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Power and Conflict Between Doctors and Nurses by Maureen A. Coombs Pdf
Through observations in three intensive care units, this book draws on the reality of practice to explore how nurses and doctors work in intensive care settings. It examines: · the power held by the competing knowledge bases · the roles of the different professions · the decision-making process · the sources of conflict · the need for change. Drawing together sociological theories and clinical practice, Power and Conflict Between Doctors and Nurses explores the role of nurses in delivering contemporary health care. It makes a strong case for interdisciplinary working and is particularly timely when health care policy is challenging work boundaries in health care.
Power and Conflict Between Doctors and Nurses by Maureen A. Coombs Pdf
Through observations in three intensive care units, this book draws on the reality of practice to explore how nurses and doctors work in intensive care settings. It examines: · the power held by the competing knowledge bases · the roles of the different professions · the decision-making process · the sources of conflict · the need for change. Drawing together sociological theories and clinical practice, Power and Conflict Between Doctors and Nurses explores the role of nurses in delivering contemporary health care. It makes a strong case for interdisciplinary working and is particularly timely when health care policy is challenging work boundaries in health care.
Based on research undertaken at a variety of hospitals in England and Scotland, this text considers the everyday working relationship between doctors and nurses in the hospital setting. It explores the strengths, weaknesses and conflicts of these relationships, and their effect not only on the doctors and nurses concerned, but also on the patients. The text presents the views of consultants, sisters, house officers and staff nurses on a wide variety of issues including class, power and status, and provides suggestions for maximising co-operation and a checklist for good practice. Written in a clear, jargon-free style, this book should be of particular interest to practising and student doctors and nurses, and to health care managers.
Nurses who conduct research have a longstanding interest in questions of nursing knowledge. Nursing Knowledge is a clear and well-informed exposition of the philosophical background to nursing theory and research. Nursing Knowledge answers such fundamental questions as: How is nursing theory related to nursing practice? What are the core elements of nursing knowledge? What makes nursing research distinctive as nursing research? It examines the history of the philosophical debates within nursing, critiques the arguments, explains the implications and sets out to rethink the philosophical foundation of nursing science. Nursing Knowledge begins with philosophical problems that arise within nursing science. It then considers various solutions with the help of philosophical ideas arguingargues that nurses ought to adopt certain philosophical positions because they are the best solutions to the problems that nurses encounter. The book argues claims that the nursing standpoint has the potential to disclose a more complete understanding of human health than the common disease-and-dysfunction views. Because of the relationship to practice, nursing science may freely draw theory from other disciplines and nursing practice unifies nursing research. By redefining theory and philosophy,With a new philosophical perspective on nursing science, the so-called relevance gap between nursing theory and practice can be closed. The final chapter of the book ‘redraws the map’, to create a new picture of nursing science based on the following principles: Problems of practice should guide nursing research Practice and theory are dynamically related Theory research must provide the knowledge base necessary for nurse interventions, training, patient education, etc. Nursing research should develop midrange theories and its results are nursing theory is strengthened when it uses theories confirmed by is integrated with other disciplines Key features Clear and accessibly written Accurate and philosophically well-informed, Discusses philosophical problems in contexts familiar to nurses Systematically examines the philosophical issues involved in nursing research Examines epistemology (how we know what we know), theory development, and the philosophical foundations of scientific methodology. Develops a new model of nursing knowledge Dr. Mark Risjord is Associate Professor in Philosophy at Emory University, and has a faculty appointment in the Nell Hodgson Woodruff School of Nursing. His main research areas have been in the philosophy of social science and the philosophy of medicine. He was invited to has been teaching philosophy of science and theory development in the new PhD program in the Nell Hodgson School of Nursing at Emory University insince 1999. He has been awarded two competitive teaching prizes: Emory Williams Distinguished Teaching Award (2004) and the Excellence in Teaching Award (1997). He is presently serving as the Masse-Martin/NEH Distinguished Teaching Chair (2006-2010).
The Reality of Nursing Research by Davina Allen,Patricia Lyne Pdf
Focusing on the nurse researcher's dual role as practitioner and researcher, as well as research ethics and the relationship between practitioner and academic agendas, The Reality of Nursing Research helps to: locate the practical dilemmas of nursing research in historical and policy context prepare those about to embark on research for some of the issues they will face reassure researchers that they are not the only ones to encounter the complexity of real life research support the research teacher or supervisor in preparing and mentoring their students share experiences of others who have encountered similar issues and provide some practical advice on their solution. With illustrative case studies and practical advice, this book looks at the real life dilemmas faced by nurse researchers at key stages of the research process from developing a research question through to disseminating the findings. It is an essential text for nurse researchers, teachers of research, research supervisors and nurses undertaking research at diploma through to doctoral level.
Pervasive violence against hospitals, patients, doctors, and other health workers has become a horrifically common feature of modern war. These relentless attacks destroy lives and the capacity of health systems to tend to those in need. Inaction to stop this violence undermines long-standing values and laws designed to ensure that sick and wounded people receive care. Leonard Rubenstein—a human rights lawyer who has investigated atrocities against health workers around the world—offers a gripping and powerful account of the dangers health workers face during conflict and the legal, political, and moral struggle to protect them. In a dozen case studies, he shares the stories of people who have been attacked while seeking to serve patients under dire circumstances including health workers hiding from soldiers in the forests of eastern Myanmar as they seek to serve oppressed ethnic communities, surgeons in Syria operating as their hospitals are bombed, and Afghan hospital staff attacked by the Taliban as well as government and foreign forces. Rubenstein reveals how political and military leaders evade their legal obligations to protect health care in war, punish doctors and nurses for adhering to their responsibilities to provide care to all in need, and fail to hold perpetrators to account. Bringing together extensive research, firsthand experience, and compelling personal stories, Perilous Medicine also offers a path forward, detailing the lessons the international community needs to learn to protect people already suffering in war and those on the front lines of health care in conflict-ridden places around the world.
Institute of Medicine,Board on Health Sciences Policy,Committee on Conflict of Interest in Medical Research, Education, and Practice
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Conflict of Interest in Medical Research, Education, and Practice Publisher : National Academies Press Page : 436 pages File Size : 42,8 Mb Release : 2009-09-16 Category : Medical ISBN : 9780309145442
Conflict of Interest in Medical Research, Education, and Practice by Institute of Medicine,Board on Health Sciences Policy,Committee on Conflict of Interest in Medical Research, Education, and Practice Pdf
Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.
Perioperative Practice at a Glance by Paul Wicker Pdf
From the publishers of the market-leading at a Glance series comes this new title on all aspects of caring for patients in the perioperative environment. From pre-operative care, through the anaesthetic and surgical phases to post-operation and recovery, this easy-to-read, quick-reference resource uses the unique at a Glance format to quickly convey need-to-know information in both images and text, allowing vital knowledge to be revised promptly and efficiently. Brings together all aspects of perioperative practice in one easy-to-read book Moves through the patient journey, providing support to perioperative practitioners in all aspects of their role Covers key information on perioperative emergencies Includes material on advanced skills to support Advanced Practitioners Each topic is covered in two pages, allowing for easy revision and reference This is a must-have resource for operating department practitioners and students, theatre nurses and nursing students, and trainee surgeons and anaesthetists.
Interpersonal Relationships - E-Book by Elizabeth C. Arnold,Kathleen Underman Boggs Pdf
Acclaimed for its strong theoretical framework and consistent organization, Arnold and Boggs' Interpersonal Relationships: Professional Communication Skills for Nurses, 6th Edition, remains the definitive resource in developing effective communication with clients, families, and colleagues in order to achieve treatment goals in health care. This two-time AJN Book of the Year award-winner is thoroughly updated and includes current references describing how to modify communications strategies for various populations and situations including children, the elderly, end of life, health teaching, stress, crisis, and colleagues. Two new chapters address issues in contemporary health care related to promoting health safety and supporting continuity of care. Not only does this book present proven communications strategies and principles in nursing, psychology, and related theoretical frameworks, but also it challenges you to apply these strategies and principles to numerous exercises and practical nursing case studies. Written in terms of the nurse-client relationship, the cutting-edge communications strategies presented are key for nursing students and professional nurses. Covers all mandated topics for nursing professionals, from beginning students to staff development in a variety of settings, including professional collaboration, health team communication, patient-centered care, safety, and hand-off communication. Discusses nursing, behavioral, developmental, family, and communication theories, providing an essential foundation and a theoretical perspective of effective communication. Offers basic concepts first, followed by applications with emphasis on assessment, providing a sound framework as you prepare for nurse-client interactions. Experiential exercises offer the opportunity to practice, observe and critically evaluate your professional communication skills in a safe learning environment. Critical Thinking Exercises promote critical thinking processes essential for effective communication in nursing practice. Includes case examples throughout, creating empathy for clients' perspectives and needs. Offers Ethical Dilemma and Developing an Evidence-Based Practice boxes in each chapter. Describes how best to use the electronic health record for clear communication with current information on classification systems, standards of documentation, and telehealth technologies used in nursing. Acknowledges humor, gender, and touch as important means of communication in interpersonal relationships. Increases awareness of the issues involved in communicating with individuals of various stages of life, clients with special needs, and colleagues in all areas of health care. Provides learning objectives, chapter overviews, and a detailed glossary -- all designed to focus your learning and help you organize key content.
Bioethics in Canada, Third Edition by Carol Collier,Rachel Haliburton Pdf
Now in its third edition, Bioethics in Canada: A Philosophical Introduction offers a comprehensive overview of the philosophical, historical, and medical concepts shaping contemporary debates on biomedical issues. The text opens with an introduction to moral theory and bioethical principles, followed by application of these theories and principles to real world ethical conflicts involving abortion, distributive justice, genetics, reproductive technology, and other vital topics. A landmark case opens each chapter, illuminating the many issues involved in these debates, as well as the philosophical assumptions that shape them. Thoroughly updated to reflect recent political, medical, and cultural changes, this third edition features new sections on Medical Assistance in Dying (MAiD), the moral philosophy of liberalism in bioethics, the Mad movement, CRISPR and gene editing, and expanded content on mental health, rural and remote communities, and codes of conduct and codes of ethics. Accessibly written with newly added case studies in the health care workplace, this text is an insightful resource for courses in the disciplines of philosophy, health studies, medicine, and nursing, providing a strong ethical foundation in an ever-changing field.
Author : Thetis M. Group,Joan I. Roberts Publisher : Indiana University Press Page : 568 pages File Size : 42,9 Mb Release : 2001-10-03 Category : Medical ISBN : 0253108616
Nursing, Physician Control, and the Medical Monopoly by Thetis M. Group,Joan I. Roberts Pdf
Nursing, Physician Control, and the Medical Monopoly Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice Thetis M. Group and Joan I. Roberts A history of physicians' efforts to dominate the healthcare system. Nursing, Physician Control, and the Medical Monopoly traces the efforts by physicians over time to achieve a monopoly in healthcare, often by subordinating nurses -- their only genuine competitors. Attempts by nurses to reform many aspects of healthcare have been repeatedly opposed by physicians whose primary interest has been to achieve total control of the healthcare "system," often to the detriment of patients' health and safety. Thetis M. Group and Joan I. Roberts first review the activities of early women healers and nurses and examine nurse-physician relations from the early 1900s on. The sexist domination of nursing by medicine was neither haphazard nor accidental, but a structured and institutionalized phenomenon. Efforts by nurses to achieve greater autonomy were often blocked by hospital administrators and organized medicine. The consolidation of the medical monopoly during the 1920s and 1930s, along with the waning of feminism, led to the concretization of stereotyped gender roles in nursing and medicine. The growing unease in nurse-physician relations escalated from the 1940s to the 1960s; the growth and complexity of the healthcare industry, expanding scientific knowledge, and increasing specialization by physicians all created heavy demands on nurses. Conflict between organized medicine and nursing entered a public, open phase in the late 1960s and 1970s, when medicine unilaterally created the physician's assistant, countered by nursing's development of the advanced nurse practitioner. But gender stereotypes remained central to nurse-physician relations in the 1980s and into the 1990s. Finally, Group and Roberts examine the results of the medical monopoly, from the impact on patients' health and safety, to the development of HMOs and the current overpriced, poorly coordinated, and fragmented healthcare system. Thetis M. Group is Professor Emerita at Syracuse University, where she was Dean of the College of Nursing for 10 years, and an adjunct faculty member at the University of Utah College of Nursing. She is co-author of Feminism and Nursing and has published numerous articles in professional nursing journals. Joan I. Roberts, social psychologist, is Professor Emerita at Syracuse University. A pioneer in women's studies in higher education, she is co-author of Feminism and Nursing and author of numerous books and articles on gender issues and racial and sex discrimination. June 2001 352 pages, 6 1/8 x 9 1/4, index, append. cloth 0-253-33926-X $29.95 s / £22.95
We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990s is to blame. In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one—not hospital administrators, not doctors—felt they could afford to listen to nurses. Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.
Caring for Patients from Different Cultures by Geri-Ann Galanti Pdf
Includes information on African American culture, anglo American culture, Arab cultures, Asian cultures, Chinese cultures, Filipino culture, Gypsy culture, Hispanic cultures, Hmong culture, Iranian culture, Islam, Japanese culture, Jewish culture, Judaism, Korean culture, Mexican culture, Middle Eastern cultures, Native American cultures, Navaho culture, Nigerian culture, Vietnamese culture, etc.
Author : Ronda Hughes Publisher : Department of Health and Human Services Page : 592 pages File Size : 43,5 Mb Release : 2008 Category : Medical ISBN : IOWA:31858055672798
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/