Quality Caring in Nursing and Health Systems

Implications for Clinicians, Educators, and Leaders, 2nd Edition

Author: Joanne R. Duffy, PhD, RN, FAAN

Publisher: Springer Publishing Company

ISBN: 0826110150

Category: Medical

Page: 328

View: 4358

First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÖThis book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care

Quality Caring in Nursing

Applying Theory to Clinical Practice, Education, and Leadership

Author: Dr. Joanne R. Duffy, PhD, RN, FAAN

Publisher: Springer Publishing Company

ISBN: 9780826121295

Category: Medical

Page: 264

View: 2957

Winner of an AJN Book of the Year Award for 2009! "[This] book offers a coherent, theoretical, and research-guided framework for quality nursing caring in practice, education, and leadership; a foundational, timeless, yet transformative framework of substanceÖ." Jean Watson, PhD, RN, AHN-BC, FAAN College of Nursing, University of Colorado, Denver Dedicated time spent with patients and families in clinical settings is often limited, rushed, and impersonal. How can nurses develop more positive, caring relationships with their patients, and help to improve the quality of patient care at large? This book addresses this critical question by presenting Joanne R. Duffy's Quality-Caring Model©-the result of 35 years of clinical experience and educational acumen. This values-based model will bring caring back into the foreground of nursing practice by providing revised curricula for educational programs, and outlining the core caring principles for nurse administrators. Key Features: Establishes "Relationship-Centered Caring," with discussions on how to care for the self, patients and families, each other, and communities Offers multiple case examples, and includes reflective questions and applications for use in educational programs, workshops, conferences, and clinical practice Demonstrates how the Quality-Caring Model© can be implemented in clinical practice, nursing education, research, and nursing leadership settings Includes appendices that discuss how caring can improve patient safety, outline course objectives, and explain how to assess and measure caring in your facility Written in clear, accessible language, this book will be an invaluable resource to nursing students, nursing scholars, clinical nurses, nurse educators, nurse researchers, and nurse leaders. Duffy's approach will help create a redesigned patient care delivery system focused on the primacy of caring relationships.

Professional Practice Models in Nursing

Successful Health System Integration

Author: Joanne R. Duffy, PhD, RN, FAAN

Publisher: Springer Publishing Company

ISBN: 0826126448

Category: Medical

Page: 320

View: 9124

This is the first resource to demonstrate to nurse leaders, administrators, and staff how to develop, apply, and successfully integrate a professional practice model into a health system. It delivers best practices for creating, implementing, evaluating, adapting, adopting, and revising professional practice models that contribute to improving patient outcomes. Consolidating a wealth of information in one place, the text describes a coordinated and consistent approach that generates an in-depth understanding of professional practice models including their implementation and evaluation. Distinguished by its focus on the "how to" of successful enculturation—a common obstacle for many nursing professionals—the text guides nurse leaders and educators in the process of integrating professional practice models into clinical workflow, advancing nursing practice, improving the quality of patient care, and facilitating Magnet® designation. Specific methods and implementation strategies are delineated along with tipping points and milestones. Real-life examples offer relevant lessons from others who have encountered problems and created successful solutions along the way. They describe approaches, resolutions to problems, unique insights, and meaningful revisions. Opportunities for reflection and case analysis are presented and chapters—each with comprehensive, concise, evidence-based content—include learning objectives, key summary points, reflective exercises, illustrations, charts, and "learning from the field" insets. Key Features: Encompasses essential information for developing, applying, and diffusing a professional practice model Provides comprehensive, concise, and evidence-based content Written by a renowned nurse leader, educator, and researcher with expertise in the enculturation of professional practice models Addresses one of the criteria necessary for Magnet® designation Includes a strong disciplinary perspective with a focus on professionalism and demonstrating value

Keeping Patients Safe:

Transforming the Work Environment of Nurses

Author: Committee on the Work Environment for Nurses and Patient Safety,Board on Health Care Services,Institute of Medicine

Publisher: National Academies Press

ISBN: 0309187362

Category: Medical

Page: 488

View: 7989

Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform - monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis - provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care - and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

The Future of Nursing

Leading Change, Advancing Health

Author: Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine

Publisher: National Academies Press

ISBN: 0309208955

Category: Medical

Page: 700

View: 9924

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.

Crossing the Quality Chasm:

A New Health System for the 21st Century

Author: Committee on Quality of Health Care in America,Institute of Medicine

Publisher: National Academies Press

ISBN: 0309072808

Category: Medical

Page: 360

View: 4114

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Health Care in Crisis

Hospitals, Nurses, and the Consequences of Policy Change

Author: Theresa Morris

Publisher: NYU Press

ISBN: 147982769X

Category: Business & Economics

Page: 272

View: 6019

An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital’s obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses’ care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. In the context of a new environment where hospital reimbursements are tied to performance, nursing has come under much scrutiny as documentation of births—already laboriously high—has reached even greater levels. Providing patient-centered care is an organizational challenge that nurses struggle to master in this context. Some nurses become bogged down by new processes and bureaucratic procedures, while others focus on buffering patients from the effects of these changes with little success. Morris maintains that what is most important in delivering quality care to patients is the amount of interaction time spent with patients, yet finding that time is a real challenge in this new environment. As questions and policies regarding health care are changing rapidly, Health Care in Crisis tells an important story of how these changes affect nurses’ ability to care for their patients.

Quality and Safety in Nursing

A Competency Approach to Improving Outcomes

Author: Gwen Sherwood,Jane Barnsteiner

Publisher: John Wiley & Sons

ISBN: 1119151678

Category: Medical

Page: 424

View: 3465

Drawing on the universal values in health care, the second edition of Quality and Safety in Nursing continues to devote itself to the nursing community and explores their role in improving quality of care and patient safety. Edited by key members of the Quality and Safety Education for Nursing (QSEN) steering team, Quality and Safety in Nursing is divided into three sections. It first looks at the national initiative for quality and safety and links it to its origins in the IOM report. The second section defines each of the six QSEN competencies as well as providing teaching and clinical application strategies, resources, and current references. The final section now features redesigned chapters on implementing quality and safety across settings. New additions to this edition include: Instructional and practice approaches including narrative pedagogy and integrating the competencies in simulation A new chapter exploring the application of clinical learning and the critical nature of inter-professional teamwork A revised chapter on the mirror of education and practice to better understand teaching approaches This groundbreaking unique text addresses the challenges of preparing future nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the health care system in which they practice. This new edition is also available as an e-book. For more details, please see www.wiley.com/buy/9781119151678

Assuring the Quality of Health Care in the European Union

A Case for Action

Author: Helena Legido-Quigley

Publisher: World Health Organization

ISBN: 9289071931

Category: Medical

Page: 210

View: 7251

People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?". This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.

Policy & Politics in Nursing and Health Care

Author: Diana J. Mason,Deborah B. Gardner,Judith K. Leavitt,Mary W. Chaffee,Eileen T. O'Grady

Publisher: Elsevier Health Sciences

ISBN: 0323241441

Category: Medical

Page: 753

View: 1145

Featuring analysis of cutting-edge healthcare issues and first-person stories,Policy & Politics in Nursing and Health Care, 7th Edition is the leader in helping students develop skills in influencing policy in today's changing health care environment. Approximately 150 expert contributors present a wide range of topics in this classic text, providing a more complete background than can be found in any other policy textbook on the market. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. With these insights and strategies, you'll be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues.Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished.Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy.Winner of several American Journal of Nursing "Book of the Year" awards! NEW! Nine new chapters ensure you have the most up-to-date information on key topics such as ethical dimensions of policy and politics, patient engagement, public health, women's reproductive health, emergency preparedness, new health insurance exchanges, and much more.NEW! The latest information and perspectives are provided by nursing leaders who influenced health care reform, including theAffordable Care Act.NEW! Emphasis on evidence-based policy throughout the text.NEW! A list of online resources is included in most chapters for further study.

Transformational Leadership in Nursing

From Expert Clinician to Influential Leader

Author: Elaine Marshall, PhD, RN, FAAN

Publisher: Springer Publishing Company

ISBN: 9780826105295

Category: Medical

Page: 296

View: 5191

2011 AJN Book of the Year Winner in Leadership and Management! The ultimate goal for Doctor of Nursing Practice (DNP) leaders is to develop skills that will support their ability to lead effectively through complex challenges-such as working within the constraints of tight budgets, initiating health care policy change to eliminate health disparities, and improving health care outcomes at all levels of care. This text is an invaluable instructional guide for nursing graduate students who are developing the skills needed to fulfill this new and emerging role of clinical leadership. With this book, nurses can develop leadership skills that will ultimately transform health care practice by incorporating innovative professional models of care. It provides critical information and practical tools to enhance leadership, drawing from the works of experts in business and health care leadership. This book is an important resource for DNP students, nurse practitioners, and current clinical leaders dealing with the challenges of health care for the next generation. Key topics: Cultivating the characteristics of a transformational leader: charisma, innovation, inspiration, intellect, and more Developing the role of the DNP within complex organizational systems Incorporating new care delivery, practice, and management models through leadership Navigating power, politics, and policy: building the team, understanding economics and finance, and more

Relationship-Based Care

A Model for Transforming Practice

Author: Mary Koloroutis

Publisher: Creative Health Care Management

ISBN: 1886624658

Category: Medical

Page: 289

View: 5425

The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Now in it's 16th printing, Relationship-Based Care has sold over 65,000 copies world-wide. It is the winner of the American Journal of Nursing Book of the Year Award.

Nurses as Leaders

Evolutionary Visions of Leadership

Author: William Rosa, MS, RN, LMT, AHN-BC, AGPCNP-BC, CCRN-CMC

Publisher: Springer Publishing Company

ISBN: 0826131034

Category: Medical

Page: 496

View: 3662

Integrates the perspectives of contemporary nurse leaders to foster an innovative, collaborative future Encompassing the wisdom of both established and emerging nurse leaders, this expansive book demonstrates proof of theory in action and the influence of our great nursing legacy on today’s luminaries as they carve out new terrain to benefit current and future health care needs. With a far-reaching, ambitious perspective, it is the first text to link the ideas of nurse leaders from very diverse specialty areas including holism, advanced practice, education, policy, global health, journalism, and spiritual communities. The book examines the professional and scholarly accomplishments of these nurse leaders within an historical context, and facilitates succession planning for the next generation through of combination of outcomes-based writing, storytelling and personal reflection. Dozens of expert contributors from practice and theory arenas describe how to develop leadership skills and tactics through the implementation of local, national, and international initiatives. With an eye to creative evolution in education, research and clinical settings, they discuss how emerging nurse leaders can be agents of change—beyond the confines of traditional practice and curricula--through innovation and collaboration. Contributors also relate the circumstances and experiences that sparked their nursing passions, the moral/ethical foundation from which they practice, and inspired messages toward communal, societal, and global impact within nursing of the future. Each chapter author follows a template to ensure continuity and includes end-of-chapter reflection questions. Key Features: Distills the perspectives of current and emerging nurse leaders from a diverse array of specialty areas to unify the collective of nursing. Redefines praxis possibilities in education, research, and practice Outlines contributing nurse leaders’ practical and scholarly accomplishments Describes how to facilitate change through innovation and collaboration Teaches the development of leadership skills and tactics

Watson’s Caring in the Digital World

A Guide for Caring when Interacting, Teaching, and Learning in Cyberspace

Author: Kathleen Sitzman, PhD, RN, CNE, ANEF

Publisher: Springer Publishing Company

ISBN: 0826161162

Category: Medical

Page: 156

View: 5495

This innovative text, built on the foundations of Watson's Caring Science, demonstrates how nursing professionals can develop virtual relationships that encompass caring and understanding in professional, teaching/learning, and everyday cyber communications. It describes how caring and love can transcend distance, space, and time in our increasingly virtual world to preserve the basic fabric of humanity as we physically interact less and electronically interact more. Straightforward and concise, the text offers specific practices for teachers, students, and professionals to support caring in a digital world, along with practical examples that enable readers to envision ways to create their own caring online presence. The text provides examples of initiatives aimed at establishing ongoing intent to care on levels ranging from personal to global. Included are a variety of educational activities that rely on digital resources to facilitate interaction, collaboration, learning, and connection. Learning objectives and knowledge-check questions in each chapter reinforce information, and a corresponding MOOC and other free professional online trainings are available to readers to augment study. Key Features: Built on Watson's Caring Science and expanded through Sitzman's research Contains specific information and practical examples for faculty, students, and professionals who interact online Provides examples of online caring initiatives from personal to global Validated by seven research studies and extensive online experience of the authors

Leadership in Nursing Practice

Author: Weberg

Publisher: Jones & Bartlett Learning

ISBN: 1284164632

Category: Medical

Page: 600

View: 4850

Leadership in Nursing Practice: Changing the Landscape of Health Care, Third Edition provides nursing students with the leadership skill-set they will need when entering the field.

Transforming Health Care Leadership

A Systems Guide to Improve Patient Care, Decrease Costs, and Improve Population Health

Author: Michael Maccoby,Clifford L. Norman,C. Jane Norman,Richard Margolies

Publisher: John Wiley & Sons

ISBN: 1118603672

Category: Medical

Page: 416

View: 7602

Praise for Transforming Health Care Leadership "The authors of this book provide the necessary tools for health care leaders to build a learning organization that can make the Triple Aim a reality—better patient care, at lower per-capita cost, while learning to improve population health." —Donald M. Berwick, MD, MPP, FRCP, president emeritus and senior fellow, Institute for Healthcare Improvement; former administrator, Centers for Medicare & Medicaid Services "This book is a must for every nurse leader's library and should be a resource and tool in every graduate nursing program, particularly those who are preparing doctoral students focused on systems leadership. It is full of experiential learning, and brings leadership to life." —Alexia Green, RN, PhD, FAAN, professor and dean emeriti, Anita Thigpen Perry School of Nursing, Texas Tech University Health Sciences Center "At a time when bold changes are necessary in the delivery of health services to improve outcomes and lower costs, the authors provide both compelling reasons for change and specific case studies of how it can be done. This is an important resource for leaders at every level in every part of the health sector today. It should be required reading for all those who want to improve the performance of their part of our medical enterprise." —John Rother, president and CEO, National Coalition on Health Care "Transforming Health Care Leadership is a well-constructed guide to transforming health care by creating transformational leadership. Anyone serious about improving health care—who has hope that we can actually succeed at making things better for our patients and communities while practicing good financial stewardship—needs to read this book." —Tony Joseph, MD, founder, The Healthcare Accreditation Colloquium

Complexity Leadership

Nursing's Role in Health-Care Delivery

Author: Diana M Crowell

Publisher: F.A. Davis

ISBN: 0803657714

Category: Medical

Page: 248

View: 4880

As hospitals and healthcare organizations strive to meet standards to achieve status in the Magnet Hospital Recognition Program and address the issues in the Institute of Medicine’s Nursing Work Force Issues Initiative, they must be able to respond in ways that embraces rapid change. The 2nd Edition of Dr. Diana M. Crowell’s groundbreaking text addresses the leadership roles advanced practice nurses can assume in this new environment. She defines the concept of complexity and teaches the leadership skills that are best suited for complex adaptive systems, while also enabling you to build the self-awareness you need to learn new ways to lead. Case studies help you apply your new skills and prepare for your advanced practice roles.

Health Care System Transformation for Nursing and Health Care Leaders

Implementing a Culture of Caring

Author: Anne Boykin, PhD, MN,Savina Schoenhofer, PhD, MEd, MN, BSN,Kathleen Valentine, PhD, RN, MS

Publisher: Springer Publishing Company

ISBN: 0826196446

Category: Medical

Page: 256

View: 2743

"The authors' approach to creating a transforming culture through use of foundations laid in the theoretical development of "Nursing As Caring" offers a solid foundation upon which to recalibrate and reconfigure toward a caring organizational health system." -Tim Porter-O'Grady, DM, EdD, APRN, FAAN, FACCWS Associate Professor, Leadership Scholar, College of Nursing and Healthcare Innovation, Arizona State University Clinical Professor, Leadership Scholar, College of Nursing, The Ohio State University This is a time-tested, practical guide for nurses and other healthcare professionals who wish to transform their healthcare systems based on caring values and the promotion of intra- and inter-professional dialogue among stakeholders. It describes a theoretically grounded model created by nurses for transforming the culture of healthcare systems at all levels, and features tested strategies that facilitate accessibility, efficiency, effectiveness, and enhanced outcomes. At its most basic level, this model, the Dance of Caring Persons, expresses the fundamental beliefs and attitudes that each person in the healthcare system lives caring meaningfully in unique and valuable ways, and the contributions of each person to the whole of the enterprise have a significant place within it. The book features successful examples of how various units of the healthcare system can apply specific strategies to their inter- and intra-professional work, and how to engage and sustain authentic dialogue among and between stakeholders. Chapters feature information from a great variety of health professionals that represent a broad range of participants in healthcare. Detailed information is presented in a variety of formats ranging from formal written responses to chapter contents to transcriptions of small group conversations relating to the topic at hand. The book reflects the interests of such major stakeholders as patients and families, nurses, physicians and other primary and adjunctive care providers, ancillary service providers, administrators and managers, and all other individuals involved in the many aspects of organizational models and delivery of health care and human resource functions and outcomes. Each chapter includes questions to consider and suggested resources to help with implementation of strategies. The text incorporates professional standards and essentials from the Joint Commission, ANCC, and AACN (DNP). Key Features: Presents a theoretically grounded, proven caring-based model for healthcare system change for all stakeholders across the continuum of care Provides practical strategies for transformation in all aspects of a healthcare system applicable across the range of health services Describes how healthcare system change happens, who initiates it, and how to sustain it through caring science Includes success stories from patients and their families, nurses, physicians, ancillary service providers, healthcare administrators, and others Promotes inter- and intra-professional dialogue and collaboration