The twenty-first century has witnessed an explosion in studies on comparative health studies, but mental health remains virtually ignored. Unlike the well researched topic of health policy, there is a gap in the marketplace covering mental health policy and health care policymaking. This book fills that gap; it is a comparative analysis of the implementation of Assertive Community Treatment (ACT), an evidence-based practice employed in two states that promises to empower the well-being of individuals suffering from mental illness. Assertive Community Treatment specifically examines the tension separating the notion of client recovery and evidence-based programs. Johnson challenges the assumption that practitioners should rely on evidence-based practices to close the gap between scientific knowledge and practice. She argues that in an era of managed care, this encourages state mental health administrators to adopt policies that are overly focused on outcomes. Programs that can measure the outcomes of care provided, and evidence-based practices, have become central aspects of the quality care agenda. This study traces the role of policy entrepreneurs throughout the Assertive Community Treatment policymaking process. By differentiating mental health in general, qualitative research increases the chances of observing similarities and differences in outcomes. Johnson explains why the ACT model was adopted and implemented. She concludes that there is a clear monopoly by medical researchers and scientists within Assertive Community Treatment research, and as a result, too much emphasis is placed on the roles of policy entrepreneurs as the main innovators in the agenda and policy formulation stages. Johnson presents a strong argument for more innovation in the implementation stage.
This popular core nursing pharmacology textbook provides unique coverage of nursing interventions for drug therapy with related rationales. Highly praised for its organized and readable presentation, the text explains the "why" behind each nursing action, and emphasizes how drugs work differently in different patients. The 10th edition has a new fresh design and approach with an added focus on patient safety integrated into the text.
Who is the Fool and what does he mean to us? Pre-1900 scholars thought him a Renaissance fashion, a continental import of note in the British Isles only between 1486 and the 1630s, per his appearances in Shakespeare's plays. However, as Sandra Billington shows in this pioneering study, the Fool has been with us from medieval times and has worn many guises: village idiot and sophisticated comedian, embodiment of Satan and God's own jester. He has managed, as Billington notes, 'to inspire or infect our thinking for at least eight hundred years'.
This guide covers all of North Florida and the Panhandle south through Gainesville, including Pensacola, Panama City, Tallahassee, Jacksonville, and St. Augustine. Whether you’re looking for a vacation spot on the Gulf Coast, a wild river to paddle, a dramatic waterfall, or a historic homestead to visit, seasoned travel writers Friend and Wolf show you the best of everything in the region. Coverage includes Gainesville, Pensacola, Panama City, Tallahassee, Jacksonville, and St. Augustine, with hundreds of authoritative and dependable lodging and dining recommendations for the entire area.
I'd like to share a story about sorrow, survival, strength, and success - the miracle of my life. This story is told as it was experienced by me, not someone else's version of what they thought was happening, but what I felt about what was happening with me and my siblings as we not only survived but flourished in spite of horrendous circumstances. This is a true story of one little girl's journey from sorrow to success. This is my story.
Communication in Palliative Nursing unites complementary work in communication studies and nursing research to present a theoretically grounded curriculum for teaching palliative care communication to nurses. The chapters outline the COMFORT curriculum, comprised of these elements: Communication, Orientation and opportunity, Mindful presence, Family, Openings, Relating, and Team communication. Central to this curriculum is the need for nurses to practice self-care. Based on a narrative approach to communication, which addresses communication skills development holistically, this volume teaches nurses to consider a holistic 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 teacher, to embrace more 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 addition to collaborating with physicians, the nurse's role involves speaking with patients and families after they have received bad news and often extends to discussions of spiritual and religious concerns. This book covers communication theory, 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.
Co-authored by an interprofessional collaborative team of physicians and nurses, Merenstein & Gardner's Handbook of Neonatal Intensive Care, 9th Edition is the leading resource for interprofessional, collaborative care of critically ill newborns. It offers comprehensive coverage with a unique interprofessional collaborative approach and a real-world perspective that make it a practical guide for both nurses and physicians. The new ninth edition features a wealth of expanded content on delivery-room care; new evidence-based care "bundles"; palliative care in the NICU; interprofessional collaborative care of parents with depression, grief, and complicated grief; and new pain assessment tools. Updated high-quality references have also been reintegrated into the book, making it easier for clinicians to locate research evidence and standards of care with minimal effort. These additions, along with updates throughout, ensure that clinicians are equipped with the very latest clinical care guidelines and practice recommendations — all in a practical quick-reference format for easy retrieval and review. - UNIQUE! Core author team of two physicians and two nurses gives this internationally recognized reference a true interprofessional collaborative approach that is unmatched by any other resource. - Consistent organization within clinical chapters include Physiology/Pathophysiology, Etiology, Prevention, Data Collection (History, Signs and Symptoms, and Laboratory Data), Treatment/Intervention, Complications, and Parent Teaching sections. - UNIQUE! Color-highlighted point-of-care clinical content makes high-priority clinical content quick and easy to find. - UNIQUE! Parent Teaching boxes outline the relevant information to be shared with a patient's caregivers. - Critical Findings boxes outline symptoms and diagnostic findings that require immediate attention to help the provider prioritize assessment data and steps in initial care. - Case studies demonstrate how to apply essential content to realistic clinical scenarios for application-based learning. - NEW! Updated content throughout reflects the latest evidence-based practice, national and international guidelines, and current protocols for interprofessional collaborative practice in the NICU. - NEW! Up-to-date, high-quality references are now reintegrated into the text for quick retrieval, making it easier for clinicians to locate research evidence and standards of care with minimal effort. - NEW! Expanded content on delivery-room care includes the impact of staffing on quality of care, delayed cord clamping, resuscitation, and more. - NEW! Coverage of the new evidence-based care "bundles" keeps clinicians up to date on new guidelines that have demonstrated improved outcomes of very preterm infants. - NEW! Coverage of new pain assessment tools equips NICU providers with essential resources for maintaining patient comfort. - NEW! Expanded coverage of palliative care in the NICU provides the tools needed to ensure patient comfort. - NEW! Expanded coverage of interprofessional collaborative care of parents with depression, grief, and complicated grief prepares clinicians for this essential area of practice.
A widowed woman in her 60s, experiencing a new interest in life after a 50th high school reunion party, finds she is interested in living her life once more. Her friends and her children, and their conflicting or sympathetic attitudes, all influence and motivate "Alice" to renew an active and fulfilling life with "Fred", an old classmate.
Fascinating…one of history’s most important poisons—and most important murders." —Deborah Blum, author of The Poisoner’s Handbook Available at any corner shop for little money and, because tasteless, difficult to detect in food or drink, arsenic was so frequently used by potential beneficiaries of wills in the first half of the nineteenth century that it was nicknamed “the inheritor’s powder.” But after wealthy George Bodle died under suspicious circumstances, leaving behind several heirs, the chemist James Marsh was brought in to see if he could create an accurate test pinpointing the presence of arsenic and put this Victorian scourge to rest. Incisive and wryly entertaining, science writer Sandra Hempel brings to life a gripping story of domestic infighting, wayward police behavior, other true-crime poisonings, and an unforgettable foray into the origins of forensic science. She also solves this almost two-hundred year-old crime.
A vividly illustrated meeting with thirty plants and their inspiring namesakes Shakespeare famously asserted that “a rose by any other name would smell as sweet,” and that’s as true for common garden roses as it is for the Megacorax, a genus of evening primroses. Though it may not sound like it, the Megacorax was actually christened in honor of famed American botanist Peter Raven, its name a play on the Latin words for “great raven.” In this lush and lively book, celebrated botanist Sandra Knapp explores the people whose names have been immortalized in plant genera, presenting little-known stories about both the featured plants and their eponyms alongside photographs and botanical drawings from the collections of London’s Natural History Museum. Readers will see familiar plants in a new light after learning the tales of heroism, inspiration, and notoriety that led to their naming. Take, for example, nineteenth-century American botanist Alice Eastwood, after whom the yellow aster—Eastwoodia elegans—is named. Eastwood was a pioneering plant collector who also singlehandedly saved irreplaceable specimens from the California Academy of Sciences during the 1906 San Francisco earthquake. Or more recently, the fern genus Gaga, named for the pop star and actress Lady Gaga, whose verdant heart-shaped ensemble at the 2010 Grammy Awards bore a striking resemblance to a giant fern gametophyte. Knapp’s subjects range from Charles Darwin’s grandfather, Erasmus Darwin (Darwinia), and legendary French botanist Pierre Magnol—who lends his name to the magnolia tree—to US founding figures like George Washington (Washingtonia) and Benjamin Franklin (Franklinia). Including granular details on the taxonomy and habitats for thirty plants alongside its vibrant illustrations, this book is sure to entertain and enlighten any plant fan.
AJN Book of the Year Award Winner! (Second Edition) "This book is a gem! It provides a wealth of well researched information to help the reader understand sources of stressÖ.It tackles very important issues that lead to burnout and provides an exceptionally comprehensive analysisÖ.This book is illuminating for clinicians." Afaf Meleis, PhD, DrPS(hon), FAAN Dean of Nursing, University of Pennsylvania School of Nursing This inspiring, award-winning title guides nurses to transform work-related stress and anger into strength and resilience. The profession has witnessed increasing workplace violence, conflicts with colleagues, and poor working conditions. In this book, Thomas demonstrates how anger can actually be a catalyst for personal and professional empowerment. In this new edition, Thomas discusses the causes and consequences of nurses' stress and anger, and presents new strategies to prevent and manage both, even under the worst conditions. She demonstrates how to forge stronger relationships with colleagues and patients, and solve work-related problems head-on. As a nursing educator, therapist, practitioner, and practicing RN, Thomas provides personal accounts of her own experiences as a nurse, struggling to meet the many challenges of the job. Key Features: Thoroughly updated with new research data and case studies Offers step-by-step guidelines on working towards remediation and healing Organized with bulleted lists and boxes highlighting key points Guidance on pursuing career movement, both vertical and horizontal Useful for nurses, hospital administrators, managers, and graduate students
In today’s healthcare environment of scarce resources and challenges related to safety and quality, nurses must make decision after decision to ensure timely, accurate, and efficient provision of care. Solid decision-making, or lack thereof, can significantly affect patient care and outcomes. Clinical reasoning – how a nurse processes information and chooses what action to take – is a skill vital to nursing practice and split-second decisions. And yet, developing the clinical reasoning to make good decisions takes time, education, experience, patience, and reflection. Along the way, nurses can benefit from a successful, practical model that demystifies and advances clinical reasoning skills. In The Essentials of Clinical Reasoning for Nurses, authors RuthAnne Kuiper, Sandra O’Donnell, Daniel Pesut, and Stephanie Turrise provide a model that supports learning and teaching clinical reasoning, development of reflective and complex thinking, clinical supervision, and care planning through scenarios, diagnostic cues, case webs, and more.
Slavery in Africa existed for hundreds of years before it was abolished in the late 19th century. Yet, we know little about how enslaved individuals, especially those who never left Africa, talked about their experiences. Collecting never before published or translated narratives of Africans from southeastern Ghana, Sandra E. Greene explores how these writings reveal the thoughts, emotions, and memories of those who experienced slavery and the slave trade. Greene considers how local norms and the circumstances behind the recording of the narratives influenced their content and impact. This unprecedented study affords unique insights into how ordinary West Africans understood and talked about their lives during a time of change and upheaval.
Its lines and verses have become part of the western literary canon and his translation of this most famous of poems has been continuously in print in for almost a century and a half. But just who was Edward FitzGerald? Was he the eccentric recluse that most scholars would have us believe? Is there more to the man than just his famous translation? In The Man Behind the Rubaiyat of Omar Khayyam William Martin and Sandra Martin go beyond the standard view. Drawing on their unique analysis of the more than 2,000 surviving letters of FitzGerald, together with evidence from his scrapbooks, commonplace books and materials from his personal library, they reveal a more convivial yet complex personality than we have been led to suppose.
Drug design is a complex, challenging and innovative research area. Structure-based molecular design has transformed the drug discovery approach in modern medicine. Traditionally, focus has been placed on computational, structural or synthetic methods only in isolation. This one-of-akind guide integrates all three skill sets for a complete picture of contemporary structure-based design. This practical approach provides the tools to develop a high-affinity ligand with drug-like properties for a given drug target for which a high-resolution structure exists. The authors use numerous examples of recently developed drugs to present "best practice" methods in structurebased drug design with both newcomers and practicing researchers in mind. By way of a carefully balanced mix of theoretical background and case studies from medicinal chemistry applications, readers will quickly and efficiently master the basic skills of successful drug design. This book is aimed at new and active medicinal chemists, biochemists, pharmacologists, natural product chemists and those working in drug discovery in the pharmaceutical industry. It is highly recommended as a desk reference to guide students in medicinal and chemical sciences as well as to aid researchers engaged in drug design today.
More than any other psychology textbook, Don and Sandra Hockenbury’s Psychology relates the science of psychology to the lives of the wide range of students taking the introductory course. Now Psychology returns in a remarkable new edition that shows just how well-attuned the Hockenburys are to the needs of today’s students and instructors. Psychology began with a basic idea: combine scientific authority with a narrative that engages students and relates to their lives. From decades of experience teaching, the Hockenburys created a book filled with cutting-edge science and real-life stories that draw students of all kinds into the course.
Contexts of Nursing 3e builds on the strengths of previous editions and continues to provide nursing students with comprehensive coverage of core ideas and perspectives underpinning the practice of nursing. The new edition has been thoroughly revised and updated. New material on Cultural Awareness and Contemporary Approaches in Nursing has been introduced to reflect the realities of practice. Nursing themes are discussed from an Australian and New Zealand perspective and are supported by illustrated examples and evidence. Each chapter focuses on an area of study within the undergraduate nursing program and the new edition continues its discussions on history, culture, ethics, law, technology, and professional issues within the field of nursing. - update and revised with strong contributions from a wide range of experienced educators from around Australia & New Zealand - new Chapter 17 Becoming a Nurse Leader has been introduced into the third edition to highlight the ongoing need of management in practice - Chapter 20 Cultural Awareness Nurses working with indigenous people is a new chapter which explores cultural awareness, safety and competence - Chapter 22 Using informatics to expand awareness engages the reader on the benefits of using technology - evidence-based approach is integrated throughout the text - learning objectives, key words and reflective questions are included in all chapters
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