A Comparison of the Nursing Costs Associated with the Implementation of the Mandated Nurse-to-patient Ratios in California

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Publisher :
ISBN 13 :
Total Pages : 206 pages
Book Rating : 4.:/5 (658 download)

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Book Synopsis A Comparison of the Nursing Costs Associated with the Implementation of the Mandated Nurse-to-patient Ratios in California by : Shelly Carol Wells

Download or read book A Comparison of the Nursing Costs Associated with the Implementation of the Mandated Nurse-to-patient Ratios in California written by Shelly Carol Wells and published by . This book was released on 2009 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse executives are challenged to provide adequate nurse staffing to prevent adverse patient outcomes, promote patient satisfaction and enhance nurses' job satisfaction. Historically, nurse staffing strategies have involved the use of patient classification systems, the use of time studies to predict staffing numbers and the best guesses of the nurse administrators. Collective bargaining units moved to include staffing ceilings or nurse-to-patient ratios to address staffing needs in hospitals. In 1999, the state of California signed AB394 into law requiring the implementation of mandated minimum nurse-to-patient ratios. The California Department of Health Services estimated that the mandated nurse-to-patient ratios would cost California hospitals $956 million annually after implementation given adequate recruiting sources (CHA, 2004). While this estimate was made prior to the known fiscal impact of the ratios, no study has been published addressing the actual costs differences to the hospitals of the mandated nurse-to-patient ratios that were implemented in 2004. As other states consider introducing legislation to implement the staffing ratios as California has done, the impact of these costs should be revealed. The aim of this study was to examine the impact on nursing costs expressed as a percentage of hospital operating costs from before the staffing ratios in California were implemented (2002) and after the staffing ratios were implemented (2006). Two hundred eighty-two hospitals were included in this study. Financial and productivity data were obtained from the Office of Statewide Health Planning and Development in California. Examination of the percentage of total hospital operating costs attributed to nursing costs shed light on the fiscal impact of the mandated nurse-to-patient ratios in California. Results demonstrated that there was significant difference in the percentage of total hospital operating costs attributed to Registered Nurse costs and to overall nursing costs. There was no significant difference in the percentage of total hospital operating costs attributed to the costs for the licensed vocational nurse. In addition, there were no significant differences noted in the level of unit support staff (aides/orderlies, technicians, clerical) after the implementation of the ratios.

The Effect of Minimum Nurse Staffing Ratios on the Financial Performance of Acute Care Hospitals in California

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Publisher :
ISBN 13 :
Total Pages : 25 pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis The Effect of Minimum Nurse Staffing Ratios on the Financial Performance of Acute Care Hospitals in California by : Ilbret Ilo Pourmanafy

Download or read book The Effect of Minimum Nurse Staffing Ratios on the Financial Performance of Acute Care Hospitals in California written by Ilbret Ilo Pourmanafy and published by . This book was released on 2018 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The California Nurses Association (ANA) sponsored the legislative Assembly Bill (AB) 394 to ensure safe staffing for patients in California. AB 394 was introduced by Assembly person, Khuel, and signed into law by Governor Davis in the fall of 1999. This law is the first law mandating nurse staffing ratios for acute-care hospitals. This paper determines whether the nurse- to-patient ratio law has impacted acute care hospitals financially due to in-hospital mortality and/or unplanned readmission to intensive care units. The California Department of Health Services estimated that the mandated nurse-to-patient ratios would cost California hospitals $956 million annually after implementation given adequate recruiting sources (CHA, 2004). Not many study’s have been published addressing the fiscal impact to hospitals of the mandated nurse-to-patient ratios that were implemented in 2004. Previous results have shown that there was not a complex financial burden on hospitals, as the quality care of acute care patients was impeccable. From the research conducted also showed that in hospital mortality and/or unplanned readmission to intensive care units decreased due to AB 394.

Policy and Politics in Nursing and Healthcare - Revised Reprint

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323242413
Total Pages : 829 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Policy and Politics in Nursing and Healthcare - Revised Reprint by : Diana J. Mason

Download or read book Policy and Politics in Nursing and Healthcare - Revised Reprint written by Diana J. Mason and published by Elsevier Health Sciences. This book was released on 2013-09-23 with total page 829 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring analysis of healthcare issues and first-person stories, Policy & Politics in Nursing and Health Carehelps you develop skills in influencing policy in today's changing health care environment. 145 expert contributors present a wide range of topics in policies and politics, providing a more complete background than can be found in any other policy textbook on the market. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. The revised reprint includes a new appendix with coverage of the new Affordable Care Act. With these insights and strategies, you'll be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Up-to-date coverage on the Affordable Care Act in an Appendix new to the revised reprint.Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues.Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy.Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished.Winner of several American Journal of Nursing "Book of the Year" awards! A new Appendix on the Affordable Care Act, its implementation as of mid-2013, and the implications for nursing, is included in the revised reprint.18 new chapters ensure that you have the most up-to-date information on policy and politics.The latest information and perspectives are provided by nursing leaders who influenced health care reform with thePatient Protection and Affordable Care Act of 2010.

Policy & Politics in Nursing and Health Care - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323316069
Total Pages : 817 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Policy & Politics in Nursing and Health Care - E-Book by : Diana J. Mason

Download or read book Policy & Politics in Nursing and Health Care - E-Book written by Diana J. Mason and published by Elsevier Health Sciences. This book was released on 2011-02-08 with total page 817 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring analysis of healthcare issues and first-person stories, Policy & Politics in Nursing and Health Care helps you develop skills in influencing policy in today's changing health care environment. Approximately 150 expert contributors present a wide range of topics in policies and politics, providing a more complete background than can be found in any other policy textbook on the market. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. With these insights and strategies, you'll be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues. Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy. Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished. Winner of several American Journal of Nursing "Book of the Year" awards! 18 new chapters ensure that you have knowledge of the most up-to-date information on policy and politics. The latest information and perspectives are provided by nursing leaders who influenced health care reform with the Patient Protection and Affordable Care Act of 2010.

Professional Issues in Nursing

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451128339
Total Pages : 429 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Professional Issues in Nursing by : Carol J. Huston

Download or read book Professional Issues in Nursing written by Carol J. Huston and published by Lippincott Williams & Wilkins. This book was released on 2013-01-15 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using an approach that fosters critical thinking and values clarification, this textbook examines the full range of professional issues facing contemporary nursing. Coverage includes critical issues such as the nursing shortage, mandatory staffing ratios, violence in nursing, legal and ethical issues, plus the latest HIPAA regulations, career advancement and evaluations, and best practices for today and the future. This edition includes two NEW chapters: 1) a NEW chapter on developing effective leaders to meet 21st century healthcare challenges, and 2) a NEW chapter on the use of residencies for new graduate nurses as a transition to practice. In addition to these exciting additions, content has been updated throughout the book to reflect cutting-edge trends in healthcare including the impact of healthcare reform, and recommendations from the Institute of Medicine (IOM). This edition promises to be an integral tool to providing effective nursing care in an increasingly global, rapidly changing, technology driven world.

Health Policy and Advanced Practice Nursing, Third Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826154646
Total Pages : 583 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Health Policy and Advanced Practice Nursing, Third Edition by : Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN

Download or read book Health Policy and Advanced Practice Nursing, Third Edition written by Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN and published by Springer Publishing Company. This book was released on 2022-01-18 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second Edition rewarded First Place AJN Award! The only policy text written specifically for APRN students, this preeminent resource delivers a sweeping examination of policy impact on the full implementation of the APRN role across all environments, including its effectiveness on specific patient populations. The expanded third edition—containing six new chapters—includes expanded information on policy analysis, nursing roles, and the impact of technology. It provides practical knowledge on developing policy to advocate for vulnerable populations—bolstered by case examples—and discusses how interprofessional education has changed and will continue to alter health policy in the United States and internationally. Additionally, the text discusses the evolving influence of the Patient Protection Affordable Care Act (PPACA) and the implications of current and future health policy changes as they affect APRN practice. New doctoral-level content adds to the book's relevance for DNP students. The text addresses the initiative within nursing for Full Practice Authority for all APRNs, which enables them to practice to the full extent of their educational preparation. Edited by experienced APRN leaders who have been closely involved with health policy development, the text meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for the inclusion of health policy and advocacy in the curriculum. This "call to action" for APRNs is specifically designed for courses serving a variety of APRN trajectories and includes content from all APRN role perspectives in every section. New to the Third Edition: Encompasses six completely new chapters covering Health Policy Effects on Health Systems, Telehealth, Pediatrics, Quality Initiatives, Patient Protection, and more! Expanded to include developing roles, environments, and populations pertinent to APRNs and DNP students Includes new information on policy development advocating for vulnerable populations Updated to reflect the latest national nursing policy initiatives Incorporates 2020 revised AACN Essentials and Future of Nursing Report 2030 Includes new case studies and more practical application of content Key Features: Chapters include Discussion Questions; Analysis, Synthesis, and Clinical Application; Exercises/Considerations; and Ethical Considerations Explains how and why APRNs can and should influence policy development Discusses implications of not participating in health policy decisions

Professional Issues in Nursing

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 197517562X
Total Pages : 497 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Professional Issues in Nursing by : Carol Huston

Download or read book Professional Issues in Nursing written by Carol Huston and published by Lippincott Williams & Wilkins. This book was released on 2021-12-09 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: Give students a professional edge in nursing practice with proven, expert insight across a variety of enduring and contemporary issues facing today’s nursing workforce. Rich in engaging pedagogical features and extensively updated with the latest evidence-based perspectives on workplace considerations, workforce issues, legal and ethical concerns, nursing education challenges, and more, Professional Issues in Nursing: Challenges and Opportunities, 6th Edition, readies students for the realities of today’s changing healthcare environment and instills the critical thinking and clinical judgment skills to achieve success in any nursing setting.

Financial Management for Nurse Managers and Executives - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 1455733423
Total Pages : 432 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Financial Management for Nurse Managers and Executives - E-Book by : Cheryl Jones

Download or read book Financial Management for Nurse Managers and Executives - E-Book written by Cheryl Jones and published by Elsevier Health Sciences. This book was released on 2012-07-08 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. Topics include accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools. In addition to current issues, this edition also addresses future directions in financial management. Nursing-focused content thoroughly describes health care finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations illustrate numerous financial and accounting methods. Chapter opener features include learning objectives and an overview of chapter content to help you organize and summarize your notes. Key concepts definitions found at the end of each chapter help summarize your understanding of chapter content. Suggested Readings found at the end of each chapter give additional reading and research opportunities. NEW! Major revision of chapter 2 (The Health Care Environment), with additions on healthcare reform, initiatives to stop paying for hospital or provider errors, hospice payment, and funding for nursing education; plus updates of health care expenditure and pay for performance; provide a strong start to this new edition. NEW! Major revision of chapter 5 (Quality, Costs, and Financing), with updates to quality-financing, Magnet organizations, and access to care, provides the most up-to-date information possible. NEW! Reorganization and expansion of content in chapter 15 (Performance Budgeting) with updated examples better illustrates how performance budgeting could be used in a pay-for-performance environment. NEW! Major revision of the variance analysis discussion in chapter 16 (Controlling Operating Results) offers a different approach for computation of variances that is easier to understand. NEW! Addition of comparative effectiveness research to chapter 18 (Benchmarking, Productivity, and Cost Benefit and Cost Effectiveness Analysis) covers a recently developed approach informs health-care decisions by providing evidence on the effectiveness of different treatment options. NEW! Addition of nursing intensity weights, another approach for costing nursing services, to chapter 9 (Determining Health Care Costs and Prices), lets you make decisions about what method works best for you.

Keeping Patients Safe

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Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Advanced Practice Nursing: Essential Knowledge for the Profession

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Publisher : Jones & Bartlett Learning
ISBN 13 : 1284176126
Total Pages : 968 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Advanced Practice Nursing: Essential Knowledge for the Profession by : Susan M. DeNisco

Download or read book Advanced Practice Nursing: Essential Knowledge for the Profession written by Susan M. DeNisco and published by Jones & Bartlett Learning. This book was released on 2019-10-11 with total page 968 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advanced Practice Nursing:Essential Knowledge for the Profession, Fourth Edition is a core advanced practice text used in both Master's Level and DNP programs.

Nursing Staff in Hospitals and Nursing Homes

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Publisher : National Academies Press
ISBN 13 : 0309175704
Total Pages : 558 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nursing Staff in Hospitals and Nursing Homes by : Institute of Medicine

Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

The Future of Nursing

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Publisher : National Academies Press
ISBN 13 : 0309208955
Total Pages : 700 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Future of Nursing by : Institute of Medicine

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

A bargain at twice the price? : California hospital prices in the new millennium

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Publisher :
ISBN 13 :
Total Pages : 23 pages
Book Rating : 4.:/5 (425 download)

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Book Synopsis A bargain at twice the price? : California hospital prices in the new millennium by : Yaa Akosa Antwi

Download or read book A bargain at twice the price? : California hospital prices in the new millennium written by Yaa Akosa Antwi and published by . This book was released on 2009 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: We use data from California to document and offer possible explanations for the sharp increase in hospital prices charged to private payers after 1999. We find a downward trend in price for private pay patients in the 1990s and a rapid upward trend beginning in 1999, amounting to an annual average increase of 10.6% per year over 1999-2005. Prices in 2006 were almost double prices in 1999. By contrast, there was little discernable trend in prices for Medicare and Medicaid patients, although these prices varied from year-to-year. Surprisingly, the increase in prices is not correlated, geographically, with the change in hospital market concentration. For example, the greatest price rises came from hospitals in monopoly and highly concentrated counties which experienced little or no change over our sample period. Two recent California state hospital regulations, the seismic retrofit mandate and the mandatory nurse staffing ratio affected hospital costs. However, the cost increases due to the nursing staffing regulations are not large enough to account for the price increase, and the price increase is not substantially correlated with the costs of compliance with the seismic retrofit mandate. Therefore, the source of the near-doubling of California hospital prices remains something of a mystery.

The Future of Nursing 2020-2030

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Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Theoretical Basis for Nursing

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975175662
Total Pages : 741 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Theoretical Basis for Nursing by : Melanie McEwan

Download or read book Theoretical Basis for Nursing written by Melanie McEwan and published by Lippincott Williams & Wilkins. This book was released on 2021-12-02 with total page 741 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concise, contemporary, and accessible to students with little-to-no prior knowledge of nursing theory, Theoretical Basis for Nursing, 6th Edition, clarifies the application of theory and helps students become more confident, well-rounded nurses. With balanced coverage of grand, middle range, and shared theories, this acclaimed, AJN Award-winning text is extensively researched and easy to read, providing an engaging, approachable guide to developing, analyzing, and evaluating theory in students’ nursing careers. Updated content reflects the latest perspectives on clinical judgment, evidence-based practice, and situation-specific theories, accompanied by engaging resources that give students the confidence to apply concepts to their own practice.

Policy & Politics in Nursing and Health Care

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Author :
Publisher : Saunders
ISBN 13 :
Total Pages : 1108 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Policy & Politics in Nursing and Health Care by : Diana J. Mason

Download or read book Policy & Politics in Nursing and Health Care written by Diana J. Mason and published by Saunders. This book was released on 2007 with total page 1108 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume enables readers to analyse policy issues, enhance their political knowledge and skills and prepare for leadership roles in policy-making and public health. It cultivates the development of valuable skills including political and policy analysis, conflict management, lobbying, and more.

A Review of Nursing Homes' Costs

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Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis A Review of Nursing Homes' Costs by : California. Office of the Auditor General

Download or read book A Review of Nursing Homes' Costs written by California. Office of the Auditor General and published by . This book was released on 1985 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: