This volume examines the division of labour between nurses and other health professions and occupations. It connects classic sociological concerns with practical problems affecting the contemporary NHS, such as: skill mix in hospitals the emergence of new roles the shifting boundaries between medicine and nursing and the barriers to change that exist. The book contains a series of case studies illustrating tensions, conflict and accommodation observable when occupations, or sub-groups within occupations, negotiate new working relationships.
This book examines the division of labour between nurses and other health professions and occupations. It connects classic sociological concerns with practical problems affecting the contemporary NHS, such as: skill-mix in hospitals; the emergence of new roles; the shifting boundaries between medicine and nursing; and the barriers to change that exist. The book contains a series of case studies illustrating tensions, conflict and accommodation observable when occupations, or sub-groups within occupations, negotiate new working relationships.
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.
This title is directed primarily towards health care professionals outside of the United States. Nursing practice needs to be informed by an understanding of people and the societies in which they live. This introductory text has been designed specifically to discuss those aspects of sociology which are most relevant to nursing and the health care context in which it takes place. . A user-friendly introduction to a subject which students often find strange and new . Relates sociology to health and nursing to make the subject relevant to clinical practice . Key concepts and chapter summaries aid learning and revision . Case studies help relate theory to practice . Reference lists in each chapter provide the evidence base. . Biographical notes on eminent sociologists help bring the subject to life . Annotated Further Reading enables more in-depth study
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
This title is directed primarily towards health care professionals outside of the United States. The authors have developed a holistic approach that explores: ethics in hospital and community settings, inter-disciplinary teamwork, ward and hospital management, nursing research, performance management and the political ethics of nursing administration, health service re-structuring and reform. The content has been substantially revised for this edition and significant new material added to reflect developments in theory and practice. covers a wide range of ethical issues - much more than just 'clinical' dilemmas and decision-making skills a down-to-earth and practical approach to applied ethics user-friendly layout material on moral theory kept to a minimum (but dealt with thoroughly at the end of the book) focuses on ethical issues in nursing and case studies taken from nursing practice i.e. the concrete concerns of nurses and other front-line workers pedagogical features include: chapter aims, learning outcomes and further reading for possible essay, tutorial and project topics also useful as a general work of reference on ethic in health care An up-to-date analysis of professions in the context of modernity, to enable health professionals to make sense of global cultural & social developments An analysis of the ethics of evidence-based practice An examination of professional accountability and ethics in performance management to help practitioners/managers understand the ethical basis of management useful web links and teaching notes on a dedicated website: http://evolve.elsevier.com/Thompson/nursingethics/
