Transitioning Into Hospital Based Practice


Book Description

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The Future of Nursing


Book Description

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.




Advances in Patient Safety


Book Description

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.




Nutrition and Healthy Aging in the Community


Book Description

The U.S. population of older adults is predicted to grow rapidly as "baby boomers" (those born between 1946 and 1964) begin to reach 65 years of age. Simultaneously, advancements in medical care and improved awareness of healthy lifestyles have led to longer life expectancies. The Census Bureau projects that the population of Americans 65 years of age and older will rise from approximately 40 million in 2010 to 55 million in 2020, a 36 percent increase. Furthermore, older adults are choosing to live independently in the community setting rather than residing in an institutional environment. Furthermore, the types of services needed by this population are shifting due to changes in their health issues. Older adults have historically been viewed as underweight and frail; however, over the past decade there has been an increase in the number of obese older persons. Obesity in older adults is not only associated with medical comorbidities such as diabetes; it is also a major risk factor for functional decline and homebound status. The baby boomers have a greater prevalence of obesity than any of their historic counterparts, and projections forecast an aging population with even greater chronic disease burden and disability. In light of the increasing numbers of older adults choosing to live independently rather than in nursing homes, and the important role nutrition can play in healthy aging, the Institute of Medicine (IOM) convened a public workshop to illuminate issues related to community-based delivery of nutrition services for older adults and to identify nutrition interventions and model programs. Nutrition and Healthy Aging in the Community summarizes the presentations and discussions prepared from the workshop transcript and slides. This report examines nutrition-related issues of concern experienced by older adults in the community including nutrition screening, food insecurity, sarcopenic obesity, dietary patterns for older adults, and economic issues. This report explores transitional care as individuals move from acute, subacute, or chronic care settings to the community, and provides models of transitional care in the community. This report also provides examples of successful intervention models in the community setting, and covers the discussion of research gaps in knowledge about nutrition interventions and services for older adults in the community.




Transitioning from RN to MSN


Book Description

“This book gives every nurse or potential nurse a picture of possibility and a vision for a satisfying and sustainable career.”-Jan Jones-Schenk, DHSc, RN, NE-BC From the Foreword Written and designed for RN to MSN students, Transitioning From RN to MSN focuses on the multitude of master’s-prepared roles available to a transitioning student, both as a nurse practitioner and beyond. This text delves into the role of MSNs as change managers in whatever career path they pursue. Nursing is a diverse, intellectually challenging, socially relevant, and personally gratifying career, but for new MSNs, the sheer number of specialties, in settings ranging from hospitals to clinics to homes, can be overwhelming. Transitioning From RN to MSN examines both direct care roles (e.g., clinical nurse leader, nurse educator) and indirect care roles (e.g., public health nurse, informaticist, clinical researcher, coordinator, nurse administrator), as well as emerging areas. Step by step, chapters address the key concepts of role transition including preparation for a particular role, as well as ethical practice, theory application, quality control, and terminal degree options. Each career discussion features required competencies and information new MSNs will find invaluable, all within a consistent format to aid comparison. Chapter objectives, critical-thinking questions, and case studies engage students with the information presented and facilitate comprehension. Key Features: Written specifically as a core text for required courses in RN-to-MSN programs Addresses in depth the requisite competencies for role transition Incorporates AACN, NLN, IOM, and QSEN competencies throughout Describes a great variety of MSN role options in addition to APN roles Includes chapter objectives, abundant case studies and critical thinking questions Provides instructor’s ancillaries, including an instructor’s manual and PowerPoint slides




Transitions Theory


Book Description

"It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models




Expert Clinician to Novice Nurse Educator


Book Description

Research shows that the sharing of personal, first-hand stories not only enhances learning and eases the transition to a new role, but also helps novice educators to understand that their challenges are shared by others. With the goal of improving the experience of nurses transitioning from clinician to educator, in hospitals as well as schools of nursing, this unique book presents the stories of nurses who made this transition. It presents the findings of several qualitative studies addressing the question, ìWhat is the lived experience of clinicians as they assume new roles as clinical nurse educators?î These narratives describe the challenges they faced and transformations in each nurseís identity and relationships during the transition process. The text includes recommendations from the Carnegie Foundation for the Advancement of Teaching and specific problem-solving strategies that have worked for others. The narratives are from nurse clinicians, nurse educators, and students who provide insights into such common dilemmas faced by novice educators as ìHow do I keep a patient safe while allowing the student nurse to practice a skill for the first time?î ìIf a student is slow to catch on to a procedure, how long do I wait before they fail?î ìHow do I help provide a safe and effective learning environment for new graduate nurses?î The book includes stories of students who describe caring and uncaring experiences with clinical nurse educators. Stories address cultural diversity, bullying, and dilemmas related to critical and ethical thinking. Nurse educators themselves share insights into what they wish they had done differently to guide students and new graduate nurses in their learning. While these storytellers had diverse clinical and educational backgrounds, there were consistent similarities between the experiences they described. One common thread was the need to embrace the role of a novice in order to succeed. The book will serve as a valuable text for graduate students in nurse educator courses as well as students and nurses seeking support, insight, and inspiration in their transition to the clinical nurse educator role. Key Features: Presents experiential narratives from nurses who made the transition from clinician to educator Describes important aspects of a nurseís transition from the role of clinical expert to that of novice educator Includes research-based insights in a highly accessible style and format Integrates National League for Nursing Core Competencies into the text Provides inspiring, helpful, and comforting guidance for nurse clinicians feeling lost or confused in a new role




Lippincott Certification Review: Pediatric Acute Care Nurse Practitioner


Book Description

Lippincott Certification Review: Pediatric Acute Care Nurse Practitioner is the ideal companion while preparing for the Acute Care CPNP® exam administered by the Pediatric Nursing Certification Review Board, or for anyone who seeks to perform at a higher level of practice for children who are acutely, chronically, and critically ill. Organized in a simple, bulleted format, this invaluable resource includes multiple choice self-assessment questions with rationales at the end of every chapter, plus two self-assessment exams with rationales – totaling more than 750 questions. Content focuses on the diagnosis and management of pediatric acute care problems typically treated in the emergency department or an inpatient setting.




Health Care Transition


Book Description

This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.




Advanced Practice Providers


Book Description

“This is a must-read for all healthcare organizational leaders where advanced practice registered nurses (APRNs) and physician assistants (PAs) are a part of the healthcare team. Being able to understand how to best support and utilize this workforce is crucial in the success of any healthcare delivery system. The authors of this book have brilliantly laid out a blueprint to build a strong and engaged APRN/PA staff.” –Risa Zimmerman, MBA, MPAS, PA-C, DFAAPA Director, Office of Advanced Practice Nebraska Medicine “Within these pages lies a treasure trove of evidence-based tools, templates, pitfalls to avoid, and more for anyone who is interested in advanced practice in healthcare. Maria Lofgren and the Iowa team, with learnings from 15+ years creating a sustainable APP model, have given a huge gift to healthcare delivery globally. I’m especially excited about the thoughtful reflections on staying attuned to relationships between providers as well as the figures and sidebars that highlight policy implications and provide specific examples for implementation.” –Ann Williamson, PhD, RN, NEA-BC Former Chief Nurse and Healthcare Executive “With the rapid expansion of advanced practice providers (APPs) nationwide, new APP leaders seek guidance and insight on building a program of fully optimized providers. Lofgren et al. have accomplished this task, providing a complete and comprehensive road map for C-suites and APP leaders to follow, creating the pillars of supporting practice from student to expert for healthcare organizations.” –Bonnie Proulx, DNP, APRN, PNP-BC, FAAN Senior Vice President Physician Enterprise Kaufman Hall Healthcare Management and Consulting Advanced practice providers (APPs) are a quickly growing part of the healthcare workforce, helping to bridge the gap between the demand for physicians and nurses and keeping healthcare costs lower while maintaining a high quality of care. As hospitals, clinics, and healthcare organizations integrate APRNs and PAs into their clinical operations, healthcare leaders need direction on operationalizing these APPs into practice. Advanced Practice Providers: An Operational Guide for Workforce Integration provides a blueprint for organizations—academic, hospital, and clinic-based —as well as academic programs teaching APRNS and PAs to assimilate the uniqueness of the APP group into existing infrastructures, effectively using resources within organizations to help advance healthcare toward higher quality care, patient safety goals, and team care initiatives. TABLE OF CONTENTS Chapter 1: Comparison of Medicine and Nursing Infrastructures and the Growing APP Workforce Chapter 2: Understanding the Organizational Blueprint Chapter 3: Establishing an Infrastructure Chapter 4: APRN and PA Scope of Practice Chapter 5: Establishing an APP Workforce Chapter 6: APP Onboarding Chapter 7: Operationalizing Telehealth Chapter 8: APRN and PA Students Chapter 9: APP Business Pro Forma Chapter 10: Credentialing and Privileging Chapter 11: Organizational Compliance Chapter 12: Professional Development Chapter 13: Mentoring Chapter 14: Metrics That Matter Chapter 15: Team-Based Care Chapter 16: Patient Access Center Chapter 17: Organizational Initiatives Chapter 18: Looking to the Future Appendices ABOUT THE AUTHORS Maria Lofgren, DNP, ARNP, NNP-BC, CPNP, FAANP, is a Clinical Associate Professor and Director of Faculty Practice at the University of Iowa College of Nursing and the Director of Advanced Practice Providers at University of Iowa Health Care. Christine Gust, MBA, PHR, SHRM-CP, is Human Resources Generalist at University of Iowa Health Care, Carver College of Medicine, Office of Advanced Practice Providers. Her work has led to aligning HR strategies to advanced practice provider organizational objectives, policies, programs, and initiatives. Douglas Van Daele, MD, FACS, is a Professor in the Department of Otolaryngology, Head and Neck Surgery at the University of Iowa Carver College of Medicine and is affiliated with the Iowa City Veterans Affairs Health Care System.