Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
Meet all the challenges of professional practice—whatever your specialty or environment. Noted nursing professionals and educators explore all of the non-clinical roles and responsibilities of an APN and chart a course that will enable you to meet them successfully. You’ll follow the evolution of the APN’s role from a historical perspective to the present and examine the issues and challenges you’ll encounter in the future.
In this book we have attempted to identify skills which are needed by the psychiatric nurse, and in doing so to identify a body of knowledge unique to the professional psychiatric nurse. The book has been written to demonstrate the basis of a skills approach for both the experienced and the inexperienced nurse to build upon, for we believe that psychiatric nurses, due to both their training and their particular mixture of interests, are weil equipped to be in the forefront of psychiatry as a developing art and science. We hope that this book in some small way helps this development. Some of the more recent advances in psychiatric nursing have been rein forced by the publication of a training syllabus for mental nurses (English and Welsh National Boards, 1982). This document highlights the need for a change from a medical model to a social model and from a task-oriented leaming experience to a skills approach. We have attempted to reflect this change in emphasis by including such aspects as personal development and self-aware ness, human sexuality, the nursing process and counselling skills.
Delivers a breadth of content encompassing all aspects of psych-mental health care along the provider continuum This unique clinical reference supports APRNs and PMH-NPs as they strive to provide high-quality evidence-based care to patients with mental health issues and conditions. Designed to support the ongoing needs and changing practice requirements of these nursing professionals, this new text provides a comprehensive examination of best-practice psychiatric methods, ethical concerns, patient assessment, and management strategies. These accessible guidelines for clinicians in a variety of settings bring together scientific skills backed by theory and professional knowledge along with helpful recommendations to bolster the clinician's psychiatric skills. With an easy-to-navigate format, the book encompasses five distinct sections covering general psychiatric nursing guidelines, diagnostic specific procedures and patient treatment planning, cultural and other considerations for special populations, the administrative basics for establishing an APRN practice, and additional topics related to mental health. Reflecting expertise from authors versed in varied practice fields and numerous subspecialties, the resource combines evidence-based practice, advanced research, and practical, humanistic approaches. Key Features: Provides comprehensive psychiatric-mental health guidelines to advanced practice nurses in easy-to-access format Delivers step-by-step coverage of conducting psychiatric assessments and making referrals Covers polypharmacy, differential diagnosis, and patient education Includes coverage of special populations including LGBTQ+, homeless and indigent, veterans and survivors of war, and many others
Psychiatric Mental Health Nursing: An Interpersonal Approach, Third Edition is a foundational resource that weaves both the psychodynamic and neurobiological theories into the strategies for nursing interventions.
This book provides an application of the concepts and recommendations of The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Report, a Consensus Study from the US National Academy of Medicine. It offers complementary guidance through tools, tips, examples and storytelling. As such this book, written by prominent international academics and nurse practitioners, offers program and policy recommendations for health equity. As the world’s largest and most trusted workforce, nurses are in a key position thus must step up to help address these inequities now. The recent pandemic has laid bare these inequities in ways that are stark and demanding of our attention. This book offers program and policy recommendations, along with case studies, designed to empower nurses to understand and ACT to improve health equity. This text provides nurses an opportunity to clearly see the need for an equitable, just, and fair society. There has never been a more urgent call to action.
A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years
"There are many policy books, but none are written by APRNs or focus just on APRN practice. This topic is critical in today's healthcare reform movement. APRNs are at the core, or can be, if they use their practice knowledge and education to shape policy...[The] editors eloquently make the case that policy formation is a critical nursing skill."--Doody's Medical Reviews ìGaining a better understanding of the political landscape and its impact on nursing and the APRN practice environment, by learning through textbooks such as this, and then through active involvement at any level in the political process itself, can only strengthen nursing and its influence on health policy .î -Loretta C. Ford, RN, EdD, PNP, FAAN, FAANP From the Foreword This view of health policy from the perspective of APRN practice is a call to action for advanced practice nurses to learn about the impact and implications of current initiatives in health policy. This knowledge will assist them in determining how they define and create positive change for their patients and have an impact on community, national, and world health. This is the only text that satisfies the need for policy discussions for all APNs , it is designed to meet the requirements of both the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum. The text encompasses evolving health care policy and reform in the U.S., Canada, and internationally, addressing its impact on advanced practice nursing, APRN roles, care for special populations, health care quality, and patient safety . The book brings together a wealth of information written by luminaries in the field. Dr. Goudreau is a Past President, and Board Member of the National Association of Clinical Nurse Specialists (NACNS), and Dr. Smolenski was Director of Certification Services at the ANCC for 11 years, directing certification for 150,000 nurses in over 30 specialties. The text discusses issues surrounding the regulation of APRNs, how the local regulatory environment shapes their practice and how they can shape their local regulatory environment. Additionally, the text brings in international perspectives on how APRNs can and are impacting patient care globally. In order to provide content relevant to a universal APRN readership, each section of the text endeavors to present information from all four APRN perspectives: NPs, CNSs, CRNAs , and CNMs. For all of these roles, the book covers the implications of current and future health policy changes for APRN practice. Key Features: Addresses the role-specific policy informational needs of all APRN roles including NPs, CNSs, CRNAs , and CNMs Brings together in one volume all of the requisite information about health care policy and reform and its impact on advanced practice nursing Meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum Offers guidance on how APRNs can influence policy development Covers impact and implications of health care policy and reform in the U.S., Canada, and internationally
