Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images - the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.

This multidisciplinary text is an essential introduction to leadership in health care, combining the underpinning theory with a practical approach to help you come to decisions and solutions in everyday practice. * Written in an accessible and easy to understand style by an international team of practitioners who will engage, inspire and empower you to really make a difference in practice * Evidence based and with a focus on patient care and service delivery to ensure best practice * Includes case studies from a range of disciplines as well as questions and reflective activities to help you apply theory to practice * Provides practical tools from a number of disciplines including NLP, positive psychology, coaching and transactional analysis * Free HodderPlus website provides PowerPoints, case studies, questions, reflection activities and annotated web links This practical guide is an invaluable tool for all students and professionals in nursing and allied health, including radiographers, physical therapists, occupational therapists, dieticians and paramedics.

The Clinical Care Classification (CCC) System, a national nursing standard, is a respected resource for documenting patient and nursing care plans for the electronic health record (EHR). It provides a set of standardized, coded patient care terminologies for EHR input in nursing diagnoses and outcomes, as well as in nursing interventions in both acute and ambulatory settings. This new edition of the "Users Guide," written by one of the founders of the CCC System, has been modified into an abridged, easy-to-use version to help nurses learn quickly about the CCC System Version 2.5 and expedite their development of CCC-based plans of care. It clearly explains how to use the CCC System, including a description of the CCC model and examples of patient/nursing plans or care templates with their EHR screens and brief explanations. Key Features:

Clearly explains how to implement the CCC Version 2.5 terminologies and protocol Updates, revises, and reformats the first edition of the "Users Guide" for ease-of-use In use, or soon to be in use, by 100 hospitals including the Veterans Affairs system

Delays in recognising deterioration or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and in some instances unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today's student nurses need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, as you learn to become practitioners of the future. Using a body systems approach and emphasising the central role and function of the nurse throughout, this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include: recognition and identification of physiological deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies.

In an era of changing demographics and values, this volume provides a cross-national and interdisciplinary perspective on the question of who cares for and about the elderly. The contributors reflect on research studies, experimental programmes and personal experience in Japan and the United States to explicitly compare how policies, practices and interpretations of elder care are evolving at the turn of the century.

The leading figure in qualitative health research (QHR), Janice M. Morse, asserts that QHR is its own separate discipline--distinct from both traditional health research and other kinds of qualitative research--and examines the implications of this position for theory, research, and practice. She contends that the health care environments transform many of the traditional norms of qualitative research and shape a new and different kind of research tradition. Similarly, the humanizing ethos of qualitative health research has much to teach traditional researchers and practitioners in health disciplines. She explores how the discipline of QHR can play out in practice, both in the clinic and in the classroom, in North America and around the world. A challenging, thought-provoking call to rethink how to conduct qualitative research in health settings.

The growing number of elder men providing hands-on care to loved ones, particularly spouses, undeniably represents a hidden segment of the home care population. With that in consideration, caregiving in communities of color, in particular, is increasing while numbers of informal (unpaid) caregivers are projected to triple by 2030. Despite statistics, studies on African-American men who care for other elders (such as spouses and parents) - indeed, "the hidden among the hidden" - are negligible. This text follows a study conducted by Helen Black, a research scientist focusing on aging, alongside John Groce and Charles Harmon, founders of Mature Africans Learning from Each Other (M.A.L.E.), in which they interviewed elderly African-American men in caregiver roles. As a whole, The Hidden Among the Hidden is unique in its study of caregiving in the areas of subject matter, methodology, and presentation of findings. The men whose attitudes and behaviors toward caregiving are recorded in this book share a wealth of knowledge for other caregivers, gerontologists, healthcare professionals, students, and the community in general.

This landmark annual review has provided three decades of knowledge, insight, and research on topics critical to the continued advancement of the nursing profession. This latest edition is a compilation of the most significant nursing research in genetics and genomics. Articles have been carefully selected by the editors, highly respected scholars and researchers in the field of genetics, to bring together current research that has particular relevance for translation into a clinical setting or expansion into other research areas. The review provides authoritative information of the highest caliber not only to researchers, but also to clinicians and undergraduate and graduate nursing students. Key Topics:

The current status of genomic molecular science Ethical, legal, and social issues in genomics Genetics of diseases and symptoms Genomics across the lifespan

Named a 2013 Doody's Core Title 2012 Third Place AJN Book of the Year Award Winner in Psychiatric-Mental Health Nursing

"This is a great resource for any nurse working with women."--Score: 94, 4 Stars. Doody's Medical Reviews

This is a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. It focuses on the unique biopsychosocial factors that make women especially vulnerable to psychological disorders and emphasizes key stressors specific to women that are precursors to mental illness. Frequent headings and bulleted, concise presentation of information facilitates reading.

In addition to discussing mental health issues specific to women, the guide covers unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence. Chapters also address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. Developmental milestones, the impact of culture on mental illness, and global health issues are covered as well. Tables and charts present key facts in an easy-to-read format. Key Features:

Provides a concise, easy-to-use guide to women's mental health issues across the life span for new and seasoned nurse practitioners Focuses on stressors unique to women as precursors of mental illness Delivers commonly occurring DSM-IV disorders in women, using a consistent format that includes etiology, assessment, and drug and behavioral therapeutic approaches Discusses preconception and childbearing issues, the impact of violence, female veterans, disabled women, lesbian women, and transgendered women

Principles and Methods of Transformative Action Research delves into both general principles and specific methods for basic steps in the action research process-asking questions, gathering and analyzing data, communicating findings, and pursuing action. The role of collaboration is emphasized, with strategies of value to experts and engaged citizens in doing participatory research and community-based knowledge-building. Detailed attention is given to specific strategies of interviewing, participant observation, and judging and weighing evidence. The book draws on creative and critically minded elements of scientific traditions, such as transparency in telling the "story" of one's inquiry, identifying data that are "exceptions to the rule," and the value of non-formulaic, improvisational designs. Quite distinctively, the book addresses how to write in one's own voice, how to integrate action-and-inquiry into one's everyday life, issues of ethics and social responsibility, and how to consider both immediate, practical needs and "bigger picture," systemic challenges. This book can serve as an undergraduate or graduate social sciences text on research methods. It is also a guidebook for action-oriented research by academics, professionals, and lay people, alike in community agencies, schools, and grassroots organizations, and for socially relevant academic research concerned with social justice, multiculturalism, and inclusiveness.

Cases and Stories of Transformative Action Research builds on its companion book, Principles and Methods of Transformative Action Research, by describing and analyzing dozens of examples of successful action research efforts pursued in the past five decades by students and faculty of the Western Institute for Social Research. Some projects are large-scale, and some are modest interventions in the everyday lives of those participating. Some are formal organizational efforts; others are the results of individual or small group initiatives. Included are chapters on community needs assessments and innovative grassroots approaches to program evaluation; the challenges of improving our decision-making during the crisis of the COVID-19 pandemic; strategies of intellectual activism in addressing the growing problem of workplace bullying; action research to preserve and share the history of the Omaha tribe; and plans for an innovative school-based project based on collaborative action-and-inquiry between students and Artificial Intelligence. In addition, there are a number of detailed stories about the use of transformative action research in such areas as somatic and trauma counseling, ethnic studies, health disparities, gender differences, grassroots popular education, and the improvement of statewide steps for preventing child abuse, among many others. This book can serve as an undergraduate or graduate social sciences text on research methods. It is also a guidebook for action-oriented research by academics, professionals, and lay people alike.

In the current atmosphere of closer scrutiny of healthcare practices and procedures, front-line managers and health care providers must investigate potential problems in their work environment, whether at the behest of upper management, in order to meet Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards, or through their own sense that "weÆre doing something wrong." For the investigator with limited previous experience in evaluation or research, the prospect of undertaking this kind of investigation can appear daunting, to say the least. Quality Improvement Projects in Health Care was written just for this individual. Author Eleanor Gilpatrick, a seasoned investigator and professor of health services administration, provides a review of the basic terminology and guidelines for carrying out "nuts-and-bolts" quality improvement research. She then demonstrates how such a research project can be implemented through 14 case studies involving actual health care situations. Altogether, the cases speak to a broad array of issues and potential pitfalls for the unwary investigatorùand they show that progress can be made in even the most difficult circumstances. Quality Improvement Projects in Health Care will be of interest to students and professionals in health sciences administration, nursing, allied health, and public health.

More and more people are considering a career in nursing or healthcare, but the thought of undertaking an academic degree at university can be intimidating. Whether you are moving straight from school or college or have been away from education for some time, Getting Ready for your Nursing Degree is essential preparation for anyone considering becoming or about to become a nursing student. It looks at all aspects of university work in a straightforward way and provides advice, examples and activities designed to help you get the most out of classes, research and assessments, from your first lecture right through to sitting exams and learning on placement. Designed with nursing students in mind, this small but perfectly formed guide is tailored to help you develop the skills you will need not only for your course but for your career and lifelong learning as a registered healthcare practitioner.

This is the only book to offer an evidence-based model for retaining students and ensuring success across the nursing education spectrum. It is designed to assist faculty in creating, implementing, and evaluating student retention and academic success strategies. This model, Nursing Undergraduate Retention and Success (NURS), can be used effectively with all kinds of nursing programs, both traditional and nontraditional, including diploma, ADN, RN-BS, and accelerated BS.

The book features the "Nursing Student Retention Toolkit," an easy-to-use digital toolkit for assessment and planning that is thoroughly cross-referenced and integrated into the text. Together, these complementary resources offer a wide selection of educational activities and support strategies for diverse learners and settings. The text provides guidelines for maximizing educational strengths, identifying and assessing at-risk students, facilitating student retention, and revitalizing teaching methods. It examines the multidimensional factors that must be considered, including cultural values and beliefs, and describes proven strategies for promoting retention and academic success such as faculty advisement, promoting professional events and membership, peer partnerships, and enrichment programs. "Nursing Student Retention," with its breadth of information and one-of-a-kind digital toolkit, will be of great value to nurse educators, administrators, and graduate students. This new edition features:

An easy-to-use format that includes the "Nursing Student Retention Toolkit, "a digital adjunct containing assessment tools, and templates for designing, implementing, and evaluating retention strategies Chapters updated to provide a wealth of new information and evidence-based strategies Real-life scenarios featuring diverse learners and settings Vignettes to synthesize and demonstrate application of learning

Reinforce your understanding of maternity and pediatric nursing with practical exercises! Corresponding to the chapters in McKinney's Maternal-Child Nursing, 6th Edition, this study guide provides engaging activities and review questions to help you master nursing concepts and practice essential skills. Case studies help you learn to think critically, and clinical judgment exercises help you apply your knowledge to real-life situations. Not only will you get more out of the textbook, but you will also prepare more effectively for the NCLEX (R) exam! Learning exercises include multiple-choice, matching, true/false, short answer, and fill-in-the-blank questions, plus case studies and learning applications, helping students apply knowledge to solve problems, make decisions about care management, and provide responses to a patient's questions and concerns. Clinical Judgment exercises help students apply nursing theory to real-life situations, further testing critical thinking and decision-making skills. Suggested learning activities for community and clinical settings enhance understanding of the content. Answers to all activities are provided at the back of the study guide. NEW! Next Generation NCLEX (R) (NGN) examination-style case studies familiarize students to the way that content will be tested in the new NGN exam. NEW! Revised review questions reflect the updated content in Maternal-Child Nursing, 6th Edition and allow students to quickly check their knowledge and understanding of the material in each chapter of the text.

This book takes a fresh look at community nursing history in Great Britain, examining the essentially generalist and low profile, domiciliary end of the professional nursing spectrum throughout the twentieth century. It charts the most significant changes affecting the nurse's work on the district including compulsory registration for general nursing, changes in organization, training, conditions of service, and workload. A strong oral history component provides a unique insight into the professional images of district nursing and the complexities of inter- and intra-professional relationships as well as into the changing day-to-day working experiences of the district nurse at 'grass-roots' level. Use of oral history and records of individual nurses attempts to rectify the tendency of nursing history to view nurses as if they were a homogenous group of professionals, thereby recognizing the different experiences of nurses in different regions and environments. The book also considers the degree of influence of medically related technologies and of developments in drugs, materials, communications, and transport on the professional development of district nursing. The work addresses issues of gender relationships central to a nursing profession largely composed of women (throughout much of the period) working alongside a largely male-dominated medical profession.

Key Features: 1. Offers new perspectives beyond the topic area of infection prevention and control, to push the frontiers of knowledge and to challenge the status quo. 2. Interprofessional in nature and relevant to all those involved in the provision of medicine, health, and social care irrespective of their roles. 3. Truly international in nature in that the chapters have been developed by a range of individuals from across the globe.

Helping People Overcome Suicidal Thoughts, Urges and Behaviour draws together practical and effective approaches to help individuals at risk of suicide. The book provides a framework and outlines skills for anyone working with adults who present with suicidal thoughts or intent. Part 1 introduces a basic understanding of our knowledge about suicide and UK policy; Part 2 outlines the research into the treatment of suicidality and the general principles for working in the safest possible way. Part 3 outlines ten key psychological skills in the context of evidence-based best practice. The book also discusses the role of health and social care professionals in the prevention of suicide in the context of Covid-19. The book will be a valuable addition to the resources of professionals including psychotherapists, nurses, social workers, occupational therapists, prison and probation officers, drug and alcohol workers, general practitioners and support staff in any health or social care context.

Nurses work across the health care system in a great variety of roles. From patient care to administration, nurses see where the pressures are, and how well we are managing to look after some of the most vulnerable people in our society. Clinical Challenges explores contemporary issues central to nurses' work. Part I explores clinical concerns such as pain and wound management, the role of the nurse practitioner, and the effects of extending life. For many years the health sector has been coping with cutbacks in government funding, and Part II examines how this impacts on the way we handle social illnesses such as suicide and drug dependence, as well as the needs of our growing ageing population. Part III looks at management issues affecting nurses including the growing use of business strategies and rhetoric in the health care system, and the introduction of information systems and of more flexible ways of working. Written by nurses working in a variety of professional roles in the system and critiqued by experts in the field, Clinical Challenges offers valuable insights for nurses at every level, including students.

Community practice is a stimulating and diverse field of nursing. Community nurses often work without direct support from other health professionals and need, not only excellent clinical skills, but also skills in communication, research and health promotion. Community Nursing Practice offers a thorough introduction to the role of the community nurse. Based on principles of primary health care, it outlines the theory, knowledge and skills required to make a difference to the health and wellbeing of individuals, families, groups, and even whole communities. The contributors make a point of articulating knowledge that is often taken for granted among experienced practitioners. Community Nursing Practice is based on the premise that community nursing is a specialist field of nursing practice in its own right, and nurses require a specific body of knowledge to work effectively in a community setting - no matter what their clinical focus or location. Contributors outline the foundations of community practice, including principles of disease prevention and wellness promotion, as well as a social model of health. Together with the skills required for work with different population groups, the contribution of research is explored. Professional skills including program management, advocacy, teamwork, home visiting and self management are also covered. With contributions from leading nurse educators and researchers, Community Nursing Practice is richly illustrated with case studies and examples from a variety of practice settings. It is an essential student text and valuable professional reference.

Introducing Mental Health Nursing offers a systematic overview of both the science and the art of caring for people experiencing mental health problems. It addresses the attitudes, knowledge and skills required to provide care for service users across all health-care settings, from specialist mental health services to general hospitals and community care. The authors place the service user at the centre of all aspects of mental health care and emphasise the importance of the therapeutic relationship as the cornerstone of good mental health nursing practice. Emphasis is placed on the role of the nurse as an intrinsic member of the mental health team, and nurses are encouraged to think critically about the perspectives that they bring to their practice. The second edition has been fully revised and updated, with increased focus on Indigenous social and emotional well-being, as well as two new chapters on Recovery and Cultural Safety. A must-have book for undergraduate nursing students, new graduates and professionals changing specialties or simply wishing to refresh their mental health nursing knowledge. 'This is a brave and dignified text - beautifully written and conceived and given the current texts available - a must for any serious undergraduate nursing program in an Australian university.' - David Buchanan, De Montfort University, Leicester, United Kingdom 'I recommend this text to all students of nursing, whether you intend to pursue a career in this speciality or if you simply desire to provide the best care possible in any field of practice.' - Associate Professor Stephen Elsom RN PhD, Director, Centre for Psychiatric Nursing, The University of Melbourne

Worried about getting the dose wrong? Don't know your fractions from your decimals? You're not alone! Many people are not comfortable with their mathematical abilities but for most it's not a life or death situation. For nurses, however, a 'bad maths day' can have catastrophic consequences if drug dosages are calculated incorrectly. Practical Nursing Calculations provides easy to understand explanations of key calculations. The many exercises offer opportunities to practise basic problem-solving to help build your confidence. The use of real-life situations demonstrates how maths is actually applied when working with patients. Realistic scenarios introduce common presenting illnesses and the medications used to treat them, and enables you to calculate their correct dosages. This book has been developed to assist you to gain competency in basic mathematical skills and problem-solving techniques which require applied or conceptual mathematics. Practical Nursing Calculations has emerged from actual classroom curriculum and ten years of teaching in a major nursing school. Easy to use, Practical Nursing Calculations provides you with a thorough grounding in the fundamentals of mathematics and a sense of how to apply your knowledge in your professional lives. A sound teaching and learning resource, this book is appropriate for self-directed learning or as a classroom guide. This text is accompanied by a password-accessed website with extra exercises and quizzes. www.allenandunwin/nursing

Written by clinical lecturers, Professional Transitions in Nursing provides a practical and accessible guide to the core knowledge and skills required by nurse graduates entering the Australian workforce for the first time. Part I focuses on the structure of the Australian healthcare system and the national competency standards. The authors examine key issues including ethics, law and codes of conduct as well as the leadership, team-building and communication skills necessary in a constantly changing and high-pressure environment. Part II outlines the clinical skills and practices a nurse graduate must master including clinical assessment, risk management and reporting, management plans, diagnostics reasoning, collaboration with other health professionals and working with patients from diverse backgrounds. A special feature is an analysis of issues in Aboriginal and Torres Strait Islander nursing practice. The authors also outline health information systems and technologies and how to utilise these most effectively. Part III looks at career planning and lifelong learning with advice on applying for a nursing position and continual professional development. This is an essential reference for both nursing graduates and overseas qualified nurses seeking to pursue a career in Australia. 'This text will be of tremendous use to new graduate nurses, nurses relocating from overseas and those of us who support these nurses during their transitions. The language is easily accessible and important content about everyday nursing practice is discussed in a practical and logical way. A particular strength is the use of research to support key points of discussion.' Professor Andrea Marshall, Professor of Acute and Complex Care Nursing, Griffith University 'This book is a must-have for undergraduates, newly graduated and overseas qualified registered nurses entering the Australian healthcare workforce for the first time. Written by experienced nurses, the book provides essential up-to-date information that is presented in an easily accessible way. I highly recommend this book.' Associate Professor Jacqueline Bloomfield, Sydney Nursing School, University of Sydney 'For educators supporting student, new graduate and international graduate nurses, this text will be an important resource and is superbly structured to guide curriculum development and delivery.' Dr Danny Hills, Senior Lecturer, School of Nursing and Midwifery, Monash University

This book provides an exam-focused revision guide to both anaesthetic and surgical instruments. This is a comprehensive guide to passing an exam station and includes commonly tested knowledge. The Anaesthetic section includes airway, breathing, circulation and analgesia equipment. Surgical instruments include those used in cardiothoracic surgery, ENT, general surgery, orthopaedics and urology. Each instrument entry follows a standard format - description, indications for use, contraindications and complications. The standard format ensures that learning about each instrument and when to use it is faster and easier, thus optimising exam recall. Fully illustrated with all the core anaesthetic and surgical instruments Concise, easy-to-remember text Portable and practical Suitable for a wide range of health professionals The instrument syllabus is a small yet significant part of many exams, and this concise study guide will benefit a wide range of medical and surgical trainees, including those sitting the FRCA and MRCS examinations. Healthcare professionals, including nurses (ward or theatre), operating department practitioners and physician assistants (PAs), will also find the content useful as an on-the-job aide. About the Author: Dr Kelvin Yan, MRCP, AICSM is an NIHR Academic Clinical Fellow, University of Oxford and an Honorary Clinical Research Fellow, Imperial College London.

Nursing Before Nightingale is a study of the transformation of nursing in England from the beginning of the nineteenth century until the emergence of the Nightingale nurse as the standard model in the 1890s. From the nineteenth century on historians have considered Florence Nightingale, with her training school established at St. Thomas's Hospital in 1860, the founder of modern nursing. This book investigates two major earlier reforms in nursing: a doctor-driven reform which came to be called the 'ward system,' and the reforms of the Anglican Sisters, known as the 'central system' of nursing. Rather than being the beginning of nursing reform, Nightingale nursing was the culmination of these two earlier reforms.