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

This practical book suggests ways in which healthcare students and practitioners can develop their compassion strengths. Discussing what compassion is and means, it includes a new compassion strength model and a series of exercises the reader can use for reflecting on and developing their practice. A hallmark of healthcare practice is compassion, yet there is a lack of understanding as to what compassion is and how it can be developed in practice. The book begins with that challenge of defining compassion, particularly looking at healthcare contexts and making links between self-care and caring for others. It then presents a new, evidence-based holistic model that brings together key elements of compassion for self and other, along with a scale that readers can measure themselves against. Identifying eight strengths "self-care, connection, communication, competency, empathy, interpersonal skills, character and engagement" Durkin provides the theoretical background to each, accompanied with suggestions for practice and reflective activities. It ends with a selection of vignettes that readers can use to try out their strengths. Highlighting the concept of compassion strengths, and compassion as a way of being, this is an essential read for healthcare students and practitioners, whether involved in direct patient care or management.

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

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.

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.

First published in 1973 and appearing in its second edition in 1980, "Nursing and Social Change" is a well loved and respected text for all students of nursing who wish to understand how their profession has developed in a historical and social context from its earliest beginnings through to the present day. Students have found it invaluable as a comprehensive source of reference which offers a unique combination of scholarship and accessibility. This edition includes the latest research findings on the life and work and Florence Nightingale and has been brought completely up-to-date by the author, with contributions from senior members of the nursing profession to deal with the most recent health service reorganization.

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.

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

In the eleventh edition of Understanding Research Methods: An Overview of the Essentials, Newhart and Patten leverage the principles of learning and content design to present the fundamentals students need to get started in research. Basics of quantitative and qualitative research are covered in short, independent topics and grouped into meaningful sections. A perennial bestseller for over ten editions, Understanding Research Methods focuses concisely on key concepts, and lessons in topics that are "chunked" to suit today's students. Each topic ends with suggestions for planning a research project by answering topic-specific prompts in a research planning journal. Topic Review exercises encourage active learning. Finally, Topics for Discussion suggest open-ended prompts that could serve as conversation starters in the classroom or online. The final Part of the book offers guidance and activities specific to writing a research report. This section can be used to support the development of project-based assignments for courses, or it can be used independently to support senior thesis projects, master's theses, dissertations, or articles for publication. Instructors, will appreciate the organization of Understanding Research Methods because it allows a great deal of customization and choice in which topics to cover and in what order to cover them, making it suitable for methodological training in a variety of courses and fields of study. Online digital materials support course development. New to this edition: Part introductions now include a part table of contents and list of keywords Newly expanded coverage of qualitative research New coverage on designing quantitative research Expanded material on sampling More simple graphs, charts, and illustrations emphasize and visualize Topic key points

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

Including all of the information necessary for safe, competent practice, this is a practical, hands-on educational and training resource for nurses working in telephonic health care settings. It delivers the requisite tools and instruction for optimizing patient communication, performing assessments, and providing effective care of chronic conditions. Moving step-by-step from simple to complex information, the resource de-mystifies the process of telephonic nursing care and describes numerous tools such as learning outcomes, algorithms, exercises to reinforce learning, case studies, and critical thinking questions that help readers develop and hone telehealth nursing skills. The text addresses such challenges as actively listening to the patient 'between the lines' in the absence of an in-person examination, discerning the right questions to ask, performing a comprehensive health assessment using only one's sense of hearing, alleviating stress regarding limited assessment resources, and more. It discusses the advent and growing importance of telehealth nursing as a care model, ""must-have"" considerations for treating patients telephonically, special lifespan and mental health concerns, implications for veteran's health care, diagnostic tools, and abundant patient teaching methods. Also included are invaluable clinical pearls from those who have been 'in the trenches' along with a review of body systems and disease processes. Key Features: Helps nurses understand the keys to successful telehealth nursing Teaches enhanced, specialized communication techniques including ""active listening"" Guides nurses in assessing patients using only sense of hearing/active listening Includes case studies, algorithms, patient teaching resources and more Third place winner in the 2017 American Journal of Nursing awards.

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

According to the Center for Research and Epidemiology of Disasters, the frequency and severity of disasters has increased over 300% in the last decade. Healthcare systems and individual healthcare practitioners, including nurses, are now fulfilling multiple roles in disaster preparedness in the whole of community: planning, preparedness, risk identification, mitigation, response and recovery. Nurses are considered first responders for biological events or when the disaster occurs where they are working. Nurses act as first receivers when accepting patients/victims for care whose injuries result from non-biological events occurring outside the nurse's workplace. The vast majority of practicing nurses received no disaster preparedness education in their basic nursing education program. Nurses graduating in the 21st century are exposed to some of the concepts of disaster nursing but have little experience unless there is a disaster or emergency where they work or go to school. Readers will be updated on this topic because articles in this edition demonstrate a vast array of implications for nurses in disaster preparedness around the world: chemical, biological, radiological/nuclear, explosives (CBRNE); natural disasters; new models of training and educating nurses for disasters, military nurse response, mental health issues as well as non-government organizations.

Dr. Goldsworthy has created a state-of-the-art issue that emphasizes the nurse's role in mechanical ventilation. Pertinent clinical topics include the following: basics of mechanical ventilation for nurses; current modes for mechanical ventilation; best practices for managing pain, sedation, and delirium in the mechanically ventilated patient; mobilization of and optimal oxygenation for the mechanicaly ventilated patient; managing complications; and effective weaning strategies. Authors also address mechanical ventilation in both children and neonates. The current content in this issue will leave nurses with the clinical information they need to effectively manage mechanically ventilated patients.

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

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.

Exploring how practitioners make use of play's developmental benefits and therapeutic healing properties to aid the child's health care journey, this reflective book expands and enhances the knowledge base underlying the practice of play in hospitals. The work of health play specialists and child life specialists in hospitals in the UK and around the world requires a deep level of clinical knowledge, so that preparing children for procedures can be done with skill and precision. It builds on an understanding of both child development and the impact of traumatic experiences so that children's deepest fears and biggest emotions can be faced without flinching. It also relies on an acceptance that play is the foundation of everything - the child's safest, most natural space - and from this trust, strength and resilience can grow and be nurtured. This new edited text explores the breadth, depth and skills of these trained healthcare practitioners providing play for babies, children, young people and adults, and places the power of play squarely at the centre of most clinical settings. Its starting point of the theory that underpins practice is explored and developed through a combination of reflective essays, case study chapters from the UK and around the world, and the newly emerging use of play in diverse settings. Drawing on the collective work of over 30 play specialists, child life specialists, play service managers, lecturers and researchers, this book is unique in all it offers to paediatric practitioners and settings, in training and in practice. It is an important resource for healthcare play specialists, playworkers, children's nurses, occupational therapists and more.

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

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

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

A handy, pocket-sized guide designed to help student nurses make the most of their community nursing placements. Community placements can be daunting - you'll be working in a variety of settings, caring for a range of individual people and families with different needs, often in their own homes. There are new colleagues to work with, and newly learned nursing theory to put into practice. This pocket guide is designed to make your placements much more enjoyable and less stressful. From absence policy to palliative care, via home visiting, it's full of practical detail, hints and tips. Written by experienced lecturers with the input of current nursing students - this guidance is really produced with you in mind. Pocket-sized format - carry it with you at all times. Space to make your own notes - be it uniform policy, observations about the community you're supporting, or just the names of your new colleagues! Reduce your stress and make the most of your community placement by having this book to hand from the start. Pocket Guides is a series of handy, pocket-sized books designed to help students make the most of their practice learning experiences.

A strikingly effective, one-of-a-kind learning resource This one-of-a-kind learning resource for Neonatal Nurse Practitioner/CNS students in both academic and clinical settings is distinguished by its use of complex case studies to reinforce best practices in treating vulnerable neonatal patients. Based on applications and outcomes, the case study approach is a particularly effective method of enhancing critical thinking and clinical decision-making and fostering effective role transition in practice-based disciplines. Authored by leading NNP educators nationwide, these multi-faceted, unfolding case studies address and synthesize the most important content covered throughout the NNP curriculum. Topics addressed include maternal/neonatal complexities, risk factors, neonatal disorders and emergencies by body system, health promotion/maintenance, communicating effectively with parents, and guidance on handling unexpected outcomes. Case studies progress from basic to complex, and each includes objectives, clinical pearls, and critical thinking questions. A robust instructor toolkit contains pedagogical strategies for facilitating online discussion, chapter conclusion quizzes, a variety of simulation experiences, and more. Key Features: Uses a complex case-based learning approach for neonatal advanced practice nursing - the first book to do so Authored by leading NNP educators nationwide Provides 40-50 case studies synthesizing key content areas Helps prepare students for effective role transition Includes a robust instructor toolkit and can be used in online courses

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

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

This narrative-based work is the first to describe Human Caring Literacy from the perspective of caring scientists who "live the life" by incorporating the precepts of human caring into every aspect of their personal and professional lives. It demonstrates, for nursing students and experienced nurses in a variety of roles, the abundant ways in which Caring Science Theory powerfully informs the lives of frontline clinicians, nursing deans and faculty, APRNs, and administrators in the United States and globally. The book goes beyond theory to illustrate how Caring Science is used every day in a variety of arenas and scenarios, ranging from the advancement of the discipline of nursing in South America to peacemaking in the Middle East. It describes the methods that help practitioners develop mindfulness, reflection, authentic presence, intentionality, and a caring consciousness in the service of providing authentic, heart-centered care for patients, their families, and societies. Designed to cultivate loving-kindness behaviors in all settings, including among nurses themselves, these narratives provide welcome alternatives to current ways of being, both professional and personal. Provides Examples of Caring Science Theory as a Guide to: *Advancing professional nursing practice in South America *Transcending politics and conflict in the Middle East *Evolving global caring consciousness through online education *Developing nursing leaders who are heart-centered and intentional *Exploring relationships between caring and Ubuntu in South Africa *Teaching through simulation to promote humanistic practice Key Features: *Provides real examples of living the theory *Demonstrates the use of Caring Science in leadership, practice, research, the healing arts, education, and praxis *Illustrates practices that develop mindfulness, reflection, authentic presence, intentionality, and a caring consciousness *Provides evidence of an evolving global caring consciousness on five continents