of ignorance.

Taking a structured approach that maps to the 'ABCDE' method of patient assessment, the book provides a one-stop-shop for nursing students that shows how to plan care for the acutely ill adult. The use of case studies and activities bring the book to life with clear and simple explanations of the relevant anatomy, physiology and pathophysiology helping to build a deeper understanding of acute illness and disrupted homeostasis. Key features: Adopts a patient-centred approach that considers the full context of care, the patient's own view and psycho-social needs Blends the underlying science of health and illness with practical application Contains activities, case studies, illustrations and figures to support a wide range of learning styles

Unique case-based format facilitates understanding of difficult clinical scenarios Focuses on tips and tricks to help prevent common mistakes Key pictures show a range of colorectal pediatric situations

State-of-the-art developments in multiple new technologies for older adult care. Grounded in a unique team-based geriatrics perspective, this book delivers a broad range of current, evidence-based knowledge about innovative technology that has the potential to advance the care and well being of older adults. It provides key information about the development, selection, and implementation of technology products, and describes research evidence, education-based initiatives, and systems thinking. The book also examines challenges and barriers to implementation, adoption and innovation. From telehealth and assistive technology in the home to simulation and augmented reality in educational settings, the text provides a hands-on, field-tested articulation of how products can aid in the transitional care process, chronic care delivery, and geriatrics/gerontology education. It discusses technology developments in rural areas, home telehealth, wearable technology, personalized medicine, social robots, technology to assist seniors with cognitive impairments, the potential of artificial intelligence to enhance health care of older adults. The text is written to help health care professionals select the appropriate technology for their needs. Key Features: Describes the most current technology resources, evidence, and developments for older adult care Based on a team-centered approach Written by interprofessional health care providers experienced in implementing, developing and adopting technology to assist older adults Includes case studies depicting technology-related successes and failures Addresses the challenges, barriers, and opportunities for transforming aging with technology across transitions of care

Now in its tenth edition, The Royal Marsden Manual of Clinical Nursing Procedures has been the definitive, market-leading guide to clinical nursing skills for over three decades. This internationally best-selling title sets the gold standard for nursing care; providing the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence. With over two-hundred detailed procedures, this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and photographs, and includes coverage of infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, discharge, medicines management, and much more. Loved and trusted by millions for over thirty years, The Royal Marsden Manual of Clinical Nursing Procedures continues to be a truly indispensable guide for nursing practice. Written by nurses for nurses Empowers nurses to become informed, skilled practitioners Reflects current procedures and changes in modern adult nursing practice All procedures are supported by up to date evidence, including detailed rationales for each step of each procedure Considers the clinical governance around the procedures and nursing practice NEW to the Tenth Edition: Each chapter is linked to the NMC 2018 'Future Nurse: Standards of Proficiency for Registered Nurses' guidance Includes a brand-new chapter on 'Self Care and Wellbeing, ' helping nurses to care for themselves emotionally and physically The Royal Marsden Manual is also available online, fully searchable, and annotatable. www.rmmonline.co.uk

Despite the scope and sophistication of contemporary health care, there is increasing international concern about the perceived lack of compassion in its delivery. Citing evidence that when the basic needs of patients are attended to with kindness and understanding, recovery often takes place at a faster level, patients cope more effectively with the self-management of chronic disorders and can more easily overcome anxiety associated with various disorders, this book looks at how good care can be put back into the process of caring. Beginning with an introduction to the historical values associated with the concept of compassion, the text goes on to provide a bio-psycho-social theoretical framework within which the concept might be further explained. The third part presents thought-provoking case studies and explores the implementation and impact of compassion in a range of healthcare settings. The fourth part investigates the role that organizations and their structures can play in promoting or hindering the provision of compassion. The book concludes by discussing how compassion may be taught and evaluated, and suggesting ways for increasing the attention paid to compassion in health care. Developing a multi-disciplinary theory of compassionate care, and underpinned by empirical examples of good practice, this volume is a valuable resource for all those interesting in understanding and supporting compassion in health care, including advanced students, academics and practitioners within medicine, nursing, psychology, allied health, sociology and philosophy.

Older people who would prefer to stay in their homes and states whose funds are being depleted by the rising costs of Medicaid payments to nursing homes find the current system of long-term care unsatisfactory. From Nursing Homes to Home Care arms educators, policymakers, public health professionals, gerontologists, and advocacy groups with the information they need to participate knowledgeably in the debate about aging and long-term care needs. The book shows readers where things are, where they are going, and where they need to be in changing the system of long-term care. From Nursing Homes to Home Care evaluates future needs for long-term care by analyzing on-going systems and assessing key features of proposed long term programs in the context of population aging. Readers gain a thoughtful analysis of the complex dimensions of making future long-term care policy and program decisions as they read about: patterns of demographic aging, disability, and health needs intersections of formal and informal care including intergenerational equity issues long-term care services needs and accessibility planning for funding, quality assurance, and range of services implications of shifts from the current system to a system of home and community-based services Chapters in From Nursing Homes to Home Care express the collective thinking of leaders in long-term care policy and research. Contributors address implications for changing the current system in relation to the emerging needs of the aging population and use this as a basis for examining alternative decisions. Information in the book helps readers determine how to best blend formal and informal services, how to assure quality of care and quality of life in long-term care policy, how to finance devised programs, which health needs to address, and whether to use regulatory or competitive approaches. Professionals, educators and students, and policymakers at all levels learn about factors to consider in policy planning and decision making, including features of aging baby boomers; trends in the growth of the aged population; newly emerging trends in morbidity, disability, and mortality and their effect on the demand for long-term care in the short and long term; access issues from the perspective of the historical evolution of publicly funded long-term care services, the distribution of formal and informal systems of care; utilization patterns of the minority and poor; how to pay for care, how to design an appropriate mix of services, how to maintain quality with efficiency, and how to mesh services with social and family values. From Nursing Homes to Home Care is an invaluable resource in evaluating and advocating policy changes and decisions for an improved long-term care system.

Help families of institutionalized elders with this compassionate and practical manual.

At lastua single-volume source for long-term care research instruments! Susan Voge and Sarah Beaton have brought together over 100 of the most frequently used (and some of the most difficult to find) measurement tools, providing users with immediate access to a wealth of useful information. Measurements for Long-Term Care lists instruments alphabetically by name. Each entry includes the name of the measurement tool, the toolAEs author or creator (with address), a description of the tool, its psychometric properties, the procedure for applying the tool, sample items such as examples of phrasing questions, scoring responses or data, the original source (publication) of the instrument, and references regarding the tool. The book includes abbreviations and acronyms, an index of instrument authorsAE names, an index of nursing diagnoses and related instruments, an index of subjects (client disorders and problems), and an index of instruments titles. Measurements for Long-Term Care will prove an excellent shelf and clinic reference for researchers, clinicians, and advanced-level students in long-term and chronic care, gerontologic nursing, and rehabilitation nursing.

Critical Interventions in the Ethics of Healthcare argues that traditional modes of bioethics are proving incommensurable with burgeoning biotechnologies and consequently, emerging subjectivities. Drawn from diverse disciplines, this volume works toward a new mode of discourse in bioethics, offering a critique of the current norms and constraints under which Western healthcare operates. The contributions imagine new, less paternalistic, terms by which bioethics might proceed - terms that do not resort to exclusively Western models of liberal humanism or to the logic of neoliberal economies. It is argued that in this way, we can begin to develop an ethical vocabulary that does justice to the challenges of our age. Bringing together theorists, practitioners and clinicians to present a wide variety of related disciplinary concerns and perspectives on bioethics, this volume challenges the underlying assumptions that continue to hold sway in the ethics of medicine and health sciences.

This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.

As the use of human body parts has become increasingly commercialized, a need has arisen for new approaches to regulation that moves beyond the paradigm of altruism. During the course of this discussion, the notion of property has become a key concept. Focusing on practical and conceptual perspectives, the multidisciplinary group of authors, which includes specialists in philosophy, law, sociology, biology and medicine, have come together with practicing lawyers to consider both legal provisions and patterns of regulation in countries across Europe. Identifying divergences between different legal traditions, the authors explore various conceptual models which could be used to improve and to guide policy making. With this twin focus on practical and conceptual perspectives, this volume sets the standard for a detailed and innovative discussion of issues surrounding the regulation of research on human tissue.

Children and Young People's Mental Health equips nurses and healthcare professionals with the essential skills and competencies needed to deliver effective assessment, treatment and support to children and young people with mental health problems and disorders, and their families. Drawing on McDougall's Child and Adolescent Mental Health Nursing and taking the Cavendish Report and Willis Commission into account, this new textbook has been designed to ensure those working in CAMHS can continue to provide a high quality, evidence-based service. The book explores best practice in a variety of settings and addresses issues such as eating disorders, self-harm, ADHD, forensic mental health issues and misuse of drugs and alcohol in children and young people, as well as child protection, clinical governance, safeguarding and legal requirements. Furthermore, with young people contributing directly to several chapters, the book reflects the importance of involving them in planning, delivering and evaluating CAMHS services. It is essential reading for all health and social care professionals and students working with children and young people, particularly those working in specialist child and adolescent mental health settings.

Bodies and body parts of the dead have long been considered valuable material for use in medical science. Over time and in different places, they have been dissected, autopsied, investigated, harvested for research and therapeutic purposes, collected to turn into museum and other specimens, and then displayed, disposed of, and exchanged. This book examines the history of such activities, from the early nineteenth century through to the present, as they took place in hospitals, universities, workhouses, asylums and museums in England, Australia and elsewhere. Through a series of case studies, the volume reveals the changing scientific, economic and emotional value of corpses and their contested place in medical science.