Impacts Of Rationing And Missed Nursing Care Challenges And Solutions

Author : Evridiki Papastavrou,Riitta Suhonen
Publisher : Springer Nature
Page : 205 pages
File Size : 53,7 Mb
Release : 2021-06-02
Category : Medical
ISBN : 9783030710736

Get Book

Impacts of Rationing and Missed Nursing Care: Challenges and Solutions by Evridiki Papastavrou,Riitta Suhonen Pdf

This book reveals how economic restrictions and limited healthcare resources, combined with growing care demands due to advanced technology and more care options, have to a great extent contributed to increased workloads for healthcare professionals and put them under pressure to prioritize their work. This has led to the rationing of care, i.e., to decision-making processes on the allocation of scarce resources, especially human resources, and on which care activities take priority over others; in turn, these processes have led to unfinished or missed care, which has serious implications for quality of care and patient safety. Concerns related to nursing shortages and lean staffing practices have increased the awareness of the problem, as patient outcomes are affected by the quality and quantity of care that they receive and led to intensified scientific inquiry into this phenomenon. This book is written by the members of the Rancare Cost Action group, whose aim is to facilitate discussion about rationing of nursing care based on a cross-national comparative approach with implications for practice and professional development. Four working groups investigated four areas for four years: a) the conceptualization of care rationing and methodological inquiries concerning the investigation of the phenomenon, b) exploration of possible solutions and intervention studies, c) the ethical perspective of care rationing and missed care including patients’ rights and possible discrimination, and d) the educational implications, based on an exploration of the level of patient safety training and care rationing, as well as preparing guidelines for managers. The book will be a valuable resource for nurses, allied healthcare professionals, managers, policymakers, researchers, ethical committees, and educators whose goal is to provide better and safer care.

Author : Taina Kinnunen,Jaana Parviainen,Annu Haho
Publisher : Springer Nature
Page : 210 pages
File Size : 42,5 Mb
Release : 2023-11-26
Category : Social Science
ISBN : 9789819948703

Get Book

The Skills and Ethics of Professional Touch by Taina Kinnunen,Jaana Parviainen,Annu Haho Pdf

This book introduces readers to the ethical and goal-oriented functions of touch in professional practice. Touch is both an increasingly visible topic today and a core skill in many professions, especially in health, education and social work. This book combines helpful theoretical discussions and practical information, offering a balanced and culturally-informed introduction to an issue that both students and professionals often find difficult to navigate. Chapters discuss the various functions of touch and its uses, giving readers a deeper understanding of the potential of tactile work practices. The authors offer clear legal and ethical guidance to empower learners. They discuss key issues such as harmful touch and the increasing digitisation of patient work. Activities, case studies and further readings promote learning and help readers reflect on their own relationship to touch. This book will be an invaluable resource for students in undergraduate and graduate courses in healthcare, nursing, education and social work, and to practitioners looking for guidance on this topic.

Author : Beatrice J. Kalisch
Publisher : Unknown
Page : 128 pages
File Size : 47,6 Mb
Release : 2015-09
Category : Electronic
ISBN : 1558106316

Get Book

Errors of Omission by Beatrice J. Kalisch Pdf

Author : National Academies of Sciences Engineering and Medicine,Committee on the Future of Nursing 2020-2030
Publisher : Unknown
Page : 128 pages
File Size : 40,9 Mb
Release : 2021-09-30
Category : Electronic
ISBN : 0309685060

Get Book

The Future of Nursing 2020-2030 by National Academies of Sciences Engineering and Medicine,Committee on the Future of Nursing 2020-2030 Pdf

The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Author : Eleanor C. Hein
Publisher : Lippincott Williams & Wilkins
Page : 564 pages
File Size : 52,8 Mb
Release : 2001
Category : Medical
ISBN : 0781730171

Get Book

Nursing Issues in the 21st Century by Eleanor C. Hein Pdf

With a varied collection of readings focusing on contemporary issues i n professional nursing, this first edition introduces students to the many perspectives affecting nurses and society. This text incorporates both nursing and non-nursing literature, covering such issues as educ ation and role transition, governance, and cost containment. Articles are organized from simple to complex, making it easy for faculty to as sign readings to beginning, intermediate, and advanced students. The a uthor provides an introduction for each section of articles, framing t hem in historical, political, and sociocultural settings.

Author : Laurie N. Gottlieb, PhD, RN
Publisher : Springer Publishing Company
Page : 448 pages
File Size : 55,6 Mb
Release : 2012-08-22
Category : Medical
ISBN : 9780826195876

Get Book

Strengths-Based Nursing Care by Laurie N. Gottlieb, PhD, RN Pdf

This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.

Author : Judith Bellafaire
Publisher : Unknown
Page : 36 pages
File Size : 42,7 Mb
Release : 1993
Category : Electronic government information
ISBN : UCR:31210023606856

Get Book

The Army Nurse Corps by Judith Bellafaire Pdf

Author : Marion Danis,Samia A. Hurst,Leonard M. Fleck,Reidun Førde,Anne Slowther
Publisher : Oxford University Press, USA
Page : 481 pages
File Size : 54,7 Mb
Release : 2014-10-09
Category : Medical
ISBN : 9780199989447

Get Book

Fair Resource Allocation and Rationing at the Bedside by Marion Danis,Samia A. Hurst,Leonard M. Fleck,Reidun Førde,Anne Slowther Pdf

Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans
Publisher : National Academies Press
Page : 317 pages
File Size : 41,8 Mb
Release : 2008-09-27
Category : Medical
ISBN : 9780309115872

Get Book

Retooling for an Aging America by Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans Pdf

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Author : Riitta Suhonen,Minna Stolt,Evridiki Papastavrou
Publisher : Springer
Page : 232 pages
File Size : 46,6 Mb
Release : 2018-08-22
Category : Medical
ISBN : 9783319898995

Get Book

Individualized Care by Riitta Suhonen,Minna Stolt,Evridiki Papastavrou Pdf

This contributed book is based on more than 20 years of researches on patient individuality, care and services of the continuously changing healthcare system. It describes how research results can be used to respond to challenges on individuality in healthcare systems. Service users’, patients’ or clients’ point of views on care and health services are urgently needed. This book describes the conceptualisation of the individualized nursing care phenomenon and the process development of the measuring instruments of that phenomenon in different contexts. It describes results from a variety of clinical contexts about individualized nursing care and explains factors associated with the perceptions and delivery of individualized nursing care from different point of views. This book may appeal to clinicians, nurses practitioners and researchers from many fields.

Author : P. Anne Scott
Publisher : Springer
Page : 221 pages
File Size : 43,5 Mb
Release : 2017-03-08
Category : Medical
ISBN : 9783319492506

Get Book

Key Concepts and Issues in Nursing Ethics by P. Anne Scott Pdf

Short case studies, based on real stories from the health care arena, ensure that each chapter of this book is rooted in descriptions of nursing practise that are grounded, salient narratives of nursing care. The reader is assisted to explore the ethical dimension of nursing practice: what it is and how it can be portrayed, discussed, and analysed within a variety of practice and theoretical contexts. One of the unique contributions of this book is to consider nursing not only in the context of the individual nurse – patient relationship but also as a social good that is of necessity limited, due to the ultimate limits on the nursing and health care resource. This book will help the reader consider what good nursing looks like, both within the context of limitations on resources and under conditions of scarcity. Indeed, any discussion of ethical issues in nursing should be well grounded in a conceptualisation of nursing that nursing students and practising nursing can recognise, accept and engage with. Nursing, like medicine, social work and teaching has a clear moral aim – to do good. In the case of nursing to do good for the patient. However it is vital that in the pressurised, constrained health service of the 21st century, we help nurses explore what this might mean for nursing practice and what can reasonably be expected of the individual nurse in terms of good nursing care.

Author : Anonim
Publisher : Unknown
Page : 1888 pages
File Size : 49,7 Mb
Release : 1998
Category : Medicine
ISBN : UIUC:30112041289510

Get Book

Cumulated Index Medicus by Anonim Pdf

Author : Nadine Genet
Publisher : Unknown
Page : 0 pages
File Size : 41,6 Mb
Release : 2012
Category : Home care services
ISBN : 9289002891

Get Book

Home Care Across Europe by Nadine Genet Pdf

For every person over the age of 65 in today's European Union there are four people of working age but by 2050 there will only be two. Demand for long-term care of which home care forms a significant part will inevitably increase in the decades to come. Despite the importance of the issue however up-to-date and comparative information on home care in Europe is lacking. This book attempts to fill some of that gap by examining current European policy on home care services and strategies. Home care in Europe probes a wide range of topics including the links between social services and health-care.

Author : Lucille A. Joel,Lucie Young Kelly
Publisher : McGraw-Hill/Appleton & Lange
Page : 804 pages
File Size : 54,8 Mb
Release : 2002
Category : Medical
ISBN : UOM:39015053049212

Get Book

The Nursing Experience: Trends, Challenges, and Transitions by Lucille A. Joel,Lucie Young Kelly Pdf

This text is intended for use with associate degrees, and covers the material needed for the Introduction to Nursing Course. Attention is given to the changing role of nurses and the differences between the staff nurse and the nurse specialist.

Author : Cynda Hylton Rushton
Publisher : Oxford University Press
Page : 304 pages
File Size : 44,7 Mb
Release : 2018-10-02
Category : Medical
ISBN : 9780190619299

Get Book

Moral Resilience by Cynda Hylton Rushton Pdf

Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.