Advanced Practice in Healthcare outlines the key components of advanced practice in which healthcare professionals are engaged. With a clear skills focus, it explores issues critical to providing effective enhanced care to patients whilst managing and negotiating the complexities of the healthcare delivery system. Perspectives on advanced practice are illuminated throughout the text and are designed to promote the formation of new thinking in relation to practice, education and research. The text is comprised of three sections that address different aspects of advanced practice and these in turn: Provide guidance on the development of clinical skills, including consultation, clinical decision making, holistic care, and the role of care planning in advanced practice. Explain management skills and how to manage, negotiate and monitor the complexities of the healthcare system in order to ensure the delivery of quality patient care. Clarify the professional role of the advanced practice clinician and how implementation of the role can improve the delivery of patient care. In each chapter activities are presented that assist in the development, implementation and extension of advanced level practice. This text is especially relevant to nurses, midwives and allied health professionals practising within primary and secondary care who wish to advance their practice or clarify their roles within the context of advanced practice, particularly those undertaking masters level study.
Revision of: Advanced practice in nursing and the allied health professions / edited by Paula McGee. 2009. 3rd ed.
Named a 2013 Doody's Core Title! "This is a wonderful resource that fills a true gap in the literature. This is a topic that needs more exposure and more emphasis in the field of advanced practice nursing. The value of evaluation in healthcare quality will be seen in the outcomes of healthcare improvements." Score: 100, 5 Stars--Doody's Medical Reviews High-level evaluation skills reflecting national standards and benchmarks are becoming increasingly important in our changing health care climate. This is the only nursing textbook to lay the foundation for APNs to achieve the highest possible competency in conducting systematic and in-depth evaluations of all aspects of health care. Comprehensive in scope, it distills current best practice information from numerous sources to create a thorough and reliable resource for APN and DNP graduates. The text addresses both the theoretical basis of evaluation and its application as an integral part of contemporary practice. It provides an overview of evaluation science and critically examines the characteristics, sources, and quality of the nature of evidence. Several frameworks are described to provide the reader with different evaluation models, including those of economic evaluation. The text covers in detail the evaluation of organizations, systems, and standards for practice, including information systems and patient care technology, the redesign of health care in accordance with patient-family centered models, and the challenges of the current trend toward electronic medical records. Also addressed is the evaluation of populations and health care teams, including characteristics, risk factors, and determinants, as well as the emphasis on interdisciplinary collaborative health teams. Additionally, the text covers translating outcomes from evaluation into health care policy, and opportunities for advocacy and leadership among APNs. Key Features: Provides comprehensive coverage of evaluation of patient, population, systems, health team, and health care information systems technology outcomes Presents best practices and evidence-based practices that stress use in practice Uses case studies to illustrate application of evaluation in each practice area Stresses the importance of clear terminology in evaluation and provides definitions of relevant terms
Advanced Practice in Nursing and the Allied HealthProfessions enables nurses and members of allied healthprofessions to effectively diagnose and treat patients, in a widevariety of settings. It is especially relevant in regions whereaccess to other health providers is limited. This new, completely revised, third edition shows how advancedpractice continues to develop in response to the impact of healthservice reforms, the introduction of health policies aimed atdeveloping a patient-led service based in primary care and changesin working conditions. Advanced Practice in Nursing and theAllied Health Professions presents an examination of thepotential for advanced practitioners, at all levels, to have asignificant effect on the health of the population and provideholistic care for the sick. Practice is identified as the centraland most important feature of the advanced role in nursing andallied health professions. Advanced Practice in Nursing and the Allied HealthProfessions also considers: The development of advanced practice in nursing and the alliedhealth professions and the implications for future health andsocial care services; Challenging professional boundaries that hinder the provisionof care and pioneering innovation within a diverse society; The relationship between health policy and service reforms,current and future advanced roles; International developments in advanced practice; Leadership, management in relation to advanced roles; The responsibilities of advanced practitioners in meetinghealthcare needs in a diverse society; Educating advanced practitioners and tracking their careerdevelopment; The future possibilities for advanced practice and an agendafor research.
Social Work Practice in Health Care by Karen M. Allen and William J. Spitzer is a pragmatic and comprehensive book that helps readers develop the knowledge, skills, and values necessary for effective health care social work practice, as well as an understanding of the technological, social, political, ethical, and financial factors affecting contemporary patient care. Packed with case studies and exercises, the book emphasizes the importance of being attentive to both patient and organizational needs, covers emerging trends in health care policy and delivery, provides extensive discussion of the Patient Protection and Affordable Care Act, and addresses social work practice across the continuum of care.
This book provides up-to-date resources and examples of outcome measures, tools and methods that can be used by APNs in their quest to keep pace with new developments in the rapidly expanding field of outcome measurement. The chapter authors, recognized expert practitioners, offer invaluable insight into the process of conducting outcomes assessments in all APN practice, including the clinical nurse, nurse practitioner, certified registered nurse anesthetist and certified nurse midwife practice specialties. Detailed figures, tables, and examples of outcome studies from actual research in APN practice make this an essential resource for evaluating the true impact the advanced practice nurse has on the delivery and fulfillment of care.
This eagerly anticipated book equips readers to understand the dynamics of policy processes, relevant decision-making and the significance of key decision-makers. It also emphasizes the usefulness of negotiation and diplomacy skills in order to support the development of an advanced nursing practice (ANP) initiative that involves the identification of pivotal issues to ensure that nurses unlock their full potential. Topics include a definition of strategic planning, essential factors to bear in mind, and frameworks to use in the context of formulating effective policies. By addressing outcome indicators and research, this volume offers a comprehensive approach to coordinated planning, and will appeal to advanced practice nurses, healthcare planners and policymakers, as well as administrators at hospitals and healthcare institutions.
Awarded second place in the 2013 AJN Book of the Year Awards in the Nursing Education/Continuing Education category This AJN award-winning text is the only book to teach evidence-based practice (EBP) content grounded in a tested philosophy of teaching and learning. It provides the tools, perspective and context for health educators and practitioners to implement evidence-based care practices and evaluate their efficacy. Reflecting four years of successful experiences in helping academic agencies understand and implement EBP, this new edition has been reorganized to include updated information and five new chapters. It stresses the importance of mentorship in creating EBP and illustrates how mentorship can be designed and implemented to promote EBP. The text clarifies three principal values: How to integrate EBP into academic curricula How to implement an EBP model in clinical settings (for graduate, second career, and CE students) How to address teaching and learning strategies for specific user groups Teaching Evidence-Based Practice in Nursing will be of value to clinical and academic educators, educational and clinical administrators, unit managers, students attending CE programs, and students in nursing education graduate programs. Key Features: Revises and expands upon AJN Book of the Year Award first edition Reflects knowledge gained from four years of successful experiences in teaching and learning EBP since publication of first edition Provides comprehensive and innovative strategies for mentoring and teaching EBP in education and practice scenarios Describes how to implement EBP at undergraduate levels, for second career students, and in continuing education
Named a 2013 Doody's Core Title! "This is an excellent book for both students and current DNPs. The primary areas it addresses--leadership, healthcare policy, and information technology---are essential for the advanced practice nurse to function as a change agent in today's healthcare environment. The book challenges DNPs to engage in clinical practice to the full scope of their capabilities."--Score: 100, 5 Stars. Doody's Medical Reviews This is the only professional issues-oriented Doctor of Nursing Practice (DNP) text to fully integrate all eight American Association of Colleges of Nursing DNP competencies into one volume. It defines practice scholarship for the DNP role and facilitates the sound development of key leadership skills that enable DNP graduates to effectively influence politics and health care policy in order to improve patient and population health care outcomes. The text focuses on the educational requirements of DNPs engaged in the arenas of leadership, health care policy, and information technology. It covers the growth and development of the DNP role, particularly in the context of contemporary health care challenges. With a focus on the Capstone Project, the text addresses the relationship of the DNP role to ongoing scholarship. It covers three important essentials of the DNP curriculumóevidence-based practice, health information technology, and outcomes measurementóand how they can be used to transform health care in the 21st century. The textís challenging and thought-provoking content is of particular value not only to students, but also to professors who will welcome the clarity it offers to the highly complex DNP curriculum. Key Features: Simplifies the highly complex DNP curriculum and integrates DNP core competencies throughout Demonstrates the application of core competencies to practice and aggregate care Provides a well-organized supplement to all courses across the DNP curriculum Uses exemplars of students and practicing DNPs to illustrate effective implementation Offers concrete guidance for achieving a thorough understanding of how DNP graduates utilize core competencies
Prepared under the auspices of the International Council of Nurses (ICN), this first volume provides a comprehensive overview of the rapidly emerging field of advanced nursing practice. It addresses central issues in the role and practice development that are fundamental to defining and differentiating the nature of this field. Topics include defining the role, role characteristics, scope of practice, education, regulation and research. Obstacles to and facilitators of that role are addressed and include ethical questions arising in the context of practice development. With an international focus, this volume examines international developments in the field, as reflected in country-specific case studies and examples. It offers a valuable resource for advanced practice nurses, educators and administrators at healthcare institutions.
This the first basic, comprehensive text on evidence-based practice for health care workers, providing an introductory perspective of evidence-based practice in nursing and health care. Introduction to Evidence-Based Practice also presents evidence to support infrastructure, organizational culture, caregiver competencies, staffing and scheduling systems, and evaluation of the outcomes of service.
Practice Teaching in Healthcare is an essential textbook for anyone studying for the Practice Teacher qualification. Encouraging a critical understanding of the knowledge and competence required to fulfil the practice teacher role, the book examines and evaluates the concepts, theories, and frameworks underpinning the necessary skillset. Structured largely around the Nursing and Midwifery Council's standards for Practice Teachers, the book provides comprehensive coverage of the knowledge and skills required to supervise and assess the learning of qualified healthcare practitioners particularly those on post-qualifying specialist or advanced practice programmes, and therefore includes: -Managing inter-professional relationships -Specialist and advanced practice and knowledge -Assessment and accountability -Leadership in facilitation of learning and assessment of clinical skills -Clinical practice development and evidence-based practice, and - Issues and further developments in learning beyond registration. With action points, illustrations and case studies, this is an ideal textbook for healthcare professionals who are students on practice teaching courses, and all facilitators of learning beyond initial registration.
Designated a Doody's Core Title! "[A] comprehensive resource oriented to advanced nursing students, but one that also will interest women wishing to learn more about thier health....The volume also covers nutrition, exercise, sexuality, infertility...and other chronic illnesses and disabilities. A wonderful resource. Summing up: Highly recommended." --Choice This book is the ideal tool to help graduate level nursing students expand their understanding of women's health care and wellness issues. For easy reference, Women's Health Care in Advanced Practice Nursing is organized into four parts: Women and Their Lives, covering connections between women's lives and their health Frameworks for Practice, addressing health care practice with women Health Promotion, covering ways for women to promote their health and prevent many chronic diseases Threats to Health and Health Problems, addressing problems unique to women, diseases more prevalent in women, and those in which there are different risk factors Key features include: The most recently available data on selected social characteristics of women with a focus on changing population demographics Separate chapters on health issues of adolescent/young adult, midlife, and older women Chapters on preconceptional and prenatal care Chapters covering cardiovascular disease, chronic disease, sexually transmitted infections and other common infections, HIV/AIDS, and women with disabilities Lesbian health care content, which is integrated throughout
Covering all advanced practice competencies and roles, this book offers strategies for enhancing patient care and legitimizing your role within today’s health care system. It covers the history of advanced practice nursing, the theory behind the practice, and emerging issues. Offering a comprehensive exploration of advanced practice nursing, this edition also adds a focus on topics including the APN scope of practice, certification, and the ethical and legal issues that occur in clinical practice. The development of all major competencies of advanced practice nursing is discussed: direct clinical practice, consultation, coaching/guidance, research, leadership, collaboration, and ethical decision-making. Advanced practice competencies are discussed in relation to all advanced practice nursing and blended CNS-NP roles (case manager, acute care nurse practitioner), highlighting the shared aims and distinctions of each role. In-depth discussions on educational strategies explain how competencies develop as the nurses’ practice progresses. A chapter on research competencies demonstrates how to use evidence-based research in practice, and how to promote these research competencies to other APNs. A conceptual framework shows the clear relationship between the competencies, roles, and challenges in today’s health care environment. Practical strategies are provided for business management, contracting, and marketing. Comprehensive information covers the essential competencies of the new Doctor of Nursing Practice degree. More exemplars (case studies) provide real-life scenarios showing APN competencies in action. A new chapter shows how to provide reliable and valid data to substantiate your impact and justify equitable reimbursement for APN services, also enhancing your skills in quality improvement strategies, informatics, and systems thinking. Information on telehealth considerations covers the new sources of electronic healthcare information available to patients and describes how to counsel them on using reliable resources.
This popular book provides practical guidance for healthcare professionals wishing to reflect on their work and improve the way they undertake clinical procedures, interact with other people at work and deal with power issues.
This is an essential, accessible introduction to thepracticalities of research and evidence-based practice aimed at allpre-registration nursing and healthcare students. It placesresearch and evidence in the context of clinical practice,introduces the main methodological approaches in qualitative andquantitative research, and describes the processes of researchappraisal, dissemination and implementation. The new edition of Research for Evidence-Based Practicein Healthcare has been updated to include information for abroader health care audience. It engages students with the researchand evidence agenda, demonstrates the relevance of research andevidence to nursing practice, and provides the skills needed toexplore these areas in greater detail. Special features: · Apractical guide to research methods and evidence-based practice · Newedition of a successful student textbook · Includesa glossary of common research terms · Providescase studies, key points, further reading, and activitiesthroughout · Accompanying website with links to further reading
This issue of Nursing Clinics, Guest Edited by Robin Dennison, DNP, MSN, CCNS, RN, will focus on Future of Advanced Nursing Practice with topics including: regulatory procedures for APNs; future of the NP role; future of CNS role; future of nurse midwife role; future of the nurse anesthetist role; impact of LACE in public health; merging roles of the psychiatric mental health CNS and NP; impact of DNP on AP roles; future of reimbursement for APNs; role of APN in EBP; genetics and APNs; APNs in medical home; and executive role of the APN.
Enhance your understanding of the essential elements of the Doctor of Nursing Practice as defined by the AACN. Written for DNPs by a DNP, this is more than an introduction—it provides you with an organizing framework for your progress through the DNP degree program.
Nursing’s national accrediting bodies, including the Commission on Collegiate Nursing Education and the National League for Nursing Accreditation Commission, demand that nursing curriculum include and emphasize professional standards. This new edition provides information on these professional standards by including chapters relevant to various aspects of advanced nursing practice, including changes in the national health care agenda, the 2010 Affordable Care Act, and the Institute of Medicine (IOM) 2010 report on the future of nursing. With the explosion of the DNP, the revision of the American Association of College’s of Nursing (AACN) Master’s Essentials, and the refinement and development of the Clinical Nurse Leader role, this text is a timely resource for the next generation of advanced practice nursing.
Presents best practices for infection prevention and control in advanced practice Emphasizes team approach for infection control Case study provided for each chapter This professional reference combines research on the best practices for infection control in clinical settings with essential information for advanced practice nurses and physician assistants. The book is organized by healthcare settings, and the coverage ranges from small practice offices to large hospitals and medical institutions. Each chapter is prefaced by a case study which is then incorporated into the theoretical material of the chapter as a continuing illustration. This format provides a reader-friendly instructional resource for advanced practice certifications and staff development. From the Foreword "At last is published a long-needed text for advanced practice nurses (APNs), providing them with the information essential to the care of essentially every patient they will encounter. Infection Control for Advanced Practice Professionals fills a void in the literature and recognizes the importance of a team approach to the prevention of infections in the variety of care settings in which APNs are practicing. The book is particularly timely and relevant because it appropriately places infection prevention solidly within the larger patient safety movement and affirms that preventing infections is everybody's concern. In acute care settings, for example, infection control has occasionally been relegated to the infection prevention specialist (e.g., infection control nurse or hospital epidemiologist) or the infection control committee. This has shown to be ineffective in any setting. It is those who "touch" the patients and oversee their care who must assume the responsibility for preventing untoward events such as infections. While not all infections are preventable, there is indeed room for improvement. This comprehensive reference is a first and essential step in that direction!" Elaine Larson, PhD, RN, FAAN, CIC Anna C. Maxwell Professor of Nursing Research Associate Dean for Research School of Nursing Professor of Epidemiology Joseph Mailman School of Public Health Columbia University Editor, American Journal of Infection Control TABLE OF CONTENTS Foreword Preface List of Contributors 1. Principles of Infection Control Joan Hebden 1.1. Case Presentation 1.2. Essential Content for Infection Control Skills 1.3. Creating and Sustaining a Culture of Safety 1.4. The Measurement of Performance 1.5. Team-led Performance Initiatives 1.6. Monitoring and Feedback 1.7. Creating an Action Plan for Performance Improvement 1.8. Making a Business Case for HAI Prevention 1.9. Interpretation/Application of Infection Control Data 1.10. Patient Safety and Health System Issues 1.11. Summary Points 1.12. References 2. Safe Infection Control in the Workplace Carol Patton and Denise M. Korniewicz 2.1. Case Presentation 2.2. Essential Content for Safe Infection Control in the Workplace 2.3. Employer Standards for Bloodborne Pathogen Precautions 2.4. Personal Protective Equipment (PPE) 2.5. Sharps Injuries 2.6. Designing Programs of Healthcare Worker Safety 2.7. Surveillance and Behavioral-based Performance of Healthcare Workers 2.8. Creating a Culture of Safe Infection Control Practices 2.9. References 3. Patient Safety and the Chain of Infection Joan Hebden 3.1. Case Presentation 3.2. Essential Content for Infection Control Skills 3.3. Interpretation/Application of Infection Control Data 3.4. Patient Safety and Health System: Infection Control Practices 3.5. Summary Points 3.6. References 4. Essentials of Epidemiologic Measures and Data Interpretation Maher M. El-Masri and Davy Tawadrous 4.1. Case Presentation 4.2. Measures of Disease Frequency 4.3. Measures of Disease-exposure Association 4.4. Statistical Probability (P. Value) 4.5. Clinical Versus Statistical Significance 4.6. Summary Points 4.7. References 5. Infection Control in Acute Care Settings Jeanne Hinton Siegel 5.1. Case Presentation 5.2. Essential Content for Infection Control 5.3. Hand Hygiene 5.4. Engineering Controls 5.5. New Monitoring Techniques 5.6. Use of Isolation to Prevent the Spread of Infections 5.7. Review of Healthcare Environments 5.8. Advanced Practice Professionals' Roles in Public Health 5.9. References 6. Infection Control in Critical Care Settings Mary Wyckoff 6.1. Case Presentation 6.2. Essential Content for Infection Control 6.3. Hospital Acquired Infections in Critical 6.4. Attributable Cost of Hospital Acquired Infections 6.5. How to Effectively Process Change 6.6. Conclusion and Summary Points 6.7. References 7. Infection Control in the Emergency Department Settings Michelle Wright 7.1. Case Presentation 7.2. Essential Content for Infection Control Skills 7.3. Precautions 7.4. Unknown Illness 7.5. Biochemical Agents 7.6. Trauma 7.7. Travel 7.8. Equipment Sharing 7.9. Patient Mobility 7.10. Overcrowding 7.11. Empirical Antibiotic Therapy 7.12. Novel Approaches 7.13. Summary Points 7.14. References 8. Infection Control in Primary Care Settings Carol Patton and Denise M. Korniewicz 8.1. Case Presentation 8.2. Essential Content for Infection Control Skills 8.3. Creating the Culture of Infection Control in Primary Care Settings 8.4. Strategies for Best Practices for Infection Control in Primary Care Settings 8.5. Summary Points 8.6. References 9. Infection Control Principles for Long-term Care Environments Judith Seltzer and Denise M. Korniewicz 9.1. Case Presentation 9.2. Essential Content for Infection Control Skills 9.3. General Environmental Issues (Wheelchairs, Hand Rails, Walkers, Cleaning Rooms) 9.4. Regulatory Measures 9.5. Summary Points 9.6. References 10. Infection Control in the Home Jeanette Adams 10.1. Case Presentation 10.2. Essential Content for Infection Control Skills 10.3. Health Care Providers 10.4. Multidrug-Resistant Organisms 10.5. Interpretation/Application of Infection Control Data 10.6. Discussion about Patient Safety and Health System Issues Related to ICP 10.7. Summary Points 10.8. References 11. Infection Control Practice in Mental Health Settings James Weidel 11.1. Case Presentation 11.2. Environment of Care of the Psychiatric/Mental Health Facility 11.3. Limited Access to Supplies 11.4. Linen and Clothing 11.5. Provider-Patient Interaction 11.6. Food Safety 11.7. Patient Handling of Food 11.8. Sanitation and Housekeeping 11.9. Risk Factors Associated with Infection Among Psychiatric Patients 11.10. Isolation 11.11. Transmission Based Precautions 11.12. Restraints and Infection Control 11.13. Conclusion 11.14. Summary Points 11.15. References 12. Infection Control in Ambulatory Surgical Centers Judith Seltzer 12.1. Case Presentation 12.2. Essential Content for Infection Control in Ambulatory Surgical Settings 12.3. Regulatory Influences 12.4. Infection Control Monitoring 12.5. Active Participation 12.6. Long-term Infection Control Principles in Ambulatory Surgical Settings 12.7. Summary Points 12.8. References 13. Infection Control in the Community Jeanette Adams 13.1. Case Presentation 13.2. Essential Content for Infection Control Skills 13.3. Food Borne Infections 13.4. Prevention of Infectious Diseases 13.5. Methicillin Resistant Staphylococcus Aureus (MRSA) 13.6. Clostridium Difficile (C-diff.) 13.7. Human Immunodeficiency Virus (HIV) 211 13.8. Interpretation/Application of Infection Control Data 13.9. Discussion about Patient Safety and Health System Issues Related To ICP 13.10. Summary Points 13.11. References 14. Infection Control for Emergency Mobile Health Units Michelle Wright 14.1. Case Presentation 14.2. Essential Content for Infection Control Skills 14.3. Vector Borne Illnesses 14.4. Overcrowding 14.5. Personnel Safety 14.6. Medically Trained Volunteers 14.7. Untrained Volunteers 14.8. Interpretation/Application of Infection Control Data 14.9. Patient Safety and Health System Issues 14.10. Summary Points 14.11. References 15. Future Issues in Monitoring for Safe Infection Control Practices Denise M. Korniewicz 15.1. Case Presentation 15.2. Essential Content Infection Control of the Future 15.3. Future Engineering Controls 15.4. Safety Through Knowledge 15.5. Future Patient Participation, Public Awareness and Patient Advocacy 15.6. Summary Points 15.7. References Index