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.
"It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models
Here’s your guide to understanding, applying, and coordinating the process of evidence-based practice for your DNP scholarly or capstone project. Step-by-step, you’ll learn everything you need to know to successfully complete your project and develop the leadership skills that enhance the DNP’s role in practice.
“The authors have created a brilliant, reader-centric, practical, powerful, and evidence-based guide designed for new and student nurses, yet effective for preceptors and faculty alike. Imagine a resource so engaging and effective you turn to it time and time again to inform and support your whole-person well-being.” –Teri Pipe, PhD, RN Richard E. Sinaiko Professor in Health Care Leadership School of Nursing Core Faculty, Center for Healthy Minds Distinguished Fellow, National Academies of Practice University of Wisconsin-Madison “This extraordinary book will be the voice in the ear of every young nurse who reads it throughout their career, sustaining them through the hard times and providing what it takes to be the skillful, compassionate nurses they dreamed of being.” –Bonnie Barnes, FAAN Doctor of Humane Letters (h.c) Co-founder, The DAISY Foundation “This is an astonishingly rich and relevant text that truly should be required in every nursing program. If widely adopted, this text has the potential to transform the profession.” –Mary Jo Kreitzer, PhD, RN, FAAN Director, Earl E. Bakken Center for Spirituality & Healing Professor, University of Minnesota School of Nursing As a nursing student, you’re taught to expect a variety of challenges while caring for your patients and juggling competing priorities as you begin your career. And, though you may know better, your personal well-being can become the last thing you consider in your hectic student or new-nurse life. This second edition of Self-Care for New and Student Nurses equips you to confidently face stressors now and in the future. No matter where you are in your nursing career, this book offers you multiple strategies to prioritize your own mental, physical, and emotional health. Authors Dorrie K. Fontaine, Tim Cunningham, and Natalie May showcase a group of strong contributors whose valuable tips and exercises will help you: · Find joy and a sense of mattering at work · Manage anxiety, loneliness, and depression · Address imposter syndrome, practice self-compassion, and thrive during clinicals · Cope and seek help with racial tensions, substance abuse, suicide risks, and other traumas · Spot the stressors that lead to burnout · Prioritize sleep, exercise, and nutrition · Build a toolkit of self-care techniques, including in-the-moment practices for an ideal workday · Develop a resilient mindset · Establish boundaries TABLE OF CONTENTS Section 1: Fundamentals Chapter 1: The Fundamentals of Stress, Burnout, and Self-Care Chapter 2: The Fundamentals of Resilience, Growth, and Wisdom Chapter 3: Developing a Resilient Mindset Using Appreciative Practices Section II: The Mind of a Nurse Chapter 4: Self-Care, Communal Care, and Resilience Among Underrepresented Minoritized Nursing Professionals and Students Chapter 5: Self-Care for LGBTQIA+ Nursing Students Chapter 6: Racial Trauma and Healing Chapter 7: Narrative Practices Chapter 8: Self-Care and Systemic Change: What You Need to Know Chapter 9: Strengths-Based Self-Care: Good Enough, Strong Enough, Wise Enough Section III: The Body and Spirit of a Nurse Chapter 10: Reclaiming, Recalling, and Remembering: Spirituality and Self-Care Chapter 11: Sleep, Exercise, and Nutrition: Self-Care the Kaizen Way Chapter 12: Reflections on Self-Care and Your Clinical Practice Section IV: The Transition to Nursing Practice Chapter 13: Supportive Professional Relationships: Nurse Residency Programs, Preceptors, and Mentors Chapter 14: Healthy Work Environment: How to Choose One for Your First Job Chapter 15: Self-Care for Humanitarian Aid Workers Section V: The Heart of a Nurse Chapter 16: Mattering: Creating a Rich Work Life Chapter 17: Integrating a Life That Works With a Life That Counts Chapter 18: Providing Compassionate Care and Addressing Unmet Social Needs Can Reduce Your Burnout Chapter 19: Showing Up With Grit and Grace: How to Lead Under Pressure as a Nurse Clinician and Leader Chapter 20: Coaching Yourself When Things Are Hard
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
" This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "
The Future of Primary Care explores the organization and delivery of primary care to address the needs of our future population. Expert contributors include Barbara Starfield, Dana Gelb Safran, Bernard Lo, and Gordon Moore. They explore topics such as Current dilemmas and threats to primary care from both the clinician’s and patient’s point of view The impact of the self-care and alternative care movements The importance of improved information technologies Individual elements of primary care and the relative value of each element Primary care’s contribution to the overall health of our population Assessing alternative sites and circumstances where primary care may be provided The specialist and nurse as primary care providers The role of primary care in chronic illness management, care for the elderly, long-term and home care Exploring recommendations for the future The Future of Primary Care offers a self-critical and constructive analysis of primary care that is perfect for scholars, faculty, and students who are interested in public health services and policy.
Health care systems worldwide are faced with the challenge of improving the quality of care. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation (KT), the scientific study of methods for closing the knowledge-to-action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge Translation in Health Care explains how to use research findings to improve health care in real life, everyday situations. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The book is full of examples of how knowledge translation models work in closing the gap between evidence and action. Written by a team of authors closely involved in the development of knowledge translation this unique book aims to extend understanding and implementation worldwide. It is an introductory guide to an emerging hot topic in evidence-based care and essential for health policy makers, researchers, managers, clinicians and trainees.
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.
