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Creating Nursing's Future; Issues, Opportunities, and Challenges,9780323002394
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Creating Nursing's Future; Issues, Opportunities, and Challenges


Author(s): Sullivan
ISBN10:  0323002390
ISBN13:  9780323002394
Format:  Paperback
Pub. Date:  1/1/1999
Publisher(s): Mosby

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SummaryTable of Contents
Univ. of Kansas, Kansas City. Comprehensive text- book examining future issues and trends in nursing. Each chapter includes two scenarios focusing on future directions in nursing and presents the probable future and preferable future of specific issues. Brandon/Hill author of: Effective Leadership and Management in Nursing, c1997. Softcover.
Part I NURSING IN SOCIETY
Examining Nursing From a Futures Perspective
3(11)
Why Study the Future?
4(1)
Shaping the Future
4(3)
Assumptions About the Future
5(1)
Four Futures
5(2)
Liberating the Future
7(1)
Health Versus Health Care Futures
7(1)
The Influence of Medical Care
8(1)
Nursing's Future
8(1)
Components of Health Futures
9(5)
Trends
9(1)
Scenarios
10(1)
Vision
11(1)
Strategies
12(2)
What Will Health Care Look Like in the Future?
14(18)
Environmental Scan and Transformational Forces
15(4)
Movement Toward Patient-Centeredness
15(1)
Expanding Definition of Health Care
16(1)
Demography
16(1)
The Technologic Imperative
17(1)
Cost Control and Rationing
17(2)
Health Care Paradigms
19(1)
Who and What Is a Healer?
20(1)
Alternative Health Care
21(3)
Competing Models of the Health Professional and Patient Relationship
24(2)
Two Possible Scenarios for the Future
26(6)
Most Likely Model
26(1)
Ideal Model
27(1)
Strategies to Achieve an Ideal Health Care System
27(5)
Nursing's Role in Transforming the Health Care System
32(9)
Key Factors
33(1)
Reacting to a New Reality
33(1)
A Probable Scenario for Nursing and Health Care
34(2)
Nursing and Medicine in the Probable Scenario
35(1)
Impact of the Probable Scenario
36(1)
Constructing the Preferred Scenario for Nursing
36(5)
Role of the Nurse
37(1)
System Leadership
38(3)
Nursing's Future in Health Care Policy
41(10)
Recent Health Policy Efforts
41(1)
A Preferred Future
42(9)
Nursing's Involvement in Health Policy
42(1)
The Role of Nursing Organizations
43(3)
Nursing Education
46(1)
Research
47(4)
Nursing in the Public Domain: The National Perspective
51(7)
Development of Nursing in the Public Domain
51(2)
Nursing as a Public Good
51(1)
Nursing in the Public Sector
52(1)
The Federal Domain
52(1)
The Probable Future
53(2)
Reduction in Clinical Services
53(1)
Legislative Branch
54(1)
Nursing Workforce
54(1)
Nursing Research
54(1)
Opportunities in the Probable Future
54(1)
The Preferred Future
55(3)
Using Nursing Expertise
55(1)
Workforce Research and Development
56(1)
Executive and Legislative Opportunities
56(2)
Nursing's Public Image: Making the Invisible Profession Visible
58(9)
Health Care Wars
59(2)
Health Care for Profit
59(1)
The Inevitability of Mortality
60(1)
Nursing's Vital Role
60(1)
Promoting Nurses and Nursing
61(6)
Why Nursing Is Invisible
61(1)
Telling Nursing's Story
62(5)
Part II THE FUTURE OF PRACTICE AND EDUCATION 67(98)
Practice of the Future
69(7)
Probable Future
69(3)
Economics
70(1)
Advances
70(1)
Quality
70(1)
Future Workforce
71(1)
Educating for New Roles
71(1)
Preferable Future
72(4)
Preferred Workforce
72(1)
Educating the Preferred Workforce
73(1)
Knowledge-Based Power
73(3)
Advanced Practice Roles
76(6)
Primary Care
76(1)
Advanced Practice Nursing
77(5)
Supply and Demand
78(1)
Education for Advanced Practice
78(1)
Advanced Practice Roles
79(1)
Competencies of Advanced Practice Nurses
80(1)
Regulation and Certification
80(2)
Clinical Learning Settings for the Future
82(13)
The Past
82(1)
The Present
83(1)
The Future
83(12)
Survival Strategies
83(1)
The Relation-Centered Care Model
84(1)
Experiential Learning
85(1)
Clinical and Educational Learning Strategies
86(1)
Clinical Learning Settings
86(3)
Created Clinical Settings
89(3)
More Opportunities
92(3)
The Impact of Scientific Discoveries and Technology on Practice
95(11)
Computer Technologic Advances
96(1)
Artificial Intelligence
96(1)
Assessment and Monitoring
97(1)
Telehealth
97(1)
Point-of-Care Technology
97(1)
Noninvasive Technologies
98(1)
Therapeutics
98(1)
Scientific Discoveries in Genetics
99(2)
Gene Mapping
99(1)
Recombinant DNA Technology
100(1)
Cloning
100(1)
Genetic Engineering
100(1)
Nursing Implications
101(3)
Practice
101(1)
Education
102(1)
Research
103(1)
Ethical Issues
104(2)
The Third Wave of Information Technology
106(10)
Third Wave Thinking
106(2)
A Probable Scenario: Second Wave Thinking
107(1)
A Preferable Scenario: Third Wave Thinking
107(1)
The History of Computers in Nursing
108(3)
Merging Practice and Technology
108(2)
Nursing Classification Systems
110(1)
Virginia Henderson International Nursing Library
110(1)
Using Technology to Improve Patient Care
111(5)
Home Care
112(1)
Informed Consumers
112(1)
Expert Nurses
112(2)
Virtual Reality
114(2)
Using Technology to Teach
116(9)
The Forces of Change
117(1)
Time-Out Education
117(1)
Just-in-Time Education
117(1)
Challenges to Change
118(1)
Creating the Infrastructure
118(3)
Faculty Issues and Barriers
119(1)
Student Issues and Barriers
119(1)
Curricular Issues and Barriers
120(1)
Institutional Issues and Barriers
120(1)
The Technology Tool Set: Now and the Future
121(1)
Two Visions of the Future
122(3)
Probable Future Scenario
122(1)
Preferable Future Scenario
122(3)
Faculty Practice
125(12)
Evolution of Faculty Practice
125(3)
Faculty Practice Models: Practice Sites and Roles
128(1)
Faculty Practice Models for the Preferable Future
128(1)
Nursing Centers
128(1)
Goals and Outcomes of Faculty Practice
129(1)
Goals and Rationale for the Preferable Future
129(1)
Outcomes and Benefits for the Preferable Future
129(1)
Technical Challenges in the Evolution of Faculty Practices
130(1)
Technical Challenges for the Preferable Future
130(1)
Organizational Challenges
131(1)
Organizational Challenges in the Preferable Future
131(1)
For Which Future Should Nursing Aim?
132(1)
Strategies for Successful Faculty Practice
133(4)
Integration
133(1)
Collaboration
133(1)
Organizational Support
134(1)
Faculty Practice Plan
134(3)
Continuing Education
137(7)
What Is Continuing Education?
137(1)
The Probable Future
138(2)
New Sources of Revenue
138(1)
Developing New Programming Directions
139(1)
Reengineering a Different Organizational Structure
139(1)
The Preferable Future
140(4)
Self-Managed Professional Development
140(1)
Distance Education Technology
140(1)
Locations Will Change
141(1)
Program Content Will Change
141(3)
Staff Development
144(7)
The Future of Staff Development
145(1)
Assumptions
145(1)
Forces Shaping the Future
145(1)
Demands Shaping the Future
145(1)
Staff Development, Continuing Education, and Formal Education
146(1)
The Probable Future of Staff Development
147(1)
The Staff Development Educator
147(1)
Collaboration and Cooperation
148(1)
Staff Development's Preferred Future
148(3)
Organization
148(1)
Interdisciplinary Roles
148(1)
Research
149(1)
Visibility, Viability, and Validity
149(2)
Challenges for Nursing in Higher Education
151(14)
Trends
151(1)
Higher Education at a Crossroad
152(1)
Deja Vu: Managed Care and Managed Education
152(1)
Maintaining the Status Quo
152(2)
The University as Place Bound
153(1)
Student Demographics and Skill Mix
153(1)
Financing and Resources
153(1)
Public Scrutiny
153(1)
Administration and Governance
154(1)
Preferred Future Scenario
The University Community: Global Access
154(1)
Student Demographics and Skill Mix
155(1)
Curricula and Courses
156(1)
Faculty: Knowledge Brokers
157(1)
Administration and Governance
157(1)
Public Trust and Respect
158(1)
Responding to the Future
158(7)
Part III ADMINISTRATION IN THE FUTURE 165(42)
Planning for Tomorrow's Health Care System
167(7)
The New Integrated Delivery Systems
168(1)
Sharing Information on the World Wide Web
168(1)
Comprehensive Information Systems
169(1)
The New Work of Nursing
169(2)
Team Care
169(1)
Nursing's Strengths
170(1)
The New Nurse
170(1)
Technology and Practice
171(1)
New Roles
171(1)
The New Work of Nursing Administration
171(3)
Preparing for the New World
172(1)
Cost, Quality, Access, and Service
172(1)
Evaluation
172(2)
Governance: From the Boardroom to Patient Care
174(6)
The Nurse's Roles and Responsibilities
174(1)
Governance Structures in Health Care
175(1)
A Futuristic View of Health Care Governance Structures
175(2)
New Paradigms
175(1)
Integrated Delivery Systems
176(1)
Governance Structures for the Future
177(1)
Continuous Quality Improvement to Self-Managed Teams
177(1)
Governing Councils
177(1)
Implications for Nursing
178(2)
Is Nursing a Profession?
178(1)
Preparing for the Future
178(2)
Managing Across Disciplines
180(11)
The Image of Health Care
181(1)
Change
182(1)
Interdisciplinary Leadership
182(1)
Collaboration
182(1)
Organizational Changes
183(3)
Redesigning and Restructuring
183(1)
Changing Role of the Chief Nurse
184(2)
Managing Across Boundaries
186(5)
Creating the Environment
186(5)
The Future of Collective Bargaining in Nursing
191(7)
The Past
191(2)
The Beginning
191(1)
Representation
192(1)
Definition of Supervisor
192(1)
Economic and General Welfare Programs
193(1)
Today
193(1)
The Present
193(2)
Changes in Health Care
193(1)
Changes in Nursing Education
194(1)
Nursing Education
195(1)
Changes in the American Labor Movement
195(1)
The Future
195(3)
Probable Short-Term Future
195(1)
Preferable Long-Term Future
196(2)
Managing an Academic Program in Nursing
198(9)
The Nurse Executive's Role
198(6)
Internal Role
199(3)
External Role
202(2)
Role in the Profession
204(1)
The Future for Academic Executives in Nursing
204(3)
Part IV ACCOUNTABILITY, QUALITY, AND CONTROL 207(50)
Accountability and Quality
209(8)
Definition of Nursing
209(1)
Accountability
209(3)
What Is Accountability?
210(1)
Nursing's Accountability
210(2)
Accountability in the Future
212(5)
Health Care Environment
212(1)
Purpose of Nursing
212(1)
Preparing for the Future
213(1)
Changing Environment
213(1)
Changing Work of Nursing
214(1)
Business of Nursing
215(2)
Professional Licensure
217(9)
The Foundations of Nursing Regulation
217(2)
Public Protection
217(1)
Legislative Authority for Nursing Regulation
218(1)
Board of Nursing Accomplishments
218(1)
A Probable Future for Professional Licensure
219(3)
Advanced Practice Registered Nursing
220(1)
Unlicensed Assistive Personnel
220(1)
Federal Incursion
221(1)
Public Interest Groups
221(1)
Practitioners, Educators, Administrators, and Regulators
221(1)
A Preferable Future for Professional Licensure
222(4)
Advanced Practice Registered Nursing
223(1)
Unlicensed Assistive Personnel
223(1)
Practitioners, Educators, Administrators, and Regulators
224(1)
Other Groups
224(1)
Health Care System
224(2)
Educational Accreditation
226(15)
Specialized Accreditation
226(4)
Evolving Process of Accreditation
227(1)
Current Reality of Specialized Accreditation
227(1)
Benefits, Criticisms, and Barriers
228(2)
History of Educational Accreditation
230(3)
Early Years
230(1)
Recent Past
231(1)
Problems Emerge
232(1)
Council for Higher Education Accreditation Established
233(1)
Nursing Accreditation at the End of the Twentieth Century
233(3)
Nursing Accreditation in the Twenty-First Century
236(5)
Probable Future
236(2)
Preferable Future
238(1)
Outcome of Preferable Future
238(3)
Ethical Issues
241(11)
Nursing as a Profession
241(2)
Moral Agency: Responsibility and Accountability
242(1)
Legal Changes
242(1)
From Fee-for-Service to Managed Care To ...?
243(2)
Impact of Managed Care on Nursing
243(1)
Impact of Managed Care on Ethical Decision Making
244(1)
Care of Seriously Ill and Dying Patients
245(5)
Palliative Care
246(1)
Advance Directives
246(2)
Do-Not-Resuscitate Orders
248(1)
Treatment Abatement Guidelines
248(1)
Psychospiritual Care
249(1)
Ethical Implications of Genetic Advancements
250(2)
Nursing and the Law
252(5)
The Law
252(2)
Torts
252(1)
Agency Law
253(1)
Contracts
253(1)
Labor Law
253(1)
Civil Rights
254(1)
Law and Ethics
254(1)
Influencing Policy
255(1)
Nursing Law and the Future
255(2)
Part V NURSING'S SCIENTIFIC FUTURE 257(38)
The Future of Nursing Research
259(12)
A Decade of Nursing Research at the National Institutes of Health
259(5)
Translating Basic Science Into Clinical Care
260(1)
Cognitive Impairment: Managing Behavior
260(1)
Cultural Relevance for HIV/AIDS Prevention
261(1)
Culturally Appropriate Intervention in Low-Birth-Weight Prevention
261(1)
Improvements in Transitional Home Care
262(1)
Disorientation: Using Cues to Assist in Wayfinding
262(1)
Pain and Its Immunologic Implications
263(1)
Biologic Predictors of Chemotherapy-Induced Nausea
263(1)
Strengthening the Nursing Research Base for the Future
264(7)
Multidisciplinary Integration to Promote Robust Science
264(1)
Chronic Conditions: Portent of the Future
265(1)
Research Needs in Mixed Behavioral and Physiologic Conditions
265(1)
Continuing Research Focus on Cardiovascular Health
265(1)
Research Opportunities in Neuroscience
266(1)
Research Needs in Long-Term Transplant Survival
266(1)
Research Addressing End-of-Life Issues
266(1)
Research Issues in Environmental Health Science
267(1)
The Need to Understand and Manage Pain
267(1)
Nursing Research Opportunities in Genetics
268(3)
The Growth of Collaborative and Interdisciplinary Research
271(8)
Brief History: Trimming of Our Interdisciplinary Roots
272(2)
Probable Future: Expensive Cocoon
274(1)
Obscurity
274(1)
Disciplinary Underdevelopment
275(1)
Preferable Future: Nursing Interdisciplinary Leadership
275(1)
Strategies for Nursing Interdisciplinary Leadership
275(4)
Rewards
276(1)
Communication
276(1)
Interdisciplinary Research Teams
276(1)
Needs of Individuals
277(1)
Getting Direction
277(2)
Preparing Future Researchers
279(7)
Challenges in Preparing Nurse Researchers
279(4)
Scientific Integrity
280(1)
Mentoring
281(1)
Research in a Pluralistic Society
281(1)
Barriers to Diversity
282(1)
Multidisciplinary and Interdisciplinary Collaboration
282(1)
Formal Programs of Education for Future Researchers
283(1)
Doctoral Education
283(1)
Postdoctoral Research Training
284(1)
Support and Development of Faculty
284(2)
Career Trajectory of a Nurse Scientist
286(9)
Stages of a Scientific Career
286(1)
Predoctoral Career Stage
287(2)
The PhD and the DNS
287(1)
Program Content
288(1)
Mentoring
288(1)
Postdoctoral Career Stage
289(3)
Formal Programs
289(2)
Establishing an Independent Research Program
291(1)
Senior Mentors
291(1)
A Research-Intensive Environment
292(1)
Entering the Scientific Community
292(1)
Environment for Research Preparation
292(1)
A Scenario for Future Doctoral/Postdoctoral Preparation
293(2)
Part VI EXPANDING THE BOUNDARIES 295(67)
Alternative and Complementary Health Care Practices
297(9)
Alternative/Complementary Health Care
298(1)
Medical Science
298(1)
Classification of Alternative Care
298(1)
Scientific Assumptions
298(1)
Holistic Medicine
299(1)
Who Uses Unconventional Therapies?
299(1)
Acculturation
299(1)
Compliance Revisited
300(1)
Why Are Alternative and Complementary Therapies Used?
300(1)
Learning from Our Patients
301(1)
Alternative Therapies or Nursing Interventions?
302(1)
Measuring Patient Behavior
303(1)
Probable Future of Alternative and Complementary Health Care Practices
303(1)
Preferable Future of Alternative and Complementary Health Care Practices
304(2)
Interdisciplinary Practice and Education
306(11)
Current Environmental Forces
306(1)
Definitions
307(1)
Conceptual Model for Interdisciplinary Practices
307(2)
Parallel Practice
308(1)
Collaboration and Coordination
309(1)
Interdisciplinary and Multidisciplinary Education
309(1)
Development of Interdisciplinary Education
309(4)
Application in Health Professions
310(1)
What Makes Interdisciplinary Efforts So Difficult?
311(2)
Future Directions
313(4)
Faculty Development
313(1)
Examples of Emerging Work
313(1)
Working at the Boundary
314(3)
Achieving a Multicultural Nursing Profession
317(10)
Diversity and Assimilation
318(2)
Demographics Today
318(1)
In the Future
318(1)
Uniformity Versus Diversity
319(1)
Diversity Versus Multiculturism
319(1)
Diversity in Nursing
320(2)
Gender Differences
321(1)
Impact of Lack of Diversity on Nursing Research
321(1)
What the Future May Hold
322(1)
A Worse Case
322(1)
A Better Case
323(1)
Multicultural Practice
323(4)
Becoming Culturally Competent
323(1)
Making Nursing Education Multicultural
324(3)
Encouraging Risk Taking and Enterpreneurial Approaches
327(7)
Shaping the Future
327(2)
Characteristics and Behavior
328(1)
Entrepreneurship
328(1)
Examples of Entrepreneurial Activities
329(5)
Product Development
329(2)
Innovations in Nursing Education
331(1)
Innovations in Clinical Interventions
331(1)
Healing and Complementary Therapies
332(1)
Technology Applications
332(2)
Nursing in the Global Arena
334(11)
Evolving International Activities
334(5)
International Council of Nursing
335(1)
Status of Women
335(1)
World Health Organization
336(1)
Global Initiatives of Nursing Organizations
337(1)
Sigma Theta Tau International
337(1)
International Nursing Center
337(1)
Tri-Council of Nursing
337(1)
American Academy of Nursing
338(1)
National Student Nurses Association
338(1)
Pathways to Future Global Activity
339(3)
Nursing Practice
339(1)
Nursing Education
340(1)
Nursing Research
341(1)
Nursing's Global Vision
342(3)
The Role of Professional Organizations
345(10)
Development of Nursing Organizations
345(2)
Successes and Failures of Nursing Organizations
347(1)
Probable Future of Nursing Organizations
348(1)
Preferable Future of Nursing Organizations
349(6)
Clearly Defined Mission Statement
349(1)
Interdependent Linkages
350(1)
Certification, Accreditation, and Licensing
351(1)
Consensus Building and Leadership
352(1)
Preferable Futures Thinking
353(2)
Scenarios for the Future
355(7)
Four Scenarios of the Future
355(3)
Business as Usual
355(1)
Hard Times
356(1)
Buyer's Market
357(1)
Healthy, Healing Communities
358(1)
Wild Cards
358(1)
Implications for Nursing
359(3)
What Are Our Strengths?
359(1)
Why Might We Not Succeed?
360(2)
Appendix A 362(3)
Appendix B 365(4)
Appendix C 369

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