Managing change in today's complex and unpredictable environment is a constant challenge facing organisations. This is particularly the case for healthcare organisations where certain features of the organisation and environment serve to complicate change activity. Change in complex organisations such as the Royal District Nursing Service (RDNS) is unlikely to be straightforward process and is likely to require more than one approach. This review aims to examine the various change management approaches, models and strategies in the literature with a view to assessing their relevance to a community nursing organisational context, the emphasis being on innovation and creativity.
Harriet Tubman: A Life in American History is an indispensable resource for high school and college students about the life and times of anti-slavery activist Harriet Tubman, who exemplifies how slaves took the initiative to free themselves and others. Harriet Tubman served a pivotal role in leading slaves to freedom in the decade before the Civil War. This biography offers a demythologized chronicle of her life and work with information about her life as a slave, role as conductor on the Underground Railroad, work as a military scout during the Civil War, and postwar activism for blacks and women. The book provides valuable context that situates Harriet Tubman against the backdrop of the slavery debate in antebellum America, and the hardships endured by ex-slaves in postbellum America. As such, the timeframe covers nearly a full century, from the first quarter of the 19th to the first quarter of the 20th. In addition to ten biographical chapters and a short timeline, Harriet Tubman includes an interpretive essay reflecting on her importance in American history. The volume also includes an appendix of primary documents about Tubman's life and work, a bibliography, and a number of sidebars and short commentaries embedded in the text, inviting readers to explore connections between Tubman's life and political, intellectual, and social culture.
[A]n excellent monograph by a leading atmospheric scientist...will be consulted by everyone interested in the complexities of dynamical meteorology and in the improvement of practical methods of climate and weather prediction."--Physics Today
All of us yearn for a peaceable and just world, but some roll up their sleeves and set to work to make the dream real. Blessed Peacemakers celebrates 365 of them, one for each day of the year. Their stories are richly diverse. They share a commitment to peace and justice, but the various contexts in which they work make each of their stories uniquely instructive. The peacemakers include women, men, and children from across the globe, spanning some twenty-five hundred years. Many are persons of faith, but some are totally secular. Some are well known, while others will be excitingly new. They are human rights and antiwar activists, scientists and artists, educators and scholars, songwriters and poets, film directors and authors, diplomats and economists, environmentalists and mystics, prophets and policymakers. Some are unlettered, but all are wise. A few died in the service of the dream. All sacrificed for it. The world is a better place for the presence of blessed peacemakers. Their inspiring stories embolden readers to join them in nonviolent resistance to injustice and the creative pursuit of peace.
Winner of American Botanical Council's 2005 James A. Duke Botanical Literature Award, the Essential Guide to Herbal Safety offers a balanced and objective perspective on the principles of herbal medicine safety as well as the complex challenges relating to self-prescribed or professionally prescribed herbal medications and supplements. With contributions from leading international practitioners and authorities, it contains comprehensive reviews, in monograph format, of the published safety data for 125 common herbs. You'll also find coverage of issues of quality, interactions, adverse reactions, toxicity, allergy, contact sensitivity, and idiosyncratic reactions. Provides the most current information on safety issues in herbal medicine. Presents authoritative and credible safety information from two experienced herbal practitioners. Combines theoretical chapters with 125 well-researched monographs, making it the most thorough and comprehensive text on the market for herbal safety in practice. Provides clear information using the most current evidence-based reviews, covering factors that influence herb safety, including the negative placebo effects (nocebo), various types of unpredictable effects, the basis for interactions between herbs and drugs, and quality issues. Uses an established grading system for assessing safety in pregnancy and lactation that is realistic and appropriate to herb use. Thoroughly critiques the dominant misinformation in the media and medical journals on herb safety issues. Contains 83 documented case studies on hepatoxicity and the effects in relation to kava. Kava safety is a hot topic. Includes two useful appendices detailing herbal references for pregnancy and lactation considerations.
This is the first comprehensive investigation of the industrial sourcing and procurement practices throughout sixty-eight construction industry supply channels across seven major commodity sectors at all levels. London presents real-world case studies to combine theory and practice to describe the economic structural and behavioural characteristics of sectors integral to the construction industry performance. Construction Supply Chain Economics details 'everyday' experiences and procurement decisions made by people in firms in the industry related to projects as they seek out other firms to work with during the tendering stage. London creates a language that enables us to classify and understand behaviour and recognise the impact of our decisions on firms and projects within the industry. Construction Supply Chain Economics introduces a new model for mapping the construction sector of particular interest to construction management and economic researchers and to procurement decision makers, including policymakers and clients, as well as industry practitioners, such as contractors, consultants and materials suppliers.
Readability, reliability, and robust resources combine in this outstanding nursing textbook and reference. Designed to prepare nurses for medical-surgical nursing practice and for success on the NCLEX, Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition, has been a favorite resource for students, instructors, and practicing nurses for almost a half-century. Its comprehensive yet accessible approach covers a broad range of medical conditions while focusing on the nursing process and the nurse’s role in caring for and educating patients and families within today’s complex health care delivery system. This edition focuses on physiologic, pathophysiologic, and psychosocial concepts as they relate to nursing care and integrates a variety of concepts from other disciplines such as nutrition, pharmacology, and gerontology. Coverage of the health care needs of people with disabilities, nursing research findings, ethical considerations, and evidence-based practice provides opportunities for readers to refine their clinical decision-making skills. Fully updated and enhanced, this new edition provides a fully integrated solution that promotes clinical judgment, performance, and success on the NCLEX examination and in nursing practice.
The protection of groundwater and surface water from contamination by the escape of contaminant from waste disposal is now an important consideration in many countries of the world.This book deals with the design of 'barrier systems' which separate waste from the surrounding environment and which are intended to prevent contamination of both ground
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