Moral Resilience

Moral Resilience
Author: Cynda Hylton Rushton
Publisher: Oxford University Press
Total Pages: 321
Release: 2018-10-02
Genre: Medical
ISBN: 0190619295
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Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

Moral Resilience, Second Edition

Moral Resilience, Second Edition
Author: Cynda H. Rushton
Publisher: Oxford University Press
Total Pages: 393
Release: 2024
Genre: Medical
ISBN: 0197667147
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"Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path designing individual and system solutions to address moral suffering. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Moral resilience has been shown to be a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum Response, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all"--

Resilience

Resilience
Author: Steven M. Southwick
Publisher: Cambridge University Press
Total Pages: 283
Release: 2023-09-07
Genre: Psychology
ISBN: 1009299743
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How do we become resilient? Three experts provide practical steps for overcoming stress and becoming more resilient to life's challenges.

Trauma Counseling, Second Edition

Trauma Counseling, Second Edition
Author: Lisa López Levers, PhD, LPCC-S, LPC, CRC, NCC
Publisher: Springer Publishing Company
Total Pages: 693
Release: 2022-02-24
Genre: Psychology
ISBN: 0826150853
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The only comprehensive text to focus on trauma, stress, crisis, and disaster counseling from a clinical practice perspective This overarching text, intended both for mental health practitioners-in-training and for practicing clinicians, focuses on the impact of stress, crisis, trauma, and disaster on diverse populations across the lifespan as well as on effective treatment strategies. The second edition is newly grounded in a "trauma scaffold," providing foundational information that therapists can build upon, step-by-step, to treat individuals affected by more complex trauma events. This resource newly addresses the mental health implications of COVID-19, which has had an enormous impact on multitudes of people since the beginning of the pandemic, its repercussions likely to continue for some time into the future. The text also is updated to provide the most recent diagnostic information regarding trauma in the DSM-5. Two new chapters address the confluence of crises related to anthropogenic climate change and the effects of mass violence. This unrivalled resource emphasizes stress management and crisis intervention skills as important building blocks for working with more complex issues of trauma and disaster. It underscores the idea that trauma must be approached from multiple perspectives and in multiple dimensions encompassing individual, community, societal, and systemic implications along with multicultural and diversity frames of reference. The text integrates the latest findings from neuropsychology and psychopharmacology with an emphasis on Polyvagal Theory. Additionally, the text highlights the importance of clinical supervision in trauma care and examines ethical dimensions and the need for self-care among trauma counselors. Purchase includes digital access for use on most mobile devices or computers. New to the Second Edition: Reconceptualizes the text with the concept of a "Trauma Scaffold" as a foundation upon which to understand and develop treatment for increasingly complex trauma events Addresses the COVID-19 pandemic and its profound effect on the mental health of vast numbers of people Includes two new chapters on the confluence of crises related to anthropogenic climate change and the effects of mass violence Includes PowerPoint slides to accompany an updated Instructor's Manual Key Features: Delivers both introductory and advanced clinical information addressing complex trauma Addresses trauma from a bioecological framework with emphasis on trauma-informed practices, multicultural pluralism, diversity, and social justice Considers neurobiological responses to trauma with new research and the contributions of Polyvagal Theory Examines individual, familial, community, society, and systemic understandings of stress, crisis, trauma, and disaster Includes a wealth of resources for further study, text boxes, and case studies to reinforce learning

Self-Care for New and Student Nurses, Second Edition

Self-Care for New and Student Nurses, Second Edition
Author: Dorrie K. Fontaine
Publisher: Sigma Theta Tau
Total Pages: 477
Release: 2024-08-20
Genre: Medical
ISBN: 1646481704
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“The authors have created a brilliant, reader-centric, practical, powerful, and evidence-based guide designed for new and student nurses, yet effective for preceptors and faculty alike. Imagine a resource so engaging and effective you turn to it time and time again to inform and support your whole-person well-being.” –Teri Pipe, PhD, RN Richard E. Sinaiko Professor in Health Care Leadership School of Nursing Core Faculty, Center for Healthy Minds Distinguished Fellow, National Academies of Practice University of Wisconsin-Madison “This extraordinary book will be the voice in the ear of every young nurse who reads it throughout their career, sustaining them through the hard times and providing what it takes to be the skillful, compassionate nurses they dreamed of being.” –Bonnie Barnes, FAAN Doctor of Humane Letters (h.c) Co-founder, The DAISY Foundation “This is an astonishingly rich and relevant text that truly should be required in every nursing program. If widely adopted, this text has the potential to transform the profession.” –Mary Jo Kreitzer, PhD, RN, FAAN Director, Earl E. Bakken Center for Spirituality & Healing Professor, University of Minnesota School of Nursing As a nursing student, you’re taught to expect a variety of challenges while caring for your patients and juggling competing priorities as you begin your career. And, though you may know better, your personal well-being can become the last thing you consider in your hectic student or new-nurse life. This second edition of Self-Care for New and Student Nurses equips you to confidently face stressors now and in the future. No matter where you are in your nursing career, this book offers you multiple strategies to prioritize your own mental, physical, and emotional health. Authors Dorrie K. Fontaine, Tim Cunningham, and Natalie May showcase a group of strong contributors whose valuable tips and exercises will help you: · Find joy and a sense of mattering at work · Manage anxiety, loneliness, and depression · Address imposter syndrome, practice self-compassion, and thrive during clinicals · Cope and seek help with racial tensions, substance abuse, suicide risks, and other traumas · Spot the stressors that lead to burnout · Prioritize sleep, exercise, and nutrition · Build a toolkit of self-care techniques, including in-the-moment practices for an ideal workday · Develop a resilient mindset · Establish boundaries TABLE OF CONTENTS Section 1: Fundamentals Chapter 1: The Fundamentals of Stress, Burnout, and Self-Care Chapter 2: The Fundamentals of Resilience, Growth, and Wisdom Chapter 3: Developing a Resilient Mindset Using Appreciative Practices Section II: The Mind of a Nurse Chapter 4: Self-Care, Communal Care, and Resilience Among Underrepresented Minoritized Nursing Professionals and Students Chapter 5: Self-Care for LGBTQIA+ Nursing Students Chapter 6: Racial Trauma and Healing Chapter 7: Narrative Practices Chapter 8: Self-Care and Systemic Change: What You Need to Know Chapter 9: Strengths-Based Self-Care: Good Enough, Strong Enough, Wise Enough Section III: The Body and Spirit of a Nurse Chapter 10: Reclaiming, Recalling, and Remembering: Spirituality and Self-Care Chapter 11: Sleep, Exercise, and Nutrition: Self-Care the Kaizen Way Chapter 12: Reflections on Self-Care and Your Clinical Practice Section IV: The Transition to Nursing Practice Chapter 13: Supportive Professional Relationships: Nurse Residency Programs, Preceptors, and Mentors Chapter 14: Healthy Work Environment: How to Choose One for Your First Job Chapter 15: Self-Care for Humanitarian Aid Workers Section V: The Heart of a Nurse Chapter 16: Mattering: Creating a Rich Work Life Chapter 17: Integrating a Life That Works With a Life That Counts Chapter 18: Providing Compassionate Care and Addressing Unmet Social Needs Can Reduce Your Burnout Chapter 19: Showing Up With Grit and Grace: How to Lead Under Pressure as a Nurse Clinician and Leader Chapter 20: Coaching Yourself When Things Are Hard

High Reliability Organizations, Second Edition

High Reliability Organizations, Second Edition
Author: Cynthia A. Oster
Publisher: Sigma Theta Tau
Total Pages: 882
Release: 2020-11-02
Genre: Medical
ISBN: 1948057778
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Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Although a strong body of knowledge shows that high reliability methods enable the most efficient, safe, and effective care, these methods have yet to be completely implemented across healthcare. According to authors Cynthia Oster and Jane Braaten, nurses—who are on the frontline of providing safe and effective care—are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Second Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. This new edition builds on the foundation of the first book with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability. New material focuses on: · High reliability performance during a pandemic · Organizational learning and tiered safety huddles · High reliability in infection prevention and ambulatory care · The emerging field of human factors engineering within healthcare · Creating a virtual resource toolkit for frontline staff

Nurses Making Policy, Second Edition

Nurses Making Policy, Second Edition
Author: Rebecca M. Patton, DNP, RN, CNOR, FAAN
Publisher: Springer Publishing Company
Total Pages: 503
Release: 2018-09-28
Genre: Medical
ISBN: 0826142230
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Praise for the First Edition: “There is a plethora of policy books on the market, but none illustrate the steps in the policy process better than this one. The high caliber editors and contributors, all of whom have been involved in policy work, bring years of experience to illustrate the key points...This outstanding resource will help motivate many more nurses to get involved in the policy process”...Score: 93 - 4 Stars! --Doody's Medical Reviews Written by distinguished nurse leaders with expertise in policy, practice, education, and research, this book is a practical “how-to” guide written to help advanced students and nurse leaders develop health policy competencies to advocate for patients from the bedside to the larger political arena. Co-published with the American Nurses Association, the book examines the pivotal role of nurses involved in health policy, making it an essential resource for nurses pursuing advanced education and desiring to enhance their expertise in making policy and facilitating its change. The book addresses recent changes impacting healthcare and many other topics including information on the increased need for primary care providers, how full practice authority has been implemented in different states, the need for an enhanced RN role in ambulatory care, and ongoing changes to the Affordable Care Act. This edition describes the distinct role of nurses impacting policies on the front lines of healthcare. Current issues with detailed examples of how nurses can exert influence at local, state, national, and global levels at each step of the policymaking process are presented. This second edition emphasizes collaboration within healthcare institutions, professional organizations, and government for the development of policies from bedside to boardroom. Using descriptive cases, the book delves into the growing role of nurses in elected and appointed office. The book clarifies the process of identifying issues that need a policy solution. A timely contribution focuses on evaluating policy sources, such as “Fake News.” It stresses how evidence must be used to strengthen policy initiatives. Woven throughout are essential themes basic to healthcare: ethics, leadership, safety, care access, and quality of care. New to the Second Edition: Revised chapters featuring inspirational, motivational, and practical stories representing different steps of the policy process A new chapter, “Valuing Global Realities for Health Policy,” emphasizing issues that unite nurses globally and the role of nurses as global citizens Expanded content on steps of policy analysis and evaluating evidence to support policy An appraisal and evaluation of converged media, including “Fake News” Guidance on working with the ongoing evolution of the Affordable Care Act An examination of health in all policies to improve community and population health Added focus on work environments as part of achieving the Quadruple Aim of healthcare The latest developments in advanced practice registered nurse regulation Key Features: Delineates the steps, strategies, and competencies needed for health policy advocacy in organizational, educational, and political settings Provides perspective relevant to the American Association of Colleges of Nursing doctor of nursing practice (DNP) Essentials Includes real world examples of policymaking on the frontlines of clinical practice Provides exemplars from high profile national and international nursing policy leaders Examines how nurses are leaders in a variety of policy arenas Illustrates policies to address social and economic inequities impacting health Describes how evidence is used to advance policy

Code of Ethics for Nurses with Interpretive Statements

Code of Ethics for Nurses with Interpretive Statements
Author: American Nurses Association
Publisher: Nursesbooks.org
Total Pages: 42
Release: 2001
Genre: Business & Economics
ISBN: 1558101764
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Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

Strengthening Family Resilience, Second Edition

Strengthening Family Resilience, Second Edition
Author: Froma Walsh
Publisher: Guilford Press
Total Pages: 401
Release: 2011-09-16
Genre: Psychology
ISBN: 1462503314
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This informative clinical resource and text presents Froma Walsh's family resilience framework for intervention and prevention with clients dealing with adversity. Drawing on extensive research and clinical experience, the author describes key processes in resilience for practitioners to target and facilitate. Useful guidelines and case illustrations address a wide range of challenges: sudden crisis, trauma, and loss; disruptive transitions, such as job loss, divorce, and migration; persistent multistress conditions of serious illness or poverty; and barriers to success for at-risk youth. New to this edition: reflects research and practice advances chapter on resilience-oriented approaches to recovery from major disasters chapter on applications in community-based programs and international contexts.