Self-care is not selfish. Nurses should be entitled, in fact expected, to care for themselves with the same creativity and compassion that they use to care for others.Nurses don't flourish simply by fostering the well-being of others. The nursing profession is inherently meaningful in that we care for patients and families during their most vulnerable moments. But meaningful work has its limits. A major thread throughout this book is that we don't want to be "the naked person offering someone their coat."Self-care is about the mind as much as it is about the body.Self-care is a lifelong practice, and it is best to begin the practice early, before facing the stressors of a hospital or other clinical setting. In general, student nurses face significantly more stress than their peers, increasing the importance and value of self-care practices during nursing school.Individual self-care practices do not let organizations off the hook. The importance of a healthy work environment cannot be overstated, and in this book, we offer help in selecting a healthy workplace and encourage readers to advocate for themselves and others.Building a Self-Care Tool KitThis workbook will provide opportunities for you, the student nurse or new graduate nurse, to explore self-care behaviors that will help you deal with the big and small stressors you will encounter in your life or that you are encountering now. Our hope for you is that you will wholeheartedly "jump in" and explore both the practices outlined in this book and others that you encounter in this journey. Self-care has become an exciting field of study and practice, especially during the time of COVID-19 and other stressors that affect those of us who work in healthcare. There are so many resources to explore, and we have designed this workbook to encourage you to take advantage of as many of them as you can. We encourage you to build your own self-care tool kit. Just like a carpentry tool kit or any tool kit, it will contain important items to help you be the best nurse (or carpenter) possible. The tools are essential to getting the job done. This self-care tool kit, instead of hammers, screw drivers, and tape measures, will be a collection of a strategies, behaviors, and mindsets that will help you flourish in nursing.To that end, we hope that you will try many of the practices shared here. Some will resonate with you immediately. Some will fit your lifestyle. Some will need modifying to suit your preferences. (Don't like writing down a gratitude list with paper and pen? Take photographs or use social media instead.) Some will just be completely wrong for you. Some might be intriguing to you, but maybe you'll decide to hold off and try them again in a few months or years. Explore practices on your own. If you are in a classroom or group setting, take advantage of your collective wisdom, and shareyour explorations with each other.We cannot emphasize this enough: These practices take practice! So much of self-care is mental work, even more than the physical work of caring for your body. Our human brains are blessed with neuroplasticity, or the capacity to change. Just as you can build muscle tissue and train yourself in aphysical skill such as bowling, roller skating, or playing the tuba, you can train your brain to react in new ways to stress and the challenges of your chosen profession. When you have completed the readings in the textbook and the exercises in this workbook, we anticipate that you will have your own collection of self-care tools that you can practice regularly and rely on when you face challenges in your career and life. This self-care tool kit will help you build resilience to overcome a range of adversities, from daily annoyances, to ongoing stressors, to sudden loss or change.
This is a book about writing your dissertation or scholarly project. It is intentionally small because the last thing a doctoral student needs is another doorstop-sized book to buy, read, and lug around. This is a step-by-step guide to help you write your dissertation or scholarly project. It will not help you design or conduct research or quality improvement initiatives, but it will help you plan, document, organize, and write your dissertation or scholarly project.This book takes you step by step through writing your dissertation or scholarly project, with chapters that correspond exactly with the chapters of a dissertation or scholarly project. There's no fluff here-no attempt to make the book look bigger to attract attention. All this book intends to do is to help you successfully write your dissertation or scholarly project, and does so in a succinct and logical way, with only the occasional interruption for important tips gleaned the hard way.
This facilitator guide supports educators teaching ethical case studies to advanced practice nurses. Textbook information:This book increases advanced practice registered nurses' knowledge and agility in resolving ethical dilemmas encountered in the clinical setting, healthcare organizations, and academic institutions. Goals for this book are:Provide an educational tool to increase APRN students' abilities to identify ethical concerns and work through them to find a solution.Inform and expand current ethical pedagogy for APRN students. Faculty teaching in doctor of nursing practice, master of science in nursing, and certified nurse anesthetist pro- grams; their students; and practicing APRNs will benefit from working through the case studies to identify and solve ethical dilemmas.Provide classroom and clinical teaching in the form of case studies to foster critical thinking, judgment, and the skills needed to resolve ethical dilemmas. As healthcare increases in complexity, APRNs will continue to experience ethical conflicts and dilemmas. Providing guidance to APRNs in identifying and resolving ethical dilemmas can increase effective patient outcomes, and we can continue to be the most honest and ethical profession now and into the future.¿Consideration for ethics in advanced nursing practice can be taxing, regardless of where one is in their career. As an APRN with many responsibilities when caring for patients, applying ethical consideration to each decision can be a daunting task. Not that every situation needs an in-depth ethical analysis; however, certain circumstances require more thought and attention. Applying a framework can help the APRN by providing a set of criteria for working through an ethical dilemma. It does not provide an answer to the dilemma, but it helps to guide the APRN to use critical thinking to come to an ethically sound decision.
About the Workbook:This workbook provides a collection of easy-to-use tools and helpful tips to guide novice to expert students and clinicians to bring EBP improvements into clinical practice and organizations. This workbook is organized based on the Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care©. This workbook provides the tools included in the main textbook and also contains the Iowa Implementation for Sustainability Framework© to help you and your team adopt and sustain the practice change.¿¿About the Textbook:The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action This failure is rarely due to a lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and the absence of a clear plan to integrate EBP into care. Problem solved! Evidence-Based Practice in Action, Second Edition, is a time-tested, application-oriented EBP resource of The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a proven, detailed plan to help nurses and healthcare professionals promote and achieve EBP adoption and implementation.Throughout this practical, easy-to-use manual, the authors supply strategies, tools, and tips that show healthcare leaders how to prepare, apply, and appraise any EBP process model. Inside are valuable recommendations on topic selection, literature searches, research and evidence review, implementation, and evaluation. This new edition includes: NEW: An evidence funnel approach that flips the traditional evidence pyramidNEW: Updates to the EBP Evaluation Framework (KABOB) that include actionable local data to create sustainable changeNEW: Revised implementation strategies with clinician and patient examplesNEW: Focus on engaging patients in the processNEW: Ways to de-implement practices that are not evidence-based, are ineffective, or are even harmful
Incivility and other workplace aggressions have a significant impact on the lives of healthcare professionals, faculty, and students, as well as the patients and families in their care. Incivility in academic and practice environments can provoke uncertainty and self-doubt, weaken self-confidence, and cause detrimental and lasting effects on individuals, teams, and organizations. These behaviors can fracture relationships and result in life-threatening mistakes, preventable complications, harm, or even the death of a patient.In Core Competencies of Civility in Nursing & Healthcare, Cynthia Clark-a nurse-leader dedicated to organizational change and an unwavering advocate for civility and dignity for all-provides an abundance of practical solutions to create and sustain communities of civility, diversity, inclusion, and respect in academic and healthcare environments. Using a wealth of evidence-based interventions, hands-on tools, and scholarly resources, this book expands current thinking on the topic of civility to create and support healthy, productive work and learning environments for the benefit of all.
We are excited to provide a book that increases advanced practice registered nurses' knowledge and agility in resolving ethical dilemmas encountered in the clinical setting, healthcare organizations, and academic institutions. Goals for this book are:Provide an educational tool to increase APRN students' abilities to identify ethical concerns and work through them to find a solution.Inform and expand current ethical pedagogy for APRN students. Faculty teaching in doctor of nursing practice, master of science in nursing, and certified nurse anesthetist pro- grams; their students; and practicing APRNs will benefit from working through the case studies to identify and solve ethical dilemmas.Provide classroom and clinical teaching in the form of case studies to foster critical thinking, judgment, and the skills needed to resolve ethical dilemmas. As healthcare increases in complexity, APRNs will continue to experience ethical conflicts and dilemmas. Providing guidance to APRNs in identifying and resolving ethical dilemmas can increase effective patient outcomes, and we can continue to be the most honest and ethical profession now and into the future.¿Consideration for ethics in advanced nursing practice can be taxing, regardless of where one is in their career. As an APRN with many responsibilities when caring for patients, applying ethical consideration to each decision can be a daunting task. Not that every situation needs an in-depth ethical analysis; however, certain circumstances require more thought and attention. Applying a framework can help the APRN by providing a set of criteria for working through an ethical dilemma. It does not provide an answer to the dilemma, but it helps to guide the APRN to use critical thinking to come to an ethically sound decision.
The dynamic and competitive US healthcare environment requires healthcare professionals who are accountable to provide efficient and effective care. New evidence is continually surfacing in nursing and medical environments. Consumer pressure and increased patient expectations place an even greater emphasis on the need for healthcare professionals to deliver true evidence-based care in their daily practice.Johns Hopkins Nursing is steadfastly dedicated to making it easy for frontline nurses, health professionals, and students to use best evidence in their everyday practice. With each edition, we revise based on the honest, frank, and generous feedback we receive from frontline users of the Johns Hopkins Evidence-Based Practice Model from across the globe. In this fourth edition, we are excited to be able to share these changes. The 2021 revised JHEBP Model underscores the need for organizations to cultivate both a spirit of inquiry and an environment of learning that encourages questioning and seeking best evidence and its implementation and adoption in practice. Although our model was developed, tested, and implemented by and for nurses, we have had numerous requests and feedback from other health professionals to use the Hopkins model. Thus, we introduce the fourth edition with a new title-Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals. This change reflects the growing evidence base of the importance for interprofessional collaboration and teamwork, particularly when addressing complex care issues such as those often tackled by EBP teams. In this edition, our overarching aim is to provide practical and pragmatic explanations, approaches, and tools to guide and support teams engaging in EBP projects:We explicitly reflected the interprofessional nature of the EBP process and its use by all disciplines who serve, interact with, and care for those who seek services.We revised the flow of the book chapters across the sections to reflect the progression of steps in the EBP process.We included a new introduction for the evidence section that includes background on the use of evidence hierarchies, tips for differentiating research from quality improvement, and further explanation of the summary and synthesis steps in the evidence process.We made significant enhancements to the appendices by including flowcharts, decision supports, and greater specificity in the directions.We provided real-world examples for how to complete all tools using feedback from our global users as well as tried and tested helpful hints.We added a new chapter to expand and amplify strategies for dissemination that includes how to create a dissemination plan, audience-specific recommendations for internal and external dissemination venues, details of the pros and cons of different types of dissemination, guidance on submitting manuscripts for publication, and an overview of the journal review process.Chapter-specific enhancements:Chapter 3: Defines critical thinking and clinical reasoning and differentiates their use in the PET process.Chapter 4: Outlines stakeholder selection criteria and an algorithm to determine the need for an EBP project.Chapter 5: Includes new information on the literature screening process to navigate a large number of results Chapter 6: Provides useful clarifications of research approaches, designs, and methods with a focus on frontline staff as the target audienceChapter 8: Includes revised synthesis and translation steps; assesses risk prior to translation; prioritizes translation models accessible to frontline staff with a focus on the QI methodology and PDSA; and describes an expanded list of outcome measures to determine the success of an EPB project.
Awarded first place in the 2022 AJN Book of the Year Awards in Nursing Education/Continuing Education/Professional Development!We say that in nursing, the possibilities are endless because there is just so much you can do with your career. I like to say that the possibilities in academia are almost endless because academia works a little differently. Understanding your role as an educator in your specific college or school of nursing requires understanding the mission, vision, core values, organizational structure, and strategic plan for your institution and college. Anyone in academia will tell you that these institutions exist to educate future professionals. Therefore, being an educator is a significant responsibility in helping the institution meet its core purpose. There may be a heavy emphasis on research and scholarship depending on your type of institution, but individual expectations will vary based on the type of appointment you receive. Whether you are coming from clinical practice, industry, the corporate world, community-based practice, or any other type of practice setting, transitioning into academia requires you to stash your proverbial toolbox with the necessary tools for the job to be effective in your new role and to quickly acclimate to this unique environment. Indeed, you may have heard some horror stories.However, this book provides you with a step-by-step guide to transitioning to an academic role. We address all things academia, and nothing is off limits. This book is divided into three parts: PartI: Welcome to Academia PartII: Choosing the Best Role for You PartIII: It Starts and Ends With You: Mind, Body, and Soul Throughout the book, you will find a recurring section titled "Mercy's Moments," where I share the many things I have learned on my own journey in academia. I share funny and sometimes even embarrassing stories to illustrate a point or emphasize a concept. I give you a glimpse into my personal triumphs and tragedies of transitioning into an academic role, and that's OK. You'll also find "Success Nuggets" as you go along-small tidbits of information that either reinforce important points or offer additional tips. So, hang tight, and let us equip you to not only survive academia but also thrive while you're at it.
This Learner Activities Workbook is designed to work with the textbook and follows a similar format. It includes reflective questions, narratives and discussion questions, activities, quizzes, and additional resources for the chapters. Learners can use the reflective questions and narratives to guide their reading, thinking, group discussions, or activities. Like the textbook, this Learner Activities Workbook comprises five parts, which support nurse leaders' development in clinical practice or academic settings. Below is a brief introduction of the five parts.PART IThe workbook presents leadership theories in organizations. There are four topics in this part, which are closely connected.PART IILeadership's roles in creating healthy work environments are addressed. The four topics in this part support readers in establishing and promoting organizational culture and environments.PART IIIFour visionary leadership theories are applied in practice.PART IVThe role of nurse leadership in collaboration, leading change, and innovation is presented.PART VThe last part envisions the future of nurse leadership, defining wisdom leaders to inform personal and professional leadership development. With an emphasis on collaboration and partnerships, the textbook moves away from hierarchical forms of leadership to teach more engaged, open, equitable, inclusive, authentic and caring leadership styles.
This Facilitator Guide is designed to work with the textbook and Learner Activities Workbook and follows a similar format. It includes reflective questions and guiding answers, narratives and guiding responses, quizzes and answers, and PowerPoint slides. Learners can use the reflective questions and narratives to guide their reading, thinking, and group discussions or activities. Like the textbook, this Facilitator Guide comprises five parts, which support nurse leaders' development in clinical practice or academic settings. PART I -- The guide presents leadership theories in organizations. There are four topics in this part, which are closely connected:PART II -- Leadership's roles in creating healthy work environments are addressed. The four topics in this part support readers in establishing and promoting organizational culture and environments: PART III -- Four visionary leadership theories are applied in practice: PART IV -- The role of nurse leadership in collaboration, leading change, and innovation is presented: PART V -- The last part envisions the future of nurse leadership: With an emphasis on collaboration and partnerships, this book moves away from hierarchical forms of leadership to teach more engaged, open, equitable, inclusive, authentic and caring leadership styles.
Incivility and other workplace aggressions have a significant impact on the lives of healthcare professionals, faculty, and students, as well as the patients and families in their care. Incivility in academic and practice environments can provoke uncertainty and self-doubt, weaken self-confidence, and cause detrimental and lasting effects on individuals, teams, and organizations. These behaviors can fracture relationships and result in life-threatening mistakes, preventable complications, harm, or even the death of a patient.In Core Competencies of Civility in Nursing & Healthcare, Cynthia Clark-a nurse-leader dedicated to organizational change and an unwavering advocate for civility and dignity for all-provides an abundance of practical solutions to create and sustain communities of civility, diversity, inclusion, and respect in academic and healthcare environments. Using a wealth of evidence-based interventions, hands-on tools, and scholarly resources, this book expands current thinking on the topic of civility to create and support healthy, productive work and learning environments for the benefit of all.
Awarded first place in the 2022 AJN Book of the Year Awards in both Child Health and History and Public Policy!When a patient or family refuses treatment-maybe even lifesaving treatment-because it is contrary to their social, religious, or cultural beliefs, it can plunge healthcare providers, families, and patients into a difficult, emotionally charged conversation. Complex and diverse ethical dilemmas such as this can profoundly impact the health, welfare, and mental and emotional well-being of everyone involved. What's more, today's nurses and healthcare professionals will almost inevitably face this situation or one like it. Against Medical Advice details many of the medical, legal, social, cultural, and religious factors associated with treatment refusals. Authors Luanne Linnard-Palmer and Ellen Christiansen prepare healthcare professionals to compassionately assess and understand people's beliefs, cultures, and philosophical perspectives. Their proven strategies and step-by-step examples guide providers to consider the patient's and family's point of view, share concerns with other healthcare team members, and negotiate the best possible outcome for all involved.
Awarded second place in the 2022 AJN Book of the Year Awards in Nursing Education/Continuing Education/Professional Development!The essential theme of the book is the notion of career as a fluid process. A career is not stagnant or simply a job. It is a process that must be nurtured-constantly grown and managed. A career is an opportunity to find one's voice and use it to promote both the individual and professional impact of one's expertise. A career should be challenging, always giving way to more learning and mentoring opportunities. Career is a global concept; the intricacies of career development and management across the globe cannot be overlooked. A career journey ebbs and flows-one of the great characteristics of a professional nursing career. There are always options to consider on one's career path-opportunities to gain experience and expertise in diverse areas, often never considered by professional nurses.Take Charge of Your Nursing Career provides the reader with a unique and distinct perspective on career development and management. It covers timely and relevant topics, strategies, tips, and examples for professional nurses to use to develop and manage their careers from beginning to end. It also provides resources and websites that they can access as needed as they define their personal career trajectory. The topics discussed throughout the book are ones that professional nurses at all points on their career journey are asking about and dealing with in their careers, now and in the future. Professional nurses can turn to this user-friendly book through the entirety of their career.
Nurses focus on the art and science of caregiving, but nurse managers are faced with the economic reality of patient-staffing ratios, budgets, reports, and accounting. Acronyms such as FTEs and ADCs can feel like a foreign language, but thankfully, help is available.Updated to include details about key legislation that will affect budgeting, The Nurse Manager's Guide to Budgeting and Finance, 3rd Edition, provides practical tools, tips, and strategies for running a unit that you weren't taught in nursing school:Operating and capital budget development and planning for the yearFormulas and calculations for full-time employee hours, variances, and benefit costsExplanation of financial statements, budgets, and reimbursement documentsThe relationship between high reliability organizations (HROs) and finance/budgetsDifferences between not-for-profit and for-profit institutions
Awarded third place in the 2021 AJN Book of the Year Awards in Professional Issues!Empowering, engaging, and retaining qualified nurses are critical healthcare priorities. Why? Nurse retention is directly correlated to healthcare outcomes, and nurse turnover has a negative, multidimensional effect on healthcare organizations.Turnover affects job satisfaction among clinical nurses, which leads to burnout, making it harder for them to provide safe patient care and achieve overall organizational initiatives. Further, the high costs associated with nurse turnover can have a huge impact on a hospital's or health system's profit margin. Improving Nurse Retention & Healthcare Outcomes will help clinical nurses understand how to elevate their practice as frontline care providers and give executives a new, strategic approach to nurse retention. Authors Judy Thomas and Mellisa Renter outline the IMPACT Program they created to stimulate empowerment and professional growth. In addition to explaining the program, how it works, and what it has achieved, this book provides an implementation path to make an immediate impact on nurse empowerment, engagement, and retention.Chapter 1 outlines the retention practices commonly used by most organizations. As you'll see, these practices are often nothing more than short-term fixes. They only see you through the immediate crisis, are quite costly, and offer little return on investment in terms of overall strategic initiatives. Chapter 2 discusses the key stakeholders and instrumental decision points in the creation of our program to improve nurse retention. Chapter 3 takes a high-level look at the structure of the IMPACT Model. Chapters 4-7 offer step-by-step details on each phase of the IMPACT Model. Chapter 8 describes the type of leadership commitment ittakes to start and sustain a program of this magnitude. Chapter 9 explains how we obtained leadership buyin from the get-go to begin the process of developing a program and achieved broader organizational buy-in to sustain it once it was off the ground. Chapter 10 reveals outcomes from specific IMPACT Model projects completed by participating nurses as well as broader organizational gains associated with the IMPACT Model. Chapter 11 showcases the professional journey of clinical nurses as they navigate the program. You will gain a greater perspective on how the IMPACT Model empowers clinical nurses, who spend the majority of their time on the front lines. Appendix A: Includes our full Explanation of Activities forms. Appendix B: Offers full-page forms discussed earlier in the book
We have prepared this Self-Care for New and Student Nurses Instructor's Guide to assist you in class preparation and to offer our thoughts and experience in teaching much of this material. The instructor's guide content parallels the activities in the Self-Care for New and Student Nurses workbook, providing you with a menu of classroom activities and assignments. That said, we encourage you to rely on your own experience, creativity, and local resources to make this course as valuable as possible to your students.Depending on the year or level of student, some topics may merit more focus than others. For example, fourth-year BSN students might want to take a deep dive into Chapter 17, "Healthy Work Environment: How to Choose One for Your First Job." If, by some chance, you are teaching in the middle of a global pandemic, you may want to spend more time with Chapter 10, "Self-Care and Systemic Change: What You Need to Know." We hope that in every chapter you will share your expertise, experiences, and wisdom with your students. Most of all, we hope you enjoy the self-care discovery process together and that your study of self-care is valuable for student and teacher alike.
Writing well is not the result of luck or innate talent. Writing is a skill you can learn, just as you learned nursing skills such as venipuncture and suctioning. This fully updated fourth edition of Anatomy of Writing for Publication for Nurses is a practical and useful guide, where the authors remove fear and confusion surrounding the writing and publishing process. With this book, you can learn how to: Improve your writing skillsCreate effective titles, abstracts, and cover lettersPromote your work via posters and social mediaWrite review articles, including systematic, scoping, and integrative reviewsAvoid being the victim of predatory publishingWrite collaboratively with professionals in other healthcare disciplinesNavigate interprofessional continuing educationTurn your dissertation or capstone project into a published articleUnderstand preprints, reporting guidelines, and publication legal/ethical issuesWrite qualitative studies and report the different instruments usedWrite a letter to the editor or a peer reviewWork with contributors when writing a bookThis book is divided into three parts, all of which have been updated for this new edition. Part 1, "A Primer on Writing and Publishing," describes the basics of publishing, from generating a great idea and writing the article to revising your manuscript and sharing your work. This section is packed with information on how to bolster the chance that your manuscript will be accepted for publication. Part 2, "Tips for Writing Different Types of Articles," is where you can apply what you learned in Part 1. Each chapter takes you through writing a particular type of paper or article, including clinical articles, research reports, review articles, books, personal narratives, continuing education, and materials for consumers. You can dip into the relevant chapter in Part 2 depending on your writing goals. Part 3, the appendices, has a wealth of resources, including checklists and tools.
Este libro nació de un profundo deseo de compartir nuestra experiencia en el desarrollo de un programa de Práctica Clínica Basada en la Evidencia (PCBE) de clase mundial que ha logrado resultados excepcionales a través del uso de las Guías de Buenas Prácticas (GBP), transformando la práctica de las enfermeras y enriqueciendo la vida de los pacientes en Ontario, Canadá y el mundo entero. El libro será de interés para aquellos que deseen aprender de la evolución de un programa global exitoso a gran escala enfocado en el avance de la PCBE-evidencia en la educación, evidencia en la práctica clínica, evidencia en los ambientes de trabajo, y evidencia en las políticas-para lograr un cambio profundo a nivel individual, de las organizaciones y de los sistemas sanitarios. También será de interés para investigadores, profesores, formadores del personal y estudiantes, que se beneficiarán de los componentes teóricos relacionados con todos los aspectos del desa- rrollo de las guías, la ciencia de la implantación y la evaluación de resultados. Inspirará a las organizaciones de salud de cualquier sector y las invitará a unirse a este fenomenal movimiento colectivo para optimizar los resultados de sus pacientes y de la propia organización.El objetivo de este libro es compartir la extraordinaria evolución con propósito del Programa de Guías de Buenas Prácticas de la RNAO (GBP), desde su creación en 1998 hasta su posición destacada, hoy en día, en el ámbito de la enfermería y los servicios de salud internacionales. Esta evolución intencionada está presente en la conceptualización y el enfoque programático, así como dentro y a través de los tres pilares del programa, desde el desarrollo de las guías, la implantación y la evaluación.Desde las bases conceptuales y programáticas hasta las experiencias de los profesores, estudiantes, enfermeras gestoras, enfermeras responsables del cuidado directo a los pacientes y otros profesionales de la salud, el libro, en su transparencia, no deja ninguna piedra sin remover para que otros puedan beneficiarse de nuestra experiencia y nuestros aprendizajes. Proporciona al lector lo último en desarrollo de guías, ciencia de la implantación y evaluación; y amplía el pensamiento actual sobre el cambio en los sistemas sanitarios. El libro presenta ejemplos en organizaciones académicas y de servicios de todo el mundo, conquistando el contexto y las diferencias lingüísticas, para que la enseñanza y la práctica clínica sean lo mejor posible. Varios capítulos se centran en la experiencia de la utilización de las GBP en el mundo académico y en las organizaciones de asistencia sanitaria de una manera poderosa para hacer de la PCBE una realidad. Estos capítulos pueden ser utilizados como guía para aquellos que buscan avanzar en la enseñanza y la práctica basada en la evidencia.
Awarded second place in the 2021 AJN Book of the Year Awards in Professional Issues!Nurses represent the majority of healthcare workers and are on the front lines of delivery and provision of safe and effective care. As a result, nurses are ideally situated to drive the mission to achieve high reliability in healthcare. We expect the primary audience of this text to be frontline nursing staff, nurses in administration, quality and patient safety professionals, advanced practice nurses, and nurse educators. The healthcare professional who purchases this book will do so with the desire to learn more about the application of HRO principles to patient safety and quality problems. This book is unique in that it uses HRO principles as an organizing framework for practical application. The intent of the editors is to provide a quality and patient safety book that is useful to professionals doing the work of healthcare. Healthcare professionals are constantly seeking practical tools and descriptions of practices that will improve and enhance patient safety and quality outcomes. High reliability is a current goal for hospitals, and the principles are sound. However, there is little in the literature that discusses how to apply the principles at the front lines of care to improve outcomes. This text addresses this gap by placing the need for high reliability concepts into our current climate in healthcare through illustrative discussion (theory and research) of each of the five concepts of HRO, along with a description of a current best practice and/or tool that applies to the model. The goal of this book is to stimulate organizations to embrace high reliability concepts while striving to improve the quality and safety of care delivered to patients and families. We all benefit from a safer healthcare environment.The book is divided into eight parts:Part 1: This part provides background for the current safety and quality climate. Parts 2-6: These parts offer HRO concepts as a framework for the new model with examples. The first of these HRO concepts is that HROs have a preoccupation with failure. The second of these HRO concepts is that HROs restrain the impulse to view events through a single lens and are reluctant to simplify. The third HRO concept is that HROs demonstrate sensitivity to operations by making strong responses to weak signs. The fourth HRO concept is that HROs shift decision making away from formal authority and apply deference to expertise. The final HRO concept is that HROs have a commitment to resilience. Part 7: This part puts it all together and provides the reader with examples of how HRO concepts are assimilated into practice across the care continuum.Part 8: This part provides the reader with real-world examples of HRO principles employed in a variety of patient care areas. Comprehensive Instructor's Guide and Student Workbook are available for this book.
ABOUT THE STUDENT WORKBOOKAs a student in a healthcare profession, you have probably heard of the concept of high reliability as a means to reduce harm, enhance quality, and improve outcomes. Patient safety and quality are of increasing importance to consumers, payers, providers, and organizations. As a large majority of the workforce, nurses are on the front lines of the delivery and provision of safe and effective care. The quest for high reliability must permeate an organization by way of leadership commitment, a culture of safety, continuous quality improvement, and every person's focus within the organization. This student workbook is designed as a companion to the primary textbook, High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality (2nd ed.), which explains how high reliability contributes to organizational quality and safety, recommends quality and safety activities based on high reliability principles, and integrates high reliability principles into healthcare practice.PURPOSE AND STRUCTUREThe purpose of this workbook is to provide learning activities that relate to each chapter in the book. These learning activities introduce students to high reliability, explain the concepts of high reliability and high reliability organizations (HROs), provide examples of what the concepts would look like ineveryday practice, and describe the information and tools nurses and other healthcare providers need for the organization to become an HRO. The first 26 chapters provide one accompanying learning activity, whereas the last five chapters provide context for the summative or final learning activity.Every learning activity reflects the content of its accompanying chapter. Students should read the chapter and supplemental materials and, if specified, focus on certain sections within the chapter prior to completing an exercise. Students may complete all these learning activities, but some instructors may choose only one or two from each chapter that meet the objectives of a particular course. Each learning activity begins with objectives, contains accompanying resource material or additional external resources, and has learning activity exercise-specific instructions. Nurses represent the majority of healthcare workers and are on the front lines of delivery and provision of safe and effective care. As a result, nurses are ideally situated to drive the mission to achieve high reliability in healthcare. It is our hope that the student workbook will prepare you to apply HRO principles to patient safety and quality problems in your place of practice because we all benefit from a safer healthcare environment.
Welcome to the instructor's guide for the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. This guide is designed to be a resource for educators in a variety of academic settings in courses focused on patient safety or quality management in nursing, health services administration, or clinical programs. This instructor's guide is divided into three sections:Unit 1: Using the Textbook for Teaching and LearningUnit 2: Resources for Teaching High Reliability for Patient Safety and QualityUnit 3: Chapter Learning Activities and Instructor SupportThis guide provides suggestions to guide faculty, nurse leaders, clinical staff nurses, quality and safety staff, or other healthcare professionals who are teaching others about the application of HRO principles to patient safety and quality problems using the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. For academic faculty, the chapter-by-chapter learning activities will help facilitate student learning about application of high reliability to patient safety and quality and can be used as part of a patient safety and quality course at a variety of academic levels.The student workbook contains the same chapter-by-chapter learning activities found in the instructor's guide. The instructor's guide contains supplemental materials including learning activity implementation strategies and student evaluation sections. There are several completed examples of fill-in responses or answers for instructors as well. A summative learning activity is included that gives instructors the opportunity to assess student ability to translate high reliability principles into practice.
Today's nurse managers-tasked with a wide array of responsibilities from staffing and budgeting to promoting safe and effective patient care-face unprecedented demands in their role as leaders of the largest healthcare workforce in the industry. They must be clinically competent, relationally savvy, and administratively gifted-and find the time to create and sustain a healthy work environment. In addition to those demands, the lopsided aging of the population has had a double impact: More nurses are retiring from the profession at the same time as elderly baby boomers require increasingly complex and costly care. As nursing workforce retirements increase, a continued push for effective leadership will be critical to healthcare outcomes in the coming decades. As workforce shortages continue, it will be critical to educate managers who can advocate for, support, and empower staff. Healthcare organizations have a duty to provide nurse managers with the tools and support needed to manage effectively. Toxic Nursing is an integral part of that education.Each chapter begins with an overview of particular areas where nurse toxicity often arises. Following that is a section titled "Clearing Toxicity: Scenarios, Insights, and Reflections." Here there are scenarios based on real-life accounts, with insight and advice from nurse leaders-a group of 31 experts in nursing management who were asked to respond to the narratives from the perspective of preventing, addressing, or minimizing the consequences of conflict. Experts were asked to avoid citing references and rely on their own experiences and intuitive skills to provide practical advice about the situation. Following the "Nurse Leader Insight" section are "Reflections" with prompts to help readers explore the issues presented.At the end of each chapter is a section called "Fostering Cultural Change" that can help guide you as you explore with your staff methods to decrease toxicity and promote a healthier and more satisfying work environment. Toxic Nursing, Second Edition helps nurses-from bedside nurses to charge nurses to nurse managers-navigate the nuances and gray areas of toxic behavior.
The purpose of The Influence of Psychological Trauma in Nursing: Student Workbook is to provide contentfor simulation experiences related to psychological trauma.This student workbook is designed as a companion to the primary book, The Influence of Psychological Trauma in Nursing, which digs deep into psychological trauma in nurses and nursing care, as well as approaches to healing.
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