Test Bank for Advancing Your Career: Concepts in Professional Nursing 5th Edition

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  • ISBN-10 ‏ : ‎ 0803628064
  • ISBN-13 ‏ : ‎ 978-0803628069
  • Author:  Rose Kearney Nunnery

Advance your career to the next level of professional practice with the guidance you’ll find in the New Edition of this popular text. Build upon your prior nursing experiences with all of the concepts you need to progress from RN to BSN and beyond. From new and timely topics such as the Joint Commission’s safety initiatives to health care reform and global issues, this text is ideal for pursuing ongoing education and reaching the next level of professional practice. Thoroughly revised and updated, the 5th Edition encourages you, the practicing nurse, to master the theories that are changing nursing. Apply them to the situations you’ll encounter in practice today… and to the challenges in which you’ll play a pivotal role in facing as a nurse tomorrow. Perfect for both classroom-based and online courses!

 

Table of Content:

  1. SECTION I Professional Bases for Practice
  2. Professional Bases for Practice
  3. INTRODUCTION
  4. 1 Your Professional Identity
  5. Chapter Objectives
  6. Key Terms
  7. CHARACTERISTICS OF A PROFESSION
  8. Systematic Theory and Knowledge Base
  9. Authority
  10. Community Sanction
  11. Online Consult
  12. Code of Ethics
  13. BOX 1.1 The Code of Ethics for Nurses
  14. Online Consult
  15. Professional Culture
  16. Table 1.1 Characteristics of Selected Professional Organizations
  17. PROFESSIONALISM IN NURSING
  18. Ethics
  19. Educational Background
  20. BOX 1.2 Core Competencies for Health Professionals
  21. Evidence-Based Practice and Research
  22. Quality of Practice
  23. Communication
  24. Leadership
  25. Collaboration
  26. Professional Practice Evaluation
  27. Resource Utilization
  28. Environmental Health
  29. BOX 1.3 Rules for the 21st Century Health System
  30. RETURNING TO SCHOOL
  31. Competing Roles
  32. Learning As Empowerment
  33. BOX 1.4 What Are Your Competing and Multiple Roles?
  34. Building Knowledge, Skills, and Abilities
  35. ADDRESSING TIME MANAGEMENT
  36. Your Learning Style
  37. BOX 1.5 Factors to Consider for Efficient Time Management
  38. BOX 1.6 Myers-Briggs Inventory
  39. GARNERING RESOURCES
  40. Studying
  41. Preparing Assignments
  42. Taking Examinations
  43. Thriving
  44. YOUR PHILOSOPHY OF NURSING
  45. KEY POINTS
  46. Thought and Discussion Questions
  47. REFERENCES
  48. BIBLIOGRAPHY
  49. ONLINE RESOURCES
  50. 2 Theory as the Basis for Practice
  51. Chapter Objectives
  52. Key Terms
  53. TERMINOLOGY IN THEORY AND DEVELOPMENT ANALYSIS
  54. Figure 2.1 The structural hierarchy of contemporary nursing knowledge: Components and levels of abstraction.
  55. BOX 2.1 Dickoff and James (1968): Four Levels of Nursing Theory
  56. Online Consult
  57. THEORY DESCRIPTION AND EVALUATION
  58. THEORIES FROM OUTSIDE OF NURSING
  59. Maslow’s Theory of Human Motivation and Hierarchy of Basic Needs
  60. Figure 2.2 Maslow’s hierarchy of human needs.
  61. Online Consult
  62. Developmental Theories
  63. PERSONALITY DEVELOPMENT
  64. Figure 2.3 Erikson’s (1963) eight ages of man.
  65. Online Consult
  66. COGNITIVE DEVELOPMENT
  67. MORAL DEVELOPMENT
  68. Table 2.1 Piaget’s Theory of Cognitive Development
  69. SYSTEMS THEORY
  70. Table 2.2 Kohlberg’s Theory of Moral Development
  71. Figure 2.4 General systems model: A simple, open system.
  72. THEORETICAL CHALLENGES AND A PARADIGM SHIFT
  73. THE IMPACT OF THEORY ON PRACTICE
  74. KEY POINTS
  75. Thought and Discussion Questions
  76. REFERENCES
  77. BIBLIOGRAPHY
  78. ONLINE RESOURCES
  79. 3 Evolution and Use of Formal Nursing Knowledge
  80. Chapter Objectives
  81. Key Terms
  82. FORMAL NURSING KNOWLEDGE
  83. Nursing Defined
  84. CONCEPTUAL MODELS of NURSING
  85. Definition
  86. Functions
  87. Conceptual Models of Nursing
  88. DOROTHY JOHNSON’S BEHAVIORAL SYSTEM MODEL
  89. Implications for Nursing Practice
  90. Determination of the Existence of a Problem
  91. BOX 3.1 Johnson’s Behavioral System Model: Diagnostic and Treatment Process
  92. Diagnostic Classification of a Problem
  93. Management of Nursing Problems
  94. Evaluation of Behavioral System Balance and Stability
  95. IMOGENE KING’S CONCEPTUAL SYSTEM
  96. Personal Systems
  97. Interpersonal Systems
  98. Social Systems
  99. Implications for Nursing Practice
  100. BOX 3.2 King’s Conceptual System Practice Methodology: Interaction-Transaction Process
  101. Perception
  102. Judgment
  103. Action
  104. Reaction
  105. Disturbance
  106. Mutual Goal Setting
  107. Exploration of Means to Achieve Goals
  108. Agreement on Means to Achieve Goals
  109. Transaction
  110. Attainment of Goals
  111. MYRA LEVINE’S CONSERVATION MODEL
  112. BOX 3.3 Levine’s Conservation Model Practice Methodology: Nursing Process as Conservation
  113. Implications for Nursing Practice
  114. Trophicognosis
  115. Intervention/Action
  116. Evaluation of Intervention/Action
  117. BETTY NEUMAN’S SYSTEMS MODEL
  118. Implications for Nursing Practice
  119. BOX 3.4 Neuman’s Systems Model Practice Methodology: Nursing Process Format
  120. Nursing Diagnosis
  121. Nursing Goals
  122. Nursing Outcomes
  123. DOROTHEA OREM’S SELF-CARE FRAMEWORK
  124. Self-Care
  125. Self-Care Agency
  126. Power Components
  127. Basic Conditioning Factors
  128. Therapeutic Self-Care Demand
  129. Self-Care Deficit
  130. Nursing Agency
  131. Implications for Nursing Practice
  132. Case Management Operations
  133. BOX 3.5 Orem’s Practice Methodology: Professional-Technological Operations of Nursing Practice
  134. Diagnostic Operations
  135. Prescriptive Operations
  136. Regulatory Operations: Design of Nursing Systems for Performance of Regulatory Operations
  137. Regulatory Operations: Planning for Regulatory Operations
  138. Regulatory Operations: Production of Regulatory Care
  139. Control Operations
  140. MARTHA ROGERS’ SCIENCE OF UNITARY HUMAN BEINGS
  141. Implications for Nursing Practice
  142. Pattern Manifestation Knowing and Appreciation—Assessment
  143. Voluntary Mutual Patterning
  144. BOX 3.6 Rogers’ Science of Unitary Human Beings Practice Methodology: The Health Patterning Practice Method
  145. Pattern Manifestation Knowing and Appreciation—Evaluation
  146. CALLISTA ROY’S ADAPTATION MODEL
  147. Implications for Nursing Practice
  148. BOX 3.7 Roy’s Adaptation Model Practice Methodology: The Nursing Process
  149. Assessment of Behavior
  150. Assessment of Stimuli
  151. Nursing Diagnosis
  152. Online Consult
  153. Goal Setting
  154. Intervention
  155. Evaluation
  156. NURSING THEORIES
  157. Definition
  158. Functions
  159. Nursing Grand Theories
  160. MADELEINE LEININGER’S THEORY OF CULTURE CARE DIVERSITY AND UNIVERSALITY
  161. Implications for Nursing Practice
  162. Goals of Nursing Practice
  163. Clients
  164. Culturalogical Assessment
  165. BOX 3.8 Leininger’s Theory of Culture Care Diversity and Universality Practice Methodology
  166. Nursing Judgments, Decisions, and Actions
  167. Clinical Protocols
  168. MARGARET NEWMAN’S THEORY OF HEALTH AS EXPANDING CONSCIOUSNESS
  169. Consciousness
  170. Pattern
  171. Implications for Nursing Practice
  172. BOX 3.9 Newman’s Health As Expanding Consciousness Practice Methodology: Research As Praxis Protocol
  173. Phenomenon of Interest
  174. The Interview
  175. Transcription
  176. Development of the Narrative: Pattern Recognition
  177. Diagram: Pattern Recognition
  178. Follow-up: Pattern Recognition
  179. Application of the Theory of Health as Expanding Consciousness
  180. ROSEMARIE PARSE’S THEORY OF HUMANBECOMING
  181. Implications for Nursing Practice
  182. Part II of Parse’s Practice Methodology
  183. Contexts for Nursing
  184. Goal of the Discipline of Nursing
  185. BOX 3.10 Parse’s Practice Methodology: Part I
  186. Goal of the Humanbecoming Nurse
  187. True Presence
  188. Ways of Changing Health Patterns in True Presence
  189. Middle-Range Theories
  190. Table 3.1 Explicit Middle-Range Theories Derived from Selected Conceptual Models of Nursing
  191. ADVANTAGES OF USING FORMAL NURSING KNOWLEDGE
  192. Risks and Rewards of Using Formal Nursing Knowledge
  193. SELECTING A CONCEPTUAL MODEL OR NURSING Grand THEORY FOR PROFESSIONAL NURSING PRACTICE
  194. USING CONCEPTUAL MODELS or grand theories TO GUIDE PROFESSIONAL NURSING PRACTICE
  195. KEY POINTS
  196. Thought and Discussion Questions
  197. References
  198. 4 Health, Illness, and Holism
  199. Chapter Objectives
  200. Key Terms
  201. Online Consult
  202. LEVELS OF PREVENTION
  203. Primary Prevention
  204. Secondary Prevention
  205. Tertiary Prevention
  206. THEORIES OF HEALTH AND ILLNESS
  207. Model of High-Level Wellness
  208. Health Belief Model
  209. Figure 4.1 Dunn’s high-level wellness.
  210. Health Promotion Model
  211. Figure 4.2 Pender’s health belief model.
  212. Comparison of the Two Models
  213. Chronic Illness Model
  214. Table 4.1 Comparing the Health Belief Model and the Health Promotion Model
  215. Table 4.2 The Chronic Illness Trajectory Framework (Corbin, 1998)
  216. Holism
  217. BOX 4.1 Functional Health Patterns
  218. CULTURAL INFLUENCE ON HEALTH PERCEPTIONS
  219. Online Consult
  220. Table 4.3 AACN’s (2008a, 2009) Identification of Cultural Care Competencies for Nurses by Educational Preparation
  221. Models of Cultural Care and Competence in Practice
  222. CULTURE CARE DIVERSITY AND UNIVERSALITY
  223. THE GIGER AND DAVIDHIZAR TRANSCULTURAL ASSESSMENT MODEL
  224. BOX 4.2 Patterns for Assessment in the Giger & Davidhizar (2008) Transcultural Assessment Model
  225. SPECTOR’S HEALTH TRADITIONS MODEL
  226. THE PROCESS OF CULTURAL COMPETENCE IN THE DELIVERY OF HEALTHCARE SERVICES MODEL
  227. THE PURNELL MODEL FOR CULTURAL COMPETENCE
  228. Figure 4.3 The Purnell Model for Cultural Competence.
  229. Online Consult
  230. THE NURSE’S ROLE
  231. Example 1
  232. Example 2
  233. KEY POINTS
  234. Thought and Discussion Questions
  235. REFERENCES
  236. BIBLIOGRAPHY
  237. ONLINE RESOURCES
  238. 5 Evidence-Based Practice
  239. Chapter Objectives
  240. Key Terms
  241. THE EVOLUTION OF NURSING RESEARCH
  242. The Growing Significance of Nursing Research
  243. Online Consult
  244. LEGAL AND ETHICAL CONSIDERATIONS IN RESEARCH
  245. Safety, Health, and Welfare
  246. BOX 5.1 Examples of Unethical Use of Vulnerable Populations in Research
  247. BOX 5.2 General Principles/Ethical Guidelines for Research on Human Subjects
  248. Online Consult
  249. Online Consult
  250. The Institutional Review Board (IRB)
  251. BOX 5.3 Ethical Principles in the Conduct, Dissemination, and Implementation of Nursing Research
  252. ANA Guidelines
  253. Online Consult
  254. PROCESSES OF NURSING RESEARCH
  255. The Empirical Method
  256. Qualitative Research
  257. Choice of Research Method
  258. THE ROAD TO EVIDENCE-BASED PRACTICE
  259. Table 5.1 Empirical and Qualitative Research Methods
  260. Figure 5.1 ACE Star Model of Knowledge Transformation.
  261. Online Consult
  262. SKILLS FOR A THOUGHTFUL CRITIQUE
  263. Objective Evaluation
  264. BOX 5.4 Areas to Address in a Thoughtful Critique*
  265. Subjective Evaluation: Incorporating Evidence-Based Practice
  266. Online Consult
  267. ELIMINATING BARRIERS TO EVIDENCE-BASED NURSING PRACTICE
  268. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  269. KEY POINTS
  270. Thought and Discussion Questions
  271. REFERENCES
  272. BIBLIOGRAPHY
  273. ONLINE RESOURCES
  274. SECTION II Critical Abilities in Professional Nursing Practice
  275. Critical Abilities in Professional Nursing Practice
  276. 6 Effective Communication
  277. Chapter Objectives
  278. Key Terms
  279. COMMUNICATION MODELS
  280. Basic Components
  281. Shannon-Weaver Model
  282. Figure 6.1 Shannon-Weaver model.
  283. Source-Message-Channel-Receiver Model
  284. Leary Model
  285. Figure 6.2 Source-message-channel-receiver (SMCR) model of communication.
  286. Figure 6.3 Leary’s reflexive model.
  287. Health Communication Model
  288. RELATIONSHIPS
  289. Figure 6.4 Health communication model.
  290. TRANSACTIONS
  291. CONTEXTS
  292. FORMS OF COMMUNICATION
  293. Metacommunication
  294. Verbal Communication
  295. VOCABULARY
  296. MEANING
  297. INTONATION
  298. PACING
  299. CLARITY, TIMING, AND RELEVANCE
  300. Nonverbal Communication
  301. PROXEMICS
  302. CULTURAL VARIATIONS
  303. KINESICS
  304. APPEARANCE
  305. THERAPEUTIC COMMUNICATION
  306. Therapeutic Communication Techniques
  307. ACTIVE LISTENING
  308. BOX 6.1 Therapeutic Communication Techniques
  309. QUESTIONS
  310. BOX 6.2 Reflection and Restatement
  311. OTHER THERAPEUTIC COMMUNICATIONS TECHNIQUES
  312. Barriers to Communication
  313. BOX 6.3 Communication Barriers
  314. COMMUNICATION WITH COLLEAGUES
  315. Table 6.1 Sample Process Recording for Evaluation of Communication
  316. Online Consult
  317. Workplace Collaboration
  318. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  319. KEY POINTS
  320. Thought and Discussion Questions
  321. REFERENCES
  322. BIBLIOGRAPHY
  323. ONLINE RESOURCES
  324. 7 Critical Thinking
  325. Chapter Objectives
  326. Key Terms
  327. CRITICAL THINKING IN NURSING
  328. Online Consult
  329. Definitions
  330. Table 7.1 Definitions and Descriptions of Critical Thinking
  331. Descriptions
  332. Measures of Critical Thinking
  333. DEVELOPING CRITICAL THINKING SKILLS
  334. THE NURSING PROCESS AND CRITICAL THINKING
  335. BOX 7.1 Critical Thinking with the Nursing Process
  336. BOX 7.2 Case Study: Mr. Jones
  337. EVIDENCE-BASED PRACTICE: CONSIDER THIS
  338. KEY POINTS
  339. Thought and Discussion Questions
  340. REFERENCES
  341. BIBLIOGRAPHY
  342. ONLINE RESOURCES
  343. 8 Working with Groups
  344. Chapter Objectives
  345. Key Terms
  346. GROUPS
  347. Group Process
  348. Group Characteristics
  349. GROUP STRUCTURE
  350. COMPOSITION OF GROUPS
  351. ROLES FOR MEMBERS OF THE GROUP
  352. GROUP FOCUS
  353. Effective Groups
  354. EVALUATING EFFECTIVENESS OF GROUPS
  355. BOX 8.1 Factors to Consider in Evaluating Effectiveness of Groups
  356. THE BASICS OF GROUP PROCESSES
  357. The Stages of Group Development
  358. FORMING
  359. Table 8.1 Group Stages, Expected Goals, and Nursing Techniques
  360. STORMING AND NORMING
  361. PERFORMING
  362. ADJOURNING
  363. The Role of the Group Leader
  364. LEADERSHIP TASKS AND SKILLS
  365. BOX 8.2 The Conflict Resolution Network’s 12 Useful Skills
  366. Online Consult
  367. Roles of Group Members
  368. FUNCTIONAL GROUP ROLES
  369. Table 8.2 Functional Task Roles
  370. Table 8.3 Functional Group-Building Roles
  371. NONFUNCTIONAL GROUP ROLES
  372. DEALING WITH DIFFICULT PEOPLE
  373. BOX 8.3 Communication Techniques in a Group When Dealing with Difficult Members
  374. ORGANIZATIONAL GROUPS
  375. Interorganizational Versus Intraorganizational Groups
  376. Communication in Organizational Groups
  377. Virtual Group Meetings
  378. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  379. KEY POINTS
  380. Thought and Discussion Questions
  381. REFERENCES
  382. BIBLIOGRAPHY
  383. ONLINE RESOURCES
  384. 9 The Teaching-Learning Process
  385. Chapter Objectives
  386. Key Terms
  387. NURSING PROCESS APPLIED TO THE TEACHING-LEARNING PROCESS
  388. Assessment and Diagnosis
  389. Outcome Identification, Planning, and Implementation
  390. Evaluation
  391. TEACHING AND LEARNING THEORIES
  392. Behaviorism: Classical Conditioning
  393. BOX 9.1 Selected Theories of Learning
  394. Behaviorism: Operant Conditioning
  395. Gestalt Theory
  396. Cognitive Theories
  397. SOCIAL COGNITIVE THEORY
  398. HUMANISM
  399. Adult Learning Theories
  400. Transformation Theory
  401. Multiple Intelligences Theory
  402. Table 9.1 Seven Intelligences (Gardner, 1999, pp. 42–43)
  403. ONLINE CONSULT
  404. TEACHING AND LEARNING PRINCIPLES
  405. Teaching
  406. Learning
  407. DOMAINS
  408. COGNITIVE LEARNING STYLES
  409. READINESS AND LEARNING
  410. Motivation
  411. Cognitive Level
  412. Applicability and Acceptability
  413. PRACTICAL TEACHING TIPS
  414. Writing Behavioral Objectives
  415. KNOWLEDGE DIMENSION
  416. COGNITIVE PROCESSES DIMENSION
  417. Planning for Learning
  418. Teaching Strategies and Methods
  419. Table 9.2 Sample Teaching Methods
  420. Table 9.3 Teaching Methods and Resources to Address the Cognitive Style of the Learner
  421. Evaluation of Outcomes
  422. BOX 9.2 Tips for Presentations
  423. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  424. KEY POINTS
  425. Thought and Discussion Questions
  426. REFERENCES
  427. BIBLIOGRAPHY
  428. ONLINE RESOURCES
  429. 10 Managing and Leading in the Organization
  430. Chapter Objectives
  431. Key Terms
  432. ORGANIZATIONS AS SYSTEMS
  433. Intricacies of an Organization
  434. Table 10.1 Systems Theory Components and Organizational Characteristics of a Healthcare Agency
  435. Goals and Values
  436. Hierarchical Structure
  437. Leadership and Management
  438. Communication Systems
  439. Resources and Technology
  440. External Environments
  441. ORGANIZATIONAL STRUCTURES
  442. Figure 10.1 Mintzberg’s Continuum of Standardization in Organizations.
  443. Bureaucratic Organizations
  444. Organic Organizations
  445. Figure 10.2 Example of flat bureaucratic structure of a community hospital.
  446. Figure 10.3 Example of tall bureaucratic structure of a community hospital.
  447. Functional Structure
  448. Figure 10.4 Example of a functional organization: rehabilitative agency.
  449. Product Structure
  450. Figure 10.5 Example of a product form organization: home care agency.
  451. Matrix Structure
  452. Figure 10.6 Example of a matrix organizational structure.
  453. Structural Components for Leadership and Management
  454. ORGANIZATIONAL FUNCTIONS
  455. MANAGEMENT
  456. Management Theories
  457. Nursing Management
  458. LEADERSHIP
  459. Leadership Theories
  460. Styles of Leadership
  461. Leadership Competencies
  462. Table 10.2 Leadership Theories
  463. Leadership in Nursing
  464. BOX 10.1 Leadership Competencies (Bennis, 2000)
  465. ORGANIZATIONAL CULTURE
  466. Nursing Leadership
  467. Communication
  468. Participatory Management and Local Decision Making
  469. Collaboration and Interdisciplinary Relationships
  470. Other Concepts in Organizational Culture
  471. COMMUNICATION UNIQUE TO ORGANIZATION
  472. NURSING: POWER, NEGOTIATION, DELEGATION
  473. Power
  474. BOX 10.2 The Five General Bases of Power
  475. Negotiation
  476. BOX 10.3 Attributes of a Skilled Negotiator: CAVEAT
  477. Delegation
  478. Principles of Delegation
  479. Process of Delegation
  480. BOX 10.4 The Five Rights of Delegation
  481. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  482. KEY POINTS
  483. Thought and Discussion Questions
  484. REFERENCES
  485. BIBLIOGRAPHY
  486. ONLINE RESOURCES
  487. 11 Change and Innovation
  488. Chapter Objectives
  489. Key Terms
  490. THEORIES OF CHANGE AND INNOVATION
  491. Lewin
  492. Figure 11.1 Illustration of restraining and driving forces in the change process.
  493. Lippitt
  494. Figure 11.2 Lippitt’s (1973) seven stages of planned change.
  495. UNFREEZING, MOVING, REFREEZING
  496. ROLE OF CHANGE AGENT
  497. Havelock
  498. UNFREEZING, MOVING, REFREEZING
  499. ROLE OF CHANGE AGENT
  500. Rogers
  501. UNFREEZING, MOVING, REFREEZING
  502. ROLE OF CHANGE AGENT
  503. The Transtheoretical Approach
  504. Table 11.1 Transtheoretical Model and the Stages of Change
  505. UNFREEZING, MOVING, REFREEZING
  506. THE INDIVIDUAL AS THE CHANGE AGENT
  507. TRANSITIONS
  508. Bridges
  509. BOX 11.1 Bridges’ Stages for Managing Transitions
  510. Four Quadrants of Change
  511. BOX 11.2 The Four Quadrants of Change
  512. THE ROLE OF THE CHANGE AGENT
  513. CHANGE AGENTS
  514. Table 11.2 Comparison of the Stages of Change Represented in Theoretical Models
  515. Unfreezing
  516. Moving
  517. Table 11.3 Comparing Roles for the Change Agent from Different Theoretical Models
  518. Refreezing
  519. CHANGE IN INDIVIDUALS, FAMILIES, AND GROUPS
  520. Resistance to Change
  521. Environmental Assessment
  522. HEALTHCARE ORGANIZATIONAL CHANGE
  523. Organizational Change Suggestions
  524. BOX 11.3 Basic Steps for the Process of Innovation
  525. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  526. KEY POINTS
  527. Thought and Discussion Questions
  528. REFERENCES
  529. BIBLIOGRAPHY
  530. ONLINE RESOURCES
  531. 12 Professional Ethics
  532. Chapter Objectives
  533. Key Terms
  534. ETHICAL PRINCIPLES
  535. SYSTEMS OF ETHICAL DECISIONS
  536. CODE OF ETHICS
  537. ONLINE CONSULT
  538. MAKING ETHICAL DECISIONS
  539. BOX 12.1 Standards of Professional Performance: Ethical Competencies (ANA, 2010a)
  540. ONLINE CONSULT
  541. ONLINE CONSULT
  542. ONLINE CONSULT
  543. ONLINE CONSULT
  544. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  545. KEY POINTS
  546. Thought and Discussion Questions
  547. REFERENCES
  548. BIBLIOGRAPHY
  549. ONLINE RESOURCES
  550. SECTION III Quality Care for Individuals, Families, and Groups
  551. Quality Care for Individuals, Families, and Groups
  552. 13 Quality and Safety in Health Care
  553. Chapter Objectives
  554. Key Terms
  555. HISTORICAL PERSPECTIVES
  556. Online Consult
  557. BOX 13.1 National Hospital Quality Measures
  558. Online Consult
  559. THEORETICAL MODELS FOR QUALITY
  560. Deming’s Principles for Transformation
  561. BOX 13.2 Deming’s 14 Points
  562. THE 14 POINTS FOR MANAGEMENT
  563. OBSTACLES TO QUALITY TRANSFORMATION
  564. Juran Trilogy
  565. QUALITY PLANNING
  566. BOX 13.3 Juran Trilogy
  567. QUALITY CONTROL
  568. Example
  569. QUALITY IMPROVEMENT
  570. Example
  571. Online Consult
  572. Monitoring and Evaluation as a Goal of Accreditation
  573. CONTINUOUS QUALITY IMPROVEMENT IN HEALTHCARE
  574. Quality as Strategy
  575. Total Quality Management and Continuous Quality Improvement
  576. Transition from Quality Assurance to Continuous Quality Improvement
  577. Table 13.1 Comparing Quality Improvement, Quality Assurance, and Risk Management
  578. Putting a Continuous Quality Improvement Structure in Place
  579. A CALL TO SAFETY
  580. Healthcare Safety Initiatives
  581. Online Consult
  582. Online Consult
  583. BOX 13.4 Types of Reportable Sentinel Events (Joint Commission, 2011g)
  584. Online Consult
  585. TOOLS AND TECHNIQUES USED IN QUALITY IMPROVEMENT
  586. Process Teams
  587. Online Consult
  588. Quality Improvement Tools
  589. PROCESS DESCRIPTION TOOLS
  590. Figure 13.1 Top-down flow chart.
  591. Figure 13.2 Cause-and-effect diagram.
  592. TOOLS FOR DATA COLLECTION
  593. Figure 13.3 Average delivery time (A) data sheet and (B) check sheet.
  594. DATA ANALYSIS TOOLS
  595. Figure 13.4 Pareto diagram.
  596. IMPROVEMENT ACTIVITIES
  597. Online Consult
  598. DEVELOPING A MEASUREMENT PROGRAM
  599. Selecting Indicators for Measurement
  600. Online Consult
  601. Understanding Variation
  602. CONTINUOUS QUALITY IMPROVEMENT IN CONTEXT
  603. Continuous Quality Improvement in the Managed Care World
  604. Ongoing Role for Regulatory Agencies
  605. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  606. KEY POINTS
  607. Thought and Discussion Questions
  608. REFERENCES
  609. BIBLIOGRAPHY
  610. ONLINE RESOURCES
  611. 14 Healthy Initiatives for At-Risk Populations
  612. Chapter Objectives
  613. Key Terms
  614. HEALTHY PEOPLE 2000
  615. Table 14.1 Overall Goals for Healthy People Initiatives, 2000, 2010, and 2020
  616. HEALTHY COMMUNITIES
  617. HEALTHY PEOPLE 2010
  618. Online Consult
  619. BOX 14.1 Healthy People 2010 and Healthy People 2020
  620. Online Consult
  621. HEALTHY PEOPLE 2020
  622. Table 14.2 Life Expectancy (in Years) at Birth, 65, and 85
  623. Online Consult
  624. OUR AGING POPULATION
  625. BOX 14.2 Strategies for Health Promotion of Older Adults
  626. Theories on and Types of Aging
  627. Characterizing Aging Americans
  628. RESIDENTIAL CHANGES
  629. PHYSICAL CHANGES
  630. MAJOR HEALTH PROBLEMS OF AGING ADULTS
  631. BOX 14.3 15 Key Indicators of Older Adult Health
  632. Online Consult
  633. Needs of Aging Adults
  634. LAY CAREGIVERS
  635. Online Consult
  636. SOCIETAL NEEDS
  637. ELDER ABUSE
  638. Online Consult
  639. MINORITY HEALTH
  640. Addressing the Disparities
  641. Online Consult
  642. RURAL HEALTH
  643. Online Consult
  644. RURAL HEALTH CLINICS
  645. Reimbursement
  646. Telecommunication
  647. Online Consult
  648. COMMUNITY NURSING IN THE CONTEXT OF HEALTHY PEOPLE
  649. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  650. KEY POINTS
  651. Thought and Discussion Questions
  652. REFERENCES
  653. BIBLIOGRAPHY
  654. ONLINE RESOURCES
  655. 15 Informatics and Documenting Outcomes
  656. Chapter Objectives
  657. Key Terms
  658. OVERVIEW OF NURSING INFORMATICS
  659. BOX 15.1 Evidence-Based Practice Electronic Resources
  660. BOX 15.2 Selected Online Journals
  661. BOX 15.3 Informatics Competencies For Nurses
  662. TRANSFORMATION OF DATA TO INFORMATION, KNOWLEDGE, AND WISDOM
  663. Figure 15.1 The Healthcare Information Management System.
  664. HEALTH INFORMATION SYSTEMS
  665. BOX 15.4 System Integration to Reduce Medication Errors
  666. Standardized Nursing Language
  667. Online Consult
  668. Electronic Health Record
  669. Online Consult
  670. Electronic Prescribing
  671. Computer Applications
  672. PERSONAL DIGITAL ASSISTANTS
  673. INDEPENDENT LEARNING ACTIVITIES
  674. EVIDENCE-BASED PRACTICE
  675. Database Management
  676. Telehealth
  677. NURSING INFORMATICS: THE SPECIALTY
  678. BOX 15.5 Attributes of a Specialty in Nursing
  679. CAREERS IN NURSING INFORMATICS
  680. Positions in Healthcare Organizations
  681. Positions with Systems and Software Vendors
  682. Positions in Educational Settings
  683. Positions in Managed Care Organizations and Insurance Companies
  684. DOCUMENTING OUTCOMES
  685. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  686. Online Consult
  687. KEY POINTS
  688. Thought and Discussion Questions
  689. REFERENCES
  690. BIBLIOGRAPHY
  691. ONLINE RESOURCES
  692. 16 Healthcare Economics
  693. Chapter Objectives
  694. Key Terms
  695. THE AMERICAN SYSTEM OF HEALTHCARE DELIVERY: AN OVERVIEW
  696. BOX 16.1 The Three Groups of Healthcare Participants
  697. Demand for Healthcare
  698. CONSUMER NEED
  699. CONSUMER CONCEPTUALIZATION
  700. Online Consult
  701. CONSUMER ACCESS
  702. UNDERSTANDING HEALTHCARE PRICING
  703. THE INFLUENCE OF DELIVERY SYSTEM CHARACTERISTICS ON DEMAND
  704. Supply of Health Care
  705. BOX 16.2 Factors Affecting Health Services Demanded
  706. A Hybrid System of Supply and Demand
  707. FINANCING OUR HEALTHCARE SYSTEM
  708. Role of Third-Party Payers
  709. BOX 16.3 The Healthcare Systems in the UK and Canada
  710. Payment Systems
  711. Table 16.1 Leading Diagnosis-Related Groups (DRGs) in 2006
  712. Managing Risk Related to the Cost of Healthcare
  713. FEE-FOR-SERVICE SYSTEM
  714. PROSPECTIVE PAYMENT SYSTEM
  715. CAPITATED SYSTEM
  716. BOX 16.4 Understanding Coding Terminology
  717. FINANCIAL RISKS FOR THE CONSUMER OF HEALTHCARE SERVICES
  718. MANAGED CARE
  719. Major Participants of Managed Care
  720. Models of Managed Care
  721. BOX 16.5 Examples of HMO Relationships with Providers
  722. Online Consult
  723. HEALTH MAINTENANCE ORGANIZATION
  724. PREFERRED PROVIDER ORGANIZATION
  725. POINT-OF-SERVICE PLAN
  726. THE COST-QUALITY TRADEOFF
  727. BOX 16.6 Public and Private Entities that Monitor and Report on Quality of Healthcare
  728. Health Report Card
  729. Effectiveness, Cost-Effectiveness, and Financial Performance
  730. Policies to Improve Quality
  731. PAY-FOR-PERFORMANCE PROGRAMS
  732. EVIDENCE-BASED PRACTICE GUIDELINES IN DISEASE MANAGEMENT
  733. EVIDENCE-BASED PRACTICE GUIDELINES IN NURSING
  734. Online Consult
  735. HEALTHCARE REFORM
  736. Figure 16.1 Government Healthcare Reform Attempts of the 20th Century.
  737. Policies to Improve Access
  738. Table 16.2 Health-Related Laws
  739. THE FEDERAL SCHIP PROGRAM
  740. INDIVIDUAL STATE INITIATIVES
  741. MEDICARE REFORM AND PRESCRIPTION DRUG BENEFITS
  742. Policies to Contain Cost
  743. Table 16.3 What Do You Gain Under the Medicare Prescription Benefit?*
  744. Table 16.4 HITECH Incentives for EHR Implementation
  745. HEALTHCARE REFORM PAYMENT INITIATIVES
  746. BOX 16.7 Meaningful Use Criteria for 2010
  747. Online Consult
  748. SOCIAL IMPACTS ON HEALTHCARE ECONOMICS
  749. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  750. KEY POINTS
  751. Thought and Discussion Questions
  752. REFERENCES
  753. ONLINE RESOURCES
  754. 17 The Politically Active Nurse: An Imperative
  755. Chapter Objectives
  756. Key Terms
  757. STRUCTURE AND FUNCTION OF GOVERNMENT
  758. Branches of Government
  759. EXECUTIVE BRANCH
  760. LEGISLATIVE BRANCH
  761. JUDICIAL BRANCH
  762. Table 17.1 Qualifications for Service in the U.S. Congress or Executive Office
  763. State and Local Systems
  764. HOW LAWS ARE MADE
  765. Table 17.2 Types of Law
  766. Congressional Committees
  767. Table 17.3 Major Committees of the 110th U.S. Congress
  768. Online Consult
  769. How a Bill Becomes a Law
  770. Figure 17.1 The legislative process.
  771. Impact of Laws
  772. BOX 17.1 Nurses’ Involvement in the Legislative Process
  773. REGULATING NURSING PRACTICE
  774. Nurse Practice Acts
  775. BOX 17.2 Nurse Practice Acts
  776. Additional State and Federal Laws Affecting Nursing Practice
  777. Online Consult
  778. INFLUENCING LEGISLATION
  779. Lobbying
  780. Professional Organizations
  781. Political Action Committees
  782. BOX 17.3 ANA Grassroots Political Action
  783. GAINING SKILL IN POLITICAL EFFICACY
  784. Workplace Issues
  785. Community or Civic Involvement
  786. Professional Organizations
  787. Government
  788. BOX 17.4 Tips for Talking to Legislators
  789. BOX 17.5 Tips for Presenting Testimony
  790. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  791. KEY POINTS
  792. Thought and Discussion Questions
  793. REFERENCES
  794. BIBLIOGRAPHY
  795. ONLINE RESOURCES
  796. 18 Healthcare Reform and Global Issues
  797. Chapter Objectives
  798. Key Terms
  799. GLOBAL HEALTH, NURSING, AND THE NEW MILLENNIUM
  800. HEALTHCARE POLICY
  801. MARKET JUSTICE AND THE BUSINESS OF HEALTHCARE
  802. THE PUBLIC/PRIVATE MODEL OF AMERICAN HEALTHCARE
  803. Competition and the Regulation of Healthcare
  804. Business’ Influence on Healthcare
  805. Medical Error
  806. UNINSURED PERSONS
  807. HEALTH DISPARITIES
  808. NURSING SHORTAGE
  809. EVOLVING NURSING ROLES
  810. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  811. KEY POINTS
  812. Thought and Discussion Questions
  813. REFERENCES
  814. BIBLIOGRAPHY
  815. ONLINE RESOURCES
  816. 19 Expanding the Vision
  817. Chapter Objectives
  818. Key Terms
  819. HEALTHCARE PROFESSIONALS IN THE 21ST CENTURY
  820. The Pew Health Professions Commission
  821. The Institute of Medicine Quality Chasm
  822. BOX 19.1 Necessary Client Safeguards in the Work Environment
  823. A Call for Change and Leadership by Nursing
  824. Online Consult
  825. THE PROFESSIONAL NURSING PRACTICE ENVIRONMENT
  826. Table 19.1 IOM and RWJF Report on the Future of Nursing
  827. Table 19.2 Hallmarks of Professional Practice and Core Competencies
  828. COLLABORATION
  829. BOX 19.2 Characteristics for Collaboration
  830. COMPETENCE
  831. Online Consult
  832. BOX 19.3 Advancing Your Career: Skills for a Healthy Career
  833. TAKING THE LEAD
  834. Nursing Education
  835. INVOLVEMENT
  836. REVISITING YOUR PHILOSOPHY OF NURSING
  837. EMBRACING CHANGE
  838. EVIDENCE-BASED PRACTICE: CONSIDER THIS…
  839. KEY POINTS
  840. Thought and Discussion Questions
  841. REFERENCES
  842. BIBLIOGRAPHY
  843. Back Matter
  844. APPENDIX A Professional Nursing Organizations
  845. APPENDIX B Nursing Diagnoses Categorized by Major Functional Health Patterns
  846. REFERENCES
  847. APPENDIX C Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) Systems
  848. NURSING INTERVENTIONS CLASSIFICATION (NIC)
  849. Nursing Specialty Core Interventions Areas
  850. NURSING OUTCOMES CLASSIFICATION (NOC)
  851. Core Outcomes for Nursing Specialty Areas
  852. REFERENCES
  853. Index