Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Download or read book Nursing Knowledge Attitudes and Experiencs on Advance Directives written by Jennifer Lynn Peregoy and published by . This book was released on 2013 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Advance Directives written by Gracielle-Joyce A. Dalisay and published by . This book was released on 2015 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The purpose of this study was to explore the knowledge, attitudes, and education needs of skilled nursing facility staff in regards to the administration of advance directives to patients and families. This quantitative study utilized the Knowledge, Attitudinal and Experiential Survey on Advance Directives instrument which was completed by 44 nursing and social services employees at a small skilled nursing facility in Torrance, California. The findings indicated that skilled nursing staff have only a moderate level of knowledge about advance directives. Furthermore, education about advance directives was primarily received from facility-based in-service lectures. Despite cultural differences among the respondents, many reported having a confident attitude towards administering advance directives. However, many felt much discomfort initiating the actual advance directive discussion. The findings indicate that social workers can provide improved education and training to skilled nursing facility staff about difficult topics concerning advance directives such as end-of-life decision making.

Download or read book Attitudes and Knowledge Related to Advance Directives in Nursing Students in Differing Degree Programs written by Erica Welch and published by . This book was released on 2019 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The study aimed to identify any differences between ADN, RN to BSN, and MSN/NP/Ph.D./DNP (Graduate) students in the knowledge, experience, attitudes, confidence, and comfort level of advance directives (ADs) use and end-of-life-care (EOLC) implementation." -- excerpt from abstract.

Download or read book The KNOWLEDGE ATTITUDES EXPERIENCE AND CONFIDENCE OF MASTER S PREPARED REGISTERED NURSES WITH ADVANCE DIRECTIVES written by Diane Ryan and published by . This book was released on 2010 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation was written in manuscript style and is comprised of three manuscripts. Manuscript I was a systematic review of the nurse's role and advance directives (ADs). Manuscript II was a synthesis of three similarly designed survey studies focusing on nurses and ADs surveyed with the Knowledge, Attitudes, and Experiential Survey on Advance Directives (KAESAD) Instrument. The third manuscript was the main focus of this dissertation and is a secondary data analysis (SDA) using previously collected data from oncology and emergency room (ER) master's prepared registered nurses (MPRNs) surveyed with the KAESAD Instrument. Manuscript I was a systematic review of nurses and ADs, the purpose of which was to synthesize the knowledge, attitudes and experiences of nurses in facilitating patient completion of ADs. Qualitative approaches used in these studies included grounded theory methods, as well as several secondary analyses and one ethnographic study.^The majority of quantitative studies used a survey approach. A total of 13 different survey instruments were used to collect study data. Findings revealed that nurses had experience with ADs, but had less than adequate knowledge on this topic. While nurses were found to have attitudes supportive of patient autonomy, nurse practitioners reported a higher level of confidence regarding AD discussions with patients. Confidence, education, and experience related to ADs were not only correlated with each other, but were related to greater knowledge and more positive attitudes concerning ADs. Manuscript II was a synthesis of three studies that examined the perspectives of critical care, oncology, and ER nurses concerning ADs. The purpose of these studies was to understand the perspectives of the general population of nurses and ADs. Membership in state and national professional associations was used to survey oncology, emergency, and critical care nurses.^Findings from these studies which used the KAESAD instrument to obtain information from nurses revealed that though nurses were supportive of and experienced with ADs, they had minimal knowledge and moderate confidence in this area. Insufficient time was reported for AD discussions, though further analysis did not reveal any significant relationships between the attitude of lack of time and knowledge, confidence, or experience. Experience and confidence predicted agreement with various attitude items concerning ADs. An identified limitation in these investigations included low Cronbach's alpha values on the attitude scales in the KAESAD instrument, which limited analysis to items only from these scales. Manuscript III was an SDA of responses obtained from 410 emergency and oncology MPRNs who were surveyed using the KAESAD instrument. Power analysis based on medium effect indicated that this number of subjects was more than adequate for planned statistical analysis.^Demographic information revealed that the majority of subjects were female, Caucasian, Christian, married or living as married, and with a mean age of 47 years and an average of 22 years of practice. Over 50% of these subjects worked full time in an urban setting, and were certified in their specialty area. While 58% of MPRNs had a family member with an AD, only 37% of these same subjects had ADs themselves. These MPRNs had mean total knowledge scores of 59% correct, with higher scores on knowledge of general information on ADs, and lower scores pertaining to knowledge of state laws and the Patient Self Determination Act. Master's prepared registered nurses felt confident on the topic of ADs, were experienced with ADs, and were likely to agree with attitude statements supportive of patient advocacy. Those MPRNs who had an AD had greater knowledge and increased confidence and experience with an AD, as compared to those without an AD.^While confidence and experience explained 19% of the variance in knowledge, confidence and knowledge had a greater impact on experience, explaining 32% of the variance in these scores. Subjects with greater confidence and more experience were more likely to agree with 9/25 attitude items analyzed. Oncology and ER MPRNs tended to agree with similar attitude items, but differences were noted between these two groups of MPRNs on topics such as (a) assisting some terminally ill patients to die should be made legal and (b) some are excluded from making end-of-life decisions. Those ER MPRNs who were experienced with ADs were more likely to have positive attitudes concerning ADs, while oncology MPRNs with greater confidence were more likely to agree with attitude statements. Though these MPRNs have advanced educational degrees, their total knowledge concerning ADs was a little over 50% correct which does not provide an adequate foundation for clinical practice.^Differences in several attitudes among MPRN specialty groups may reflect the nature of clinical practice in different settings, distinguishing different practice perspectives in oncology and ER practice areas. Examining the knowledge, experience, confidence and attitudes of MPRNs regarding ADs serves to increase understanding of the advance care planning process, with the overarching goal of enhancing patient understanding concerning ADs and improving overall AD completion rates.

Download or read book Advance Directives written by Peter Lack and published by Springer Science & Business Media. This book was released on 2013-10-21 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume gives an overview on the currently debated ethical issues regarding advance directives from an international perspective. It focuses on a wider understanding of the known and widely accepted concept of patient self-determination for future situations. Although advance directives have been widely discussed since the 1980s, the ethical bases of advance directives still remain a matter of heated debates. The book aims to contribute to these controversial debates by integrating fundamental ethical issues on advance directives with practical matters of their implementation. Cultural, national and professional differences in how advance directives are understood by health care professions and by patients, as well as in laws and regulations, are pinpointed.

Download or read book Issues in Nursing Research Training and Practice 2013 Edition written by and published by ScholarlyEditions. This book was released on 2013-05-01 with total page 1155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues in Nursing Research, Training, and Practice: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about Nurse Practitioners. The editors have built Issues in Nursing Research, Training, and Practice: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Nurse Practitioners in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Nursing Research, Training, and Practice: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Download or read book Evidence Based Geriatric Nursing Protocols for Best Practice written by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN and published by Springer Publishing Company. This book was released on 2016-03-28 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles

Download or read book Cancer Pain Management in Developing Countries written by Sushma Bhatnagar and published by Lippincott Williams & Wilkins. This book was released on 2018-06-29 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.

Download or read book Encyclopedia of Nursing Research written by Dr. Joyce Fitzpatrick, PhD, MBA, RN, FAAN, FNAP and published by Springer Publishing Company. This book was released on 2017-08-28 with total page 864 pages. Available in PDF, EPUB and Kindle. Book excerpt: p>Third Edition Named a Doody's Essential Purchase! Named a "Choice Outstanding Academic Title" for 2007 and an AJN Book of the Year! This award-winning nursing reference, meticulously researched by luminaries in the field, represents the state of the art in nursing science. Comprehensive and concise, entries provide the most relevant and current research perspectives and demonstrate the depth and breadth of nursing research today. This one-stop reference presents key terms and concepts and clarifies their application to practice. The fourth edition has been substantially updated to contain the latest research for nurse scientists, educators, and students in all clinical specialties. With new information from the National Institute of Nursing Research, this reference is an essential compendium of nursing research for nursing students at any level and researchers in all clinical specialities. New to the Fourth Edition: Extensively revised and updated Provides new information emphasized by the National Institute of Nursing Research on wellness, end-of-life and palliative care, and health technology New entries, including Symptom Management Theory and Self-Management Key Features: Provides the most relevant and current research perspectives Written by over 200 experts in the field Clarifies research applications in practice

Download or read book Toward an Understanding of Registered Nurses Experiences in Advance Care Planning Within a Home Health Setting written by Linda Matasic Vang and published by . This book was released on 2009 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Communication in Palliative Nursing written by Elaine Wittenberg and published by Oxford University Press. This book was released on 2019-12-24 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Communication in Palliative Nursing presents the COMFORT Model, a theoretically-grounded and empirically-based model of palliative care communication. Built on over a decade of communication research with patients, families, and interdisciplinary providers, and reworked based on feedback from hundreds of nurses nationwide, the chapters outline a revised COMFORT curriculum: Connect, Options, Making Meaning, Family caregivers, Openings, Relating, and Team communication. Based on a narrative approach to communication, which addresses communication skill development, this volume teaches nurses to consider a universal model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family educator, to embrace highly complex communication challenges present in palliative care-namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In light of the vast changes in the palliative care landscape and the increasingly pivotal role of nurses in advancing those changes, this second edition provides an evidence-based approach to the practice of palliative nursing. Communication in Palliative Nursing integrates communication theory and health literacy constructs throughout, and provides clinical tools and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families.

Download or read book Saunders Nursing Survival Guide Critical Care Emergency Nursing written by Lori Schumacher and published by Elsevier Health Sciences. This book was released on 2009-06-30 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the popular Saunders Nursing Survival Guide series, this book prepares you to manage the most common health care problems you'll see in critical care, trauma, or emergency settings. Each chapter is organized from the most immediate and life-threatening conditions to less emergent critical care conditions. Its lighthearted, cartoon-filled approach simplifies difficult concepts, covering each body system in terms of current practice standards. Consistent headings break content into four succinct areas of review: What (subject) IS, What You NEED TO KNOW, What You DO, and Do You UNDERSTAND? Clinical terms and shorthand expressions are highlighted, exposing you to terminology used in the hospital setting. A color insert illustrates concepts and principles of critical care and emergency nursing, including various complications Mnemonic devices aid your memory and interactive activities help you learn, with exercises including fill in the blank, matching, word jumbles, true/false, and crossword puzzles. Special icons help you focus on vital information: Take Home Points help you prepare for clinical rotations. Caution notes alert you to dangerous conditions and how to avoid them. Lifespan notes point out age-related variations in signs and symptoms, nursing interventions, and patient teaching. Culture notes cite possible variations related to a patient’s cultural background. Web links direct you to Internet resources for additional research and study. What You WILL LEARN learning objectives help you identify quickly the content covered and goals for each chapter. NCLEX„¥ examination-style review questions at the end of each chapter allow you to test your understanding of content and practice for the Boards. Cartoon characters with brief captions help to better explain difficult concepts. Margin notes are streamlined for ease of use and effectiveness. Content updates reflect current practice and emergent situations, including increased focus on disaster preparedness, code management, updated ACLS guidelines, and hypertension.

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book On Death and Dying written by Elisabeth Kübler-Ross and published by . This book was released on 1969 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Download or read book Advance Care Planning in End of Life Care written by Keri Thomas and published by Oxford University Press. This book was released on 2018 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: ACP is an essential part of end of life care with patients improving their chances of 'a good death' by creating plans with their families and carers. This new edition gives a comprehensive overview of ACP, explores a wide range of issues and practicalities in providing end of life care, and offers a worldwide perspective.