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Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. Ineffective responses to the complex challenges of nursing home care have resulted in a system that often fails to ensure the well-being and safety of nursing home residents. The devastating impact of the COVID-19 pandemic on nursing home residents and staff has renewed attention to the long-standing weaknesses that impede the provision of high-quality nursing home care. With support from a coalition of sponsors, the National Academies of Sciences, Engineering, and Medicine formed the Committee on the Quality of Care in Nursing Homes to examine how the United States delivers, finances, regulates, and measures the quality of nursing home care. The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff identifies seven broad goals and supporting recommendations which provide the overarching framework for a comprehensive approach to improving the quality of care in nursing homes.
“This in-depth, evidence-based roadmap to high-quality care in nursing homes is a powerful compilation of the expertise of leaders in our field. This is a must-read!” –Heather M. Young, PhD, RN, FAAN, FGSA Professor, Betty Irene Moore School of Nursing, University of California, Davis “I highly recommend this exceptional book. It’s timely, comprehensive, and written by distinguished authors and interprofessional contributors who are among the very best in the field.” –Kathleen (Kitty) Buckwalter, PhD, RN, FAAN Professor of Research & Distinguished Nurse Scientist in Aging Donald W. Reynolds Center of Geriatric Nursing Excellence, College of Nursing Oklahoma University Health Sciences Center Professor Emerita, University of Iowa College of Nursing Long-term care settings are highly regulated environments where the emphasis historically has been on compliance. Many misconceptions persist about practice in nursing homes, and these go largely unaddressed within nursing education programs. Herein lines one of the significant barriers to improving nursing home care. Practice & Leadership in Nursing Homes dispels many misconceptions and provides a foundation for clinical practice in a unique, exciting setting—illustrating how high-quality nursing care can result in positive resident outcomes. This book challenges educators and students to look beyond incorrect perceptions and negative attitudes to see a vibrant, growing healthcare sector ripe for nurses to make an impact and build rewarding careers. Expert authors cover the following and more: · Comprehensive care planning · Models of care delivery · Common geriatric syndromes · Staff development and training · Nursing home financing and regulatory information ABOUT THE AUTHORS JoAnne Reifsnyder, PhD, MSN, MBA, RN, FAAN, is Professor, Health Services Leadership and Management, at the University of Maryland School of Nursing. She has held executive and leadership roles in hospice, hospice-related medication management, and skilled nursing. Ann Kolanowski, PhD, RN, FAAN, is Professor Emerita at the Penn State Ross and Carol Nese College of Nursing and conducts research on nonpharmacological interventions for symptoms of distress and delirium in people living with dementia in nursing homes. Jacqueline Dunbar-Jacob, PhD, RN, FAAN, is Distinguished Service Professor and Dean Emeritus (Nursing) at the University of Pittsburgh. She was the founding Co-chair of the Implementation Steering Committee for the 2021 Essentials for the American Association of Colleges of Nursing.
As people around the globe experience more civil unrest and environmental disruption, the difficulties social workers face in their practice are becoming increasingly complex. This textbook deepens and expands the resilience-enhancing stress model (RESM) skill set and techniques so that social workers can more effectively serve clients and constituencies who are trying to overcome the stress of difficult life transitions and challenging environmental demands. It is designed as a companion piece to A Resilience-Enhancing Stress Model: A Social Work Multisystemic Practice Approach (Springer, 2022). The intent of the RESM is to further expand social workers' practice skill sets with additional concepts from the anti-oppressive practice (AOP) and coaching literature that aligns with the Educational Policy and Accreditation Standards from the Council on Social Work Education (CSWE). The book's 12 chapters are organized around life transitions and illustrate skills, techniques, and interviews important to the enhancement of resilience. Among the topics covered: The Resilience-Enhancing Stress Model: Articulating Anti-Oppressive Practice Exploring the Role of Cultural Diversity in Resilient Social Functioning: Theory and Skills Countering Human Rights Violations During Life Transitions Facilitating Community Development Following Disruption Resilience Enhancement in Social Work Practice: Anti-Oppressive Social Work Skills and Techniques uniquely offers practitioners a knowledge base to exponentiate their efficacy in identifying and fortifying resilience in a time in history when it appears to be imperative. It is written for a student social work audience at the generalist or advanced generalist level for practice across a range of populations and settings. It contains traditional and contemporary human behavior content that supports a social work narrative methodology and a life course perspective. It could be taught with its predecessor across one or two semesters. Practitioners in the field who are new to this content could also find the text a valuable resource.
This book aims to serve as a playbook and a guide for the creation of a safer healthcare system in the contemporary healthcare ecosystem. It meets this goal through examinations of clinical case studies that illustrate core principles of patient safety, coverage of a broad range of medical errors including medication errors, and solutions to reducing medical errors that are widely applicable in many settings. Throughout the book, the chapters offer viewpoints from healthcare leaders, accomplished practitioners, and experts in patient safety. In addition to highlighting important concepts in patient safety, the book also provides a vision of patient safety in the subsequent decade. Furthermore, it will describe what changes need to “fall into place” between now and the next 10-15 years to have that future realized. The book presents and analyzes a number of cases to illustrate the most common types of medical errors and to help readers learn the key clinical, organizational, and systems issues in patient safety. Patient Safety, 2nd edition, is an invaluable text for all physicians, healthcare workers, policymakers, and residents who are working towards a more equitable and effective healthcare system.
There were many challenges, successes, and concerns in providing long-term care to older adults during the COVID-19 pandemic. Looking at central North Carolina, the authors highlight the implications of providing long-term care to older Americans, with an emphasis on the importance of communication, resilience of staff, and value of human infrastructure. Based on extensive interviews, this collection of essays reflects on the participants’ individual experiences and represents the voices of staff and caregivers working in long-term residential care communities, in-home and community-based programs, as well as regional aging service providers and advocates.
Following the success of the previous edition, the second edition of Geriatrics Models of Care is the definitive resource for systems-based practice improvement for the care of older adults. Several new models of care have been published in the last eight years, new outcomes have emerged to better understand the impact of existing models, and with the rise of the Age-Friendly Health Systems movement, promoting organized efforts to prepare our health care settings for older individuals is of more importance than ever. The second edition is organized based on the practice setting along a continuum of care: hospital, transitions from hospital to home, outpatient settings, and the emergency department. This book also highlights long-term care models, which is an important part of the continuum of care for older Americans. Further, this edition features models that address the needs of vulnerable populations. This new section will describe a spectrum of programs for older adults who have Alzheimer’s disease or Parkinson’s disease. Other models describe best practices for older adults undergoing surgery or those who want to remain functioning independently in their home. A defining feature of this book is that each chapter follows a standard template: 1) the challenge which led to the model; 2) the patient population served; 3) core components of the intervention; 4) the role of interdisciplinary health professionals; 5) evidence to support the intervention; 6) lessons learned in the implementation and dissemination of the model; 7) implications for family caregivers, and communities (particularly underserved and diverse communities); and 8) how each model will provide care across the continuum during an entire episode of care. In addition, each chapter features a “call out” box with practical tips for implementing the model.
Praise for previous editions: "The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely....The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice." --The Gerontologist "As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice." Score: 97 --Doodys The result of a collaboration between expert practitioners and educators in geriatric nursing, the seventh edition of this acclaimed reference has been updated and revised with new information on chronic conditions and emerging models of care presented in 10 completely new chapters. It provides the most current, evidence-based protocols for improving both quality of care and patient outcomes when caring for older adults in multiple disciplines and settings. As in past editions, the seventh edition is distinguished by its use of a rigorous systematic method (AGREE: Appraisal of Guidelines for Research and Evaluation) to improve the validity of the book's evidence-based content. Chapters provide assessment and management principles, clinical interventions, and information on specialty practice and models of care. Included in most chapters are protocols developed for each clinical condition by experts in that specific area. Evidence is current and derived from all settings of care, including community, primary, acute, and long-term care. Protocols include an overview and evidence-based assessment and intervention strategies. Illustrative case studies with discussion are presented in most chapters, along with chapter objectives and references with evidence ratings. Instructor's resources include an AACN Mapping Grid, Course Cartridge, Transition Guide, PowerPoints, and Test Bank. New to the Seventh Edition: Updated to encompass the latest trends in older adult care, chronic conditions, and emerging models of care New chapters on care and management of diabetes and respiratory care New chapters on issues surrounding nutrition and dementia, and mental illness New chapter on care and comfort at the end of life New chapters on adopting principles of diversity, equity, and inclusion and an age-friendly health system into practice New chapters on models of care in long-term, community-based, and primary care Key Features: Delivers easy-to-follow geriatric protocols for best practices Updates evidence regularly to reflect current practice standards Encompasses a broad scope of content including detailed information rarely covered in professional literature Offers case studies and discussions to illustrate application of protocol to practice Written by renowned leaders in geriatric nursing education and practice Use of AGREE (Appraisal of Guidelines for Research and Evaluation) to improve the validity of evidence throughout the text
Moving away from studies of aging in place, this forward-looking Handbook focuses on aging and place, offering a broader scope and more nuanced, complex and enlightening understanding of these two intertwined universals of human experience. Not only examining the latest literature, the chapters also challenge current thinking on the many intersections, opportunities and issues around place and aging that need to be addressed through policy and practice.
As accreditation standards and licensure exam expectations evolve, nurse educators are increasingly challenged to design curricula that encompass an ever-expanding amount of content with a concurrent focus on clinical judgment and preparation for practice. Best Practices in Teaching Nursing empowers readers with a detailed perspective on advances in nursing pedagogies that support the development of deep understanding and effective clinical judgment among students. Authored by expert nurse educators, this unique text helps foster exceptional education experiences with an emphasis on practical application focused on teaching and assessing learners. Current and best practices are grounded within nursing as a practice profession and incorporate the science of learning, reflecting the most current research-based insights and proven pedagogical approaches.
Advances in Family Practice Nursing, 2024