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

For professionals working with people who experience severe psychosis, increasing empirical evidence for the benefits of psychotherapy for psychosis has been especially welcome. Given the limitations of medication-only approaches and the need for an expanded perspective, including for those diagnosed with schizophrenia, Surviving, Existing, or Living takes a fresh look at severe psychosis, offering a heuristic model for understanding psychosis along a continuum of severity, from the extreme experience of acutely impairing psychosis to a more enriched life experience. Pamela Fuller emphasizes that facilitating recovery from psychosis requires appropriately and effectively matching the type and timing of interventions to client readiness and capabilities. The need to consider each individual according to which of three primary issues/phases preoccupy the person with psychosis is essential for tailoring treatment. She identifies these phases as: Surviving Phase - preoccupation with survival Existing Phase - preoccupation with restriction of life experiences in order to cope Living Phase - preoccupation with quality of life and relationships Surviving, Existing, or Living examines the rationale for these three phases, and provides details of phase-specific treatment interventions as well as a 'how to' guide for facilitating engagement and for determining 'what to do when,' including with those experiencing acute, severe psychosis. Rich clinical case examples are provided to highlight concepts and the types of interventions. Trauma-specific and group interventions for psychosis are also described, as well as ways to foster resilience in the professional who works with individuals with psychosis. Surviving, Existing, or Living offers a detailed guide to help individuals experiencing psychosis move from suffering to recovery, beyond surviving or existing toward more fully living. The book will be essential reading for professionals in the fields of psychology, psychiatry, counseling, medicine, social work, nursing, occupational, recreational, and vocational therapies, experience-based experts, and students.

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.

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. .

The fast and easy way to pass the Nursing Calculations test Is the maths behind the medicine making you maudlin over taking your Nursing Calculations test? You've come to the right place! Written by a nurse with countless hours of experience and who trains other nurses every day this plain-English, no-nonsense guide to nursing calculations and IV therapy makes it easier to come to grips with the numbers and formulas you'll encounter on the day of the exam and in the field. Many students and practising nurses struggle with mathematics. Luckily, this friendly guide is here to take the intimidation out of the subject, arming you with the knowledge and know-how you need to take the exam with confidence and to achieve the best score possible. From fractions, percentages, and proportions to pills, fluids, and prescriptions, Nursing Calculations & IV Therapy For Dummies UK edition offers detailed advice and instruction on everything you need to know to pass the exam with flying colours. * Hundreds of practise questions help you learn and revise * Clear explanations and lack of jargon make learning easy * Observation charts and extra content are available for download upon purchase * Combines nursing calculations and IV therapy to offer excellent value Whether you're a student revising for the Nursing Calculations test, a newly qualified nurse looking to brush up on your maths skills, or a member of a medical staff who's been asked to take on nursing duties, this friendly and accessible guide makes maths less menacing.

This edited volume is a compilation of 30 articles discussing what constitutes food for health and longevity. The aim is to provide up-to-date information, insights, and future tendencies in the ongoing scientific research about nutritional components, food habits and dietary patterns in different cultures. The health-sustaining and health-promoting effects of food are certainly founded in its overall composition of macronutrients and micronutrients. However, the consumption of these nutrients is normally in the form of raw or prepared food from the animal and plant sources. The book is divided into four parts and a conclusion, and successfully convenes the well-established information and knowledge, along with the personal views of a diversified group of researchers and academicians on the multifaceted aspects of nutrition, food and diet. The first part reviews the scientific information about proteins, carbohydrates, fats and oils, micronutrients, pro- and pre-biotics, and hormetins, along with a discussion of the evolutionary principles and constraints about what is optimal food, if any. The second part discusses various kinds of foods and food supplements with respect to their claimed benefits for general health and prevention of some diseases. The third part brings in the cultural aspects, such as what are the principles of healthy eating according to the traditional Chinese and Indian systems, what is the importance of mealing times and daily rhythms, and how different cultures have developed different folk wisdoms for eating for health, longevity and immortality. In the part four, various approaches which are either already in practice or are still in the testing and research phases are discussed and evaluated critically, for example intermittent fasting and calorie restriction, food-based short peptides, senolytics, Ayurvedic compounds, optimal food for old people, and food for the prevention of obesity and other metabolic disorders. The overreaching aim of this book is to inform, inspire and encourage students, researchers, educators and medical health professionals thinking about food and food habits in a holistic context of our habits, cultures and patterns. Food cannot be reduced to a pill of nutritional components. Eating food is a complex human behavior culturally evolved over thousands of years. Perhaps the old adage "we are what we eat" needs to be modified to "we eat what we are".

With collaboration of Dr. Jan Foster, Consulting Editor, Drs. Landry and Fowler has created a current clinical look at nursing interventions for cardiovascular disease. They have invited authors from top institutions to contribute reviews on the following topics: Evidence-Based Strategies for Late Stages of Heart Failure; Cardiovascular Risk Reduction: A Pharmacotherapeutic Update for Antiplatelet Medications; Comprehensive Nursing Management for Cardiac Valvular Dysfunction; Recovery Management After Cardiothoracic Surgery: Nursing Priorities; Cardiovascular Disease Management in Minority Women: Special Considerations; STEMI and NSTEMI: Medical and Surgical Interventions; Nursing Management for Patients Post-Operative Cardiac Device Insertion & Minimally Invasive Procedures; Acute and Chronic Nursing Management of Atrial Fibrillation; Hospital Discharge Teaching for Patients with Peripheral Vascular Disease; Acute and Chronic Hypertension: Advanced Nursing Management; and Culinary Medicine: Patient Education for Therapeutic Lifestyle Changes. Readers will come away with the clinical updates they need to improve outcomes in cardiovascular patients.

The first manual to provide a systematic review of essential content for the CNE (R)cl exam. This is the first review manual written for nurse educators who seek certification as a Clinical Nurse Educator specializing in the Clinical Learning Environment (CLE). The resource encompasses all of the essential knowledge-as designated by the National League for Nursing (NLN)--needed to pass the exam, and systematically follows the test blueprint so that those taking the exam will be optimally prepared. Brimming with teaching tips, evidence-based teaching boxes, case studies, outlines, bulleted lists, and critical thinking Q&As for each chapter, the book also provides chapter references for accessing additional content for each topic. Exam specifics and test-taking strategies help students to approach the exam with confidence. The book also offers a practice CNE test at the end of the book. Additionally, the resource is also a valuable orientation guide for new faculty. Key Features: Delivers well-organized, systematic coverage of review content to promote exam success Written for both novice and expert clinical nurse educators Reflects the number of questions in each section on the test blueprint Highlights areas designated by the NLN as essential knowledge needed for excellence in the field Includes case studies and critical thinking questions throughout all chapters Provides evidence-based teaching practice boxes Offers Teaching Gems with advice on improvement from practice experts Includes end-of-chapter review questions, PLUS a valuable 100 Q&A practice test with rationales for self-assessment

Spirituality is an important aspect of occupational therapy theory and practice, yet it remains little understood. This timely book adds to the current debate by exploring the meaning of spirituality within occupational therapy and by outlining evidence which supports this area of practice. Beginning with the three stances surrounding spirituality for the common good and the theology of occupation, throughout its 10 chapters the book goes on to cover topics such as: Spirituality of caring; Theories of spiritual development; Definition of spirituality from occupational therapy literature; Differences between assessing spirituality and religion; Spirituality and ethics; Spiritual and cultural diversity in the occupational therapy clinic; Therapeutic self. By the end of the volume the reader will have the toolset required to consider spiritual concepts and their application to health principles. Occupational Therapy and Spirituality is written in an accessible format and is designed for occupational therapy and occupational science academics, researchers, and graduate students.

As an emerging technology, 3D printing holds much promise for foot and ankle reconstruction and difficult-to-treat pathologies. The first text of its kind, Clinical Application of 3D Printing in Foot and Ankle Surgery provides comprehensive, in-depth operative coverage as well as opinions and case examples from surgeons who are currently using 3D printing in their practices. This ground-breaking volume sets the standard for this rapidly advancing field and provides practical, real-world guidance on incorporating 3D printing into your surgical practice. Presents clinically focused content in a templated, easy-to-read format of bulleted summaries and practical advice based on the editor's and authors' experience. Features a practical focus on procedures, techniques, and cases, with tips, tricks, and pearls throughout. Includes decision-making criteria on when to consider 3D printing. Provides preoperative, intraoperative, and postoperative protocols developed by the authors. Contains high-quality photographs and 3D imaging. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

The current (postfeminist) gender order comprises a highly complex coexistence of old and new norms and expectations, freedom and constraints, within a neoliberal social order underpinned by individualism and involving a shift in gender performance by men and women. Health, illness and disease at different points in the life course can be used as a vehicle to illuminate structural and cultural inequalities that persist despite several decades of progressive reform in western countries. This collection brings together a number of key researchers, both established and new to the field, and based across North America, Australia, the UK and Europe, and comprises both empirical and theoretical work. Drawing on a wide range of disciplinary fields, including medical sociology, medical anthropology, nursing, gender studies, sociology of risk and age studies, all authors use heath, well-being, illness and disease as a lens through which to explore the complexities and inequalities associated with late modernity. This book will be of interest to scholars and students of age studies, medical sociology and anthropology, gender studies, healthcare and nursing.

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.

Although it is widely agreed that the experiences of service users have much to offer mental health professionals, the majority of books for this group focus on either conditions or different types of service provision (acute, community). This book is different. It takes as its starting point the lived experience of recovery which is the process whereby individuals can be helped to understand and come to terms with their illness. The role and actions of mental health professionals is explored as part of the process of recovery. The major part of the book will focus on ways in which direct care staff can assist people with mental health problems, reflecting the accounts of the nature and type of assistance which have been valuable, and the ways in which such help can best be offered. It addresses two key components of recovery accessand inclusion to life opportunities and acceptance. Each chapter of the book looks at an aspect of recovery and clearly shows how practitioners must accept the individuals needs and work with them towards this goalBased on users' experiences Focus on recovery as both a personal journey and goal and the basis for care and interventions Addresses key issues - access and social inclusion Practical guidance in implementing a new model of mental health practice.

Understanding Tourette Syndrome provides accessible, concise, evidence-based guidelines on this neurodevelopmental disorder, offering parents and professionals a deeper scientific understanding of the condition and its consequences. Zanaboni Dina and Porta explore signs, symptoms and treatment of the disease, with the aim of demonstrating to all those involved in the life of a TS child solutions to manage a range of situations from diagnosis to day-to-day life. Therapies and social intervention, including Habit Reversal Training and Deep Brain Stimulation, are described, allowing caregivers to evaluate the best course of treatment. With a focus on improving quality of life by offering practical recommendations for managing the condition at school and in the family, it places additional emphasis on sibling relationships and the importance of childhood friendship. The authors' expert subject knowledge and extensive experience of working with children and families, makes the topic accessible for any reader, and case studies demonstrate how to apply scientific understanding of the condition to a real-life situation. This unique guide is essential reading for parents and carers, as well as practitioners in Clinical and Educational Psychology, Counselling, Mental Health, Nursing, Child Welfare, Public Healthcare and those in Education. It will also be of interest to postgraduates studying courses in Psychology, Neurology and Psychiatry.

Describes how nursing professionals can mitigate the maternal health crisis through advocacy and improved practice. This graduate-level nursing text and professional clinical reference is the first to comprehensively address the escalating crisis in U.S. maternal health-our country experiences the highest maternal mortality among developed nations-and provides strategies and roadmaps for improved outcomes. It challenges the current approach to ameliorating the maternal crisis, which embeds maternal care into "child health" and "women's health," and characterizes maternal health as a distinct, contemporary epidemiological crisis in America. At its heart, the book calls for the application of nursing knowledge and skill in advocating for and changing practices. The text examines the social determinants responsible for the crisis, including structural and systemic economic and political forces, declining accessibility to maternal care, and lack of a national effort to improve maternal health. With a strong public focus, the book engages readers through narratives and interactive critical thinking exercises in analyzing the problem and related structural and systemic barriers. It offers guidelines for advocacy and improved practice while fostering creative thinking by which readers can imagine their own solutions. Specific issues addressed include the current status of health care delivery, the public health safety net, practice-policy initiatives, specific sociocultural factors contributing to enhanced risk, myths and impugning attitudes about childbearing women, the life-long impact of maternal health neglect, and the contribution of nursing to advocacy, prevention, and improved practice. Key Features: Synthesizes key data on the maternal health crisis in America focusing on nursing leadership and contributions Underscores the need for a collaborative public health nursing perspective in addressing the maternal health crisis Examines social determinants responsible for the crisis Presents exercises and narratives for advocacy and improved practice Spotlights maternal health as a specific entity Includes learning objectives, expert opinions, key questions to guide critical thinking, brief summary, and references in each chapter

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

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

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.

First published in 1997, this volume explores how we live in a society which is developing beyond human experience and comprehension - fast. Advances in technology and medicine are profoundly affecting the manner of human living from the beginning through to the end of life. These advances present exciting and demanding challenges to law-makers, policy-makers and healthcare providers, who make decisions about genetics, human reproduction, competence, medical treatment priorities and dying. They also compel us to pay attention to human rights. This international collection of essays combines the thoughts and ideas of women scholars writing about these complex developments and aims at provoking debate and dissension as well as an opportunity for reflection. The writers explore a range of common themes in different areas and provide a coherent framework for law and policy-making, to serve as a foundation for the challenges ahead.

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.

A title within the Nursing and Health Care Practice series, Beginning Reflective Practice provides pre-registration nursing and health care students with all the tools required to fully understand and develop skills for reflective practice, with the goal of becoming a successful reflective practitioner. Clearly written and highly accessible, this new edition includes a wide number of examples and illustrations to assist with learning and understanding, simple introductions to theoretical perspectives along with key developments in nursing including the growing role of e-learning technologies, the relationship between reflective learning and evidence-based practice, and the increasingly recognised linkage between reflection, professional judgment and accountability. Fully up-to-date in line with NMC standards, this is an indispensable text for every trainee reflective practitioner.

The importance of evidence-based nursing and the need to be research-minded means that all nurses must be aware of research and use it to inform their practice. But how can you find out what research is available? How do you find your way around reports? And how can you decide what research is relevant to your practice? This book will help. Thousands of nurses found the first 2 editions' down-to-earth style and step-by-step guidance invaluable. The new edition will retain and enhance this straightforward approach, but reflect changes in locating and reading research, including the impact of new technologies such as CDROM, Medline and the Internet. Step-by-step guidance Easy to read Relevant to present curricula Updated material on putting evidence into practice Updated references Expanded information on Internet Addition of Clinical Governance

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the 'bespoke' targeting of integrated medical, psychological and social treatments during the 'critical period'. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.