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Author: Sally-Anne Wherry
Publisher: SAGE
ISBN: 1529785898
Category : Medical
Languages : en
Pages : 214
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Book Description
Working with people living with complex health needs is an everyday part of the nursing role. It requires an understanding of different conditions and comorbidities, of the societal and political factors that influence them and of the health and social care services available to manage them. This book joins the dots between the biological, social, and psychological drivers that add complexity to care. From knowledge of key concepts like polypharmacy and the social and political determinants of health, to practical skills in assessment and shared decision making, this book will provide you with a holistic understanding of complex care. Key features - Mapped to the 2018 NMC Standards of Proficiency - Includes reflections and insights from experts of their own practice - Case studies explore what complexity means in action, encouraging you to reflect and draw on your own experiences - Covers all four fields of nursing in primary and secondary settings, as well as the voluntary sector
Author: Sally-Anne Wherry
Publisher: SAGE
ISBN: 1529785898
Category : Medical
Languages : en
Pages : 214
Get Book Here
Book Description
Working with people living with complex health needs is an everyday part of the nursing role. It requires an understanding of different conditions and comorbidities, of the societal and political factors that influence them and of the health and social care services available to manage them. This book joins the dots between the biological, social, and psychological drivers that add complexity to care. From knowledge of key concepts like polypharmacy and the social and political determinants of health, to practical skills in assessment and shared decision making, this book will provide you with a holistic understanding of complex care. Key features - Mapped to the 2018 NMC Standards of Proficiency - Includes reflections and insights from experts of their own practice - Case studies explore what complexity means in action, encouraging you to reflect and draw on your own experiences - Covers all four fields of nursing in primary and secondary settings, as well as the voluntary sector
Author: Magdalena Smeds
Publisher: Linköping University Electronic Press
ISBN: 9176850692
Category :
Languages : en
Pages : 66
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Book Description
One of the central challenges for the healthcare system today is how to manage care for patients with complex needs. This patient group is not well-defined but covers patients with serious diseases and comorbidities, or with a limited ability to perform basic daily functions due to physical, mental or psychosocial challenges. This group has a high service and resource utilisation resulting in high costs for the healthcare system and, typically, poor health outcomes. To improve care for these patients, it is necessary to implement strategies to manage the differentiated care needs, the additional support needs, the uncertainty in care delivery, and the coordination needs of the involved providers and the patient. Care pathways are increasingly used internationally to make care more patient-centred and to structure and design care processes for individual patient groups. Important elements in care pathways include structuring care activities, by defining their content and sequence; coordinating between providers and professionals; and involving patients in their care process. In this thesis, care pathways are proposed as the overall strategy for managing care for patients with complex care needs. The purpose of this thesis is thus to contribute with knowledge on how care pathways can be managed for patients with complex care needs. This is achieved by analysing how the practices coordination, standardisation, customisation and personalisation can support management of care pathways and by discussing how these practices influence quality of care. The quality of care dimensions discussed are accessible, timely, equitable, and patient-centred care. The empirical context in this thesis is the Standardised Cancer Care Pathways (CCPs) which were implemented in Sweden from 2015 to 2018. CCPs is the umbrella term for the national initiative to shorten waiting times, decrease regional differences and reduce fragmentation in care processes. CCPs include elements such as diagnosis-specific pathways and guidelines, introduction of CPP coordinators, and mandatory reporting of waiting times. Focus has been on implementing care pathways for 31 cancer diagnoses in all Swedish healthcare regions. Both qualitative and quantitative research methods have been used. A case study was conducted to examine standardised and customised care pathways, and coordination and multidisciplinary work in care pathways. A document study of regional reports on CCPs was analysed to study effects of care pathways on accessibility, timeliness and equitability. Finally, a national survey was conducted to deepen the understanding of the role of coordination, as performed by coordinators, in care pathways. This thesis argues that standardised and customised care pathways should be combined to manage care for patients with complex care needs. The customised pathway in particular benefits patients with serious unspecific symptoms, unknown primary tumour or more complex care needs, while patients with care needs that can be treated independently of the main diagnosis benefit from following a standardised care pathway. Coordinators are an important means to manage coordination, customisation and personalisation in the care pathway. The coordinators’ role is twofold: the first role is to manage care pathways by customising the care pathway and coordinating involved providers; the second role is to support and guide patients through the care pathway. This can be achieved by adapting interpersonal communication with patients through personalisation. This thesis further argues that care pathways have most potential to positively influence accessibility, timeliness, equitability, and patient-centredness. Accessibility has been positively influenced, especially for patients with ambiguous symptoms where symptoms indicating cancer have improved their chances of accessing cancer diagnostics. A negative aspect of prioritising patients who follow CCPs has been the potentially longer waiting times for other patient groups in equal need of urgent care. Notwithstanding, prioritised access to care is perceived to positively influence timeliness for patients following CCPs. Care pathways are perceived to have positively influenced patient-centredness by shifting the focus from what to deliver to how to deliver it.
Author: Kaveh G. Shojania
Publisher:
ISBN: 9781587632594
Category : Disaster hospitals
Languages : en
Pages : 7
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Book Description
Author: National Academies of Sciences Engineering and Medicine
Publisher:
ISBN: 9780309685061
Category :
Languages : en
Pages :
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Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Category : Medical
Languages : en
Pages : 700
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Book Description
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.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359
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Book Description
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.
Author: Jillian Pawlyn
Publisher: John Wiley & Sons
ISBN: 1444301535
Category : Medical
Languages : en
Pages : 376
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Book Description
Children and adults with profound and multiple learningdisabilities (PMLD) are among the most marginalised people insociety. They have some of the highest support needs and are mostreliant on services. This accessible text presents and promotescurrent best practice regarding interventions to meet the complexhealth needs of a person with profound & multiple learningdisabilities. Practical in focus, this text provides evidence-basedguidance on meeting the complex needs of a person with PMLD. The text presents a range of complex health needs that apractitioner may face, such as communication, nutrition, epilepsy,vision and mobility. Each practice-focused chapter provides cleardefinitions of the condition, with current evidence-basedbest-practice supporting the intervention. Written by a team of professionals who have wide experience andinterest in this subject area, this text will be invaluable for allthose working with, and caring for those with profound and multiplelearning disabilities.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"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/
Author: American Association of Critical-Care Nr
Publisher: Elsevier Health Sciences
ISBN: 1437726208
Category : Medical
Languages : en
Pages : 1635
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Book Description
From AACN experts comes a resource dedicated to helping you oversee or care for critical care patients in any practice setting. This comprehensive critical care nursing textbook addresses serious and potentially life-threatening patient conditions with a foundation rooted in the critical thinking process: the comprehension, analysis, synthesis, and application of knowledge. - Endorsed by the American Association of Critical-Care Nurses (AACN), the largest specialty nursing organization in the United States, for the most authoritative coverage available. - Thorough discussions of each body system emphasize advanced concepts, presenting physiology in an application format that examines the clinical implications of physiological science. - Coverage of assessment focuses on interpreting abnormal findings and linking those findings to diagnosis and intervention. - Appropriate interventions are discussed from an interdisciplinary, evidence-based perspective. - Hundreds of new, full-color illustrations and design clarify important concepts and improve the book's usability. - Complex, unfolding case studies are presented in all disease chapters, accompanied by review questions with a comprehensive answer key. - Multidisciplinary Plans of Care provide at-a-glance information for common ICU conditions. - Nutrition boxes appear in each relevant chapter, offering guidelines for patient needs with specific illnesses. - Research-Based Practice Guidelines boxes and Promoting Evidence-Based Practice features appear throughout the text whenever applicable to present the latest research-supported nursing assessment and intervention practices. - Drug boxes include common classifications of critical care drugs for specific disorders, including drug, actions, dosage, and special considerations. - Applying the Technology features help you apply the latest technology to patient care. - NIC Interventions boxes list NIC intervention labels appropriate for the conditions discussed in a chapter.
Author: Lisette K. Bunting-Perry, MScN, RN
Publisher: Springer Publishing Company
ISBN: 0826103456
Category : Medical
Languages : en
Pages : 336
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Book Description
"This is a wonderful resource for nurses and other healthcare professionals providing care for patients with Parkinson's Disease (PD)Ö.This unique book provides readers with access to multiple experts in the field and a wide variety of pertinent topics in the care of patients with PD. This is an excellent addition to the field and will be extremely useful for interdisciplinary teams caring for these patients." Score: 100, 5 stars --Doody's The incidence of Parkinson's is growing as the number of older adults making up the general population increases. The demand for nurses who specialize in the care of patients with movement disorders is also increasing and it is crucial that they have a comprehensive manual for patient care. Lisette Bunting-Perry and Gwyn Vernon have years of experience working with Parkinson's patients and have put together a team of internationally renowned clinicians who provide a truly comprehensive review of the information you need for the care of patients with this complex clinical profile. Comprehensive Nursing Care for Parkinson's Disease covers what is presently known about the disease and current evidence-based standards of care, including management through deep brain stimulation, palliative care for frail older adults with Parkinson's, medication management, nonmotor complications and psychosocial issues, and complementary and alternative approaches. This is an indispensable bedside companion in caring for those with Parkinson's as well as a much needed catalyst for the evaluation of future patient needs and the further development of comprehensive models of care.
