Written for graduate students and professionals in the fields of midwifery, women's health, and public health, this book explores the freestanding birth center model in the United States from its conception by pioneering midwives and others in the early 1970s to the present day. Compared to the hospital-based birth model, the freestanding birth center offers a well-documented, healthier, more cost-effective, and more humane way to care for women and newborns, consistent with the goals of the Affordable Care Act. This rapidly expanding model of care has many positive implications for high-quality, individualized care and birth outcomes across the United States. Written by U.S. leaders in midwifery, Freestanding Birth Centers: Innovation, Evidence, Optimal Outcomes offers a comprehensive guide to the evolving role of birth centers, clinical and cost outcomes, regulatory and legal issues, provider and accreditation issues, and the future of the birth center model. Woven throughout the text are descriptions of ""exemplar"" birth centers representing diverse geographical, business, and service models. These cases illustrate the possibilities for expansion and replication of this model of care. Key Features: Provides a thorough history of the birth center movement from its inception through future expansion of the model Serves as an essential resource with up-to-date evidence on clinical and cost outcomes Includes case studies linking the unique service focus of individual birth centers to the associated sections of the book Provides practical and comprehensive coverage of all issues involved in running a U.S. birth center First place winner in the 2017 American Journal of Nursing awards.

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

With its unrivaled scope, easy readability, and outstanding clinical relevance, Complementary and Integrative Treatments in Psychiatric Practice is an indispensable resource for psychiatric and other health care professionals. It is also well suited for individuals with mental disorders and their family members who are seeking updated, practical information on complementary, alternative, and integrative medicine (CAIM). An international group of experts, researchers, and clinicians examines an expansive range of treatments that have been chosen on the basis of their therapeutic potential, strength of evidence, safety, clinical experience, geographic and cultural diversity, and public interest. This guide offers advice on how to best tailor treatments to individual patient needs; combine and integrate treatments for optimal patient outcomes; identify high-quality products; administer appropriate doses; and deal with concerns about liability, safety, and herb-drug interactions. Treatments discussed include: * Nutrients and neutraceuticals* Plant-based medicines* Mind-body practices-breathing techniques, yoga, qigong, tai chi, and meditation* Art therapy and equine therapy for children and adolescents * Neurotherapy, neurostimulation, and other technologies Psychiatrists and other physicians, residents, fellows, medical students, psychologists, nurses, and other clinicians will benefit from guidelines for decision making, prioritizing, and combining CAIM treatments, as well as safely integrating CAIM with standard approaches. That the treatments considered in this clinician's guide are applied to five of the major DSM-5 categories-depressive disorders, anxiety disorders, trauma- and stressor-related disorders, bipolar and related disorders, and schizophrenia spectrum and other psychotic disorders-ensures its applicability, timeliness and timelessness.

Critical care units are high-risk areas which contribute to increased health care costs and increased patient morbidity and mortality. Patients in critical care units are commonly confronted with existing and the potential to develop infections. Critical care practitioners play a crucial role as initial providers to critically ill patients with infections through the delivery of timely and appropriate therapies aimed to prevent and treat patient infections. The responsibility of critical care practitioners include prudent delivery of care to treat current infections as well as ensuring the delivery of care does not increase the development of new infections. Aggressive infection control measures are needed to reduce infections in critical care settings. Dissemination of scholarly work on the topic of infection in critically ill patients can play a role in improving patient outcomes. The information provided on infections in this issue of Critical Care Nursing Clinics promotes the dissemination of current literature on a series of timely and relevant infection topics in critical care environments.

First Published in 1993. Routledge is an imprint of Taylor and Francis, an informa company.

This title was first published in 2003. Xenotransplantation - the transplantation of animal organs into humans - poses a fascinating moral dilemma. Should this ability to extend the lives of millions of older people be permitted given that it might trigger a new pandemic similar to AIDS? This study examines the moral dilemma from a combination of humanistic, legalistic, bioethical, economical and technological perspectives. The first part of the book demonstrates that xenografts are the only realistic near-term technological answer to the organ shortage problem. The balance of the book is devoted to assessing whether doctrines such as the 'right to health care' trump the moral and ethical conundrums posed by xenotransplantation. The book concludes with a 'geoethical' solution that proposes authorization of xenotransplantation subject to the prior implementation of a new international organization for epidemiology and basic health care. It also suggests that the costs of operating such an organization could be covered by a global tax on xenografts.

This title was first published in 2003: As new medical technologies and treatments develop with increasing momentum, the legal and ethical implications of research involving human participants are being called into question as never before. Human Experimentation and Research explores the philosophical foundations of research ethics, ongoing regulatory dilemmas, and future challenges raised by the rapid globalisation and corporatisation of the research endeavour. This volume brings together some of the most significant published essays in the field. The editors also provide an informative introduction, summarizing the area and the relevance of the articles chosen.

Ulcerative colitis is a chronic condition that has a number of long-term complications and creates certain short-term problems for the sufferer. Michael Kelly, himself a sufferer, describes the experience of ulcerative colitis from the perspective of men and women who have had the disease and examines the social and psychological issues surrounding the condition.

The third edition of Hospice and Palliative Care is the essential guide to the hospice and palliative care movement both within the United States and around the world. Chapters provide mental-health and medical professionals with a comprehensive overview of the hospice practice as well as discussions of challenges and the future direction of the hospice movement. Updates to the new edition include advances in spiritual assessment and care, treatment of prolonged and complicated grief, provision of interdisciplinary palliative care in limited-resource settings, significant discussion of assisted suicide, primary healthcare including oncology, and more. Staff and volunteers new to the field along with experienced care providers and those using hospice and palliative care services will find this essential reading.

Provides one-of-a-kind, in-depth guidance for improving effectiveness in the classroom. This is the only book for new and midcareer faculty that delivers practical, evidence-based strategies for physician assistants, nurse practitioners, and other clinical professionals teaching in advanced health provider education programs. The text disseminates interprofessional teaching and learning strategies that can be used across the gamut of advanced clinical disciplines. It also features sample curricula and syllabi, lecture tips, evaluation strategies, and in-depth information about state-of-the-art technology and virtual classrooms. Key pedagogical principles set a firm foundation for both novice and experienced educators, and practical applications and case examples integrated into each chapter offer concrete reinforcement. The text describes how to design and implement a curriculum that promotes cognitive diversity and inclusion, and examines ways to encourage leadership and scholarship. It addresses methods for fostering active learning and clinical reasoning through the use of technology, simulation, distance education, and student-centered pedagogy. Edited by experienced PA and NP faculty who are leaders in interprofessional education, the book distills the insight and expertise of top PA, nursing, and physician educators and provides valuable tools that help faculty become effective educators in the U.S. and abroad. Key Features: Delivers cutting-edge "tools of the trade" for advanced health professions educators Provides evidence-based strategies for interprofessional education Describes key pedagogical principles for both beginner and advanced educators *Includes strategies to promote cognitive diversity and inclusion in the teaching environment Weaves practical applications and case examples into each chapter Offers strategies for faculty to establish and maintain work-life balance

This seminal work focuses on human development from middle childhood to middle adulthood, through analysis of the research findings of the groundbreaking Jyvaskyla Longitudinal Study of Personality and Social Development (JYLS). The JYLS project, which began in 1968, has generated extensive publications over many years but this is the first comprehensive summary that presents the conceptual framework, the research design and methodology, and the findings. The study looks at the development over time of issues related to personality, identity, health, anti-social behavior, and well-being and is unparalleled in its duration, intensity, comprehensiveness and psychological richness. The thorough synthesis of this study illustrates that there are different paths to adulthood and that human development cannot be described in average terms. The 42-year perspective that the JYLS provides shows the developmental consequences of children's differences in socioemotional behavior over time, and the great significance of children's positive socioemotional behavior for their further development until middle age. Not only will the book be an invaluable tool for those considering research methods and analysis on large datasets, it is ideal reading for students on lifespan courses and researchers methodologically interested in longitudinal research.

This seminal work focuses on human development from middle childhood to middle adulthood, through analysis of the research findings of the groundbreaking Jyvaskyla Longitudinal Study of Personality and Social Development (JYLS). The JYLS project, which began in 1968, has generated extensive publications over many years but this is the first comprehensive summary that presents the conceptual framework, the research design and methodology, and the findings. The study looks at the development over time of issues related to personality, identity, health, anti-social behavior, and well-being and is unparalleled in its duration, intensity, comprehensiveness and psychological richness. The thorough synthesis of this study illustrates that there are different paths to adulthood and that human development cannot be described in average terms. The 42-year perspective that the JYLS provides shows the developmental consequences of children's differences in socioemotional behavior over time, and the great significance of children's positive socioemotional behavior for their further development until middle age. Not only will the book be an invaluable tool for those considering research methods and analysis on large datasets, it is ideal reading for students on lifespan courses and researchers methodologically interested in longitudinal research.

The first conceptual framework for frontier nurse practitioners! This pioneering text is the first to present a framework for remote-rural and frontier nurse practitioners (NPs), with a focus on the political and contextual forces that influence practice. This groundbreaking text distills contextual knowledge required for frontier practice, describes how it differs from work in more populated locations, and discusses the special skills and training needed in this setting. It addresses the art and ethics of frontier practice, the relationship between federal policy and frontier health care, and how to advocate for adequate health care in remote areas. Also included are rich narrative case studies, in which NPs vividly describe why they decided to practice in the frontier environment. They also discuss the educational and work experience needed for frontier practice, the potential complications of treating patients who are also friends and neighbors, and how to manage emergency medical and trauma experiences in remote environments. Key Features: Provides the first model for frontier and remote-rural NP practice based on narrative evidence Introduces the new frontier and remote (FAR) methodology and demonstrates its use in nursing research Illustrates how narrative nursing knowledge contributes to the discipline and informs theory Provides a systematic review of key literature relating to frontier NP practice Discusses the link between federal policy and rural health care and its impact on NP practice Distills educational and policy recommendations from the practice experiences of frontier NPs

This issue of the Nursing Clinics of North America focuses on the expanding knowledge of oncology nursing. The science of cancer, the disease, is expanding at an unprecedented pace producing knowledge that is unparalleled in its complexity. Nurses caring for oncology patients require specialized knowledge to care for their patients safely. The articles in this edition include cutting-edge information written by authors who practice in corresponding settings. The articles are devoted to Oncology Genomics: Implications for Oncology/Cancer Nurses; Informatics; Evidence-Based Practice in Oncology Nursing; Brain Cancer and Family Caregiving; Symptom Management and Palliative Care for Patients with Cancer; Lung Cancer and Tobacco: What's New; Health Disparities; Changes in Cancer Treatment: Nibs and Mabs; Clinical Trials and the Role of the Oncology Clinical Research Nurse Cancer Survivorship; and Oral Chemotherapeutic Agents.

Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: * Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle-from leadership, primary care, therapist, psychiatric provider, and policy perspectives.* As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.

This step-by-step guide takes the reader logically through the process of undertaking a literature review, from determining when this methodology might be useful, through to publishing the findings. It is designed particularly for students undertaking a dissertation using literature review methodology. However, it also caters to practitioners who wish to review the existing evidence in order to develop practice. Key features of the text include: a chapter on what makes a good literature review, so that readers are clear and confident about what they're aiming for; discussion of the value of literature reviews, whether for fulfilling the requirements of a course or for developing practice; a chapter structure that reflects the structure of a typical dissertation by literature review, making the material intuitive and easy to navigate; case examples throughout to illustrate how methodological principles work in practice; a troubleshooting guide to provide support and advice on common problems when carrying out a literature review; advice on the dissemination of findings. Written by an established author with significant experience teaching and supervising students doing literature reviews, this invaluable text offers systematic and insightful advice on all aspects of literature review methodology, from problem identification to synthesizing information to forming conclusions. It is ideal for any student or practitioner in health and social care looking to undertake a literature review for study or practice purposes.

Pragmatic Children's Nursing is the first attempt to create a paediatric nursing theory which argues for the importance of giving children living with illness access to a childhood which is, as far as possible, equal to that of their peers. Set in the historical context of the development of children's nursing, this theory is presented in detail as an educational process, complete with eight outcome measures which allow the practitioner to evaluate its effectiveness. This book explores the triad relationship between children, carers and nurses within the context of healthcare delivery. Ht analyses the moral and ethical implications of pragmatic children's nursing, which challenges the established ideas of family-centred care. In addition to offering theoretical grounding and debate, Randall presents four practical case studies which model how this theory may work within various hospital and community settings. Establishing a link between the concepts inherent in pragmatism and our understanding of childhood within society, this accessible book will appeal to a global audience of undergraduate and postgraduate nursing students, researchers and policy makers. Discover more about this subject on our author Duncan C. Randall's website, which provides extra resources and information here: http://pragmaticchildrensnursing.com/

Written by many of the world's leading lactation experts, the Textbook of Human Lactation incorporates evidence-based scientific knowledge to address key topics of importance in breastfeeding such as Anatomy and Biochemistry, Immunobiology, Breastfeeding Management in Infant and Mother, Maternal and Infant Nutrition, and Medications and Breastfeeding. Specific and detailed information is provided on the following: Complete description of the anatomy and physiology of the lactating breast Detailed explanation of the immunobiology of human milk Description of difficult syndromes and conditions in the infant and breastfeeding mother, and how to overcome these challenges Thorough discussion of the of the emotional and physiological component of breastfeeding, especially as it relates to mother/infant co-sleeping Detailed description of the nutritional competition and components of human milk Explanation of the science of drug transport into human milk, and the use of medications in breastfeeding mothers Discusses breastfeeding in the context of important topics such as infertility, polycystic ovary syndrome (PCOS), vitamin D, birth spacing, and family planning.

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.

Wonder, Silence, and Human Flourishing: Toward a Rehumanization of Health, Education, and Welfare approaches humanization and the process of re-enchantment in a radical new way. For more than a decade the call for rehumanization in education, care and welfare has been heard and discussed primarily in critical thinking, political theory, and sociological discourses. This critique is mainly based on a social constructivist and naturalistic worldview that keeps the discussion in an anthropocentric perspective. By focusing on the phenomenology and ethics of wonder as an ontological and even spiritual event, and by listening to the silence that follows this contemplative wonder, the contributors offer an existential, phenomenological, and hermeneutic way of understanding humanization. Edited by Finn Thorbjorn Hansen, Solveig Eide Botnen, and Carlo Leget, the book shows, from various perspectives, that the force of wonder and the silence that follows from it can nurture our ability to be receptive to and present in human relations and in resonance with the meaning-giving life phenomena that surround us.

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.

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.

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.

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.

Written by two distinguished leaders in midwifery, this text provides a comprehensive examination of an effective model of prenatal care associated with improved health outcomes and reduced costs. This book describes basic tenets of the Centering Healthcare model, which brings together cohorts of people with similar health care needs in a circle group setting for care. The model encourages meaningful dialogue between the patient, other patients, clinicians, the family, and the community. Chapters discuss the clinical practice landscape leading to the model's development, its use in clinical practice, and its widespread and continuing growth as an effective alternative to traditional care.Interspersed with comments and stories from Centering participants and health care professionals, this book describes the implementation of the model that is based on three foundations: health care, interactive learning, and community building. Throughout the book, chapters emphasize that power of the group process through facilitative leadership encourages behavior change and personal empowerment. Applicable around the world and in other health care settings, this book can be an invaluable resource for use by nurse-midwives, family nurse practitioners, physicians, social workers, and other health practitioners. Key Features: Describes the theoretical foundations of the Centering Healthcare model Documents the importance of the Centering model elements to achieve improved health care and reduced cost Discusses the impact of evidence-based research on providers, administrators, and policy makers Focuses on implementation science relating to stages of system redesign and the need for supportive mentoring Includes personal stories of empowerment from patients, providers, and staff Demonstrates the validity and applicability of the model to a variety of health care populations, both domestic and international References the work of the Centering Healthcare Institute Second place winner in the 2017 American Journal of Nursing awards.