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First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÖThis book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care
Winner of an AJN Book of the Year Award for 2009! "[This] book offers a coherent, theoretical, and research-guided framework for quality nursing caring in practice, education, and leadership; a foundational, timeless, yet transformative framework of substanceÖ." Jean Watson, PhD, RN, AHN-BC, FAAN College of Nursing, University of Colorado, Denver Dedicated time spent with patients and families in clinical settings is often limited, rushed, and impersonal. How can nurses develop more positive, caring relationships with their patients, and help to improve the quality of patient care at large? This book addresses this critical question by presenting Joanne R. Duffy's Quality-Caring Model©-the result of 35 years of clinical experience and educational acumen. This values-based model will bring caring back into the foreground of nursing practice by providing revised curricula for educational programs, and outlining the core caring principles for nurse administrators. Key Features: Establishes "Relationship-Centered Caring," with discussions on how to care for the self, patients and families, each other, and communities Offers multiple case examples, and includes reflective questions and applications for use in educational programs, workshops, conferences, and clinical practice Demonstrates how the Quality-Caring Model© can be implemented in clinical practice, nursing education, research, and nursing leadership settings Includes appendices that discuss how caring can improve patient safety, outline course objectives, and explain how to assess and measure caring in your facility Written in clear, accessible language, this book will be an invaluable resource to nursing students, nursing scholars, clinical nurses, nurse educators, nurse researchers, and nurse leaders. Duffy's approach will help create a redesigned patient care delivery system focused on the primacy of caring relationships.
As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
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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.
Drawing on the universal values in health care, the second edition of Quality and Safety in Nursing continues to devote itself to the nursing community and explores their role in improving quality of care and patient safety. Edited by key members of the Quality and Safety Education for Nursing (QSEN) steering team, Quality and Safety in Nursing is divided into three sections. Itfirst looks at the national initiative for quality and safety and links it to its origins in the IOM report. The second section defines each of the six QSEN competencies as well as providing teaching and clinical application strategies, resources and current references. The final section now features redesigned chapters on implementing quality and safety across settings. New to this edition includes: Instructional and practice approaches including narrative pedagogy and integrating the competencies in simulation A new chapter exploring the application of clinical learning and the critical nature of inter-professional teamwork A revised chapter on the mirror of education and practice to better understand teaching approaches This ground-breaking unique text addresses the challenges of preparing future nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the health care system in which they practice.
"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/
Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Care in Nursing addresses the fundamental caring principles, values, and skills nurses require to provide sound care to their patients and to meet the challenges of nursing in the future. Exploring essential knowledge and competencies, the authors explore research, evidence and real life practice before outlining practical skills which will empower nurses to deliver quality care. Written by nurses and health professionals from both practice and academia, Care in Nursing explores how care underpins every element of nursing including: patient centred care, cultural diversity, sociology, psychology, communication, partnership working, law and ethics, management and leadership, and more. A specific chapter also addresses how nurses can develop self-care techniques to meet the pressures and demands of a challenging yet ultimately rewarding career. Relevant to nurses in all fields and a diverse range of clinical and non-clinical settings, this is essential reading for nursing students, qualified nurses, mentors, nursing academics as well as nurse managers and leaders.