Quality Caring in Nursing and Health Professions: Implications for Clinicians, Educators, and Leaders

Description

Quality Caring in Nursing and Health Systems, Third Edition delivers a detailed framework of the Quality Caring Model(c), a theory that analyzes the relationships among the self, the community served, patients and families, and the health care team. As the population requiring healthcare increases, so does the room for error and the demand for patient-centered care. The health system, focused on procedures, protocols, technology, and lower costs, continues to inflict unnecessary harms upon already vulnerable patients and their families. Nurses, as the largest group of health care professionals that spend the longest time with patients and families, are in a unique position to advance new relationship-centric approaches to health care. This text focuses on the practical application of the Quality Caring Model, featuring new examples of ways to embed caring into the health care environment. An abundance of practice analyses and reflective exercises reinforce the book's content. Written for nursing students, clinicians, educators, and leaders, this text delves into the intricacies of relational health care. Chapters apply the model to patients and families and provide optimal learning strategies to inform quality-caring competencies. Case studies, interviews, exemplars, relevant lessons, and suggested improvements woven throughout the text push the model further than theory and into practice. New to the Third Edition: Updates and clarifies the Quality Caring Model to improve the safety and quality of health systems Examines the continuing quality crisis in health care Demonstrates the model's application in clinical, educational, and leadership practice Includes practice analyses at the end of each chapter Discusses how nurses can work in creative ways to implement caring in their practice as per IOM Future of Nursing Report Provides interviews with practicing nurses reflecting the challenges and strategies needed to implement caring in our technopharmacological system Key Features: Examines the evolution of the Quality Caring Model, its key concepts, and the clinical, educational, and leadership implications for application Features interviews with practicing nurses that reflect challenges and successful strategies Includes case studies and practical insights from diverse community and academic health centers Includes learning objectives, boxed calls to action, key summary points and reflective exercises Offers user-friendly visual images and charts Focuses on the challenge of creating value Facilitates Magnet designation Cover Title Copyright Contents Preface How to Use this Book Acknowledgments Share Quality Caring in Nursing and Health Systems: Implications for Clinicians, Educators, and Leaders, Third Edition Part I: Nursing and Health Systems Chapter 1: Quality, Caring, and Health Systems Persistent Crisis of Quality in Health Systems Quality and Professional Nursing Care Improving Quality in Nursing and Health Systems Sustaining a Valuable Health System Summary Reflective Questions/Applications Practice Analysis References Chapter 2: Professionalism in Health Systems The Profession of Nursing Professionalism Professional Nursing in a Transformed Health System The Grounding Benefits of Theory-guided Professional Practice Summary Reflective Questions/Applications Practice Analysis References Chapter 3: Evolution of the Quality-Caring Model Complex Health Systems The Evolving Quality-caring Model Assumptions, Major Concepts, and Propositions of the Quality-caring Model Role of the Nurse Hopeful Insights for a More Caring Future Summary Reflective Questions/Applications Practice Analysis References Part II: Practicing in Quality-Caring Health Systems Chapter 4: Humans in Relationship The Relational Context of Being Human The Fundamental Relationships of the Quality-caring Model© Importance of Relationships in Health Systems Summary Reflective Questions/Applications Practice Analysis References Chapter 5: Relationship-Centered Professional Encounters What Patients and Families Want from Health Professionals What does “patient Centered” Really Mean? Evidence of the Benefits of Patient-centered Care Relationship-centered Professional Encounters Patient-centered Care and Quality Caring Summary Reflective Questions/Applications Practice Analysis References Chapter 6: Relational Capacity The Meaning of Relational Capacity Individual Relational Capacity Collective Relational Capacity (Team Caring) Organizational Relational Capacity Summary Reflective Questions/Applications Practice Analysis References Chapter 7: Feeling “Cared For” The Positive Emotion of “Feeling Cared For” The Unique Role of the Nurse Measuring “Feeling Cared For” Improving “Feeling Cared For” Researching “Feeling Cared For” Summary Reflective Questions/Applications Practice Analysis References Chapter 8: Practice Improvement The Nature of Professional Practice Learning in Practice Microsystems and Communities of Practice The Value of Practice Improvement Summary Reflective Questions/Applications Practice Analysis References Chapter 9: Self-Advancing Systems The Meaning of Self-advancing Systems Process, Process, Process The Meaning of Self-advancement for Patients and Families The Meaning of Self-advancement for Health Professionals The Meaning of Self-advancement for Health Systems Summary Reflective Questions/Applications Practice Analysis References Part III: Leading and Learning in Quality-Caring Health Systems Chapter 10: Leading Quality Caring The Context of Clinical Practice Leadership as a Practice Relationship-Centered Leadership Implementing and Evaluating Relationship-centered Professional Practice Models Using the QCM to Lead Summary Reflective Questions/Applications Practice Analysis References Chapter 11: Learning Quality Caring Nursing Practice Nursing Education as a Practice Learning How to Care Caring Pedagogies Clinical Learning: Integrating Cognitive, Psychomotor, and Affective Domains The Importance of a Revised Nursing Curriculum Evaluating Caring Relationships Assuring Individual Caring Capacity Program Evaluation Using the QCM Summary Reflective Questions/Applications Practice Analysis References Chapter 12: The Value of Quality Caring Envisioning the Future: Ten Years, Fifty Years, and Beyond Renewed and Revitalized Quality Caring Quality Caring in Action Advancing the Science of Caring Relationships The Promise of a Valuable Health System Summary Reflective Questions/Applications References Appendix A: Quality and Caring Resources on the Internet Appendix B: Example Health Systems Using the Quality-Caring Model© as the Foundation for Professional Practice Appendix C: Nursing Implications of the Quality-Caring Model© Appendix D: Using the Caring Factors to Keep Patients Safe Appendix E: Using the Caring Factors to Advance Quality Health Outcomes Appendix F: Assessment of Professional Work Environments for Quality-Caring Practice Appendix G: Potential Research Questions Appendix H: Reflections on Practice Appendix I: Quality-Caring Organizational Self-Assessment Tool Improvement Plan Index