"Innovation Processes in Medical Education" is the first empirical study to investigate the barriers to successful educational change. Using a qualitative case study approach, it examines the factors that have either supported or impeded change in four medical schools: Case Western Reserve, University of Illinois, McMaster University, and Michigan State University. Following an overview of the historical forces that led to the current structure of the medical school curriculum; the authors discuss their research methodology and data, and analyze their attempts at innovation in each of the four cases, examining the relative merits of each effort. A matrix is developed that will help medical school innovators establish implementation strategies by showing them how to arrive at optimal strategies based on the specific context in which they work.

The fifth edition of this award-winning text continues to be the only advanced practice nursing resource to focus exclusively on outcome assessment, an integral aspect of quantifying the effectiveness of care, both clinically and financially. Written by expert practitioners, educators, and researchers, this text analyzes the foundations of outcome assessment, provides guidelines for selecting assessment instruments and measuring results, and discusses design and implementation challenges. It also covers specialty areas of practice and specialty-specific considerations for outcome evaluation.This revision provides APRN students, educators, and administrators with the most up-to-date resources and information on measuring outcomes of practice. The fifth edition has a strong focus on practice-specific quality metrics and covers a recent national collaborative project that showcased outcomes of nurse-led initiatives as part of the Choosing Widely Campaign. Additionally, the fifth edition now includes an outcome assessment template to aid in the application of content. New to the Fifth Edition: Discusses a recent national collaborative project showcasing outcomes of nurse-led initiatives as part of the Choosing Widely Campaign A new outcome assessment template to aid in the practical application of content New exemplars demonstrating practical application in a variety of settings Includes examples of APRN roles and impact resulting from the COVID-19 pandemic Increased coverage of DNP competencies and scope of practice Covers updates on NP competencies and their impact on care Key Features: Covers specialty areas of practice and specialty-specific considerations for outcome evaluation Offers guidelines for selecting assessment instruments and measuring the results Describes potential pitfalls of design and implementation Includes an instructor's manual including algorithms and teaching tools

The 4th edition of Finnie's Handling the Young Child with Cerebral Palsy at Home has been updated to reflect the current practices of today. It aims to help parents assist their child with cerebral palsy (CP) towards achieving the most comfortable independence in all activities. It is hoped to show how, by using typical parenting skills, which involve guiding and exposing a child to develop through challenging experiences, the child with CP will also develop. The book is also intended to help professionals and other carers new to this field understand, support and encourage young children with CP and their families.Over the years since the first edition of this book was written ideas on appropriate therapies have changed and developed. Similarly opinion on early intervention has changed and the method of delivery of service has in some places moved from centralisation to home-based or community provision. The emphasis of this new edition however remains on a holistic approach to the child's needs seeing the difficulties in relation to the overall development of the child as a unique person from childhood to adulthood. Assessment procedures and prediction of future abilities Management of problems (including medication if appropriate) such as epilepsy, constipation, eneurisis, nourishment, difficulty with sleeping, crying, temper tantrums, sensory deficits and deformityStimulation, fitness, problem solving, compensatory strategies and ease of management New chapters include Neuroimaging, Epilepsy, Emotional health, Orthotics, Spasticity management, and Complementary and alternative medicineOver 460 revised illustrations showing different pieces of equipment which may be helpful and ways of holding and moving a child with cerebral palsyChapters on Sleeping, Feeding, Lifting and Carrying, Toileting, Communication and Fine motor movement have been completely re-written by a professional specialising in the particular field

This in-depth description of life in a nursing/care home for 70 residents and 40 staff highlights the daily care of frail or ill residents between 80 and 100 years of age, including people suffering with dementia. How residents interact with care assistants is emphasised, as are the different behaviours of men and women observed during a year of daily conversations between the author, patients and staff, who share their stories of the pressures of the work. Living Before Dying shows a world where, in extreme old age, people have to learn how to cope with living communally.

This up-to-date bibliography of heretofore scattered references to nursing assistants includes literature pertinent to the construction of models to improve nursing assistant practice and emphasizes the psychosocial skills that are invaluable to the nursing assistant's work. Annotated reviews center on the tasks and context of nursing assistant work and ways to improve practice through training, organizational development, advocacy, and bargaining. Additional chapters present a tentative psychosocial model of nursing assistant practice, offer six intervention models, and investigate ways of further developing the nursing assistant occupation. Very highly recommended. Choice The role of the nursing home has expanded in the late twentieth century due to both the growing percentage of elderly in the U.S. population and to society's tendency to over-institutionalize people. In recent years, the kinds and quality of care given to the elderly in nursing homes have received intense scrutiny. This timely bibliography focuses on nursing assistants--the personnel who are with the elderly around the clock, doing a variety of tasks, ranging from helping them with basic functions to comforting them during periods of distress. Nursing assistants provide as much as 90 percent of the direct care received by the elderly in the nursing home setting. Emphasizing the psychosocial skills that make the nursing assistant's job so important to the well being of nursing home residents, Geriatric Nursing Assistants collects and annotates the heretofore scattered references to nursing assistants and includes literature pertinent to the construction of models that improve nursing-assistant practice. The first four chapters present the annotated reviews, which are organized in anticipation of the practice enhancement models discussed in Chapter Six. These reviews center on the tasks and context of the nursing assistant's work and on ways to improve practice through training, organizational development, advocacy, and bargaining. Chapter Five offers a tentative psychosocial concept of nursing-assistant practice that requires further development, detailing the various resident psychosocial circumstances to which the nursing assistant might respond helpfully and the kinds of interventions and techniques which the nursing assistant might attempt. In Chapter Six, intervention models--on inservice training, organizational development, advocacy, and bargaining--are presented in ideal-typical forms that recognize the limitations of daily practice; also, these models emphasize rigorous practice and its evaluation. Activities necessary to further develop the nursing-assistant occupation, including political action, are investigated in Chapter Seven, which also considers the moral aspects of a progressive agenda for nursing assistants. This reference seeks to improve services to nursing home residents and represents a valuable, practical contribution to the geriatric field. It will be useful to nursing home administrators and directors of nursing homes who must address ways to improve the working conditions of nursing assistants; to academicians in their research, training, and advocacy efforts; and to the training directors and supervisors in the field who can directly aid nursing assistants in the acquisition of needed knowledge and skills.

A handbook that will serve as a great teaching tool for medical students starting to learn physical diagnosis as well as during their third year surgical rotation. A ready reference that can fit in their lab coat pocket.

Provide the best possible nursing care to children and their families, no matter what their condition. This one-of-a-kind resource equips you with detailed information on commonly encountered pediatric diseases, medical and surgical conditions, and disorders, with separate sections devoted to diagnostic tests, outpatient procedures, and surgeries. Its compact, A-to-Z format is designed for ease of use in busy settings - perfect for quick reference when working with patients! Portable size and straightforward, alphabetical organization are designed for quick, convenient, on-the-spot reference. Consistent format throughout lets you easily locate necessary information, including pathophysiology, incidence, clinical manifestations, complications, laboratory and diagnostic tests, medical or surgical management, nursing assessment, diagnoses, and interventions, discharge planning and home care instructions, client outcomes, and references. The book is divided into three main parts covering 87 medical and surgical conditions, 12 topics related to diagnosis and procedures, and 16 helpful appendices. New chapters address autism spectrum disorders, chronic lung disease of infancy, Type 2 Diabetes, Down Syndrome, Fragile X Syndrome, overweight and childhood obesity, and Turner Syndrome. New appendices offer helpful information on mental health, non-accidental trauma, and palliative care. Updated charts and references in the appendices - specifically growth charts and immunization information - reflect current practice. Expanded content is provided on community resources.

Palliative Care: Bringing Comfort and Hope is a textbook written by nurses for nurses. It will be of value to those undertaking palliative care diplomas and degrees, as well as be of interest to other disciplines who have an active role in delivering palliative care in a variety of settings. The book reflects the rapid development of palliative nursing as an emerging specialty. It helps in the process of defining palliative nursing and how it interfaces with other disciplines within the specialty. The text is divided into three sections and comprehensively, yet sensitively, covers all aspects of palliative nursing. Key themes covered include pain control, symptom control, loss and grief, and handling loss. . A strong emphasis is placed on the integration of theory and practice and evidence based care. . Reconciliation of the theory and practice is achieved by the use of case studies. . It addresses malignant and non-malignant palliative care. . Research and extensive literature support each chapter. Content has been thoroughly revised and updated in line with changes in practice and policy both locally and internationally, particularly the UK NICE guidance on Supportive and palliative care for people with cancer and the Care of the Dying Pathway . Three new chapters on: . Sexuality . Care of the Dying Pathway . Changing roles of the nurse in palliative care . New appendix on North American drug names equivalents for the international market

Nursing Informatics: Connecting Technology and Patient Care prepares students to enter a healthcare system brimming with technology. The text introduces students to the complex and critical world of health informatics and provides them with the necessary tools and knowledge to develop measurable goals in data management through health technologies. The text is divided into five units. In Unit I, students learn about the role of informatics in healthcare and how computer technology has changed the face of modern medical practices. Unit II explores nursing informatics, the external drivers of informatics technology, and how informatics are used in documentation and other administrative activities. Unit III focuses on system interoperability, data mining, evidenced-based research in nursing, and more. In Unit IV, readers learn about e-health, health information systems, and the importance of confidentiality, security, and integrity. The final unit speaks to digital libraries and computing, and features scholarly articles on e-learning. Designed to align with AACN accreditation standards, TIGER competencies, and the QSEN skills, knowledge, and attitude needed by nurses at all levels, Nursing Informatics is an excellent resource for undergraduate and graduate courses with focus in health informatics.

In this book the author charts the journey of recovery from severe and disabling mental health problems. The book's optimistic tone challenges the prevailing notion that recovery is an outcome open only to a minority. It describes the necessary transformation of mental health services into a recovery culture. At the heart of the book are five recovery stories which are a testament to the indomitable nature of the human spirit that enables us to rise above adversity. It is these themes that mental health professionals must engage with if they are to be guides and companions to people on their recovery journeys. Uses a model of recovery based on the 'hero's journey' Maps a clear pathway to recovery that can be used collaboratively by clients and mental health professionals In-depth exploration of recovery relationships and a recovery culture

This book departs from the usual principles-based approach and instead takes a predominantly consequentialist (harms and benefits) approach. It aims to be free of abstract philosophy, but will use the analysis of cases and a reasoned approach to examine alternative arguments. Whilst the book deals with issues in some depth it uses plain language and many clear examples of good and less good practice to illustrate points. It is at a level useful to both beginning and more experienced researchers.Real world approach Covers research governance from an international perspective Practical guidance on ethical committee procedures Direct examples of good and less good practice Clear, outcomes-based approach

Building on the best-selling MEDICAL TERMINOLOGY FOR HEALTH PROFESSIONS series, this comprehensive text is designed to help students with no healthcare background achieve deep competence in medical terminology. In addition to 14 in-depth chapters on body systems and a unit on diagnostic procedures and nuclear medicine, the text includes chapters dedicated to key specialty areas, including mental health, infant and child health, gerontology, oncology and pharmacology. With a time-tested chapter and learning exercise structure that has made the series a leader for over 30 years, this reader-friendly new resource features streamlined content, contemporary illustrations and real-world examples to help make even complex material accessible to students with varied learning styles, as well as ESL learners. Each chapter begins with a vocabulary list of 60 key terms and 15 essential word parts. Terms are pronounced in MindTap as they appear, and the Pronounce app features innovative voice recognition software that allows you to record your pronunciations and receive immediate feedback. Application-based activities give you practice with critical skills such as term dissection and word-building in a real-world context, providing valuable exposure to a variety of medical reports.

While high dependency care may be delivered in designated high dependency units, it also occurs in many other clinical environments. The book provides invaluable information for nurses working in all acute hospital wards and departments including recovery units, high dependency units, acute surgical or medical wards, and accident and emergency units. It is also a useful resource for nurses undertaking specialist post-registration programmes (particularly in critical care), in-house courses, and also those who are new to high dependency nursing. Some chapters are devoted to specific clinical areas such as cardiac care and respiratory care, with others covering broader clinical issues such as pain management and post-operative care. The underpinning anatomy, physiology and pharmacology are included in relevant chapters. In all these areas there is a strong emphasis on clinical application. Chapters on non-clinical, yet vital, components of high dependency nursing are also included to address aspects such as the development, management, interpersonal and social issues associated with high dependency care. The second edition of this highly successful textbook has been thoroughly updated throughout in line with the latest research, clinical and policy developments. Principles and Practice of High Dependency Nursing is an invaluable resource for nurses and managers working in acute care settings and sets the standard for modern high dependency nursing practice. Focuses specifically on high dependency care making the book much more relevant for non-ITU nurses Includes the underpinning A & P and pharmacology to obviate the need for further purchase Covers management and professional aspects as well as psycho-social issues making the book comprehensive providing all they need to know Provides Learning Objectives in each chapter facilitate study and revision Offers numerous illustrations help to clarify and amplify the text Fully updated in line with recent developments in policy and practice e.g. the government report Comprehensive Critical Care (DoH 2000) and NSFs Improved layout via use of boxes and tables to make it easier to find relevant information New chapter on The development, growth and context of high dependency care. All chapters updated in terms of references and evidence-based practice

This book aims to fill a gap with an in-depth exploration of nursing ethics content from the western philosophical tradition and some of the methods used in teaching this content. It will address cross-cultural issues in using specific ethics content. It will also reveal the poverty of the present dualism model in nursing ethics and replace this with a more complex and more useful model that invites debate. Its scope is both wide and deep but that is needed to enrich the basis for teaching nursing ethics. Outlines and critiques all current ethical theories and considers their application to nursing practice Explores ethical issues in numerous cultures Includes case studies drawn from a range of countries Written by leading nurse educators and philosophers in the field

As health and social care organisations respond to the health modernisation agenda, the use of integrated care pathways in mental health is fast growing. Care pathways which detail expected multidisciplinary interventions within a care experience and use variances to monitor care and facilitate quality improvement have been emerging throughout UK mental health services over the last few years. Although advocated in health policy their introduction has been generally uncoordinated. Integrated Care Pathways in Mental Health is a timely gathering together of the recent developments in the field. It combines discussion of relevant and developing theory, with accounts of real time developments in practice. The combination of knowledgeable discussion and credible experience of the contributors make this is an innovative text which will be of great value to those who are challenged with developing mental health care. An introduction to care pathways in mental health services. Advice on using care pathways to monitor the quality of mental health services. Discussion on developing and operating integrated care pathways within multi-professional working practices. Legal aspects of integrated care pathways. Examples of working integrated care pathways.

Reacting against the dominance of obligation-based moral theories in both general and nursing ethics, the author proposes a 'strong' (action-guiding) account of a virtue-based approach to moral decision-making within contemporary nursing practice. Merits and criticisms of obligation and virtue-based approaches to morality are identified and examined. One of the author's central premises is that the notions of moral goodness and badness carry more moral weight than the traditionally important notions of moral rightness and wrongness. Therefore, the author argues that in order to deliver morally good care, it is vital to consider the kind of nurse one is and this means examining one's moral character. This book will be rewarding reading for a wide range of readers including clinical nurses, nurse educators and nurse ethicists; indeed, anyone interested in morality and ethics and the work of nurses will find this book stimulating reading.