" The book] lists all the federal requirements that are evaluated by state surveyors during the annual survey visit to nursing homes and for complaint visits. The exhibit section contains forms used by surveyors to gather data during the survey visit. Visually, the format makes the regulations easy to read. If nursing home staff used the book to prepare for a survey, they would be well prepared."

-Marcia Flesner, PhD, RN, MHCA University of Missouri-Columbia From Doody's Review

Nursing homes are now the most highly regulated environments in the United States, in the service of maximizing the quality of each resident's life. This user-friendly guide has been updated to provide all of the requisite information needed by nursing home staff to prepare for a visit from federal surveyers. It provides the most current federal guidelines and the procedures used by federal surveyors in certifying facilities for participation in Medicare and Medicaid funding. It describes every aspect and service of a nursing home that is subject to inspection and includes the nearly 20% of new requirements established during the past three years, with an emphasis on the new Minimum Data Set 3.0.

The guide not only presents federal requirements and explanatory guidelines but also explains how to best interpret these guidelines so nursing home staff can be optimally prepared for a survey visit. It reflects changes in regulations regarding end-of-life care, nasogastric tube regulations, and rights to establish advance directives. The guide also provides information straight from CMS's Internet-Only Manual.

New Features of Eighth Edition: Describes how to best use the updated manual Focuses on Minimum Data Set 3.0 Explains clearly how to interpret the new requirements, 20% of which have been updated Presents new quality measures Includes new CMS forms Reflects changes in regulations regarding end-of-life care, nasogastric tube regulations, and rights to establish advance directives

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."

Many practitioners within health and social care come into contact with people with intellectual disabilities and want to work in ways that are beneficial to them by making reasonable adjustments in order to meet clients' needs and expectations. Yet the health and wellbeing of people with learning disabilities continues to be a neglected area, where unnecessary suffering and premature deaths continue to prevail. This text provides a comprehensive insight into intellectual disability healthcare. It is aimed at those who are training in the field of intellectual disability nursing and also untrained practitioners who work in both health and social care settings. Divided into five sections, it explores how a wide range of biological, health, psychological and social barriers impact upon people with learning disability, and includes: Six guiding principles used to adjust, plan and develop meaningful and accessible health and social services Assessment, screening and diagnosis of intellectual disability across the life course Addressing lifelong health needs Psychological and psychotherapeutic issues, including sexuality, behavioural and mental health needs, bereavement, and ethical concerns. The changing professional roles and models of meeting the needs of people with intellectual and learning disabilities. Intellectual Disability in Health and Social Care provides a wide-ranging overview of what learning disability professionals' roles are and provides insight into what health and social care practitioners might do to assist someone with intellectual disabilities when specific needs arise.

This straightforward guide to evidence-based practice helps you to develop the knowledge and skills necessary to challenge practice that is not underpinned by research and to increase your understanding of the processes involved in accessing, appraising, and synthesizing good quality research. Providing a basic introduction to both quantitative and qualitative research, Debra Evans explores how to find out "what works best", the impact of something, and what requires more research. Readers will also learn the basic rules used in study design and statistics presented in research articles and systematic reviews. Each simply written chapter includes relevant theory, diagrams and tables, case studies, exercises, boxed summaries, and further reading. Packed with examples from practice across the nursing fields and at different levels, this book is essential for nurses - both student and qualified - who want to increase their confidence when it comes to research appraisal and evidence-based practice processes.

This is the first book to clearly and fully demonstrate the process of using theory to guide nursing research and professional practice. It describes a step-by-step format for evaluating nursing theory's applicability to research, a format that links theory (both middle-range and grand theory) to research on a wide range of clinical populations and care delivery systems. The book describes how theory analysis models are used to examine various nursing phenomena as they relate to nursing research and professional practice, and provides key examples of how this is accomplished.

The book takes the reader through the process of using a theory to guide research from inception of a research question to evaluation of future research. International experts in theory-related nursing research describe twelve theories that have previously been applied to research and practice and six theories that can be applied to future research and practice. Using a consistent analytic framework, each chapter applies a specific theory (from either nursing, psychology, sociology, or management) to a particular clinical population or care delivery issue. These encompass clinical, administrative, and educational nursing settings. The consistent format facilitates ease of comparison across different theories. Generous use of figures and tables further demonstrates the complex relationships between and among concepts embedded in the theories.

Key Features: Demonstrates a systematic format for evaluating middle-range and grand nursing theory's applicability to research Links theory to clinical practice at patient population and care delivery levels Provides a useful template for students of nursing disciplinary knowledge development Presents the scholarship of international researchers of theory-related nursing Includes theories from nursing, psychology, sociology, and management

Unique case-based format facilitates understanding of difficult clinical scenarios Focuses on tips and tricks to help prevent common mistakes Key pictures show a range of colorectal pediatric situations

Now in its tenth edition, The Royal Marsden Manual of Clinical Nursing Procedures has been the definitive, market-leading guide to clinical nursing skills for over three decades. This internationally best-selling title sets the gold standard for nursing care; providing the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence. With over two-hundred detailed procedures, this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and photographs, and includes coverage of infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, discharge, medicines management, and much more. Loved and trusted by millions for over thirty years, The Royal Marsden Manual of Clinical Nursing Procedures continues to be a truly indispensable guide for nursing practice. Written by nurses for nurses Empowers nurses to become informed, skilled practitioners Reflects current procedures and changes in modern adult nursing practice All procedures are supported by up to date evidence, including detailed rationales for each step of each procedure Considers the clinical governance around the procedures and nursing practice NEW to the Tenth Edition: Each chapter is linked to the NMC 2018 'Future Nurse: Standards of Proficiency for Registered Nurses' guidance Includes a brand-new chapter on 'Self Care and Wellbeing, ' helping nurses to care for themselves emotionally and physically The Royal Marsden Manual is also available online, fully searchable, and annotatable. www.rmmonline.co.uk

Anatomy and Physiology for Nursing and Healthcare Students at a Glance The market-leading at a Glance series is popular among healthcare students and newly qualified practitioners for its concise, simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text. Covering a wide range of topics, books in the at a Glance series are ideal as introductory texts for teaching, learning and revision, and are useful throughout university and beyond. Everything you need to know about anatomy and physiology ... at a Glance! An ideal introduction and revision guide for anatomy and physiology As part of the popular At a Glance series, Anatomy & Physiology for Nursing & Healthcare Students provides a wonderful introduction to the topic and is written with the student nurse in mind. This is also a useful reference guide for any healthcare professional looking for a quick refresher on the human body. The book strikes a balance between being succinct without being superficial, with concise writing that provides an overview of anatomy and physiology. Helping nurses develop practical skills and deliver increasingly complex care for patients through the study of how the body functions, readers will also find: A user-friendly approach that includes bite-size pieces of information and full-colour diagrams to help students retain, recall, and apply facts to their practice Clinical practice points that aim to encourage readers to relate to the theoretical concepts in practice New to the second edition: a chapter on anatomical terms and emphasising the importance of the correct anatomical terminology in communication between healthcare professionals Includes access to a companion website with self-assessment questions for each chapter This quick and easy-to-digest introduction to anatomy and physiology is the perfect textbook for nursing students in all fields of practice, allied healthcare students including paramedics and physiotherapists, and newly qualified nurses and nursing associates. It is also an ideal reference book for anyone looking for an overview of the human body. The book is also available in a range of digital formats which allows for easy access on the go. For more information on the complete range of Wiley nursing and health publishing, please visit: www.wiley.com To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email All content reviewed by students for students Wiley nursing books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind. If you would like to be one of our student reviewers, go to www.reviewnursingbooks.com to find out more. This new edition is also available as an e-book. For more details, please see www.wiley.com/buy/9781119757207

Innovations that bring value propositions through new processes, resources, or technologies to practice. How are we changing outcomes through new innovations in practice? The articles in this issue will provide nurses with the information they need to improve patient outcomes. Articles are devoted to skin cancer screening in the medically underserved, innovative practices for risk assessment and documentation in preventative colon screenings, evidenced-based protocol for diagnosis and treatment of catheter associated urinary tract infection within adult neurocritical care patient population, changing the focus to the PATIENT plan of care, and a nursing focus on EMR usability enhancing documentation of patient outcomes.

Learning Disabilities is an accessible introductory textbook that will help to improve the quality of care provided to people with learning disabilities. It is aimed primarily at nursing and healthcare students who are not in the learning disabilities field of practice but are seeking to understand learning disability and become rounded practitioners. Through clear explanations, examples and activities, the book will help you to recognise, support and care for people with learning disabilities whenever you meet them in your practice. You will learn: What learning disability is and how it interacts with physical and mental health What the role of the nurse or carer is and how to care for and provide support to people with learning disabilities About legal issues around learning disability including discrimination, capacity and consent How to support people with a learning disability who are experiencing ageing and suffering bereavement About spirituality and sexuality in relation to people with a learning disability How to support the informal unpaid caregivers who provide daily care to a person with a learning disability, and how to recognise and utilise their experience and knowledge. Written by a highly experienced author, academic and caregiver, this book will help you to improve your understanding of learning disability and to provide the high quality care to which people with learning disabilities are entitled.

This book is about the ethics of nursing and midwifery, and how these were abrogated during the Nazi era. Nurses and midwives actively killed their patients, many of whom were disabled children and infants and patients with mental (and other) illnesses or intellectual disabilities. The book gives the facts as well as theoretical perspectives as a lens through which these crimes can be viewed. It also provides a way to teach this history to nursing and midwifery students, and, for the first time, explains the role of one of the world s most historically prominent midwifery leaders in the Nazi crimes."

This convenient and easy-to-use pocket-sized reference provides gerontology nurses with the foundational knowledge they need to provide all aspects of safe, effective care to older patients. It contains crucial evidence-based information that enables nurses to differentiate between normal and abnormal findings, understand the presentation and management of common diseases of the gerontological population, and integrate age-specific considerations into care planning and implementation with older adults. Pervading the resource is a holistic approach in which all facets of the individual: physical and mental health, emotional and spiritual wellbeing, self-care, family relationships, and unique risks for this population, are considered.

Designed for daily use, the guide is consistently organized in bullet-point Fast Facts style for easy access to information. Also included are such helpful features as "Clinical Snapshots" and "Fast Facts in a Nutshell" to reinforce content and aid in speedy information retrieval. A resources section guides nurses to additional information on each topic.

Key Features: Presents all aspects of current evidence-based practice in gerontology in user-friendly style Uses a holistic approach that considers all facets of the individual Provides key information that demonstrates the impact of aging on assessing, planning, and implementing care Features "Clinical Snapshots" and "Fast Facts in a Nutshell" for speedy information retrieval Includes information on gerontology care that is needed daily

"I would recommend this book to my peers and I would use it in my day-to-day work. It is most helpful to have a comprehensive guide that can be used in a variety of care settings and by many different healthcare providers."--Doody's Medical Reviews

Evidence-based research underscores the importance of breastfeeding for the healthy development of late preterm infants, yet significant challenges can impede its success. This is a groundbreaking, problem-solving guide to the most effective techniques for breastfeeding this vulnerable population. Written for lactation consultants, NICU nurses, obstetrical nurses, and nurse-midwives, the book offers clear, simple, evidence-based solutions to the distinct breastfeeding difficulties affecting late preterm infants.

The guide describes the characteristics of late preterm infants and the physiological challenges-often invisible and overlooked by health care providers-caused by disturbances of respiratory, metabolic, neurologic, and immunologic functions. These problems are often exacerbated by poor breastfeeding and result in 13% of hospital readmissions by late preterm infants. The book examines maternal conditions that affect breastfeeding success and provides detailed, easy-to-follow instructions for the most effective breastfeeding techniques. It describes specific strategies health care professionals can take to overcome breastfeeding difficulties, including proper positioning and latch technique, the use of breast pumps and other helpful equipment, supplemental feedings, and more. Pictures that illustrate correct procedures clarify specific techniques, and user-friendly patient teaching guides further encourage successful breastfeeding. The book also supports the goals of many hospitals seeking to achieve Baby-Friendly Status, as well as the goals of the Multidisciplinary Guidelines for Care of Late Preterm Infants recently issued by the National Perinatal Association. Key Features:

Comprises the only comprehensive guide specific to the breastfeeding issues of late preterm infants Describes developmental challenges faced by late preterm infants Provides detailed, easy-to-follow instructions for breastfeeding and techniques for overcoming difficulties Offers clear, simple, evidence-based solutions that nurses, lactation consultants, and midwives can offer to mothers Supports the goals of hospitals seeking Baby-Friendly Status

Medical confidentiality has long been recognised as a core element of medical ethics, but its boundaries are under constant negotiation. Areas of debate in twenty-first century medicine include the use of patient-identifiable data in research, information sharing across public services, and the implications of advances in genetics. This book provides important historical insight into the modern evolution of medical confidentiality in the UK. It analyses a range of perspectives and considers the broader context as well as the specific details of debates, developments and key precedents. With each chapter focusing on a different issue, the book covers the common law position on medical privilege, the rise of public health and collective welfare measures, legal and public policy perspectives on medical confidentiality and privilege in the first half of the twentieth century, contestations over statutory recognition for medical privilege and Crown privilege. It concludes with an overview of twentieth century developments. Bringing fresh insights to oft-cited cases and demonstrating a better understanding of the boundaries of medical confidentiality, the book discusses the role of important interest groups such as the judiciary, Ministry of Health and professional medical bodies. It will be directly relevant for people working or studying in the field of medical law as well as those with an interest in the interaction of law, medicine and ethics.

In an increasingly legalised healthcare environment, this new handbook provides an essential guide to nursing professionalism in the context of the law. With a professional career undertaking various healthcare-related roles, the author is both a mental health and general nurse who takes the reader through the workings of the legal system and how nurses can apply the law in an ethical and principled way. The handbook helps the reader to consider complex issues such as biomedical ethics, human rights, negligence and the importance of confidentiality, and provides guidance on decision making when faced with legal or ethical dilemmas. Easy to understand and peppered with numerous practical examples throughout, the Handbook of Medical Law and Ethics for Nurses will support development of the essential legal awareness needed by undergraduate and post-graduate nurses alike. Easy to read - suitable for pre-registration nurses as well as practising nurses, midwives and nursing associates Illustrated throughout with case study vignettes and linked to relevant legislation in England Links to case law to improve understanding of the legal system Covers hot topics and debates, supporting nurses to participate in appropriate and effective decision making Supports learning in nursing modules covering professional practice

Are you anxious about your mental health placement? Do you need help remembering the terms, therapies and guidelines?Mental health is a fascinating specialised field where you can make a real difference. The Clinical Helper for Mental Health Nursing is a quick and reliable reference for students and new graduates to reduce stress and boost confidence in the clinical setting.Covering the key information you must have at your fingertips, this pocket guide is essential for all nurses entering mental health practice.

Health and medicine cannot be understood without considering the role of nurses, both as professionals and as working women. In India, unlike other countries, nurses have suffered an exceptional degree of neglect at the hands of state, a situation that has been detrimental to the quality of both rural and urban health care. Charting the history of the development of nursing in India over 100 years, Indian Sisters examines the reasons why nurses have so consistently been sidelined and excluded from health care governance and policymaking. The book challenges the routine suggestion that nursing's poor status is mainly attributable to socio-cultural factors, such as caste, limitations on female mobility and social taboos. It argues instead that many of its problems are due to an under-achieved relationship between a patriarchal state on the one hand, and weak professional nursing organisations shaped by their colonial roots on the other. It also explores how the recent phenomenon of large-scale emigration of nurses to the West (leading to better pay, working conditions and career prospects) has transformed the profession, lifting its status dramatically. At the same time, it raises questions about the implications of emigration for the fate of health care system in India. An important contribution to the growing academic genre of nursing history, the book is essential reading for scholars and students of health care, the history of medicine, gender and women's studies, sociology, and migration studies. It will also be useful to policymakers and health professionals.

Medical futility is a controversial issue not only in its definition but also in its application. There are few books on the subject, and those in existence mostly focus on the situation in the United States. This title, however, provides extensive international perspectives on medical futility.This book will benefit healthcare professionals as well as health policy makers around the world. It allows them to see how different countries approach the issue of medical futility and their experiences in dealing with this issue. The complexity of the issue, and in particular how some countries innovatively address it in an ethically sound manner, is clearly presented.

Infancy: The Basics offers an introduction to the developmental science behind the fascinating world of infant development. This book takes the reader from before birth through the moment infants come into the world seemingly unable to do much but eat, eliminate, and sleep, and across the few short, incredible years, to when infants are walking, talking, thinking humans with clear preferences, wishes, and dreams, having already forged strong long-lasting relationships. Dispelling common myths and misconceptions about how infants' perception, cognition, language, and personalities develop, this accessible evidence-based book takes a novel whole-child approach and provides insight into the joint roles of nature (biology) and nurture (experiences) in infant development, how to care for babies to give them the best start in life, and what it means for infants to become thinking communicating social partners. Topics in this book are covered with an eye firmly fixed on how infants' first years set the stage for the rest of their lives. By helping us understand infants, experts Marc H. Bornstein and Martha E. Arterberry give us the opportunity to learn about the resiliency of our species and the many different contexts in which families rear infants. They cover key topics, including how babies are studied scientifically, prenatal development and the newborn period, how infants explore and understand the world around them, how infants begin to communicate, how infants develop an emotional life, personality, and temperament, how infants build relationships, and how parents succeed in bringing up babies in challenging circumstances. This concise clear guide to the years from before birth to 3 is for students of developmental psychology, pediatric medicine and nursing, education, and social work. It also for all parents and professionals caring for infants, who want to understand the secret world of infancy.

"This will be very helpful to students studying leadership and management for the NCLEX. The questions are pertinent and well written, and they cover a wide range of topics. This review is a worthwhile resource for student preparation." Score: 96, 4 Stars. --Doody's Medical Reviews

Based on an innovative, active learning paradigm, this course review for the Leadership and Management Nursing Skills NCLEX-RN features the use of unfolding case studies to thoroughly engage students while helping them to develop critical thinking and problem-solving skills. Unlike other content review books, this resource builds required content into compelling case scenarios that mimic situations in real-life practice. It features answers and rationales at the end of each chapter and includes 200 questions comprised of 150 multiple choice and 50 alternative NCLEX-RN style questions. The book is also infused with Web links and resources that will keep students engaged and further reinforce realistic decision-making.

The review focuses on developing leadership and management competencies, patient care management including advanced directives, ethical and legal issues, organizational management, and delegating responsibilities to other members of the health care team. Students love this innovative approach to learning how to 'think like a nurse' Faculty find the case studies useful for clinical make-up assignments. Available in both print and eBook formats, the review is enhanced by the inclusion of URLs linking to resources that expands scope of content and increases content assimilation. Key Features:

Promotes active learning through use of unfolding case studies Eschews traditional repetitive question review for an intensified learning experience Provides answers conveniently located at the end of each chapter and rationales for both correct AND incorrect answers Serves as a handy resource for clinical make-up assignments Includes more than 200 questions including 150 multiple choice and 50 alternative NCLEX questions

"As one who is involved in the culture change movement and is trying to review the huge volume of available resources, I find it refreshing to have a book that draws it all together....I highly recommend this book to administrators who are overwhelmed at the thought of implementing change in their environment. The author has done an excellent job of making it seem quite possible to make culture change a reality."--Doody's Medical Reviews

"The publication of "Implementing Culture Change in Long-Term Care" marks the beginning of a new era in the aging services profession. This book is the Rosetta Stone of the culture change movement. Dr. Jurkowski's skillful blend of theory, research, and practice addresses the movement's most urgent needs and makes the work of culture change advocates accessible to a broader and more influential audience....This book is the future in paper and ink."

From the Foreword by Bill Thomas, MD
Founder of the Eden Alternative and the Green House Project

This text offers a strategic approach for promoting an active culture of change in long-term care facilities for older adults and people with disabilities. It discusses the philosophical framework for the delivery of care in these settings and addresses the changing landscape of our long-term care population. With the aim of transforming these facilities from institutional settings to person-centered, homelike environments, the book offers administrators and practitioners numerous strategies and benchmarks for culture change, and addresses tools and resources to support the culture change process. The text describes how these benchmarks have been met and provides ways to address not just knowledge, but also attitudes and behavior, important components of a culture change strategy.

The book compares and contrasts current long-term care paradigms-the medical model, the rehabilitation paradigm, the independence and dignity model, and strength-based approaches-in order to see how they facilitate or impede culture change. It provides best practice examples of benchmarks to be attained along with strategies to promote this process. These benchmarks and strategies are based upon the Artifacts for Culture Change Assessment Tool developed by the Centers for Medicare and Medicaid. The text describes ways to build a blueprint and strategic processes for integrating these benchmarks into a long-term care setting, addressing the entire process from assessment through evaluation. It also provides tools enabling readers to learn from their own process via a feedback loop, and includes strategies to facilitate partnerships with family, staff, and community. Key Features:

Elucidates benchmarks that can be implemented in long-term care settings, using the Centers for Medicare/Medicaid's "Long Term Care Artifacts" assessment tool as an intervention Focuses on care practices, the environment, the inclusion and integration of family and community, leadership benchmarks, and workplace practices Includes robust examples of best practices within each of the main artifact arenas Incorporates tools and strategies for assessing the philosophical paradigm of a long- term facility that can help or hinder the culture change process Provides discussion and reflection questions and websites for additional resources

As Caribbean communities become more international, clinicians and scholars must develop new paradigms for understanding treatment preferences and perceptions of illness. Despite evidence supporting the need for culturally appropriate care and the integration of traditional healing practices into conventional health and mental health care systems, it is unclear how such integration would function since little is known about the therapeutic interventions of Caribbean healing traditions. Caribbean Healing Traditions: Implications for Health and Mental Health fills this gap. Drawing on the knowledge of prominent clinicians, scholars, and researchers of the Caribbean and the diaspora, these healing traditions are explored in the context of health and mental health for the first time, making Caribbean Healing Traditions an invaluable resource for students, researchers, faculty, and practitioners in the fields of nursing, counseling, psychotherapy, psychiatry, social work, youth and community development, and medicine.

Awarded second place in the 2013 AJN Book of the Year Awards in the History and Pubic Policy category.

With the goal of advancing quality health care, this innovative text moves beyond the often insular world of nurse leadership values to offer the perspectives of leaders in other health care disciplines that interface with nurses. These professionals describe and analyze their interactions with nurse leaders regarding their role in quality health care delivery, patient safety, health care reform, and partnering outside the profession, along with suggested improvements.

The book will enable nurse leaders to clarify strengths and opportunities for growth and to develop strategies for effective collaborations that are necessary for advancing and transforming our health care system. Each chapter is written by an accomplished health care leader outside the nursing profession, and follows a consistent format that includes definitions of leadership, best and worst professional experience with nurse leaders (in terms of strategic vision, risk-taking, creativity, interpersonal and communication effectiveness, inspiring change and self-knowledge), lessons learned, and implications for leaders within and outside nursing.

Key Features: Offers unique views of nursing leadership from healthcare professionals in other arenas Discusses strengths and weaknesses of nurse leaders and leadership values for inter-professional collaboration Reflects the Robert Wood Johnson Executive Nurse fellowship values for excellence Promotes inter-professional strategies to advance health care reform on a national level Designed for use in graduate nursing leadership courses including DNP