Designed for graduate and advanced undergraduate students, it includes the contributions of leading thinkers, educators, and practitioners who provide an in-depth and objective appraisal of why and how we organize health care the way we do; the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system; and other emerging and recurrent issues in health policy, health care management, and public health. To update this book with the rapid changes that have occurred in health care through November 2013, a separate chapter, the Affordable Care Act (ACA) Supplement, is available to students and instructors as a downloadable PDF.This text is divided into five sections, in order to provide some coherence to this broad terrain. Part I, The Current U.S. Health Care System, addresses major characteristics and issues, including reform, financing, and comparative health care systems. This section now includes multiple new charts and tables providing concrete health care data. Part II, Population Health, focuses on health behavior, including health care models, public health policy and practice, risk factors, facilitating healthy lifestyle practices, and access to care. Part III, Medical Care Delivery, addresses integrated health models, delivering high-quality health care, health care costs and value, and comparative effectiveness. Part IV, Support for Medical Care Delivery, concerns governance and management issues, including accountability, the health workforce, and information technology. Part V, The Future of Health Care Delivery in the United States, includes a new 5-year trend forecast.Key Features: Includes major provisions of the Patient Protection and Affordable Health Care Act of 2010Each chapter includes these special features: key concepts; extensive mapping resources; key words; learning objectives; discussion questions; and case studiesCovers the newest models of care, such as Accountable Care Organizations and Integrated Delivery SystemsExamines new ways of conceptualizing and assessing health care, including comparative effectiveness researchFeatures contributions by leading scholars and key figures within the U.S. health care system, including John Billings, JD; Carolyn M. Clancy, MD; C. Tracy Orleans, PhD; and Michael S. Sparer, PhD, JDContains new coverage of health reform, developing countries, population health, public health and catastrophic events, and a broadened discussion of the health care workforceAffordable Care Act (ACA) Supplement available to students and instructors as a downloadable PDF. Available to Instructors: Instructor's Guide (updated to reflect content from ACA supplement)PowerPoint PresentationsImage BankTest Bank (updated to reflect content from ACA supplement)"

    Plus, it helps you identify areas of weakness so you can focus your study time. Sample problems and step-by-step examples with explanations in the math and physics sections show you how to work through each problem so you understand the steps it takes to complete the equation. Practice tests with answer keys for each topic - located in the appendices for quick access - help you assess your understanding of each topic and familiarize you with the types of questions you're likely to encounter on the actual exam. HESI Hints boxes offer valuable test-taking tips, as well as rationales, suggestions, examples, and reminders for specific topics.End-of-chapter review questions help you gauge your understanding of chapter content.A full-color layout and more illustrations in the life science chapters visually reinforce key concepts for better understanding.Expanded and updated content in each chapter ensures you're studying the most current content.Basic algebra review in the math section offers additional review and practice.Color-coded chapters help you quickly find specific topic sections.Helpful organizational features in each chapter include an introduction, key terms, chapter outline, and a bulleted chapter summary to help you focus your study.A glossary at the end of the text offers quick access to key terms and their definitions.

     Develop the skills and knowledge you need to make evidence-based practice (EBP) an integral part of your clinical decision-making and everyday nursing practice with this proven, approachable text. Written in a straightforward, conversational style, Evidence-Based Practice in Nursing & Healthcare delivers real-world examples and meaningful strategies in every chapter to help you confidently meet today’s clinical challenges and ensure positive patient outcomes.NEW! Making Connections: An EBP Exemplar opens each unit, immersing you in an unfolding case study of EBP in real-life practice.NEW! Chapters reflect the most current implications of EBP on health policy and the context, content, and outcomes of implementing EBP competencies in clinical and academic settings.NEW! Learning objectives and EBP Terms to Learn at both the unit and chapter levels help you study efficiently and stay focused on essential concepts and vocabulary.Making EBP Real features continue to end each unit with real-world examples that demonstrate the principles of EBP applied.EBP Fast Facts reinforce key points at a glance.Clinical Scenarios clarify the EBP process and enhance your rapid appraisal capabilities.

    Encompassing principles, concepts, and skills, it offers thorough coverage, a nursing process framework, an emphasis on critical thinking, and a focus on care in all settings. This new edition addresses a number of key issues, including evidence-based practice, safety concerns, and end-of-life care. To better meet the needs of beginning students, care plans have been expanded to more clearly explain assessment findings leading to nursing diagnoses, as well as evaluation of outcomes.

    Hallmark features are a clear and accessible writing style, a focus on practical application with real-world examples and case studies, and an appropriate level of detail for beginners. The book is supported by a state-of-the art technology package to enhance the learning process. Provides the fundamentals of the nature of nursing, contemporary health care, health beliefs and practices, the nursing process, lifespan development issues, integral aspects of nursing, assessing health, and promoting psychosocial health and physiologic health. For Nurses and Health Care Professionals.

    It provides the background needed to understand related drugs currently on the market, as well as drugs yet to be released. In simplifying a complex subject, this text focuses on the essentials of pharmacology. Large print is used to show need-to-know information, and small print is used for nice to know material. At the end of each chapter, a summary of major nursing implications helps in applying the material to real-world situations. This edition includes a new companion CD-ROM featuring NCLEX(R) examination-style review questions, a variety of electronic calculators, and animations depicting drug mechanisms and effects.Uses a prototype drug approach that places a strong emphasis on understanding over memorization - equipping students with the knowledge to learn not only about related drugs currently on the market, but also about those drugs that will be released once the student begins practice.Summaries of Major Nursing Implications at the end of each chapter provide an in-depth look at assessment, implementation, and ongoing evaluations.Utilizes large print for essential information and small print for nice-to-know information to help both faculty and students focus their limited classroom and study time on understanding the essentials.Concise drug summary tables present detailed information on individual drugs, including class, generic and trade names, dosages, routes, and indications.Key Points at the end of each chapter summarize content in a bulleted format to help students review important concepts.Prototype drug discussions employ a clear and consistent format with separate headings for Mechanism of Action; Pharmacologic Effects; Pharmacokinetics; Therapeutic Uses; Adverse Effects; Drug Interactions; and Preparations, Dosage, and Administration.An attractive full-color design adds visual interest, highlights key information, and facilitates student learning.Drugs for Multiple Sclerosis and Drugs for Hemophilia chapters.Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia chapter covers newsworthy drugs such as Viagra and Levitra.Special Interest Topics boxes on current issues in pharmacology, such as Medication-Overuse Headache: Too Much of a Good Thing and Face Time with Botox.Adult Immunization appendix summarizes the latest information on immunizations.Numerous new illustrations show drug mechanisms and effects, and depict topics such as histologic changes in Alzheimer's disease and the movement of drugs following GI absorption.

    Over 1,000 Board-style questions, with detailed rationales, cover the most essential, need-to-know concepts in physiology. Includes thorough reviews of all major body systems, with emphasis on system interaction, homeostasis, and pathophysiology.Offers a comprehensive practice exam of over 1,000 questions in USMLE format.Includes answers and explanations for every question, as well as page references to the Guyton & Hall's Textbook of Medical Physiology.Follows a parallel chapter organization to Textbook of Medical Physiology.Provides all of the essential information needed to prepare for the physiology portion of the USMLE Step 1.Dedicates a brief section to helpful hints on preparing for the USMLE exam.

    The first communication guidebook designed expressly for nurses, From Silence to Voice helps nurses understand and overcome the self-silencing that often leads RNs to downplay their own expertise and their contributions to the care of the sick and the health of the public. Bernice Buresh and Suzanne Gordon teach nurses, nurse educators, and nurse researchers critical skills they can use to explain their work to other health-care professionals, journalists, policymakers, and political representatives.From Silence to Voice features stories about nurses who ensure that patients receive appropriate, timely, and even life-saving care, nurses who make all the difference while crises are underway but whose contributions are neglected in medical charts and thank-you notes, nurses who are left out altogether or obscured by the generic "nurse." However, the book also provides detailed accounts of nurses who do make their voices heard, who do make their concerns public- and it shows how those successes can be duplicated. Buresh and Gordon draw on real-world examples that will help nurses to gain respect for themselves as professionals, communicate well with both patients and health-care colleagues, understand how the news media work, collaborate with public relations professionals, write effective letters to the editor and publish op-ed pieces, appear on television and radio, and promote research on nursing About the Authors:Bernice Buresh writes and lectures on health care, nursing and the media. She has been a reporter for the Milwaukee Sentinel, a professor of journalism at Boston University and an adjunct professor of American Studies at Brandeis University. Buresh is president of the Writers' Room of Boston, Inc, which provides affordable workspace for writers.Suzanne Gordon is an award-winning journalist. She is the author of Life Support: Three Nurses on the Front Lines and co-editor of Caregiving: Readings in Knowledge, Practice, Ethics and Politics. She is an adjunct professor in the school of nursing at McGill University. Gordon is a health care commentator on Public Radio International's "Marketplace," and a popular lecturer on nursing and health care.

    Some men and women spend their 20s hitting the snooze button. Steve Farrar gives them the wake-up call that they can t escape, so they can avoid the life-shattering consequences of foolish choices. Upon speaking at Biola University, Steve Farrar made an instant connection with the students, generating tremendous response. This book springs out of their burning questions and struggles. It helps young men and women fix their mistakes before they make them but it also can help readers recover from poor choices before it s too late.

    Over 80 delicious super-simple recipes that will save you both time and money.Cook delicious food for less. One Pound Meals became an instant bestseller and the biggest debut cookbook in 2017 with incredible 5-star reviews from his fans and readers. Now in Miguel Barclay's second book, the original One Pound Chef focuses on fresh and light food, all for £1 per person.Here are warm, delicious salads, light soups, nutritious stir-fries and lots of vegetarian meals. All follow Miguel's One Pound style of cooking - simple ingredients, straightforward recipes and mouthwatering meals - and now ready in minutes.With over 80 recipes that are easy to shop for - especially when short of time - Miguel will help you get the most out of your ingredients with his tasty and fast dishes. He will teach you how to shop savvy, buying fresh seasonal ingredients but also show you clever shortcuts with frozen versions when you are in a hurry.Perfect for summer, great for your pocket.'The feedback you gave me from One Pound Meals was that you guys loved the speed and simplicity of my recipes, so I turned this up a notch for you and have created over 80 super-fast recipes for this book. I've also devised more of my characteristic One Pound Meals shortcuts to get you cooking fun and exciting dishes every day of the week without spending hours in the kitchen.I was inspired by all the amazing food from around the globe, especially the street food in Thailand and the refreshing noodle and rice dishes from China. And then, from Europe, I've gone once again to the Mediterranean, taking inspiration from their simple rustic fish dishes that I love so much. These guys adore their food and live in glorious sunshine, so they know how to balance flavours to create light and uplifting summer dishes.My aim is to motivate you to cook as many recipes as possible by making them as irresistible as I can. I want you to keep cooking, discovering one recipe after another, using up ingredients as you go along.'Fast & Fresh recipes include:* Summer Chicken Pie* 5-Spice Baked Feta & Asparagus Salad* Goan Cauliflower Curry* Green Shakshuka * Smoky Fish Tacos* Baked Eggs & Asparagus* Falafel Burger* Butternut Gnocchi with Crispy Parma Ham & Feta* Goats' Cheese 'Scallops'* Mexican Tortilla Soup* Fisherman's Pie

    The 5th edition has been completely updated and includes a Companion CD-ROM that contains animations, NCLEX(R) examination-style review questions, printable IV therapy and medication safety checklists, drug calculation problems, and convenient electronic calculators.A separate drug calculations section - Medications and Calculations - features 65 pages of math review and step-by-step instructions for dosage calculations using the four primary methods - basic formula, ratio and proportion, dimensional analysis, and fractional equation. Nursing Process sections relate nursing care to drug therapy. Each step of the nursing process includes concise actions for the plan of care in relation to treatment for selected drug prototypes.A chapter on Principles of Drug Administration features comprehensive coverage of the procedures for administering drugs. It addresses all routes of administration and various settings.Unit openers for drug therapy chapters include an illustrated overview of normal anatomy and physiology, giving readers the foundation for understanding how the drug works in that body system.Herbal Alert boxes highlight various herbal products and their interactions with drugs.More than 100 detailed Prototype Drug Charts list the following information: dosage, indication, contraindication, drug-lab-food interactions, pharmacokinetics, pharmacodynamics, therapeutic effects, side effects, and adverse reactions.Highlighted Client Teaching, Cultural Considerations, and Herbal Alerts are included in the Nursing Process sections to emphasize key implications for nurses.Client Teaching in the nursing process sections guide readers through instructions for teaching patients about medication, self-administration, dietary concerns, and side effects.Includes a separate Transcultural and Genetic Considerations chapter.Critical Thinking Case Studies and Study Questions at the end of each chapter present readers with a clinical scenario and several questions that reinforce key concepts and encourage critical thinking.A new chapter on substance abuse addresses this important aspect of the nurse's role in pharmacology. Preventing Medication Errors boxes draw attention to important safety considerations and present guidelines from the Institute for Safe Medication Practice (ISMP).Critical Thinking Case Study boxes provide clinical scenarios and questions to sharpen analytical and critical thinking skills.Now includes step-by-step instructions for dosage calculations using dimensional analysis.Web sites, organizations, and research database information are available at the end of clinical chapters for further review and research.The newest JCAHO guidelines for medication safety are applied throughout the text and the abbreviations appendix has been revised to reflect these updates.Includes a new Herb/Drug Interaction chart, as well as new sugar-free and alcohol-free drug lists.Features updated coverage of pain as the fifth vital sign.Look-alike/sound-alike drugs are highlighted throughout to promote safe drug administration.Includes a list of the 200 most frequently prescribed drugs.Electronic Resources boxes at the beginning of each chapter direct readers to additional learning activities available on the Companion CD and the Evolve website.

    Its practical, clinical perspective and user-friendly writing style engage the reader in a learning process that both informs and enlightens. Clinical chapters progress consistently and logically from theory to application. Specific psychobiological disorders are organized from moderate to severe along the mental health continuum. The nursing process is the strong, visible framework throughout.User-friendly writing style and a full-color design make psychiatric nursing content come alive! Case studies and personal stories show a compassion and understanding unique among psychiatric nursing texts. Special features are easily located and identified.Nursing process framework provides a strong underpinning for all clinical chapters. A sixth step, Outcome Criteria, identifies specific patient outcomes, then justifies the subsequent nursing interventions based on results.Assessment Guidelines boxes provide summary points for client assessment.Spiritual assessment is found in Assessment Strategies and the Nursing Process and Care for the Dying and for Those Who Grieve.Biologic Basis for Understanding Psychotropic Drugs lays the foundation for the study of psychotropic drug therapy to treat psychobiologic disorders.Care for the Dying and for Those Who Grieve chapter provides holistic nursing interventions related to end-of-life care for clients and families.Case Studies and Nursing Care Plans present individualized histories of clients with specific psychiatric disorders, and include interventions with rationales and evaluation statements for each client goal.Vignettes offer brief, descriptive characterizations of clients with specific psychiatric disorders.A Nurse Speaks spotlights individual psychiatric nurses and their personal stories.Key Terms and Concepts with page number references allow for quick review.Critical Thinking and Chapter Review sections offer scenario-based critical thinking problems and NCLEX-style multiple-choice questions, allowing students to test themselves on the chapter content.Nurse, Client, and Family Resources lists are provided on the book's Evolve website.A dynamic author team offers a breadth of experience in nursing education and practice.Tear-out Comprehensive Psychiatric Assessment Card is a valuable tool for students to use in clinicals.Completely revised Culturally Relevant Mental Health Nursing: A Global Perspective provides basic information on culture, worldviews, and what is necessary for culturally competent care.Psychiatric Forensic Nursing discusses this new and expanding specialty involving nursing, forensics, and the criminal justice system.Forensic Highlights boxes focus on the nurse's role in dealing with sexual assault, family violence, and incarcerated persons.Evidence-Based Practice boxes demonstrate how research findings affect psychiatric nursing practice and standards of care.Integrative Therapy boxes discuss the increasing popularity and significance of complementary and alternative therapies.Culturally Speaking boxes reinforce the importance of culturally competent care.A Client Speaks and A Family Speaks bring to life disorders and their effects on clients, their families, and those who care for them.Back by popular demand: communication tables in The Clinical Interview and Communication Skills.Key Points to Remember appear at the end of each chapter to reinforce essential information.

    This new edition specifically features three new care plans, two expanded care plans, updated content and language reflecting the most current clinical practice and professional standards, enhanced QSEN integration, a new emphasis on interprofessional collaborative practice, an improved page design, and more. It's everything you need to create and customize effective nursing care plans!

    It presents practical, clinically-oriented content across a range of topics: quick find features, portability, functionality, and more of the commonly-used clinical information.

    Kettl and Fesler understand that the push and pull of political forces make the functions of bureaucracy ever more contentious, but no less crucial to governance.Based on reviewer feedback, and given advances in scholarship and in practice, the authors introduce the crucial topics of ethics, accountability, and leadership early on, utilizing these central ideas as touchstones throughout the book. While this text continues to focus on the core components of public administration--such as budgeting, personnel, and implementation--it's been thoroughly updated to cover recent developments, including administrative issues spotlighted during the 2008 presidential campaigns, the use of technology in government management, and the changing face of the federal workforce. Fully updated tables and figures feature a wealth of current data, and photos add visual context to the book's core concepts.What was an appendix showcasing fourteen case studies in the previous edition is now a set of fully-integrated case studies--one in each chapter--that challenges students to apply ideas and analysis as they go. Each case emphasizes the people on the front lines at the local, state, and federal levels with topics ranging from Taser use in law enforcement to the recent economic bailout. Useful discussion questions at the end of each case help shape student responses and in-class conversation.