Higher life expectancy on a global level requires complex nursing care as poor education and a lack of knowledge can lead to mistakes. There is a need for nurses who can provide high quality and ...advanced nursing practice. A mix of well-grounded education and innovative research is needed, where the first provides an understanding of best nursing practice care delivery and the second helps nurses determine best practices and improve nursing care."
The Future of Nursing Institute of Medicine; Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
National Academies Press,
10/2010
eBook, Book
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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.
While vast numbers of nurses across the globe contribute in all areas of healthcare delivery from primary care to acute and long-term care in community settings, there are significant differences in ...how they are educated, as well as the precise nature of their practice. This comprehensive handbook provides a research-informed and international perspective on the critical issues in contemporary nurse education.
As an applied discipline, nursing is implemented differently depending on the social, political and cultural climate in any given context. These factors impact on education, as much as on practice, and are reflected in debates around the value of accredited programmes, and on-the-job training, apprenticeship, undergraduate and postgraduate pathways into nursing. Engaging with these debates amongst others, the authors collected here discuss how, through careful design and delivery of nursing curricula, nurses can be prepared to understand complex care processes, complex healthcare technologies, complex patient needs and responses to therapeutic interventions, and complex organizations. The book discusses historical perspectives on how nurses should be educated; contemporary issues facing educators; teaching and learning strategies; the politics of nurse education; education for advanced nursing practice; global approaches; and educating for the future.
Bringing together leading authorities from across the world to reflect on past, present and future approaches to nurse education and nursing pedagogy, this handbook provides a cutting-edge overview for all educators, researchers and policy-makers concerned with nurse education.
This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols ...developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols-systematically tested by more than 300 participating NICHE (Nurses Improving Care for Healthsystem Elders) hospitals-are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references, and evidence ratings for each protocol are provided along with resources for additional study.
Research has indicated that a range of adult psychiatric disorders and mental health problems originate at an early age, yet the psychiatric symptoms of an increasing number of children and ...adolescents are going unrecognized and untreated-there are simply not enough child psychiatric providers to meet this steadily rising demand. It is vital that advanced practice registered nurses (APRNs) in psychiatry and primary care take active roles in assessing behavioral health presentations and work collaboratively with families and other healthcare professionals to ensure that all children and adolescents receive appropriate treatment. Child and Adolescent Behavioral Health helps APRNs address the mental health needs of this vulnerable population, providing practical guidance on assessment, intervention and treatment strategies; indications for consultation, collaboration, and referral; and more. Now in its second edition, this comprehensive and timely resource has been fully updated to include DSM-5 diagnostic criteria for common behavioral health issues of infants to adolescents. New and expanded chapters cover bullying and victimization, child sexual development, adolescent sexual identity, managing the needs of LGBTQ youth, and adverse childhood events. Edited and written by a team of accomplished child psychiatric and primary care practitioners in nursing, this authoritative volume: Provides state-of-the-art evidence-based knowledge about specific psychiatric and behavioral health issues across multiple care settings Reviews the clinical manifestation and etiology of behavioral disorders, risk and management issues, and implications for practice, research, and education Offers approaches for interviewing children and adolescents, and strategies for integrating physical and psychiatric screening Discusses special topics such as legal and ethical issues, cultural influences and the needs of immigrant children, and child and adolescent mental health policy Features a new companion website containing clinical case studies for each chapter, downloadable figures and tables, further reading lists, and links to additional resources Designed to specifically address the issues faced by APRNs, Child and Adolescent Behavioral Health is essential reading for nurse practitioners and clinical nurse specialists, particularly those working in family, pediatric, community health, psychiatric, and mental health settings.
This book tells the story of German nurses who, directly or indirectly, participated in the Nazis' "euthanasia" measures against patients with mental and physical disabilities, measures that claimed ...well over 100, 000 victims from 1939 to 1945. How could men and women who were trained to care for their patients come to kill or assist in murder or mistreatment? This is the central question pursued by Bronwyn McFarland-Icke as she details the lives of nurses from the beginning of the Weimar Republic through the years of National Socialist rule. Rather than examine what the Party did or did not order, she looks into the hearts and minds of people whose complicity in murder is not easily explained with reference to ideological enthusiasm. Her book is a micro-history in which many of the most important ethical, social, and cultural issues at the core of Nazi genocide can be addressed from a fresh perspective. McFarland-Icke offers gripping descriptions of the conditions and practices associated with psychiatric nursing during these years by mining such sources as nursing guides, personnel records, and postwar trial testimony. Nurses were expected to be conscientious and friendly caretakers despite job stress, low morale, and Nazi propaganda about patients' having "lives unworthy of living." While some managed to cope with this situation, others became abusive. Asylum administrators meanwhile encouraged nurses to perform with as little disruption and personal commentary as possible. So how did nurses react when ordered to participate in, or tolerate, the murder of their patients? Records suggest that some had no conflicts of conscience; others did as they were told with regret; and a few refused. The remarkable accounts of these nurses enable the author to re-create the drama taking place while sharpening her argument concerning the ability and the willingness to choose.
Der Pflege-Report, der in Buchform und als Open-Access-Publikation erscheint, nimmt jährlich relevante Themen der Versorgung von Pflegebedürftigen unter die Lupe. Schwerpunkt des Jahres 2019 ist die ...Frage „Mehr Personal in der Langzeitpflege – aber woher?“ Es werden unterschiedliche Maßnahmen analysiert, die ein quantitativ wie qualitativ ausreichendes Angebot an Pflegepersonal sicherstellen sollen. Die Beiträge beleuchten Ursachen der Personalnot, zeigen Lösungswege auf und diskutieren hierbei bestehende Herausforderungen und zu erwartende Auswirkungen. Zudem präsentiert der Pflege-Report empirische Analysen zur Entwicklung der Pflegebedürftigkeit in Deutschland sowie zur Inanspruchnahme der Pflegeinfrastruktur und verschiedener Pflegeformen. Ein besonderer Fokus gilt der gesundheitlichen Versorgung in der ambulanten Pflege und im Pflegeheim.
The COVID-19 pandemic has had a significant impact on nursing practice in intensive care unit and consequently, on workload.
To assess the nurse-patient ratio required by COVID-19 patients and to ...identify the factors that influence nursing in this context.
This study was a retrospective observational study that evaluated the ratio using the Nursing Activities Score (NAS).
Three Belgian French-speaking hospitals, including five ICUs. Patients included COVID-19 and non-COVID-19 patients.
The study included 95 COVID-19 patients and 1604 non-COVID-19 patients (control group) resulting in 905 and 5453 NAS measures, respectively. The NAS was significantly higher among the COVID-19 patients than in the control group (p = <0.0001). In the COVID-19 group, these higher scores were also observed per shift and uniformly across the three hospitals. COVID-19 patients required more time in the activities of monitoring and titration (χ2 = 457.60, p = <0.0001), mobilisation (χ2 = 161.21, p = <0.0001), and hygiene (χ2 = 557.77, p = <0.0001). Factors influencing nursing time measured by NAS in the COVID-19 patients were age <65 years old (p = 0.23), the use of continuous venovenous hemofiltration (p = 0.002), a high APACHE II score (p = 0.006) and patient death (p = 0.002). A COVID-19 diagnosis was independently associated with an increase in nursing time (OR = 4.8, 95% CI:3.6–6.4).
Patients hospitalised in the ICU due to COVID-19 require significantly more nursing time and need an average ratio of almost 1:1.
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