Quality Caring in Nursing and Health Systems

Quality Caring in Nursing and Health Systems
Author: Joanne R. Duffy, PhD, RN, FAAN
Publisher: Springer Publishing Company
Total Pages: 329
Release: 2013-04-23
Genre: Medical
ISBN: 0826110150

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

Quality Caring in Nursing
Author: Joanne R. Duffy, PhD, RN, FAAN
Publisher: Springer Publishing Company
Total Pages: 265
Release: 2008-12-15
Genre: Medical
ISBN: 0826121292

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.

Quality Caring in Nursing and Health Systems

Quality Caring in Nursing and Health Systems
Author: Joanne R. Duffy, PhD, RN, FAAN
Publisher: Springer Publishing Company
Total Pages: 360
Release: 2018-05-28
Genre: Medical
ISBN: 0826181252

Quality Caring in Nursing and Health Systems, Third Edition delivers a detailed framework of the Quality Caring Model©, a theory that analyzes the relationships among the self, the community served, patients and families, and the health care team. As the population requiring healthcare increases, so does the room for error and the demand for patient-centered care. The health system, focused on procedures, protocols, technology, and lower costs, continues to inflict unnecessary harms upon already vulnerable patients and their families. Nurses, as the largest group of health care professionals that spend the longest time with patients and families, are in a unique position to advance new relationship-centric approaches to health care. This text focuses on the practical application of the Quality Caring Model, featuring new examples of ways to embed caring into the health care environment. An abundance of practice analyses and reflective exercises reinforce the book’s content. Written for nursing students, clinicians, educators, and leaders, this text delves into the intricacies of relational health care. Chapters apply the model to patients and families and provide optimal learning strategies to inform quality-caring competencies. Case studies, interviews, exemplars, relevant lessons, and suggested improvements woven throughout the text push the model further than theory and into practice. New to the Third Edition: Updates and clarifies the Quality Caring Model to improve the safety and quality of health systems Examines the continuing quality crisis in health care Demonstrates the model’s application in clinical, educational, and leadership practice Includes practice analyses at the end of each chapter Discusses how nurses can work in creative ways to implement caring in their practice as per IOM Future of Nursing Report Provides interviews with practicing nurses reflecting the challenges and strategies needed to implement caring in our technopharmacological system Key Features: Examines the evolution of the Quality Caring Model, its key concepts, and the clinical, educational, and leadership implications for application Features interviews with practicing nurses that reflect challenges and successful strategies Includes case studies and practical insights from diverse community and academic health centers Includes learning objectives, boxed calls to action, key summary points and reflective exercises Offers user-friendly visual images and charts Focuses on the challenge of creating value Facilitates Magnet designation

Improving the Quality of Care in Nursing Homes

Improving the Quality of Care in Nursing Homes
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 432
Release: 1986-02-01
Genre: Medical
ISBN: 0309036461

As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Crossing the Quality Chasm

Crossing the Quality Chasm
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 359
Release: 2001-07-19
Genre: Medical
ISBN: 0309132967

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.

Patient Safety and Quality

Patient Safety and Quality
Author: Ronda Hughes
Publisher: Department of Health and Human Services
Total Pages: 592
Release: 2008
Genre: Medical
ISBN:

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

The Future of Nursing

The Future of Nursing
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 700
Release: 2011-02-08
Genre: Medical
ISBN: 0309208955

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.

Palliative Care Nursing

Palliative Care Nursing
Author: Marianne Matzo, PhD, APRN-CNP, FPCN, FAAN
Publisher: Springer Publishing Company
Total Pages: 725
Release: 2018-06-28
Genre: Medical
ISBN: 0826127193

“This 5th edition is an important achievement; it is a symbol of commitment to the field of palliative nursing, where we have been and where we are going.” - Betty Rolling Ferrell, PhD, MA, FAAN, FPCN, CHPN From the Foreword The aging population has only grown since the first edition of this comprehensive and seminal publication nearly 20 years ago. Based on the need to humanize rather than medicalize the illness experience for patients, this text delves into palliative care beyond the specific diseases affecting the patient. Instead, content focuses on the whole person and family. Palliative patients struggle with chronic, debilitating, and painful conditions, and grapple with the fact that life as they knew it has already passed away. Families and friends reciprocally suffer, not knowing how to help and therefore become the secondary victims of the disease. This is not the challenge of a lone nurse, or a single physician, therapist, or social worker. Rather, palliative and hospice care requires the expertise and unique roles of an interprofessional team to help the patient and family strengthen their resilience, continue to find meaning and purpose in life, and cure what can be cured. Palliative Care Nursing, Fifth Edition, delivers advanced empirical, aesthetic, ethical and personal knowledge. This new edition brings an increased focus on outcomes, benchmarking progress, and goals of care. It expounds upon the importance of the cross-disciplinary collaboration introduced in the previous edition. Every chapter in Sections I, II, and III includes content written by a non-nursing member of the interprofessional team. Based on best-evidence and clinical practice guidelines, this text presents comprehensive, targeted interventions responsive to the needs of palliative and hospice patients and family. Each chapter contains compassionate, timely, appropriate, and cost-effective care for diverse populations across the illness trajectory. Key Features The expanded new edition offers current, comprehensive, one-stop source of highly-relevant clinical information on palliative care Life-span approach: age-appropriate nursing considerations (e.g. geriatric, pediatric and family) Includes disease-specific and symptom-specific nursing management chapters Promotes a holistic and interdisciplinary approach to palliative care Offers important legal, ethical and cultural considerations related to death and dying Case Studies with Case Study Conclusion in each clinical chapter New to The Fifth Edition: An expanded chapter on Palliative Care incorporates most up to date scope and standards, information on Basic and Advanced HPNA certification, self-reflection and self-care for nurses. A chapter on Interprofessional Collaboration Instructor Resources: Power points and Test bank