The Nursing Experience: Trends, Challenges, and Transitions, Fifth Edition

by Joel, Lucille

• ISBN13: 9780071458269
• ISBN10: 0071458263
• Edition: 5th
• Format: Paperback
• Copyright: 2006-01-03
• Publisher: McGraw-Hill Education / Medical

Summary

One of the Most Widely Used Texts in Nursing Education!This outstanding introduction to the nursing experience covers trends, issues, and nursing history all in one book and is enriched by the experience and expertise of the authors. Readers will find essential coverage of the changing roles of nurses in managed care and institutional settings, the options within nursing, special help with finding the right fit, and growth opportunities within the profession.

Author Biography

Lucille Joel, EdD, RN, FAAN is a Professor in the College of Nursing at Rutgers, The State University of New Jersey in Newark, NJ.

Lucy Young Kelly, PhD, RN, FAAN is Professor Emeritus at Columbia University, New York, NY.

Table of Contents

Preface	xiii
Author Profile	xvii
Acknowledgments	xix
PART 1: THE EVOLUTION OF NURSING
Care of the Sick: How Nursing Began	3	(20)
Objectives	3	(1)
Care of the Sick in Early Civilizations	4	(3)
Christianity's Impact on Nursing	7	(1)
Nursing Care in Early Hospitals	8	(3)
The Influence of Florence Nightingale	11	(9)
Key Points	20	(1)
Study Questions	21	(1)
References	21	(2)
Nursing in the United States: American Revolution to Nursing Revolution	23	(56)
Objectives	23	(1)
The Volunteers	24	(2)
Nursing Education: The First 60 Years	26	(9)
Nursing's Early Leaders	35	(8)
The Nurse in Practice	43	(4)
Wartime Nursing	47	(5)
Toward a New Era: Studies and Action	52	(20)
Key Points	72	(1)
Study Questions	73	(1)
References	73	(2)
Helpful Websites for Part 1	75	(4)
PART 2: NURSING IN THE HEALTH CARE SCENE
The Health Care Delivery System	79	(87)
Objectives	79	(1)
What Influences Health Care?	80	(1)
The American People: A Time of Change	80	(35)
Cost, Quality, Access	115	(5)
Managed Care	120	(2)
Health Care Delivery: An Expanding Maze	122	(1)
Self-Care	122	(2)
Alternative/Complementary Medicine	124	(1)
Ambulatory Care	125	(6)
Ambulatory Care Alternatives to Institutions	131	(2)
Hospitals	133	(6)
Government Facilities	139	(2)
Emergency Medical Services	141	(1)
Home Health Care	141	(3)
Long-Term Care	144	(2)
The Caregivers: A Growing Number	146	(14)
Key Points	160	(2)
Study Questions	162	(1)
References	163	(3)
The Discipline of Nursing	166	(41)
Objectives	166	(1)
The New-Old Question: What Is Nursing?	166	(1)
Professions and Professionalism	167	(4)
What Do Nurses Do???	171	(4)
The Nursing Process and Classification Systems	175	(4)
Major Nursing Theories	179	(2)
Attitudes of Nurses and about Nurses	181	(10)
The Media Image of Nursing	191	(2)
The Reality: Facts, Figures, Guesses	193	(7)
Key Points	200	(1)
Study Questions	200	(1)
References	201	(1)
Helpful Websites for Part 2	202	(5)
PART 3: NURSING PRACTICE
Education and Research for Practice	207	(38)
Objectives	207	(1)
Program Commonalities	208	(3)
The Nursing Assistant	211	(1)
Programs for Practical Nurses	212	(3)
Diploma Programs	215	(2)
Associate Degree Programs	217	(3)
Baccalaureate Nursing Programs	220	(3)
Other Programs Leading to RN Licensure	223	(1)
Graduate Education	224	(4)
Open Curriculum Practices	228	(1)
Distance Education	229	(2)
Continuing Education	231	(2)
Trends and Issues in Education	233	(4)
Nursing Research	237	(3)
Responding to an Inevitable Future	240	(1)
Key Points	241	(1)
Study Questions	242	(1)
References	242	(3)
Career Opportunities	245	(49)
Objectives	245	(1)
A Time of Unlimited Opportunities	245	(2)
Nursing: Shortages and Surplus	247	(5)
What Employers Expect from a New Graduate	252	(2)
Hospital Patient Care Positions	254	(5)
Standards of Clinical Nursing Practice	259	(1)
Assignments for Delivering Care	260	(7)
Assistants to the Nurse	267	(1)
Differentiated Practice/The Clinical Ladder	268	(2)
Supplemental Staffing Agencies	270	(1)
Nursing in Extended and Long-Term Care Facilities	271	(2)
Subacute Care	273	(1)
Public Health/Community Health Nursing	274	(3)
Office Nursing	277	(1)
Case Management	278	(1)
Occupational Health Nursing	279	(3)
Private Duty Nursing	282	(1)
Entrepreneurs and Intrapreneurs	283	(3)
Opportunities in Government	286	(4)
Other Career Opportunities	290	(1)
Key Points	290	(1)
Study Questions	291	(1)
References	291	(3)
Leadership for an Era of Change	294	(33)
Objectives	294	(1)
Nursing Autonomy	295	(2)
A Leader among Leaders	297	(4)
Perspectives on Power	301	(3)
The Constancy of Change	304	(4)
Obstacles to the Exercise of Power	308	(5)
Strategies for Action	313	(7)
Key Points	320	(1)
Study Questions	321	(1)
References	321	(1)
Helpful Websites for Part 3	322	(5)
PART 4: NURSING ETHICS AND LAW
Ethical Issues in Nursing and Health Care	327	(30)
Objectives	327	(1)
What Creates Ethical Dilemmas?	328	(5)
Factors That Influence Ethical Decision Making	333	(7)
Guidelines for Ethical Decision Making	340	(3)
Common Ethical Concerns in Nursing Practice	343	(7)
Access to Care: Ethics and Reality	350	(2)
Nurses as Advocates	352	(2)
Key Points	354	(1)
Study Questions	354	(1)
References	355	(2)
Patients' Rights; Students' Rights	357	(47)
Objectives	357	(1)
Patients' Rights	358	(1)
Informed Consent	359	(6)
The Right to Die	365	(12)
Rights of the Helpless	377	(5)
Rights of Patients in Research	382	(1)
Patient Records: Confidentiality and Availability	383	(3)
Other Aspects of Patients' Rights	386	(3)
Legal Issues Related to Reproduction	389	(5)
Transplants	394	(2)
Rights and Responsibilities of Students	396	(4)
Key Points	400	(1)
Study Questions	400	(1)
References	401	(3)
Politics and Public Policy	404	(38)
Objectives	404	(1)
Introduction to Law	405	(1)
The United States Legal System	406	(1)
The Legislative Process	407	(5)
Influencing the Legislative Process	412	(3)
Nurses and Political Action	415	(1)
Grassroots Lobbying	416	(3)
Overview of Federal Agencies	419	(1)
Major Legislation Affecting Nursing	419	(20)
What Next?	439	(1)
Key Points	440	(1)
Study Questions	440	(1)
References	440	(2)
Health Care Credentialing and Nursing Licensure	442	(33)
Objectives	442	(1)
Credentialing and Its Issues	443	(11)
NCSBN and ANA	454	(1)
Content of Nursing Practice Acts	455	(13)
Procedure for Obtaining a License	468	(3)
Issues, Developments, and Predictions	471	(1)
Key Points	472	(1)
Study Questions	473	(1)
References	473	(2)
Legal Aspects of Nursing Practice	475	(50)
Objectives	475	(1)
Litigation Trends in Health Care	476	(2)
Application of Legal Principles	478	(10)
Major Causes of Litigation	488	(11)
Legal Problems in Record-Keeping	499	(4)
The Problem of Short-Staffing	503	(3)
Standard of Care	506	(3)
Other Torts and Crimes	509	(2)
Drug Control	511	(1)
Good Samaritan Laws	512	(1)
Professional Liability (Malpractice) Insurance	513	(1)
In Court: The Due Process of Law	514	(3)
Risk Management	517	(1)
Avoiding Legal Problems	518	(1)
Key Points	519	(1)
Study Questions	520	(1)
References	520	(1)
Helpful Websites for Part 4	521	(4)
PART 5: TRANSITION INTO PRACTICE
Nursing Organizations and Publications	525	(35)
Objectives	525	(1)
Diversity and Differences	525	(1)
Cooperative Efforts	526	(2)
American Nurses Association	528	(15)
International Council of Nurses	543	(5)
National Student Nurses' Association	548	(8)
Health-Related Organizations	556	(1)
The Nursing Literature	556	(2)
Key Points	558	(1)
Study Questions	559	(1)
References	559	(1)
Workplace Choices	560	(28)
Objectives	560	(1)
Basic Considerations	561	(3)
Professional Biographies and Resumes	564	(5)
Looking Over the Job Market	569	(2)
Sources of Information about Positions	571	(3)
Professional Correspondence	574	(4)
Personal Interview	578	(5)
Changing Positions	583	(3)
Key Points	586	(1)
Study Questions	586	(1)
References	587	(1)
Career Management	588	(37)
Objectives	588	(1)
Resocialization	588	(2)
Dealing with Reality Shock	590	(3)
Stress and Strain: The Persisting Occupational Hazard	593	(2)
The Workplace: Rights and Hazards	595	(13)
Collective Bargaining: The Process and the Issues	608	(4)
Career Mapping	612	(7)
As You Anticipate the Future	619	(1)
Key Points	620	(1)
Study Questions	621	(1)
References	622	(1)
Helpful Websites for Part 5	623	(2)
BIBLIOGRAPHY	625	(22)
APPENDIXES	647	(92)
Appendix 1 Major Studies of the Nursing Profession	648	(14)
Appendix 2 Major Health Care Personnel	662	(9)
Appendix 3 State Boards of Nursing (2005)	671	(6)
Appendix 4 Major Nursing and Related Organizations	677	(28)
Appendix 5 Specialty Certifications	705	(12)
Appendix 6 Basics of Parliamentary Procedure	717	(2)
Appendix 7 Distinguished Nurses of the Past: Fifty Nurses Who Made a Difference	719	(20)
Index	739