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Handbook for Culturally Competent Care
The second edition of this incisive book, based on the Purnell Model for Cultural Competence, addresses the potentially challenging topic of culture in a forthright style. It is a valuable resource in today's team-based healthcare environment, preparing health professionals, regardless of setting, to conduct in-depth assessments of individuals and families from culturally specific population groups. This book will appeal to all healthcare workers in all fields, and it is particularly suitable for nurses interacting with patients in very diverse settings. This book delves into 32 different cultures and areas of support common to all individuals and families that health professionals must recognize and consider. African American, American Indian, Brazilian, Cuban, Chinese, Korean and Filipino, but also Arab, Hindu or Haitian, as well as many European heritages are examined among others. Brand new chapters explore Greek, Italian, Jamaican, Thai, and Ukrainian heritages. For each culture, chapters detail communication styles, family roles, workforce issues, biocultural ecology and high-risk health behaviours. Also discussed are nutrition, pregnancy and child bearing, death rituals, spirituality, healthcare practices, and the perceptions of traditional, magico-religious, and bio-medical healthcare providers. Culture's characteristics - such as age, generation, gender, religion, educational/marital/parental/socioeconomic or even military status, but also political beliefs, physical characteristics, sexual orientation or gender issues - determining the diversity of values, beliefs, and practices in an individual's cultural heritage in order to help prevent stereotyping are discussed. At the end of each chapter, readers are provided with specific instructions, guidelines, tips, intervention strategies, and approaches specific to a particular cultural population. Additionally, reflective exercises help the reader reinforce the concepts presented in each chapter. For this second edition, most of the chapters are authored by individuals who either identify with the culture being addressed in the chapter or have personal knowledge of the culture via life experiences.
An Introduction to Compassion in Healthcare Practice
Explore the concept of compassion as it applies to the field of healthcare and improving patient outcomes An Introduction to Compassion in Healthcare Practice identifies the core components of being compassionate and self-compassionate, so that we may be in a better position to attend to our health and to engage in helping others. The foundation of this book is that if we have an intention to help, we are best served by understanding what 'helping' really means. This is addressed by reviewing compassion in a range of contexts and environments, including through an evolutionary science perspective. In this view, we are 'programmed' to be compassionate--but social forces may throw challenges or obstacles in our way. Also covered in this text are the challenges associated with being compassionate to the self, as well as care encounters with individuals in a clinical context and working in a clinical team. Some of the ideas explored in An Introduction to Compassion in Healthcare Practice include: Artificial intelligence (AI) and compassion, covering ethical theories for AI alongside considerations surrounding consent and the role of touch The role of mindfulness in self-compassion, the challenges and benefits of self-compassion, perfectionism, our "inner critic", and shame Complex Adaptive Systems (CAS) in teamwork, lessons in developing compassionate teams, and the theory of Values-Based Practice Components of compassion-focused leadership and supervision, and the development of self-efficacy and competence Providing a core conceptual framework for compassion in healthcare with guidance on how to explore various topics in greater depth, An Introduction to Compassion in Healthcare Practice is an essential reference for undergraduate nurses, midwives, allied health professionals, medical practitioners, and students in related programs of study.
Nursing Ethics, 1880s to the Present
*** Awarded first place in the 2024 AJN Book of the Year Award in History and Public Policy *** This important text draws on decades of research, arguing that modern nursing germinated and grew an ethics from its own native soil, which is rich, fulsome, and philosophically informed, grounded in the tradition and practice of nursing. It is an ethics with a positive agenda for the good nurse, a good society, a healthy people, and human flourishing. This native nursing ethics was forgotten, creating space for a foreign bioethics' colonization of nursing in the second half of the twentieth century. Drawing from a wide range of sources from the USA, the UK, Canada, and Ireland, the book addresses the early and enduring ethical concerns, values, and ideals of nursing as a profession that engages in direct clinical practice and in developing policy. Fowler calls for reclaiming and renewing nursing's ethical tradition. This systematic and comprehensive book is an essential contribution for students and scholars of nursing ethics.
Spiritual Dimensions of Advanced Practice Nursing
This book recognises the challenges associated with the concept of spirituality. An awareness of this concept is integral to the provision of person-centred holistic care. However, APNs ability to provide spiritual care is often impeded by time pressures and the prioritisation of clinical tasks. Confusion about the meaning of spiritually and its relationship to religion compound the challenges involved in providing spiritual care leaving APNs feeling ill-equipped to address this area of care. Indeed many APNs view spirituality as synonymous with religion. This book provides clarity with the assumption that spirituality is innate to all of our patients and is related to what gives them hope, meaning and purpose. Fundamentally it is about being human. APNs ability to practice with kindness, compassion and empathy will naturally resonate with spiritually competent practice. It begins with an outline of the definitions of spirituality in addition to the concept of spiritually competent practice. An emphasis on the importance of personal development follows. Case studies from countries across the globe illustrate the benefit of integrating spirituality and provide evidence of the importance and relevance of integrating spirituality into practice. These include discussion and presentations of the related concepts of availability and vulnerability which will give APNs more confidence and competence to integrate spirituality into practice. This book is relevant for APNs, students, educators and researchers.
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Bioethics: What Everyone Needs to Know
The questions and dilemmas of bioethics touch everyone. Should people who refuse to be vaccinated be treated for COVID-19, even if that displaces vaccinated patients with other serious conditions? What restrictions on abortion should there be, if any? Should women be paid to donate eggs? Bioethics: What Everyone Needs to Know ® discusses these and other similar questions facing the public today--as well as providing a way for thinking deeply about them. Steinbock and Menzel first examine major moral theories and how they can be used to analyze bioethical issues. They then provide historical background to the birth of bioethics and explain how it shifted from a paternalistic doctor knows best approach to respect for autonomy, a fundamental value in contemporary bioethics. Subsequent chapters cover advance directives, experimentation on human subjects, the definition of death, physician-assisted dying, abortion, disability, just healthcare systems, the allocation of scarce resources, pharmaceutical drug pricing, assisted reproductive technology, egg donation, surrogate motherhood, sex selection, and the genetic modification of humans. Race and gender are considered throughout, as are the ethical issues raised by pandemics. Steinbock and Menzel consider the controversial questions that surface in the public sphere, explaining the facts, and then evaluating different approaches to resolving them.
The Ethics of Shared Decision Making
Patients today are more empowered and knowledgeable than they have ever been. By law, they must be told about the risks and benefits of proposed treatments and give informed consent before treatment is initiated. Through the democratization of medical information, they have access to peer-reviewed medical journals. Social media allows patients to share stories with others and to learn about other people's experiences with various treatments. There are websites written by experts at leading medical schools to help patients understand diseases and treatments. They have the right to see their medical records. The net result of all changes is a shift in the power balance between doctors and patients. Ideally, as a result of these shifts, the patients' values and preferences should guide treatment decisions. However, this proliferation of information often leads to confusion rather than clarity. Publicly available information often includes seemingly contradictory conclusions and recommendations. Patients don't know which opinions to trust. So, although patients have more information than ever, and many want to make decisions for themselves, they need more guidance than ever to help them process an avalanche of information. This volume aims to help both medical professionals and their patients navigate the evolving healthcare landscape by analyzing the process of shared decision-making (SDM) in clinical medicine. The concept of SDM has emerged in the last two decades as a middle ground between, on the one hand, old-fashinioned physician paternalism of the "doctor-knows-best" variety and, on the other hand, unfettered patient autonomy by which patients are thought capable of individually and independently choosing their own medical interventions. Advocates of SDM imagine that decisions will be made best if they follow a complex discussion and negotiation between doctor and patient; such discussions should incorporate the doctor's medical and technical expertise as well as the patient's goals, values, and preferences. SDM takes different forms for different patients in different clinical circumstances. This volume gathers experts in SDM to share their insights about how it ought to be done. The authors include clinicians, social scientist, and philosophers, all of whom have thought about or cared for patients from a variety of backgrounds and in a variety of clinical circumstances. The papers explore the complexity of SDM and offer practical guidance, gained from years of experience, about how to employ SDM as effectively as possible.
Fast Facts for Patient Safety in Nursing
"This unique Fast Fact serves as a quick resource for foundational, relevant data, knowledge, and vital information, not only about the nature of medical errors, but why they occur. More importantly, Hunt shows us how to comprehensively address problems: highlighting the need for both academic and clinical professional development, emphasizing approaches, as theory-informed practices; acknowledging importance of human caring, power, relationship, and such practices as mindful presence" --Jean Watson, PhD, RN, AHN-BC, FAAN, LL(AAN) Founder, Watson Caring Science Institute Distinguished Professor/Dean Emerita, University of Colorado Denver This practical resource helps nurses develop the skills they need to avoid medical errors and promote patient safety. Based on the most current research and guidance from principal scientific/academic boards, the text identifies the most significant errors and their causes and describes how nurses can develop and improve critical thinking, logic, and clinical judgement to improve patient outcomes. This book presents an overview of common preventable issues and their causes, including medication errors, patient falls, pressure ulcers, infections, and surgical errors. It focuses on strategies for becoming a safe practitioner through education and competency development, while highlighting major national safety initiatives with improved outcomes. This Fast Facts discusses several theories that promote quality of care and concrete methods for fostering critical thinking and reasoning. It examines prioritization and delegation as a way to develop skills in addition to scope of practice, intuition, ethics, leadership, and emotional intelligence. The final chapter addresses patient safety using a holistic approach encompassing cultural humility and artificial intelligence. Each chapter includes an introduction, learning objectives, an illustrative case vignette, discussion questions, concise "tips from the field," special topics, Fast Facts boxes, suggested assignments, and resources for further study. Key Features: Helps nurse managers to prioritize and address specific safety and medical errors immediately Delivers practical tips on improving patient care and outcomes Provides step-by-step guidance on preventing medication errors--the leading cause of adverse events Presents multiple strategies to develop critical thinking and judgment Offers interviews with patient safety experts for context and application Includes case studies, tips from the field, Fast Facts boxes, tables, discussion questions, suggested assignments, and more
The Practical Guide to HIPAA Privacy and Security Compliance
Following in the footsteps of its bestselling predecessor, The Practical Guide to HIPAA Privacy and Security Compliance, Second Edition is a one-stop, up-to-date resource on Health Insurance Portability and Accountability Act (HIPAA) privacy and security, including details on the HITECH Act, the 2013 Omnibus Rule, and the pending rules. Updated and revised with several new sections, this edition defines what HIPAA is, what it requires, and what you need to do to achieve compliance. The book provides an easy-to-understand overview of HIPAA privacy and security rules and compliance tasks. Supplying authoritative insights into real-world HIPAA privacy and security issues, it summarizes the analysis, training, and technology needed to properly plan and implement privacy and security policies, training, and an overall program to manage information risks. Instead of focusing on technical jargon, the book spells out what your organization must do to achieve and maintain compliance requirements on an ongoing basis.
Understanding Ethics for Nursing Students
Ethics have an significant impact on the decisions nurses make in their day-to-day work, so it's important for all student nurses to develop their understanding of ethical frameworks as preparation for future practice. In this book, the author explains ethical ideas, theories and concepts in simple to understand terms, focussing on real-life nursing situations in order to make applying these principles to practice easy. This book will make student nurses consider their own values, and how ethics fit into who they are and how they behave, helping them to unlock this interesting and complex subject. Key features: Fully mapped to the NMC Future Nurse standards of proficiency (2018) A practical guide that explores how ethics applies to nursing and shows you how the theory fits in to the realities of practice Contains real work case studies with an emphasis on ethical decision making Activities challenge students to reflect on their own values, experiences and prejudices and to think about how ethics fits in with who they are and how they behave
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