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Professional Issues in Nursing : Challenges and Opportunities,9780781748759

Professional Issues in Nursing : Challenges and Opportunities



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Lippincott Williams & Wilkins
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This is the edition with a publication date of 8/26/2005.
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Nursing students and practicing professionals alike will benefit from this valuable and timely text. In point-counterpoint fashion, the author explores a full range of the most contemporary issues facing nursing. The result is an in-depth, up-to-date insight into the profession and the workplace. Book jacket.

Table of Contents

Furthering the Professionp. 1
Entry Into Practice: An Elusive Dream or a Critical Professional Need?p. 3
Proliferation of ADN Educationp. 5
Licensure and Entry Into Practicep. 6
Educational Levels and Patient Outcomesp. 7
Employers' Views and Preferencesp. 9
Shifting Health Care Delivery Sites and Required Competenciesp. 9
Entry Level and Professional Statusp. 10
The Two-Year AND Program?p. 12
Shortages and Entry-Level Requirementsp. 13
Professional Organizations and Advisory Bodies Speak Outp. 14
Collaboration and Consensus Building: Is it Possible?p. 15
Grandfathering Entry Levelsp. 15
Linking ADN and BSN Programsp. 16
An International Issuep. 17
Conclusionsp. 17
For Additional Discussionp. 18
Differentiated Nursing Practice: Maximizing Resources or Dividing an Already Divided Profession?p. 21
Origins of Differentiated Nursing Practicep. 23
Differentiated Practice in the 21st Centuryp. 34
Conclusionsp. 41
For Additional Discussionp. 42
Defining Evidence-Based Best Practicesp. 46
What Is Best Practice?p. 47
What Is Evidence-Based Practice?p. 48
Why, When, and Where Best Practices Are Usedp. 49
Finding Evidence to Answer Nursing Questionsp. 53
Supporting Best Practicesp. 54
Challenges and Opportunities: Strategies for Changing Practicep. 59
Conclusionsp. 61
For Additional Discussionp. 61
Socialization and Mentoringp. 65
Socialization: Roles, Skills, Values, and Changep. 66
The Health Care Workplace in the 21st Centuryp. 67
Socialization and Mentoring: Empowermentp. 70
Creating a Supportive Environment for Socialization and Resocializationp. 77
Conclusionsp. 79
For Additional Discussionp. 79
Workforce Issuesp. 83
The Current Nursing Shortage: Causes, Consequences, and Solutionsp. 85
The Supplyp. 86
The Demandp. 90
Roots of the Shortagep. 91
The Consequences of the Shortagep. 97
Solving the Shortagep. 98
Conclusionsp. 101
For Additional Discussionp. 103
Importing Foreign Nursesp. 108
Global Migration of Nurses: "Push" and "Pull" Factorsp. 109
The Impact of Global Migration on Developing Countriesp. 111
Global Nurse Recruitment and Migration as an Ethical Issuep. 114
The International Community Addresses the Problemp. 117
Ensuring Competency of Foreign Nurses: Commission on Graduates of Foreign Nursing Schoolsp. 122
Assimilating the Foreign Nurse Through Socializationp. 123
Conclusionsp. 124
For Additional Discussionp. 124
Distance Learning: One Strategy for Furthering Nursing Education and Easing the Nursing Shortagep. 127
Distance Learning: Historical Perspectivesp. 128
Access to Contemporary Forms of Distance Learningp. 130
Why Distance Education in Nursing?p. 131
Financial Aid for Distance Educationp. 131
Scope of Distance Education in Nursingp. 132
Student Needs in Distance Learningp. 133
Controversies Regarding Distance Education in Nursingp. 134
Distance Learning and Specific Student Populationsp. 141
Conclusionsp. 143
For Additional Discussionp. 144
Unlicensed Assistive Personnel and the Registered Nursep. 147
Motivation to Use Unlicensed Assistive Personnelp. 149
Educational Requirements for Unlicensed Assistive Personnelp. 150
Unlicensed Assistive Personnel Scope of Practicep. 152
Unlicensed Assistive Personnel and Patient Outcomesp. 155
Registered Nurses and Unlicensed Assistive Personnel: Their Working Relationshipp. 156
Registered Nurse Liability for Supervision and Delegation of Unlicensed Assistive Personnelp. 156
Creating a Safe Work Environmentp. 158
The Unlicensed Assistive Personnel Shortagep. 159
Conclusionsp. 161
For Additional Discussionp. 162
Diversity in the Nursing Workforcep. 166
Ethnic Diversityp. 168
Gender Diversityp. 174
Generational Diversity in Nursingp. 178
Professional Organizations Speak Outp. 180
Conclusionsp. 180
For Additional Discussionp. 181
Workplace Issuesp. 187
Mandatory Staffing Ratios: Are They Working?p. 189
Staffing Ratios and Patient Outcomesp. 190
Are Mandatory Staffing Ratios Really Needed?p. 192
California as the Prototype for Mandatory Staffing Ratiosp. 194
Similar Initiatives in Other Statesp. 201
Other Alternativesp. 202
Conclusionsp. 203
For Additional Discussionp. 203
Mandatory Overtime in Nursing: How Much? How Often?p. 207
Legislating Mandatory Overtimep. 208
Mandatory Overtime in Nursingp. 211
Consequences of Enforcing Mandatory Overtimep. 213
Patient Abandonmentp. 216
Professional Duty and Consciencep. 218
Unions and Mandatory Overtimep. 219
Alternatives to Mandatory Overtimep. 220
Conclusionsp. 222
For Additional Discussionp. 222
Violence in Nursing: The Expectations and the Realityp. 226
Perspectives on the Issuep. 228
Defining Workplace Violencep. 231
Typology of Workplace Violencep. 232
The Impact of Workplace Violence on Nurses and Nursingp. 237
Strategies to Address the Problemp. 238
Nursing Code of Ethicsp. 241
What Should Be Done?p. 242
Conclusionsp. 243
For Additional Discussionp. 244
Technology in the Health Care Workplace: Benefits, Limitations, and Challengesp. 248
New Technologies in Health Carep. 249
Telehealth and Telenursingp. 256
Is Technology Worth the Costs?p. 260
The Internet and Health Carep. 260
Conclusionsp. 263
For Additional Discussionp. 264
Medical Errors: An Ongoing Threat to Quality Health Carep. 268
Seminal Research on Medical Errorsp. 270
Working to Achieve the Institute of Medicine Goalsp. 275
Creating a Culture of Safety Managementp. 280
Conclusionsp. 286
For Additional Discussionp. 287
Legal and Ethical Issuesp. 293
Whistle-blowing in Nursingp. 295
Groupthink and Whistle-blowingp. 297
Examples of Whistle-blowing in Nursingp. 299
When Whistle-blowing Is Appropriatep. 300
The Personal Risks of Whistle-blowingp. 302
Ethical Dimensions of Whistle-blowingp. 304
Whistle-blowing as a Failure of Organizational Ethicsp. 306
Legal Protection for Whistle-blowersp. 307
Whistle-blowing as an International Issuep. 310
Conclusionsp. 310
For Additional Discussionp. 311
The Chemically Impaired Nurse: Discipline or Treatment?p. 314
Prevalence of the Problemp. 315
Overview of the Literaturep. 316
How Can We Stop Losing Nurses to Substance Abuse?p. 323
Conclusionsp. 324
For Additional Discussionp. 325
Collective Bargaining and the Professional Nursep. 328
Historical Perspective of Unionization in Americap. 330
Historical Perspective of Unionization in Nursingp. 332
Unions Representing Nursesp. 333
Motivation to Join Unionsp. 334
Reasons Not to Join Unionsp. 337
Eligibility for Union Membershipp. 338
Union Organizing Strategiesp. 339
Seeking Union Representationp. 341
Labor-Management Relationsp. 342
American Nurses Association and Collective Bargainingp. 343
Nurses and Strikesp. 343
Conclusionsp. 345
For Additional Discussionp. 345
Assuring Provider Competence Through Licensure, Continuing Education, and Certificationp. 348
Defining Competencep. 350
Professional Licensurep. 353
Continuing Educationp. 355
Certificationp. 357
Reflective Practicep. 360
Who's Responsible for Competence Assessment in Nursing?p. 361
Conclusionsp. 363
For Additional Discussionp. 364
Professional Powerp. 369
The Nursing Profession's Historic Struggle to Increase Its Power Basep. 371
Factors Contributing to Powerlessness in Nursingp. 373
Driving Forces to Increase Nursing's Power Basep. 379
Action Plan for the Futurep. 382
Conclusionsp. 387
For Additional Discussionp. 388
Professional Identity and Imagep. 391
Nursing Stereotypesp. 393
How Nurses Feel About Contemporary Depictionsp. 398
How Ingrained are Nursing Stereotypes?p. 398
Consequences of Inaccurate or Negative Imagesp. 401
Changing Nursing's Image in the Public Eyep. 402
Conclusionsp. 408
For Additional Discussionp. 409
Advanced Practice Nursing: Challenges of Role Definition, Recognition, and Reimbursementp. 412
Role Definition: Advanced Practice Nursing and Related Specialty Areasp. 414
Role Recognitionp. 417
Scope of Practice: Medicine and Advanced Practice Nursingp. 422
Outcome Studies: Validating the Worth of Advanced Practice Nursing Practicep. 428
Controlling the Future of Advanced Practice Nursingp. 430
Conclusionsp. 431
For Additional Discussionp. 431
Nursing and Public Policy: Getting Involvedp. 435
Defining Politics and Policyp. 436
Defense, Domestic, and Foreign Policyp. 437
Policies and Valuesp. 438
Conceptualizing Politics and Policy Developmentp. 438
Roots of Involvement in Policy and Politics: Early 1900sp. 443
Nursing, Public Policy, and Politics: Mid- to Late 1900sp. 447
Nursing in Contemporary Politics and Policyp. 452
Conclusionsp. 456
For Additional Discussionp. 457
Nursing's Professional Associationsp. 460
The Growth of Professional Associationsp. 461
The Formation and Work of Nursing's Early Professional Associationsp. 462
Shaping the Nursing Professionp. 464
Development of Specialty Nursing Professional Associationsp. 465
Challenges for Contemporary Nursing Professional Associationsp. 473
The Association for the Futurep. 478
Conclusionsp. 483
For Additional Discussionp. 484
Indexp. 489
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