Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs.
Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients—leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation.
With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.
In More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing difficult people for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.
--Jennifer Reich, University of Colorado Denver, author of Calling the Shots
Описание: Pocket sized and practical, this handbook is the ideal guide to support frontline staff and trainees, as well as all allied professionals in the name of patient safety. It will aim to demystify what is often seen as a complex topic, helping doctors understand the methods needed to provide safe care.
Автор: Valdez, Rupa S. Название: The Patient Factor ISBN: 0367245566 ISBN-13(EAN): 9780367245566 Издательство: Taylor&Francis Рейтинг: Цена: 53592.00 р. Наличие на складе: Нет в наличии.
Автор: Valdez, Rupa S. Название: The Patient Factor ISBN: 0367245647 ISBN-13(EAN): 9780367245641 Издательство: Taylor&Francis Рейтинг: Цена: 26796.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This easy to use guide offers practical, everyday guidance on case scheduling, performance and demand-capacity monitoring in operating theatres. It uses time as the key benchmark, outlining how to improve patient safety and maximise theatre efficiency with data-driven approaches. Its rational approach is applicable to theatres around the world.
This book explores the parallels between the aircraft flight deck and the surgical operating theatre, examining, through past aviation accidents and incidents, whether medicine and surgery could benefit from the lessons learnt in aviation.
It looks at modern day pilot training, particularly in the area of 'Human Factors' or the science of 'why we do what we do' i.e. how do humans perform under stress in terms of decision making, teamwork, leadership, situational awareness and communication?
The author is uniquely placed in these fields currently in his role as an International Airline Pilot, with some 30 years of Aviation experience, the last 18 years as a Training Captain, but also, prior to his career in Aviation, when he completed his General Nursing training at the Royal North Hospital in Sydney. He has worked extensively in the operating theatre enabling him to see potential benefits for surgical practice from Human Factors training.
The book firstly highlights the similarities shared by flight deck and the operating theatre in terms of chain of command, use of technology and the pressures faced by both professional spheres.
It then looks at various aspects of human behaviour, using aircraft accidents and incidents to highlight those behaviours, while exploring the potential relevance to surgical and medical practice.
Описание: This book provides a guide to the assessment of patient reported outcomes measures and quality of life in cardiovascular interventions, which have become a fundamental component of decision making in bedside medicine, health policy, health economics, and public health. Cardiac surgery, cardiovascular interventions, vascular interventions, and the core principles of quality of life are all covered. This book is the first book to demonstrate how clinicians and policy makers can easily get access to a single source of quality of life and patient reported outcomes measures evidence to help them make the best informed decisions in the field of cardiovascular interventions. This is a rapidly emerging field and the book would be relevant to doctors, healthcare scientists, allied-health professionals, healthcare managers, medical statisticians, healthcare economists, and consultants working in healthcare.
Описание: This new edition describes the latest advances in health education and patients' self-management, addressing core questions such as: How can you motivate a patient to adopt a healthier lifestyle, and how can you support their self-management? Though there is a broad consensus within the nursing profession on the importance of health promotion and the promotion of self-management, nursing professionals often struggle with the underlying theoretical and practical aspects involved, as well as the right type of intervention to use and how to evaluate the results. The book departs from concepts of health. In the first chapters, it examines health at the micro-, meso- and macro-level, combined with epidemiological health indicators. The following chapters focus on prevention, health promotion and self-management, while also broadly discussing prevention. The book then turns to the development and purpose of, as well as plans for, health promotion and health education. The Intervention Mapping protocol is the starting point, addressing questions such as how to motivate a patient to other, healthier behavior. Subsequently, the field of health promotion is extended to disease prevention, patient education and self-management. On the basis of patients’ needs, the book describes methods and interventions to promote self-management in detail. Self-management and chronic health problems are also highlighted, along with the patient’s social network in connection with self-management and eHealth. Lastly, the book explores the relationship between nursing and health promotion, as well as disease prevention, diagnoses, interventions and care results. Additionally, this edition includes two trainings on 'Promoting the self-management of the patient ' and on 'What is the role of the nursing professional in promoting self-management of the patient?'. This book is intended for bachelor and master courses for nursing professionals and is linked to the CanMeds competencies of health promoters and reflective evidence-based working professionals.
Описание: Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US.
Автор: Angelos Peter Название: Ethical Issues in Cancer Patient Care ISBN: 1493979078 ISBN-13(EAN): 9781493979073 Издательство: Springer Рейтинг: Цена: 21953.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Peter Angelos Numerous ethical issues arise in the care of oncology patients. Although much has been written in the last several decades on ethical issues in caring for patients, few volumes have sought to focus the exploration on ethical issues particularly relevant to the care of cancer patients. In 1999, the first edition of this book was published. Since that time, many changes have occurred in how some cancers are diagnosed and treated, but the central ethical issues have continued to challenge patients, families, and their health care providers. All of the chapters from the prior edition have been updated and there are seven new chapters in this expanded edition. In this second edition, the perspectives on what is an ethical issue have been broadened by bringing authors of differing backgrounds into the discussion. In Chapter 1, the perspective of a cancer patient is provided as an open letter to physicians. Although Parvez Kamangar is providing only one patient’s perspective, this is an essential voice that is not often heard in texts on medical ethics. In Chapters 2 and 3, the issues of communication and the physician-patient relationship are explored in order to better understand how the needs of patients and families can be met. In Chapter 4, Professor Tod Chambers highlights the challenges to providing ethical care to patients in a multicultural society.
Автор: Daigrepont, Jeffery , Harry, Gabriel , Kunney, C Название: Patient Healthcare Technology Excellence ISBN: 0367374366 ISBN-13(EAN): 9780367374365 Издательство: Taylor&Francis Рейтинг: Цена: 9492.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: We examine the role that artificial intelligence (AI) is now playing in and around EHR technology. We also address the advances in analytics and deep learning (also known as deep structured or hierarchical learning) and explain this topic in practical ways for even the most novice reader to comprehend and apply.
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