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Books > Medicine > Nursing & ancillary services > Nursing
Many professionals confront ethical issues concerning their proper roles and the manner in which they should carry out those roles. This book is aimed at those studying for entry into the various professions (such as teaching or social work) where ethical questions are commonly faced. It introduces readers to both the techniques and depth of ethical argument drawn from the fields of critical thinking and informal logic and enables practitioners to use these techniques so they can be deployed as 'tools of thought' for thinking in a carefully reasoned and extended way about problems of professional ethics. The book also provides a brief introduction to some of the normative and meta-ethical theory relevant to the principled discussion of professional ethics. Post-graduate students and academics should also find the treatment of some of the complexities of extended reasoning, in particular its focus upon careful metacognitive tracking and planning of an inquiry, to be of interest.
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.
This book offers a unique description of how phenomenology can help professionals from medical, environmental and social fields to explore notions such as interaffectivity, empathy, epoche, reduction, and intersubjective encounter. Written by a group of top scholars, it uniquely covers the relationship between phenomenology and bioethics, and focuses not only on medical cases, but also on the environment and emerging technologies. This variety of themes, whilst including techno-ethics, environmental ethics, animal ethics, and medical ethics, is conducive to appreciating broadly how phenomenology can improve our quality of our life. Despite its difficult themes, the book appeals to an audience of both academics and professionals who are willing to understand how to increase the quality of care in their professional field. Chapter 8 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
This text provides students with a comprehensive introduction to the sociology of professions. It covers social work, probation, nursing, midwifery and health visiting and looks at key topics such as control and legal relationships, the relationship of gender and care, and the 'new managerialism'.
With a consistent focus on application throughout, Nursing Theory covers the development of nursing theory; the application of different nursing theories, models and philosophies; and the expansion of these practices with a look toward the future. Nursing Theory provides the opportunity for students who have learned the background of nursing theory using the companion title, Nursing Theorists and Their Work, to apply what they have learned to actual nursing practice through various patient scenarios. Real-life case history examples included in application chapters promotes evidence-based practice and further demonstrates how a theory is used in practical situations. Consistent case history featuring the patient Debbie in every chapter and the nursing plan that follows help you apply philosophies, theories and models presented in the text. Critical thinking exercises provide a more application-based approach rather than just contemplation of theories presented. Chapters written by contributors who utilize the work offer a unique approach to using theory in practice. Nursing metaparadigm discussion illustrates the four center concepts with which the discipline is concerned to help you see the scope of concern for the profession. Logical organization presents content in three distinct parts. Glossary offers quick access to key terms throughout the text. NEW! Nursing Care sections demonstrate how theories apply to certain situations and particular types of nurses. NEW! QSEN competencies throughout the book relate nursing theories to today's important focus on patient safety and quality improvement. NEW! Nursing theory timeline helps you place different nursing theories and theorists in history, illustrating the progression of the content. NEW! Fresh design helps you visually identify the text's relationship with its Nursing Theorists companion.
Help families of institutionalized elders with this compassionate and practical manual.
Integrates the perspectives of contemporary nurse leaders to foster an innovative, collaborative future Encompassing the wisdom of both established and emerging nurse leaders, this expansive book demonstrates proof of theory in action and the influence of our great nursing legacy on today's luminaries as they carve out new terrain to benefit current and future health care needs. With a far-reaching, ambitious perspective, it is the first text to link the ideas of nurse leaders from very diverse specialty areas including holism, advanced practice, education, policy, global health, journalism, and spiritual communities. The book examines the professional and scholarly accomplishments of these nurse leaders within an historical context, and facilitates succession planning for the next generation through of combination of outcomes-based writing, storytelling and personal reflection. Dozens of expert contributors from practice and theory arenas describe how to develop leadership skills and tactics through the implementation of local, national, and international initiatives. With an eye to creative evolution in education, research and clinical settings, they discuss how emerging nurse leaders can be agents of change - beyond the confines of traditional practice and curricula - through innovation and collaboration. Contributors also relate the circumstances and experiences that sparked their nursing passions, the moral/ethical foundation from which they practice, and inspired messages toward communal, societal, and global impact within nursing of the future. Each chapter author follows a template to ensure continuity and includes end-of-chapter reflection questions. Key Features: Distills the perspectives of current and emerging nurse leaders from a diverse array of specialty areas to unify the collective of nursing Redefines praxis possibilities in education, research, and practice Outlines contributing nurse leaders practical and scholarly accomplishments Describes how to facilitate change through innovation and collaboration Teaches the development of leadership skills and tactics
As asymmetric 'wars among the people' replace state-on-state wars in modern armed conflict, the growing role of military medicine and medical technology in contemporary war fighting has brought an urgent need to critically reassess the theory and practice of military medical ethics. Military Medical Ethics for the 21st Century is the first full length, broad-based treatment of this important subject. Written by an international team of practitioners and academics, this book provides interdisciplinary insights into the major issues facing military-medical decision makers and critically examines the tensions and dilemmas inherent in the military and medical professions. In this book the authors explore the practice of battlefield bioethics, medical neutrality and treatment of the wounded, enhancement technologies for war fighters, the potential risks of dual-use biotechnologies, patient rights for active duty personnel, military medical research and military medical ethics education in the 21st Century.
Mayes' Midwifery is a core text for students in the UK, known and loved for its in-depth approach and its close alignment with curricula and practice in this country. The sixteenth edition has been fully updated by leading midwifery educators Sue Macdonald and Gail Johnson, and input from several new expert contributors ensures this book remains at the cutting edge. The text covers all the main aspects of midwifery in detail, including the various stages of pregnancy, possible complexities around childbirth, and psychological and social considerations related to women's health. It provides the most recent evidence along with detailed anatomy and physiology information, and how these translate into practice. Packed full of case studies, reflective activities and images, and accompanied by an ancillary website with 600 multiple choice questions and downloadable images, Mayes' Midwifery makes learning easy for nursing students entering the profession as well as midwives returning to practice and qualified midwives working in different settings in the UK and overseas. Expert contributors include midwifery academics and clinicians, researchers, physiotherapists, neonatal nurse specialists, social scientists and legal experts Learning outcomes and key points to support structured study Reflective activities to apply theory to practice Figures, tables and breakout boxes help navigation and revision Associated online resources with over 600 MCQs, reflective activities, case studies, downloadable image bank to help with essay and assignment preparation Further reading to deepen knowledge and understanding New chapters addressing the issues around being a student midwife and entering the profession More detail about FGM and its legal implications, as well as transgender/binary individuals in pregnancy and childbirth New information on infection and control following from the COVID-19 pandemic Enhanced artwork program
Europeanization has generated a galaxy of regimes, laws, organizations, new actors, and networks that have diluted institutional barriers to interaction across national borders. Many nation-based policy competencies have been transferred to the European level. The European Union (EU), the world's first regional regulator, bears consequences for the development of public policy and for policies affiliated with the nursing profession. With limited exception, the EU does not have formal powers in the health care arena. However, as a result of its efforts in other fields, it has been heavily involved with health care and its providers. Nursing in the European Union demonstrates how the organization has refashioned the nursing world throughout the member states via its power in many other policy domains. This volume focuses on the EU's impact on nursing education, regulation, and research endeavours, and suggests strategies to achieve desired objectives. Volume 2, Nursing in the European Union: The World of Work, to be published in Fall 2016, focuses on real-life situations and problems EU nurses face: wages, stress, and dispute resolution. Sondra Z. Koff integrates the European experience with a discussion of nursing in the real world, and presents the nursing profession in light of the European Union, its components, its mechanisms, and its output and activities.
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.
Narratives of Recovery from Mental Illness presents research that challenges the prevailing view that recovery from 'mental illness' must take place within the boundaries of traditional mental health services. While Watts and Higgins accept that medical treatment may be a vital start to some people's recovery, they argue that mental health problems can also be resolved through everyday social interactions, and through peer and community support. Using a narrative approach, this book presents detailed recovery stories of 26 people who received various diagnoses of 'mental illness' and were involved in a mutual help group known as 'GROW'. Drawing on an in-depth analysis of each story, chapters offer new understandings of the journey into mental distress and a progressive entrapment through a combination of events, feelings, thoughts and relationships. The book also discusses the process of ongoing personal liberation and healing which assists recovery, and suggests that friendship, social involvement, compassion, and nurturing processes of change all play key factors in improved mental well-being. This book provides an alternative way of looking at 'mental illness' and demonstrates many unexplored avenues and paths to recovery that need to be considered. As such, it will be of interest to researchers, academics and postgraduate students in the fields of psychiatry, psychology, nursing, social work and occupational therapy, as well as to service providers, policymakers and peer support organisations. The narratives of recovery within the book should also be a source of hope to people struggling with 'mental illness' and emotional distress
This state-of-the-art handbook will keep researchers and practitioners in gerontology abreast of the newest theories and models of ageing. With virtually all new contributors and content, this edition contains 35 chapters by the most highly respected luminaries in the field. It addresses theories and concepts built on cumulative knowledge in four disciplinary areas - biology, psychology, social sciences, and policy and practice - as well as landmark advances in trans-disciplinary science. With its explicit focus on theory, the handbook is unique in providing essential knowledge about primary explanations for ageing, spanning from cells to societies. The chapters in the third edition place a strong emphasis on the future of theory development, assessing the current state of theories and providing a roadmap for how theory can shape research, and vice versa, in years to come. Many chapters also address connections between theories and policy or practice. Each set of authors has been asked to consider how theories in their area address matters of diversity and inequalities in aging, and how theories might be revised or tested with these matters in mind. The third edition also contains a new section, "Standing on the Shoulders of Giants", which includes personal essays by senior gerontologists who share their perspectives on the history of ideas in their fields, and on their experiences with the process and prospects of developing good theory. Hallmarks of the third edition: Highlights important gains in trans-disciplinary theories of ageing. Emphasises the future of theory development. Provides insights on theory development from living legends in gerontology. Examines what human diversity and inequality mean for ageing theories. Emphasises interconnections between theory, research, intervention, and policy. Underscores international issues with greater representation of international authors. Includes section introductions by the editors and associate editors that summarise theoretical developments. Key Features: Highlights variability and diversity in aging processes, from the cellular level of biological ageing to the societal level of public policy. Provides insights on theory development from living legends in gerontology. Offers intergenerational, interdisciplinary, and international perspectives. Disseminates a forward-thinking, future-oriented focus in theory development.
Depression is the most common complication of childbirth and results in adverse health outcomes for both mother and child. It is vital, therefore, that health professionals be ready to help women who have depression, anxiety, or posttraumatic stress disorder in the perinatal period. Now in its third edition, Depression in New Mothers provides a comprehensive approach to treating postpartum depression in an easy-to-use format. It reviews the research and brings together the evidence-base for understanding the causes and for assessing the different treatment options, including those that are safe for breastfeeding mothers. It incorporates research from psychoneuroimmunology and includes chapters on: assessing depression mother-infant sleep traumatic birth experiences infant temperament, illness, and prematurity childhood abuse and partner violence psychotherapy complementary and integrative therapies community support for new mothers antidepressant medication suicide and infanticide. This most recent edition incorporates new research findings from around the world on risk factors, the use of antidepressants, the impact of breastfeeding, and complementary and integrative therapies as well as updated research into racial/ethnic minority differences. Rich with case illustrations and invaluable in treating mothers in need of help, this practical, evidence-based guide dispels the myths that hinder effective treatment and presents up-to-date information on the impact of maternal depression on the mother and their infants alike.
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.
This book describes an innovative model for helping APRN students develop the clinical reasoning skills required to navigate complex patient care needs and coordination in advanced nursing practice. This model, the Outcome-Present-State-Test (OPT), encompasses a clear, step-by-step process that students can use to learn the skills of differential diagnosis and hone clinical reasoning strategies. This method facilitates understanding of the relationship among patient problems, outcomes, and interventions that focus on promoting patient safety and care coordination. It moves beyond traditional ways of problem solving by focusing on patient scenarios and stories and juxtaposing issues and outcomes that have been derived from an analysis of patient problems, evidence-based interventions, and desired outcomes. The model offers a blueprint for using standardized health care languages and provides strategies for developing reflective and complex thinking that becomes habitual. It embodies several levels of perspective related to patient-centered care planning, team-centered negotiation, and health care system considerations. Through patient stories and case scenarios, the text highlights care coordination strategies critical in complex patient situations. It provides students with the tools to collect patient information, determine priorities for care, and test interventions to reach health care outcomes by making clinical judgments during the problem-solving process. Concept maps illustrate complex patient care issues and how they relate to each other. For faculty use, the text provides links to relevant APN competencies and provides guidelines for using the OPT when supervising students in field settings.
Cognitive Aging and the Role of Strategy is the English Language edition of 'Vieillissement cognitif et variations strategiques', oriiginally published in French . Lemaire is a well-respected professor and text-book author of Cognitive Psychology in France and his English language edition will have updated content on theories of cognitive aging to provide a broad view of adult development and the aging process. This title will be of interest to students of specialist psychology courses at both undergraduate and postgraduate level.
Cognitive Aging and the Role of Strategy is the English Language edition of 'Vieillissement cognitif et variations strategiques', oriiginally published in French . Lemaire is a well-respected professor and text-book author of Cognitive Psychology in France and his English language edition will have updated content on theories of cognitive aging to provide a broad view of adult development and the aging process. This title will be of interest to students of specialist psychology courses at both undergraduate and postgraduate level.
"An engrossing human drama . . . The Shift is one nurse's story, but it contains elements of every nurse's experience."--The Wall Street Journal Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital's cancer ward. In the span of twelve hours, lives can be lost, life-altering treatment decisions made, and dreams fulfilled or irrevocably stolen. Unfolding in real time--under the watchful eyes of this dedicated professional and insightful chronicler of events--The Shift gives an unprecedented view into the individual struggles as well as the larger truths about medicine in this country. By shift's end, we have witnessed something profound about hope and humanity.
Nursing is typically understood, and understands itself, as a care-giving occupation. It is through its relationships with patients - whether these are absent, present, good, bad or indifferent - that modern day nursing is defined. Yet nursing work extends far beyond direct patient care activities. Across the spectrum of locales in which they are employed, nurses, in numerous ways, support and sustain the delivery and organisation of health services. In recent history, however, this wider work has generally been regarded as at best an adjunct to the core nursing function, and at worse responsible for taking nurses away from their 'real work' with patients. Beyond its identity as the 'other' to care-giving, little is known about this element of nursing practice. Drawing on extensive observational research of the everyday work in a UK hospital, and insights from practice-based approaches and actor network theory, the aim of this book is to lay the empirical and theoretical foundations for a reappraisal of the nursing contribution to society by shining a light on this invisible aspect of nurses' work. Nurses, it is argued, can be understood as focal actors in health systems and through myriad processes of 'translational mobilisation' sustain the networks through which care is organised. Not only is this work an essential driver of action, it also operates as a powerful countervailing force to the centrifugal tendencies inherent in healthcare organisations which, for all their gloss of order and rationality, are in reality very loose arrangements. The Invisible Work of Nurses will be interest to academics and students across a number of fields, including nursing, medical sociology, organisational studies, health management, science and technology studies, and improvement science.
The renal failure and hemodialysis dependent population is increasing worldwide. Hemodialysis access is the life-line of these patients. Hemodialysis access related surgical and interventional procedures form a major demand to the healthcare services in many developed and developing countries. As such, the proper clinical decision, planning and performance of these procedures will greatly benefit the hemodialysis patients and reduce unnecessary healthcare costs. This book is a practical guide for clinicians and nurses creating, treating or managing hemodialysis accesses for renal failure patients. Basic principles to manage common or difficult situations of hemodialysis access are discussed and illustrative clinical cases are shown as examples. This book is an essential reading material for healthcare professionals in their early phase of developing the hemodialysis access program, while providing useful tips and tricks to established clinicians that will broaden their armamentarium.
Spirituality and Coping with Loss: End of Life Healthcare Practice describes a research study that reflects nurses' experience of the nature of loss encountered in end of life care settings as well as the ways in which spirituality is a resource in coping in these situations. Key findings indicate how nurses' spiritual development impacts their proficiency in spiritual care. These findings will be of interest to nurses and nurse educators as well as other healthcare professionals.
The first book to address nurses' collective reintegration experiences following deployment in Iraq and Afghanistan Based on candid interviews with 35 nurses who were deployed for the wars in Iraq and Afghanistan, this is the first book to reveal the stresses and moral dilemmas they experienced as they transitioned back into everyday life. The nurses share their difficulties with family separation, clinical reassignments, PTSD, the perceived stigma of seeking mental health counseling, and compassion fatigue. They describe how doing nursing in a war zone changed them personally, expanded their nursing skills, and how reintegration was more difficult than anticipated. In addition to serving as a personal account of the experiences - both individual and collective - of these military nurses, the book will serve researchers as a compelling example of qualitative, phenomenological, and descriptive research. Interviewees describe in vivid detail their homecoming, family adjustments, renegotiating of spousal and parenting roles, domestic and workplace challenges, and many other dilemmas posed by the reintegration process. They provide insights and thoughtful recommendations for changes to current military debriefing that are likely to improve the experiences of future wartime nurses. Encompassing all three branches of the military, the book also examines the differences between active duty services and reserve unit services, issues of substance abuse, the VA administration, the burden of multiple deployments, and other common threads for nurses who served in the Mideast battlegrounds. Key Features: Provides vivid narrative accounts of nurses' reintegration experiences Delivers the first research study of nursing reintegration, which included Army, Navy, and Air Force Nurse Corps officers following deployment in the Iraqi and Afghani conflicts Demonstrates how a comprehensive qualitative nursing research study can be crafted into a highly accessible, compelling account Explores the personal and professional paths of 35 nurses returning from war Addresses the reintegration differences between active duty versus reserve status
Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family's physical, psychosocial and spiritual concerns, and aligning treatments with each patient's goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes. |
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