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This book describes numerous projects which shed light on some of the most persistent issues of the day in health and social care. The work demonstrates the importance of embedding the concept of flow into everyday health and social care thinking and creates insights into patient journeys through different conditions and treatments. It suggests that improving throughput across agencies is the key way to improving the performance of health treatment, whereas increasing capacity is the key way to improving the performance of social care by retaining independent living. The authors conclude that for state-provided care, balancing health and social care provision can eliminate the many stressful fire-fighting strategies hospitals have to undertake when faced with high demands, and this is a win-win scenario in terms of patients, staff and costs. Further, that there is a need for better understanding of the dynamics of population ageing, the dynamics of health conditions and the provision of better, integrated information systems. The book will be a valuable resource for practitioners, clinicians, managers and academics in health, social work, public health and public policy in many countries. In this important book Eric Wolstenholme and Douglas McKelvie bring two lifetimes of award-winning experience in applying system dynamics to improving our very clinically advanced but often dysfunctional care systems.- David F. Andersen, O’Leary Distinguished Service Professor, Emeritus, State University of New York, Albany, USA. Health and social care suffer from some persistent and serious problems which not only undermine well intended care but also impose considerable costs in many societies. This very welcome and exceptional book offers the hope of sound and sustainable solutions to many of these issues. - Kim Warren, Strategy Dynamics, London, UK
Three-time recipient of the AJN Book of the Year Award! Praise for the third edition: “This is an outstanding edition of this book. It has great relevance for learning about, developing, and using middle range theories. It is very user friendly, yet scholarly." Score: 90, 4 Stars -Doody's Medical Reviews The fourth edition of this invaluable publication on middle range theory in nursing reflects the most current theoretical advances in the field. With two additional chapters, new content incorporates exemplars that bridge middle range theory to advanced nursing practice and research. Additional content for DNP and PhD programs includes two new theories: Bureaucratic Caring and Self-Care of Chronic Illness. This user-friendly text stresses how theory informs practice and research in the everyday world of nursing. Divided into four sections, content sets the stage for understanding middle range theory by elaborating on disciplinary perspectives, an organizing framework, and evaluation of the theory. Middle Range Theory for Nursing, Fourth Edition presents a broad spectrum of 13 middle range theories. Each theory is broken down into its purpose, development, and conceptual underpinnings, and includes a model demonstrating the relationships among the concepts, and the use of the theory in research and practice. In addition, concept building for research through the lens of middle range theory is presented as a rigorous 10-phase process that moves from a practice story to a conceptual foundation. Exemplars are presented clarifying both the concept building process and the use of conceptual structures in research design. This new edition remains an essential text for advanced practice, theory, and research courses. New to the Fourth Edition: Reflects new theoretical advances Two completely new chapters New content for DNP and PhD programs Two new theories: Bureaucratic Caring and Self-Care of Chronic Illness Two articles from Advances in Nursing Science documenting a historical meta-perspective on middle range theory development Key Features: Provides a strong contextual foundation for understanding middle range theory Introduces the Ladder of Abstraction to clarify the range of nursing’s theoretical foundation Presents 13 middle range theories with philosophical, conceptual, and empirical dimensions of each theory Includes Appendix summarizing middle range theories from 1988 to 2016
How do you perceive your cultural identity? All of us are shaped by the cultures we interact with and the cultural backgrounds and ethnicities that are part of our heritage. Take a dynamic approach to the study of culture and health care relationships. Dr. Marilyn A. Ray shows us how cultures influence one another through inter-cultural relationships, technology, globalization, and mass communication, and how these influences directly shape our cultural identities in today’s world. She integrates theory, practice, and evidence of transcultural caring to show you how to apply transcultural awareness to your clinical decision making. Go beyond common stereotypes using a framework that can positively impact the nurse-patient relationship and the decision-making process. You’ll learn how to deliver culturally competent care through the selection and application of transcultural assessment, planning and negotiation tools for interventions.
Pastors are increasingly tempted to view themselves as high-powered CEOs. Wiersbe reminds them of the biblical model: shepherds to God's people. Practical and encouraging.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
The health care system in Malaysia has undergone a fundamental transformation over the last two decades. This book examines this transformation and explores the pressing issues it faces today. It includes coverage of: the evolution of the system since independence, from the colonial legacy of national provision bequeathed from the British to the impact of the global ideological shift against statism in the 1980s considers the responses of the Malaysian state and government policy issues such as equity of provision, women's access to health care, HIV-AIDS health care, care for the elderly. The book offers a detailed examination of the changing face of health care in Malaysia, and its impact on Malaysian citizens, users and society.
This volume represents the beginning of a 'cross pollination' of different social scientific disciplines, bridging the boundaries between national and disciplinary epistemic communities in the worlds of European welfare markets. It maps the common ground and uncovers new research directions for the future study of actors, policies and institutions shaping the growth and dynamics of European welfare markets. The book defines welfare markets as politically shaped, regulated and state supported markets that provide social goods and services through the competitive activities of non-state actors. The chapters focus on what happens after states have initiated welfare markets, with equal weight given to the analysis of the agency of state actors and non-state actors in the contraction, stabilisation, and disruption of welfare markets. By focusing the analysis on two cases of welfare markets, private pensions and home-based domestic/care work, the contributions explore and compare the dynamics of different types of markets. The research will be of use to sociologists and scholars of social policy interested in the social dimension of welfare markets, political scientists and political economists, as well as diverse epistemic communities across the social sciences. Chapter 1 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
"This book asks why that is. What is it about communication, as a human social and cognitive practice, that makes it so difficult to manage the disruptions caused by dementia? Why is it so common to feel awkward, confused or irritated when talking with a person living with a dementia? Why is the experience of living with a dementia so personally and socially devastating? What approaches to communication would work best, and why?"--