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.

First book to show how qualitative and quantitative methods in health and social care are used in practice. Ideal for helping students make an informed decision on what research methods to use for their research projects. Relates social research methodology to social research studies done in the real world and demonstrates the link between research and changing and improving practice. Ideal for students at level 4 to 6.

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.

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.

At lastua single-volume source for long-term care research instruments! Susan Voge and Sarah Beaton have brought together over 100 of the most frequently used (and some of the most difficult to find) measurement tools, providing users with immediate access to a wealth of useful information. Measurements for Long-Term Care lists instruments alphabetically by name. Each entry includes the name of the measurement tool, the toolAEs author or creator (with address), a description of the tool, its psychometric properties, the procedure for applying the tool, sample items such as examples of phrasing questions, scoring responses or data, the original source (publication) of the instrument, and references regarding the tool. The book includes abbreviations and acronyms, an index of instrument authorsAE names, an index of nursing diagnoses and related instruments, an index of subjects (client disorders and problems), and an index of instruments titles. Measurements for Long-Term Care will prove an excellent shelf and clinic reference for researchers, clinicians, and advanced-level students in long-term and chronic care, gerontologic nursing, and rehabilitation nursing.

Learn to master maternal-newborn and women's health nursing. Designed to accompany Foundations of Maternal-Newborn and Women's Health Nursing, 8th Edition, this study guide gives you an in-depth understanding of the material from each chapter in the text. Learning activities and case studies encourage critical thought, and simulated patient situations give you practice applying what you've learned to the NCLEX (R) exam and clinical practice. Check Yourself multiple-choice questions provide the opportunity to prepare for the NCLEX (R). Clinical case studies encourage critical thinking for you to interpret information and select appropriate nursing actions. Learning Activities help you master the content in your textbook and include matching terms, medical therapy descriptions, nursing measures and their rationales, and labelling illustrations exercises. Developing Insight suggested learning activities direct you to develop knowledge and interpret information gathered in cultural and community settings. NEW! Updated content reflects the new edition of the textbook. NEW! Clinical judgment content and questions for the Next Generation NCLEX (R) prepare students for the exam.

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.

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.

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.

Designated a Doody's Core Title

""This is a wonderful resource for current and future nurse practitioners. The information is valuable and timely. This is an essential addition to resource libraries for nurse practitioners.""Score: 100, 5 stars

"--Doody's"

This book serves as an authoritative reference designed for nurse practitioners (NPs), masters and doctoral level students, and administrators interested in developing and managing high-quality, cost-effective, and patient-accessible healthcare in NP settings. The Doctor of Nursing Practice (DNP) Essentials are described in detail, and implications of the practice doctorate are integrated into this comprehensive text designed assist the reader in learning the principles of business management.

The authors delineate the scope and role of the NP, the changing vision of healthcare delivery and its impact on NPs, and an analysis of the impact of statutes and legislation on NP-run practices. The book also provides a review of entrepreneurial models of NP delivery settings.

Key features:

Provides templates of policies, procedures, and documents that readers can adapt for their own settings regarding referral, release of healthcare information, and mission statements Discusses all aspects of running a clinic, such as on-call scheduling, job descriptions, staff evaluation, managing patient records, collaborative practice agreements, business plans, and sample budgets Offers important information about patient safety, evidence-based practice, working with business consultants to develop a practice, financial management of a practice, explanations of the roles of the director/owner and other providers

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

This new edition of a classic text is the go-to reference for anyone concerned with the developmental progress of pre-school children. It provides the knowledge required for understanding children's developmental progress with age and within each developmental domain. Including new sections on atypical development for each of the core domains of development and additional material on the development of attention and self-regulation, this fifth edition integrates findings from the latest research throughout. An updated companion website is available at www.routledge.com/cw/sharma, which includes the following additional learning material: an interactive timeline of the key developmental domains; introductions to theory with links to further reading; research summaries; video clips demonstrating practical assessment skills; downloadable resources including pictures to support examination of verbal and non-verbal development, and tips to facilitate and promote development. Fully aligned with current child development philosophies and practices, Mary Sheridan's From Birth to Five Years: Children's Developmental Progress is designed to support the wider group of practitioners - including those from health professions, social work and early years - that are now required to take steps for promoting children's development as part of their assessment and management plans.

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.

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'.

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 reviews the state of the art in caring for patients dying in the ICU, focusing on both clinical aspects of managing pain and other symptoms, as well as ethical and societal issues that affect the standards of care recieved, The book also addresses the changing epidemiology of death in this setting related to managed care, practical skills needed to provide the highest quality of care to terminal patients, communicating with patients and families, the mechanics of withdrawing life supporting therapies, and the essential role of palliative care specialists in the ICU. The book briefly describes unique issues that arise when caring for patients with some of the more common diseases that preciptate death in the ICU. Contributors for the book were chosed because they have experience caring for patients in the ICU, and are also doing curent research to find ways to improve care for terminal patients in this setting.

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.

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.

All nursing students are required to meet the seven standards produced by the Nursing & Midwifery Council (NMC) before being entered onto the professional register. Fundamentals of Assessment and Care Planning for Nurses addresses two of these important standards, helping readers become proficient in assessing patient needs, and planning, providing and evaluating care. This timely publication adopts a practical approach with NMC proficiencies at its core, providing guidance and insight into the application of key skills and demonstrating competency in real-life settings. Centres around a fictitious nuclear family to provide a practical basis to the various chapters and assessment Offers mnemonics to enable comprehensive history taking and systematic physical assessment Helps readers address socio-cultural considerations they may face in practice Includes links to literature that provides further support and additional information Fundamentals of Assessment and Care Planning for Nurses is an important resource for pre-registration nursing students and Nursing Associates who are required to demonstrate proficiency in the new NMC standards, and other registered practitioners seeking to update their knowledge.

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

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.