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There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
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This is the first undergraduate textbook to provide a comprehensive overview of essential knowledge, skill, and attitudes about safety in nursing practice. It reflects the six areas of nursing competencies as developed by the Quality and Safety Education Program for Nurses (QSEN) initiative, which are currently required content in undergraduate nursing programs. Using an inter-professional focus, the book addresses the fundamental knowledge required of entry-level nurses in each of the six QSEN areas: quality improvement, patient safety, teamwork and collaboration, evidence-based practice, informatics, and patient-centered care. The book includes all of the content required for nursing programs to be accredited by AACN or NLN. Contributors include nurse educators, faculty, researchers, administrators, case managers, quality improvement practitioners, and entrepreneurs of nursing as well as physicians and librarians from throughout the U.S. Readers will be privy to the unique perspectives of different health care partners who provide real life examples from an inter-professional team perspective. These include pharmacists, lawyers, physicians, librarians, quality improvement nurses, radiology technologists, nurse practitioners, hospital board members, patients, and others. Each chapter includes objectives, opening scenarios, case studies, critical thinking exercises, key terms, NCLEX-style questions, photos, tables, figures, web resources, recommendations for additional reading, and PowerPoint slides. An important feature of the book is the listing of QSEN competencies and the associated knowledge, skills, and attitudes (KSA) in the Appendix. Key Features: Comprises the only undergraduate text to address the six areas of requisite nursing competencies as developed by the QSEN initiative Provides a strong foundation for safe, evidence-based care Presents an inter-professional approach that reflects health care today Supports teaching with PowerPoint slides, critical thinking exercises, case studies, and rationales for review questions Includes objectives, critical thinking exercises, case studies, real world interviews, tables, figures, visuals, and suggested readings in each chapter
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Nursing Leadership & Management, Fourth Edition provides a comprehensive look at the knowledge and skills required to lead and manage at every level of nursing, emphasizing the crucial role nurses play in patient safety and the delivery of quality health care. Presented in three units, readers are introduced to a conceptual framework that highlights nursing leadership and management responsibilities for patient-centered care delivery to the patient, to the community, to the agency, and to the self. This valuable new edition: Includes new and up-to-date information from national and state health care and nursing organizations, as well as new chapters on the historical context of nursing leadership and management and the organization of patient care in high reliability health care organizations Explores each of the six Quality and Safety in Nursing (QSEN) competencies: Patient-Centered Care, Teamwork and Collaboration, Evidence-based Practice (EBP), Quality Improvement (QI), Safety, and Informatics Provides review questions for all chapters to help students prepare for course exams and NCLEX state board exams Features contributions from experts in the field, with perspectives from bedside nurses, faculty, directors of nursing, nursing historians, physicians, lawyers, psychologists and more Nursing Leadership & Management, Fourth Edition provides a strong foundation for evidence-based, high-quality health care for undergraduate nursing students, working nurses, managers, educators, and clinical specialists.
"I congratulate the editors of [this book] on their commitment to continuously updating the resources needed by nursing leaders, faculty, and students who seek to develop or enhance their quality and safety competencies. The chapters and the contents of this edition align magnificently with new domains of the AACN accreditation standards (2021). Whatever your level of education or role in nursing, this textbook is rich in resources to support your growth." -Linda Cronenwett, PhD, RN (ret.), FAAN Professor & Dean Emeritus University of North Carolina at Chapel Hill School of Nursing Former Principal Investigator, QSEN: Quality and Safety Education for Nurses (From the Foreword) This Third Edition of Quality and Safety Education for Nurses has been thoroughly updated for students in undergraduate Associate, Baccalaureate, Accelerated and BSN completion Nursing programs. There is a chapter focusing on each of the six Quality and Safety Education for Nurses (QSEN) Competency areas, with content on Nursing Leadership and Patient Care Management infused throughout the chapters. The Third Edition also includes new chapters on Systems Thinking, Implementation Science, and Population Health. It includes an Instructor’s manual and Powerpoints. New to the Third Edition: New Chapters: Chapter 3: Systems Thinking Chapter 13: Implementation Science Chapter 15: Population Health and the Role of Quality and Safety Incorporates new content based on The Future of 2020-2030 Report and the 2021 AACN Essentials Contains a "Competency Crosswalk" connecting each chapter's content to QSEN/AACN Competencies Key Features: Supports nursing schools to fulfill accreditation standards for Quality and Safety curricula Includes Clinical Judgment Activities, Case Studies, Interviews, NCLEX-Style Questions, Figures, Tables, Bibliography, Suggested Readings, and more to clarify content Designed to be used in a stand-alone Quality and Safety course, Leadership and Management Nursing course, or as a support for Nursing courses Provides instructor package with an unfolding case study with suggestions for assignments, questions and answers for case study and critical thinking exercises, PowerPoint slides, and more
As the healthcare environment changes, the need for outcomes-based tre atment planning becomes even more critical. This book guides the reade r through current outcomes-based research as it pertains to surgery. F irst, it gives a complete overview of the practice of evidence-based s urgery (EBS), with topics such as treatment planning, policy issues, a nd ethical issues. Then it gives practical, step-by-step advice on the methodology of EBS, with chapters on study design, outcomes measures, adjustments for complications and comorbidities, cost, and data sourc es. Last, it publishes the results of numerous respected EBS studies.
Structure your ministry to start with patients’needs, hopes, and resources and to be clear what difference your ministry can make!Hospital chaplains value who they are and what they do as contributions to patients’and families’healing and well-being. And they are continually stretching to enhance their ministries. Hospital administrators and other professionals on the care teams, however, often need help to grasp those same values in outcome oriented, observable, documentable, changes-for-the-better terms. The Discipline for Pastoral Care Giving: Foundations for Outcome Oriented Chaplaincy offers a powerful new paradigm for enhancing supportive, effective spiritual care for patients and families as well as communicating substantive outcomes to leaders and clinicians alike. This is all the more important in these times when every possible resource must be well used for the good of our patients and their families.By evaluating the pastoral care you offer, you can become more aware of the discrete skills you exercise in the assessment, planning, intervention, and reflection process. Such evaluation efforts highlight the discrete differences excellent spiritual care makes. This can help you track contributions you are making in terms of the patient's healing and well-being. Having a sound, replicable way to make the process more conscious also helps you communicate your assessment, strategies, and contributions more clearly to other care team members. Furthermore, consistently using The Discipline over time will enable you to discover patterns of spiritual dynamics in how people live with different health care challenges in their lives. These patterns translate into valuable insights as your care for others.The process discussed in The Discipline for Pastoral Care Giving calls on the chaplain to: identify the patient's spiritual needs, hopes, and resources construct a patient profile through identifying the individual's sense of the holy, sense of meaning, sense of hope, and sense of community design the desired outcome(s) you hope your care will contribute--for example, a person who has suffered a spinal cord injury integrates the effects of their injury in their sense of identity and meaning, a person living with cystic fibrosis healthfully grieves the loss of others in the CF community, a patient 'disabled’by the absence of her support community regains use of her personal resources for coping and self-care develop and share a plan for the patient's spiritual care choose interventions (which may range from facilitating a life review, to compassionate confrontation, to reading Scripture, to active listening, to arranging a family care conference) measure outcomes, identifying and communicating the difference your care has made in terms of the patient's healing and well-beingThe Discipline for Pastoral Care Giving offers case studies, personal experiences, helpful figures and charts, and suggestions for dealing with patients experiencing unique, complex health care challenges, including adults living with cystic fibrosis and violent victims of violence. The wise advice and practical suggestions in this book will help you recognize and document the solid value of your hospital ministry.