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Delivers a wealth of information for nurses who wish to open and manage their own health clinics Public health nursing—with its focus on compassionate, holistic care and services to the poor, the aged, those suffering from social injustice, and those without adequate health facilities—had its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services—including primary care, health promotion, disease prevention, and behavioral health care—to residents of underserved communities throughout the United States. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform. Helpful appendices include a start-up checklist, sample bylaws, and a managed-care contracting toolkit. KEY FEATURES: Describes key business, policy, medical, financial, and operational considerations for running a nurse-managed health center Addresses the pros and cons of a variety of business models for nurse-led care Identifies the most common clinical services offered Presents quality metrics, best-practice models, and case studies Includes state and federal policy and regulatory challenges and opportunities
In recent years there has been a huge growth in nurse-led clinics within hospital outpatient departments, general practitioner surgeries and health centres. The government has endorsed the use of such clinics as a way for the public to access specialist health care and treatment more quickly and also as an effective way to manage chronic ill health. However, there is a lack of uniform structure in educational preparation for nurses interested in taking up nurse-led practice and a dearth of literature offering practical guidance. This text provides a much-needed overview of this new arena for nursing and includes case studies from practitioners running nurse-led clinics. Topics covered include: * Setting up a clinic * Public protection issues * Nurse education * Managing medicines * Effectiveness and evaluation. The text allows the reader to explore key practice issues which directly affect the quality of service provided. It will be an invaluable handbook for nurses directly involved in running clinics, for those responsible for the provision of nurse-led services and for nurse educators.
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.
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.
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
The definitive resource for advanced practice within nursing and the allied health professions—revised, expanded, and updated throughout. Advanced practice is an established and continuously evolving part of healthcare workforces around the world as a level of practice beyond initial registration. Advanced practitioners are equipped to improve health, prevent disease, and provide treatment and care for patients in a diverse range of settings. This comprehensively revised fourth edition emphasises the importance of practice in advanced healthcare, presenting a critical examination of advanced practice roles in nursing and allied health professions through a series of learning features designed to facilitate the development of vital knowledge and skills. Advanced Practice in Healthcare presents: International developments in advanced practice as a global response to the need to modernise services, reduce costs and increase access to healthcare services Country-specific examples of advanced practitioners’ roles in delivering patient care in diverse settings The impact of advanced practice in nursing and the allied health professions Controversial issues including prescribing, regulation and credentialing, and the interface with medical practice Ethical and legal dimensions of advanced practice The preparation of advanced practitioners Advanced Practice in Healthcare is an essential resource for all students, practitioners, managers and researchers of advanced practice in healthcare.
This book describes the varying clinical manifestations of postural tachycardia syndrome (PoTS) and provides a robust yet practical set of clinical tools for those managing patients suffering with this syndrome. Guidance is provided by a range of disciplines relevant to PoTS including general and specialist assessments, associated conditions, diagnostic considerations, therapy and service models. Postural Tachycardia Syndrome: A Concise and Practical Guide to Management and Associated Conditions presents the scientific background and practical information for the busy medical professional, illustrating key features with care-based materials to help them manage this condition, which can be a challenge for patients and clinicians alike.
Designed to meet the needs of clinicians working with adults with congenital heart disease, Diagnosis and Management of Adult Congenital Heart Disease , by Drs. Michael A. Gatzoulis, Gary D. Webb, and Piers E. F. Daubeney, offers essential guidance on the anatomical issues, clinical presentation, diagnosis, and treatment options available to practitioners today. This latest edition features completely updated content, including new information for nurses and nurse practitioners who, now more than ever, are playing an important role in the care of adults with CHD. You'll also access four new chapters, illustrated congenital defects, coverage of long-term outcomes, and much more. - Drs. Gatzoulis, Webb, and Daubeney lead a team of experts ideally positioned to provide state-of-the-art global coverage of this increasingly important topic. - Each disease-oriented chapter is written to a highly structured template and provides key information on incidence, genetics, morphology, presentation, investigation and imaging, and treatment and intervention. - Congenital defects are illustrated with full-color line drawings and by the appropriate imaging modality (for example, EKG, x-ray, echocardiogram, MRI, CT, ). - Provides coverage of long-term outcomes, including the management of pregnant patients and patients undergoing non-cardiac surgery. - Features the addition of four new chapters: A Historic Perspective; Quality of Life in Patients with Pulmonary Hypertension; Psychosocial Issues in ACHD; Supportive and Palliative Care for End-Stage ACHD.
Over half the world's rural population, and many in urban slums, have minimal access to health services. This book describes how to set up new, and develop existing, community-based health care for, by and with, the community.
With the majority of graduate nurses going on to work in primary health, Community Health and Wellness provides the reader with the knowledge and tools they need to practise competently and safely in the community. The book provides an overview of primary healthcare principles and how to apply them, enabling a deep understanding of the role of the community health nurse in providing holistic individual and community care within an interdisciplinary healthcare environment. Continuous real-world case studies throughout enable the reader to understand how the social determinants of health influence each family member's life, their communities and the challenges they face. This seventh edition has been written by nursing experts Dr Jill Clendon and Dr Ailsa Munns, and incorporates feedback from students, users and practising community health nurses to ensure it meets the needs of today's students as they embark on their career beyond academia. Takes a unique socio-ecological approach to community health - including health promotion, health literacy and a range of health interventions Key points and information boxes allow easy navigation Case studies link theory and principles to practice Templates and tools to conduct community assessments Links to resources for further reflection An eBook included in all print purchases Additional resources on Evolve: eBook on VitalSource Instructor resources: Power Points Tutorial Activities Image Library Critical Thinking Questions and Answers Student resources: Online Care Plans Online Material - Chapter 10 Research Guide: from question to solution Weblinks Significant updates throughout More content on public health and infectious disease management, including current pandemics and epidemics Improved content on cultural safety and care planning