The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

Advances in the field of Assisted Reproductive Technology (ART) have been revolutionary. This book focuses on the use of ARTs in the context of families who seek to conceive a matching sibling donor as a source of tissue to treat an existing sick child. Such children have been referred to as 'saviour siblings'. Considering the legal and regulatory frameworks that impact on the accessibility of this technology in Australia and the UK, the work analyses the ethical and moral issues that arise from the use of the technology for this specific purpose. The author claims the only justification for limiting a family's reproductive liberty in this context is where the exercise of reproductive decision-making results in harm to others. It is argued that the harm principle is the underlying feature of legislative action in Western democratic society, and as such, this principle provides the grounds upon which a strong and persuasive argument is made for a less-restrictive regulatory approach in the context of 'saviour siblings'. The book will be of great relevance and interest to academics, researchers, practitioners and policy makers in the fields of law, ethics, philosophy, science and medicine.

Patient organizations and social health movements offer one of the most important and illuminating examples of civil society engagement and participation in scientific research and research politics. Influencing the research agenda, and initiating, funding and accelerating the development of diagnostic tools, effective therapies and appropriate health-care for their area of interest, they may champion alternative, sometimes controversial, programs or critique dominant medical paradigms. Some movements and organizations advocate for medical recognition of contested illnesses, as with fibromyalgia orADHD, while some attempt to "de-medicalize" others, such as obesity or autism. Bringing together an international selection of leading scholars and representatives from patients' organizations, this comprehensive collection explores the interaction between civil society groups and biomedical science, technology development, and research politics. It takes stock of the key findings of the research conducted in the field over the past two decades and addresses emerging problems and future challenges concerning the interrelations between health movements and patient organisations on the one hand, and biomedical research and research policies on the other hand. Combining empirical case studies with conceptual discussion, the book discusses how public participation can contribute to, as well as restrict, the democratization of scientific knowledge production. This volume is an important reference for academics and researchers with an interest in the sociology of health and illness, science and technology studies, the sociology of knowledge, medical ethics or healthcare management and research, as well as medical researchers and those involved with health-related civil society organizations.

The importance of evidence-based nursing and the need to be research-minded means that all nurses must be aware of research and use it to inform their practice. But how can you find out what research is available? How do you find your way around reports? And how can you decide what research is relevant to your practice? This book will help. Thousands of nurses found the first 2 editions' down-to-earth style and step-by-step guidance invaluable. The new edition will retain and enhance this straightforward approach, but reflect changes in locating and reading research, including the impact of new technologies such as CDROM, Medline and the Internet. Step-by-step guidance Easy to read Relevant to present curricula Updated material on putting evidence into practice Updated references Expanded information on Internet Addition of Clinical Governance

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the 'bespoke' targeting of integrated medical, psychological and social treatments during the 'critical period'. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the 'bespoke' targeting of integrated medical, psychological and social treatments during the 'critical period'. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.

First published in 1998, this volume considers the Nuremberg Code in light of new ethical grey areas which have become evident due to recent scientific advancements, particularly the questions of DNA and cloning. The contributors reflect in 26 articles on the impact of the Code, events which prompted it including Japan, and more recent ethical issues raised. The book contains the results of two European/American preparatory workshops for the First World Conference on Ethics Codes in Medicine and Biotechnology (October 1997 Freiburg, Germany) supported by the leading national institutions in the field. It aims to stimulate research about codes, the effects of codification and other forms of implementing ethics. It breaks new ground with interdisciplinary and international discourse on the subject, emphasising the need for a complete collection of codes for systematic research and evaluation and filling the gap in literature on the subject to date.

This book provides an extensive and detailed review of all recent literature on the care and support of head and neck cancer patients from diagnosis, through to treatment and aftercare. Drawing on evidence-based information, the book addresses a range of key issues involved in the care of head and neck cancer patients including: - the management of oral problems; airway problems; fungating wounds; major haemorrhage; nutrition and pain. Aspects of social and emotional support fore the patient are also explored in a complete section on quality of life and psychological care.Written primarily from a nursing perspective, this book recognises that care of the patient with heads and neck cancer is very much a multi-disciplinary activity

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

The NICHE model demonstrates improved clinical outcomes, positive fiscal results, enhanced nursing competencies, community recognition, and greater patient, family, and staff satisfaction. This official guidebook to the NICHE model of care provides nurses with the knowledge and skills for delivering best practice in the care of older adults. Primarily hospital-based, NICHE currently has a network of over 600 national and international healthcare organizations. The NICHE model ensures that every adult age 65 and over receives care that promotes dignity, autonomy and function. Written by world-leading experts in gerontological nursing, this distinguished publication serves as the gold standard manual for nurses and all clinical care providers looking to provide optimal, evidence-based care to their older patients. As the leading nurse-driven program designed to address the complex needs of older adults, the NICHE model emphasizes the role of the nurse as a change agent and leader for effective program development, implementation of best practices, and formulation of healthcare policy. This model engages frontline practicing nurses and staff, providing the requisite knowledge and skills to work autonomously with full responsibility and authority in complex healthcare systems. Key Features: Reflects the best practices of the over 600 NICHE hospitals Features multiple case studies and exemplars Uses an interprofessional approach to care Draws on leading gerontological nursing experts nationally and internationally Highly relevant to a global audience This publication also serves as the policy, planning and implementation companion to Evidence-Based Geriatric Nursing Protocols for Best Practice, edited by Marie Boltz, PhD, RN, GNP-BC, FGSA, FFAN et al

Learn how to develop and implement a successful concept-based curriculum and competency assessment! Written specifically for nursing faculty by thought-leader Jean Giddens, Mastering Concept-Based Teaching and Competency Assessment, 3rd Edition provides the understanding and expertise you need to make the transition from traditional content-focused instruction to a conceptual approach to teaching and learning, and from knowledge assessment to competency assessment. New to this edition is a new chapter on differentiating concept-based and competency-based approaches. A perfect complement to Giddens' student-oriented textbook Concepts for Nursing Practice, this book is ideal for both undergraduate and graduate faculty, and also serves as a helpful study tool for faculty preparing for the Certified Nurse Educator exam. Framework for a concept-based curriculum (CBC) begins with an overview of the conceptual approach and then discusses the steps used in developing a CBC, using concepts as the infrastructure for the curriculum. Strong foundation in how to teach within a CBC examines the nature of concepts, their function in the process of learning, and the importance of being consistent in the selection and implementation of concepts. Balanced teaching strategies engage students with an open environment and learning activities demonstrating the application of information to multiple situations. Success evaluation criteria explain the importance of analyzing evaluation data to measure the achievement of student learning and for evaluating a CBC program. Misconceptions and Clarifications boxes reflect the latest research in conceptual learning to help clarify important concepts. NEW! Differentiating Concept-Based and Competency-Based Approaches chapter explains the close interrelationship of concepts and competencies. NEW! Updated content reflects the latest evidence and literature on the conceptual approach and the application of competencies within the conceptual approach. NEW! Improved graphic design and layout makes the content more visually appealing and promotes understanding.

Concise, contemporary, and accessible to students with little-to-no prior knowledge of nursing theory, Theoretical Basis for Nursing, 6th Edition, clarifies the application of theory and helps students become more confident, well-rounded nurses. With balanced coverage of grand, middle range, and shared theories, this acclaimed, AJN Award-winning text is extensively researched and easy to read, providing an engaging, approachable guide to developing, analyzing, and evaluating theory in students' nursing careers. Updated content reflects the latest perspectives on clinical judgment, evidence-based practice, and situation-specific theories, accompanied by engaging resources that give students the confidence to apply concepts to their own practice.

In consultation with Consulting Editor, Dr. Stephen Krau, Dr. Farrar and Dr. Ellison have created an issue that focuses on evidence-based clinical updates and innovations in various nephrology disorders. Top experts on the topic have contributed reviews on the follwoing topics: Kidney Influence on Fluids and Electrolytes; Renal Diet; Pharmacologic Renal Therapy; Acute Renal Therapy; Chronic Renal Therapy; Innovations in Kidney; Autoimmune Disease; Infection-Related Glomerular Disease; Sclerotic Diseases; Obstructive Renal Diseases; Chronic Renal Complications; Psychosocial Issues and Life Style Changes for the Renal Patient; and Withdrawal of Treatment (end of life decisions). Authors will come away with the clinical knowledge they need to improve outcomes in the nephrotic patient.

The integrative role of religion has been a recurrent theme of sociological and anthropological theory. This role is apparent in the Greek-American community; religion functions as a cement of the social fabric. Indeed, it would be hard to overestimate the role of Greek Orthodoxy in joining people of Greek ancestry into a community and reinforcing their sense of ethnic identity. The nature of ethnic identity and the church's role in fostering and sustaining it are subjects of this study, first published in 1990. In ultimately focusing on the interplay between church, community and individual, the book suggests that understanding the relation of these people to their church is to understand them as a people.

This book, first published in 1989, attempts to identify from within religious cultures those elements of tradition, behaviour and lifestyle that are health protective in that, by adhering to them, physical, mental and social wellbeing will be maintained as people grow old. It examines how different faith traditions view aging and its impact on health.

The book addresses four modalities of treatment: chemotherapy, surgery, radiotherapy, and bone marrow transplant. Each of the four sections looks at specific areas including symptom management, complications, and late effects.

With collaboration of Dr. Steve Krau, Consulting Editor, Drs. Leming-Lee and Watters have created an issue that provides state-of-the-art content on quality improvement. Top authors have contributed clinical reviews on the following topics: Quality improvement: Application of evidence-based practice; The application of the Virginia Mason production system to improve large scale quality outcomes in an acute care hospital; The application of the Toyota production system Lean 5S methodology in the operating room setting; Chart it to stop it: A quality improvement project to increase the reporting of workplace aggression; Reducing pressure injuries in the pediatric intensive care unit; Improving stress-induced hyperglycemic management in the ICU setting; Evaluation of telemetry utilization on medical-surgical floors; Implementation of a nurse-driven CAUTI prevention protocol; A quality improvement project to test the effectiveness of a patient-centered pathway and discharge tool on heart failure patient engagement; Diabetes self-management education provision by an interprofessional collaborative team: A quality improvement project; Increasing effective patient-triage nurse communication using a targeted history question; and Barriers to the implementation of pediatric overweight and obesity guidelines in a school-based health center. Nurses will come away with the current information they need to improve patient outcomes.

One of the most challenging aspects of the current healthcare system, especially for nurses, is cultural diversity across a variety of societies.Nurses, caregivers, and other practitioners must be equipped and aware of their patients' cultural background in order to respond appropriately and sensitively while providing the proper care. Clearly the techniques and beliefs within cultures is highly diverse, requiring those providing care to possess knowledge that allows them to combine global and cultural practices into their day-to-day occupation. This consist of not only learning cultural differences and similarities, but examining nursing throughout other parts of the world, and the health problems being faced in different geographical settings. This volume is intended to provide nurses, physicians, specialists, and providers with the information needed to provide capable care and treatment to individuals of diverse cultures. Each chapter author was selected for their interest and knowledge of transcultural and social research. The content of this volume provides a look at classic contributions to the field, up-to-date research, and evaluates the impact of diverse cultures on issues that may affect nursing and health care, such as: Key Topics: Leininger's Culture Care Diversity and Universality The Current State of Transcultural Nursing Transcultural Mental Health Nursing Culture and Consent in Clinical Care Obesity Among African Immigrant Populations Cultural Factors Influencing Suicidal Thoughts and Behaviors

With collaboration of Dr. Stephen Krau, Consulting Editor, Dr. Benjamin Smallheer has created an issue of Nursing Clinics that provides a unique look at syndromes that cause organ failure or dysfunction. Expert authors contributed clinical reviews with up-to-date content in the following areas: Hyperglycemic Syndromes; Immunocompromised/Autoimmune Syndromes; Multiple Organ Dysfunction Syndrome; Fat Embolism Syndrome; Generalized Pain Syndromes; Malabsorptive syndromes; Munchausen/Munchausen by Proxy Syndrome ; Pickwickian Syndrome; Adrenal Syndromes; Male & Female Hypogonadism; Polycystic Ovarian Syndrome; Chest pain Syndromes (non-cardiac); Restless Leg syndrome; Degenerative/Debilitative Neurologic Syndromes; and Paroxysmal Sympathetic Hyperactivity Syndrome. Readers will come away with the clinical knowledge they need to improve patient outcomes.

Find essential nursing information at a glance! Mosby's PDQ for RN: Practical, Detailed, Quick, 4th Edition is an easy-to-use, pocket-sized guide to important facts, formulas, and procedures used in the clinical setting. It offers quick access to details you need but don't usually memorize, such as signs and symptoms, medications, conversions, abbreviations, and normal/abnormal ranges for lab tests. Durable pages and spiral binding can withstand the wear and tear of daily use on the job. When in doubt, check this handy reference! 10 tabbed, color-coded sections provide quick access to essential facts, formulas, lab values, procedures, and more. Compact size features durable, water-resistant pages and spiral binding, making the book easy to carry and use in any clinical setting. A focus on special populations includes separate sections on pediatric, maternity, and geriatric patients. Emergency Care section provides guidelines for treating stroke patients, assessing trauma patients, and responding to cardiopulmonary arrest. HIPAA- and OSHA- compliant information reflects the latest practice standards and guidelines. Colorful charts and tables make lookup easy, and data is thorough enough for even experienced practicing nurses. NEW! Expanded coverage addresses oxygen delivery, hypoglycemic drugs, cardiac rhythms (STEMI), seizure treatment, breath sounds, and more. NEW assessment tools are included for pain, nutrition, and alcohol abuse. UPDATED content reflects the latest clinical developments, screening guidelines, and drug information.

This new edition of From Birth to Sixteen outlines children's physical, social, emotional and cognitive development from infancy through to adolescence. In both its practical application of research and its contribution to the assessment of child development, this text provides essential reading for students and practitioners in nursing, health visiting, play work, youth work, early years education, teaching, social work and occupational therapy. This innovative and broad-ranging text is accessible and engaging, with case studies, tables, and references to relevant studies making links to professional practice throughout. Taking into account the diversity of ways in which children develop - including considerations of gender, ethnicity, social background, disability and resilience - it presents developmental models for the years from birth to sixteen under each of the following themes: children's rights and responsibilities relationships in the family relationships in day care, at school and with the peer group language and communication children and the media health and physical development mental health. This fully updated new edition offers additional content on topics such as attachment theory, the neuroscience of the brain, sleep patterns, multi-lingualism in childhood, disability, making the transition to young adulthood, and impact of war and other forms of adversity on emotional health and well-being. A companion website offers additional teaching and learning resources for students and lecturers. From the foundations of the subject through to its application in practice, From Birth to Sixteen provides an indispensable companion for those studying child development or working with children.

This practical and common-sense approach is an excellent companion to the care you provide to your patient. - Grace H. Bryan, President, Association of Neurosurgical Physician Assistants [From the Foreword] This pocket-sized guide distills complicated neurologic conditions to deliver the essentials of best care for the neurocritical patient. Often missing from acute care courses, neurocritical care is a growing field, with more patients than ever admitted to the ICU for neurocritical conditions. This specialty requires specificity and precision, but as this practical resource demonstrates, the intricacies of neurocritical care should not be an immeasurable obstacle for any APP. Written in the easy-access style for APPs, Fast Facts About Neurocritical Care covers the defining characteristics, clinical presentation, diagnostics, treatment, and nursing considerations of common neurological disorders seen in acute care settings. Chapters review the assessment and diagnosis of common and not-so-common neurologic conditions that can often be difficult to recognize and manage. Replete with illustrations and clinical pearls, this reference is an invaluable resource for orientation into this often-challenging specialty. Key Features: Useful pocket resource for neurological conditions presenting in ICU and that are difficult to master Addresses a growing area of healthcare - neurocritical care is a rapidly expanding specialty requiring well-versed nurses and nurse practitioners Reviews the basic neurological exam, as well as exam of the comatose patient Explains pertinent diagnostics including CSF interpretation and different imaging modalities Discusses commonly-used treatments and medications Presents an orientation resource to this challenging specialty

This rich resource provides a thorough overview of current knowledge and new directions in the study of the biological, psychological, social, and cultural factors that affect health, health behavior, and illness. Chapters review the latest theories and research with an emphasis on how research is translated into behavioral medicine interventions. Featuring contributions from top researchers and rising stars in the field, authors provide a theoretical foundation; evaluate the empirical evidence; and make suggestions for future research, clinical practice, and policy. The handbook reflects the latest approaches to health psychology today, including: Emphasis throughout on the socio-cultural aspects of health, including socioeconomic status, gender, race/ethnicity, sexual orientation, and age/developmental stage A new section on emerging areas in health psychology, including behavioral genomics, military veterans' health, and digital health Coverage of prevention, interventions, and treatment in the applications section An expansion of the biopsychosocial model across several levels of analysis, including cultural, macro-social, and cellular factors Sustained emphasis on translating research into practice and policy The handbook considers the intersections of concepts (behavior change), populations (women's and sexual minority health), cultural groups (African American, Asian American, and Latino), risk and protective factors (obesity, coping), and diseases (cancer, diabetes, HIV), making it essential reading for scholars of health psychology, public health, epidemiology, and nursing. Novices to the field appreciate the accessibly written chapters, while seasoned professionals appreciate the book's deep, cutting-edge coverage.

Despite a long history in quantitative research, it is only recently that enthusiasm for secondary analysis of qualitative data has gained momentum across health and social science disciplines. Given that researchers have long known the inordinate amount of time and energy invested in conducting qualitative research, the appeal of secondary analysis of qualitative data is clear. Involving the use of an existing dataset to answer research questions that are different from those asked in the original study, this method allows researchers to once again make use of their hard-earned qualitative dataset and to listen to their participants' voices to the best of their ability in order to improve care and promote understanding. As secondary qualitative data analysis continues to evolve, more methodological guidance is needed. This book outlines three approaches to secondary data analysis and addresses the key issues that researchers need to wrestle with, such as ethical considerations, voice, and representation. Intellectual and interpretive hazards that can jeopardize the outcome of these analyses are highlighted and discussed, as are the criteria for assessing their quality and trustworthiness. Written as a thought-provoking guide for qualitative researchers from across the health and social sciences, this text includes a review of the state of the science in nursing and a number of in-depth illustrative case studies.