"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/
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
The edition of this landmark medical-surgical nursing text retains the comprehensiveness, authority, and in-depth pathophysiology coverage that made earlier editions so effective. However, the 5th Edition features a significant new emphasis on the continuum of medical-surgical nursing--from on-site care through emergency room, intensive, acute, subacute, general, and community care settings. New chapters address essential issues such as aging, acute care, home health care, ambulatory care, and diagnostic testing. Ancillaries include a Study Guide, ExaMaster, Pocket Companion, Instructor's Manual, Test Manual, and Transparencies.
- NEW! CAMTS and AAMS guidelines, techniques for PICC placement, and changes to the Neonatal Resuscitation Program are just a few of the updates that reveal the importance the new edition places on safety practices and procedures. - NEW! Updated chapter on Patient Safety includes selected improvement strategies and resources for neonatal nurses to build a patient safety toolkit, discusses TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), and recognizes human issues, such as shift work and fatigue. - NEW! Increased focus on evidence-based practice for preterm infants, medications, and antepartum-intrapartum complications sets the standard for neonatal nursing practice. - NEW! Strategies to promote inclusionary care better reflect nursing care today by focusing on family-centered care, comprehensive perinatal records, health care teams in the NICU, and best practices in the care of the late preterm infant. - NEW! Comprehensively revised chapter on Immunology identifies risk factors for infection associated with term and preterm infants, distinguishes clinical symptoms and therapies associated with TORCHES CLAP spectrum infections, and includes prevention strategies for hospital-acquired infections. - NEW! Thoroughly updated content and references reflect currency and technologic advances. - NEW! Refocused chapter on Developmental Care guides the nurse to use assessment within the context of the environment and situation to initiate interventions in the moment or use patterns of responses for developing plans of care and presents core measures on evaluating developmental care practices in the NICU.
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 book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability. Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.
**Selected for Doody's Core Titles® 2024 in Nursing Process** Plan effective patient care using standardized interprofessional clinical problems and a concept-based approach! Conceptual Nursing Care Planning shows you how to identify clinical problems, determine expected outcomes, and choose interventions — all grounded in a logical, concept-based framework. The focus on concepts gives you the big picture, helping you recognize similarities in nursing care based on physiologic concepts, as well as differences based on the needs of individuals. Written by noted nursing educators Mariann Harding and Debra Hagler, this new book demonstrates how the use of a concept-based approach and standardized clinical problems language makes it easier to plan effective care and to communicate with other members of the interprofessional team. - 73 conceptual nursing care plans are based on Giddens concepts. - Logical format for conceptual nursing care plans includes a definition of the concept, clinical problems, common causes, manifestations, outcomes, interventions, related concepts, and related clinical problems. - Guidance for prioritized care planning organizes interventions in an assess-intervene-teach format, to help identify the most important priority interventions for patients. - Use of standardized nursing language conveys concepts and clinical problems in easily understandable language that is commonly used in clinical settings, organizing care plans around terminology recognized by the American Nurses Association and easily understood by other healthcare professionals. - UNIQUE! Wide-ranging approach covers concepts that are not addressed in other texts, such as health disparities, risk in pregnancy, impaired immunity, substance use, sensory deficits, continuity of care, and the dying process. - Introduction opens the book by explaining the components of a conceptual nursing care plan and how to use the book to create patient-centered nursing care plans. - Conceptual Care Map Creator on the Evolve website helps document care planning projects and clinical assignments. - Expert authors Mariann Harding and Debra Hagler are nursing thought leaders and editors of the bestselling Lewis's Medical Surgical Nursing: Assessment and Management of Clinical Problems.
