Nurses

Beginner to Specialist

A Straight Forward Guide to Enhancing Clinical Practice and Excellence in Management, for Nuses and Healthcare Professionals

Author: Rob Schwarz,Andrew Le Grove,Patrick Stork

Publisher: N.A

ISBN: 9780955291005

Category: Nurses

Page: 486

View: 2909

Medical

The Learning Healthcare System

Workshop Summary

Author: Institute of Medicine,Roundtable on Evidence-Based Medicine

Publisher: National Academies Press

ISBN: 9780309133937

Category: Medical

Page: 374

View: 8860

As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence--from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement--and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Medical

Evidence-based Practice in Nursing & Healthcare

A Guide to Best Practice

Author: Bernadette Mazurek Melnyk,Ellen Fineout-Overholt

Publisher: Lippincott Williams & Wilkins

ISBN: 1605477788

Category: Medical

Page: 599

View: 6847

Bernadette Mazurek Melnyk and Ellen Fineout-Overholt are creators of the ARCC (Advancing Research and Clinical practice through close Collaboration) Model, an innovative strategy for implementing and sustaining evidence-based practice in healthcare systems. The ARCC Model is cited as an exemplar of education in evidence-based practice in the Board on Health Care Services and the Institute of Medicine's book, Health Professions Education: A Bridge to Quality. "McInyk and Fineout-Overholt's book should be required reading in all graduate programs. Their text has provided a blueprint for the future of nursing practice and a rigorously substantiated and clearly described means for clinicians, educators, and administrators to participate in improving quality of care." Janet D. Allan, PhD, RN, FAAN Dean and Professor University of Maryland School of Nursing "Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice has been instrumental in developing a culture of evidence-based practice at Barnes-Jewish Hospital. It is fundamental to our curriculum provided to all levels of staff, from new graduate nurses to the highest levels of hospital leadership." Dr. Patricia Potter, RN, PhD, FAAN, Dr. Gail Rea, RN, PhD, CNE, Dr. Karen Balakas, RN, PhD, CNE, Jennifer Williams, MSN, RN, ACNS-BC, Elizabeth Pratt, MSN, RN, ACNS-BC Evidence Equals Excellence group at Barnes-Jewish Hospital and Barnes-Jewish School of Nursing at Goldfarb Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice is an exemplary text that spans the continuum of nursing evidence to support best practice. Utilizing this text with undergraduate, RN to BSN, and graduate nursing students, it is the ONLY text that demonstrates how to retrieve, read, and analyze evidence whether it is published as an individual study, systematic review, meta-analysis, best practice guideline, or outcomes management report. Students learn how to utilize multiple complex databases and websites as they move through each chapter. And, they experience dissemination of evidence through the development of presentations, publications, posters, and grants. This is truly a remarkable book that embraces evidence as the basis for nursing practice and patient-centered care and safety. Having used this text with more than 1000 students over the past five years, I can honestly say that I have found no other text that facilitates learning and development of clinical judgment that is grounded in valid, reliable, and applicable evidence. This is a keeper! Alice E. Dupler, JD, APRN-BC Clinical Associate Professor Washington State University College of Nursing "I have used the book since I developed the Evidence-based Practice course for our College of Nursing in Fall 2007. It was the first course of its kind at Indiana State University. It has been well received and the preferred course for all nursing graduate students for completion of their final scholarly projects. The text was essential in developing the course and provides the foundation and guidance that the students need to develop their Evidence Based Practice projects...the students love the text!" Susan Eley PhD, RN, FNP-BC Assistant Professor Director FNP Program Indiana State University
Education

A Handbook for Teaching and Learning in Higher Education

Enhancing academic practice

Author: Heather Fry,Steve Ketteridge,Stephanie Marshall

Publisher: Routledge

ISBN: 1317650220

Category: Education

Page: 452

View: 4123

This entirely new edition of a very successful book focuses on developing professional academic skills for supporting and supervising student learning and effective teaching. It is built on the premise that the roles of those who teach in higher education are complex and multi-faceted. A Handbook for Teaching and Learning in Higher Education is sensitive to the competing demands of teaching, research, scholarship, and academic management. The new edition reflects and responds to the rapidly changing context of higher education and to current understanding of how to best support student learning. Drawing together a large number of expert authors, it continues to feature extensive use of case studies that show how successful teachers have implemented these ideas. It includes key topics such as student engagement and motivation, internationalisation, employability, inclusive strategies for teaching, effective use of technology and issues relating to postgraduate students and student retention. Part 1 explores a number of aspects of the context of UK higher education that affect the education of students, looking at the drivers of institutional behaviours and how to achieve success as a university teacher. Part 2 examines learning, teaching and supervising in higher education and includes chapters on working with diversity, encouraging independent learning and learning gain. Part 3 considers approaches to teaching and learning in different disciplines, covering a full range including arts and humanities, social sciences, experimental sciences through to medicine and dentistry. Written to support the excellence in teaching and learning design required to bring about student learning of the highest quality, this will be essential reading for all new lecturers, particularly anyone taking an accredited course in teaching and learning in higher education, as well as those experienced lecturers who wish to improve their teaching practice. Those working in adult learning and educational development will also find the book to be a particularly useful resource. In addition it will appeal to staff who support learning and teaching in various other roles.
English literature

The British National Bibliography

Author: Arthur James Wells

Publisher: N.A

ISBN: N.A

Category: English literature

Page: N.A

View: 8879

Medical

From Novice to Expert

Excellence and Power in Clinical Nursing Practice

Author: Patricia E. Benner

Publisher: Pearson

ISBN: N.A

Category: Medical

Page: 307

View: 9711

This coherent presentation of clinical judgement, caring practices and collaborative practice provides ideas and images that readers can draw upon in their interactions with others and in their interpretation of what nurses do. It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge. The book uncovers the knowledge embedded in clinical nursing practice and provides the Dreyfus model of skill acquisition applied to nursing, an interpretive approach to identifying and describing clinical knowledge, nursing functions, effective management, research and clinical practice, career development and education, plus practical applications.For nurses and healthcare professionals.

Cancer Forum

Author: N.A

Publisher: N.A

ISBN: N.A

Category:

Page: N.A

View: 5751

Medical

The Future of Nursing

Leading Change, Advancing Health

Author: Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine

Publisher: National Academies Press

ISBN: 0309208955

Category: Medical

Page: 700

View: 8829

The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Medical

Transforming Health Care Scheduling and Access

Getting to Now

Author: Institute of Medicine,Committee on Optimizing Scheduling in Health Care

Publisher: National Academies Press

ISBN: 0309339227

Category: Medical

Page: 154

View: 964

According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Medical

Nurse Retention Toolkit

Everyday Ways to Recognize and Reward Nurses

Author: Lydia Ostermeier,Bonnie Clair

Publisher: HC Pro, Inc.

ISBN: 1601462441

Category: Medical

Page: 155

View: 1698

Meet your long-term retention goals with the more than 50 techniques included in the" Nurse Retention Toolkit." Use the retention methods that work and are appreciated by your nursing staff.
Language Arts & Disciplines

Communication in Healthcare

Author: Karen Bryan

Publisher: Peter Lang

ISBN: 9783039111220

Category: Language Arts & Disciplines

Page: 379

View: 1413

Communication within the context of health and social care faces many challenges. Our understanding of how language and communication information is processed by the brain is increasing our awareness of the complexities involved and the influence of normal ageing on communication processing. Care systems are becoming more complex and service users demand more information and choice. At the same time, the range of service users encountered by practitioners includes more people with varied language backgrounds, and greater language and cultural diversity is occurring among health and social care staff. This volume explores current challenges to achieving effective communication in health and social care. It outlines how practitioners communicate, innovative methods for teaching communication skills, and methodologies to include children and people with communication difficulties in research and in consultation processes about healthcare. Particular communication issues, within the context of healthcare, for population groups such as older people, asylum seekers, young offenders and people with mental health problems are also addressed.
Medical

Health System Efficiency

How to Make Measurement Matter for Policy and Management

Author: Jonathan Cylus,Irene Papanicolas,Who Regional Office for Europe,Peter C. Smith

Publisher: Health Policy

ISBN: 9789289050418

Category: Medical

Page: 264

View: 7897

Efficiency is one of the central preoccupations of health policy-makers and managers, and justifiably so. Inefficient care can lead to unnecessarily poor outcomes for patients, either in terms of their health, or in their experience of the health system. What is more, inefficiency anywhere in the system is likely to deny health improvement to patients who might have been treated if resources had been used better. Improving efficiency is therefore a compelling policy goal, especially in systems facing serious resource constraints. The desire for greater efficiency motivates a great deal of decision-making, but the routine use of efficiency metrics to guide decisions is severely lacking. To improve efficiency in the health system we must first be able to measure it and must therefore ensure that our metrics are relevant and useful for policy-makers and managers. In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: 1) the core idea of efficiency is easy to understand in principle -- maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations; 2) there have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered; 3) our simple analytical framework can facilitate the development and interpretation of efficiency indicators. The authors use examples from Europe and around the world to explore how policy-makers and managers have used efficiency measurement to support their work in the past, and suggest ways they can make better use of efficiency measurement in the future. The study came out of the Observatory's LSE hub. It links to a forthcoming study offering further insights into how to develop and interpret policy relevant efficiency metrics and to the earlier volumes on performance measurement. It will be of considerable use to policymakers and their advisors, health care regulators, patient representative groups, managers and researchers.
Medical

Interpretive Phenomenology

Embodiment, Caring, and Ethics in Health and Illness

Author: Patricia Benner

Publisher: SAGE Publications

ISBN: 9780803957237

Category: Medical

Page: 372

View: 9370

Theoretical foundation for nursing as a science/ Ragnar Fjelland and Eva Gjengedal -- Is a science of caring possible?/Margaret J. Dunlop -- A Heideggerian phenomenological perspective on the concept of person/ Victoria W. Leonard -- Hermeneutic phenomenology:a methodology for family health and health promotion study in nursing/ Karen A. Plager -- Toward a new medical ethics: implications for ethics in nursing/ David C. Thomasma -- The tradition and skill of interpretive phenomenology in studying health, illness and caring practices/ Patricia Benner -- MARTIN, a computer software program: on listening to what the text says/ Nancy L. Diekelmann, Robert Schuster,and Sui-Lun Lam -- Beyond normalizing: the role of narrative in understanding teenage mothers' transition to mothering/ Lee Smithbattle -- Patients' caring practices with schizophrenic offspring/ Catherine A. Chesla -- Parenting in public: parental participation and involvement in the care of their hospitalized child/ Philip Darbyshire -- A clinical ethnography of stroke recovery/ Nancy D. Doolittle -- Moral dimensions of living with a chronic illness: autonomy, responsibility, and limits of control/ Patricia Benner, Susan Janson-Bjerklie, Sandra Ferketich and Gay Becker -- The ethical context of nursing care of dying patients in critical care/ Peggy L. Wros -- The ethics of ambiguity and concealment around cancer: interpretations through a local Italian world/ Deborah R. Gordon -- Narrative methodology in disaster studies: rescuers of Cyprus/ Cynthia M. Stuhlmiller.
Medical

Improving Palliative Care for Cancer

Author: National Cancer Policy Board,National Research Council,Institute of Medicine

Publisher: National Academies Press

ISBN: 0309074029

Category: Medical

Page: 344

View: 6601

In our society's aggressive pursuit of cures for cancer, we have neglected symptom control and comfort care. Less than one percent of the National Cancer Institute's budget is spent on any aspect of palliative care research or education, despite the half million people who die of cancer each year and the larger number living with cancer and its symptoms. Improving Palliative Care for Cancer examines the barriers-scientific, policy, and social-that keep those in need from getting good palliative care. It goes on to recommend public- and private-sector actions that would lead to the development of more effective palliative interventions; better information about currently used interventions; and greater knowledge about, and access to, palliative care for all those with cancer who would benefit from it.
Medical

Who Handbook for Guideline Development

Author: World Health Organization

Publisher: N.A

ISBN: 9789241548960

Category: Medical

Page: 178

View: 7182

This handbook provides detailed instructions for guideline developers on the following topics: application of high quality methodology for guideline development using systematic search strategies, synthesis and quality assessment of the best available evidence to support the recommendations; appropriate collection and management of experts' declared conflict of interest; expert group composition including content experts, methodologists, target users, policy makers, with gender and geographical balance; instructions for the management of group process to achieve consensus among experts; standards for a transparent decision-making process, taking into consideration potential harms and benefits, end users values and preferences; developing plans for implementing and adapting guidelines; and minimum standards for reporting.--Publisher description
Medical

Practice-based Learning & Improvement

A Clinical Improvement Action Guide

Author: Mark E. Splaine,Mary A. Dolansky,Carlos A. Estrada,Patricia A. Patrician

Publisher: N.A

ISBN: 9781599407074

Category: Medical

Page: 196

View: 4554

Rev. ed. of: Clinical improvement action guide / edited by Eugene C. Nelson, Paul B. Batalden, Jeanne C. Ryer. 1998.
Medical

Relieving Pain in America:

A Blueprint for Transforming Prevention, Care, Education, and Research

Author: Committee on Advancing Pain Research, Care, and Education,Board on Health Sciences Policy,Institute of Medicine

Publisher: National Academies Press

ISBN: 030921484X

Category: Medical

Page: 382

View: 4289

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Medical

Hearing Health Care for Adults

Priorities for Improving Access and Affordability

Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Accessible and Affordable Hearing Health Care for Adults

Publisher: National Academies Press

ISBN: 0309439264

Category: Medical

Page: 324

View: 7877

The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.