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Symptom Assessment in Palliative Care
eChapter  6
Added: 05/04/2012
This chapter discusses the framework for symptom assessment in palliative care nursing that takes into account many complex issues. It sets symptom assessment within the wider context of the nursing a...dmission assessment. It presents key assessment principles, and explores the communication skills and attitudes that characterise the ‘human element’ of assessment. It also offers practical case studies and a comprehensive reference list.
Spirituality in Palliative Care
eChapter  5
Added: 05/04/2012
This chapter discusses the issues and practicalities involved in spirituality in relation to palliative care. It introduces an approach to identifying the spiritual needs of people requiring palliativ...e care. In particular, the spiritual needs of older people, children with life-limiting conditions and their parents, people who are recently bereaved, and those with chronic illness or chronic pain will be discussed.
Ethical Decision-Making in Palliative Ca...re
eChapter  4
Added: 05/04/2012
This chapter discusses the issues and practicalities involved in ethical decision-making in palliative care. It introduces an approach to ethical decision-making using clinical pragmatism as a framewo...rk for end-of-life care. The article also includes a discussion of the conflicting opinions and advance directives. It also offers both a case study and a comprehensive reference list.
Surviving and Thriving: The Nurse-Patien...t Relationship in Palliative Care
eChapter  3
Added: 05/04/2012
This chapter discusses the notion that the task of palliative care nurses is to recognise that contradictory emotions and thoughts that surrounds a practice in which there is emphasis on building a ti...me/life-limited relationship. The chapter contains suggestions for building and maintaining a ‘good-enough’ nurse–patient relationship in palliative care, one that ensures that the palliative care nurse can provide the care and support needed in the timeframe that is both constrained and enabled by an ill person’s impending death.
Communication During Transitions to Pall...iative Care
eChapter  2
Added: 05/04/2012
This chapter explores the components of palliative care where communication is central. It offers strategies and tools that can be used to improve communication. It explores the need for good communic...ation when nurses are breaking bad news, working with families or working within health-care teams.
Framing Palliative Care
eChapter  1
Added: 05/04/2012
This chapter explores the complex language surrounding the practice of palliative care and palliative care nursing. It offers a cogent and contemporary discussion of the terms ‘palliative care’, ...hospice’ and ‘end-of-life care’. The intention is to outline a language framework that enables clarity and consistency in the use of terms. The chapter is intended to clarify the context of palliative care within the wider system of health services.
Leading, Motivating, and Enthusing
eChapter  4
Added: 01/11/2011
A new nurse manager is often plunged into an unfamiliar leadership role, as well as having many other challenging responsibilities. They will find themselves on an acute learning curve: adapting to ne...w policies and procedures, observing occupational health-and-safety rules and becoming aware of abstract legal responsibilities.
Occupational Health and Safety
eChapter  11
Added: 01/11/2011
The nature of nursing means that every day many nurses are injured or become ill as a result of work. Causes include physical violence, ergonomic hazards (such as manual handling), exposure to infecti...ous diseases (airborne, blood borne and direct contact), fatigue (due to physically and mentally demanding work), work organisation and shift work, radiation (ionising and non-ionising), handling toxic drugs and exposure to chemicals.
Coping with Hostility
eChapter  20
Added: 01/11/2011
Hostility and overt aggression have been identified as factors that have a significant influence on the delivery of clinical care (Gournay 2001) and on the recruitment and retention of staff (Jackson,... Clare & Mannix 2002). Such hostility is not restricted to interactions with patients and their families; it also occurs in interactions between staff members.
Writing Policies and Procedures
eChapter  13
Added: 01/11/2011
In coming to grips with any topic, the first task is to define the key terms -- in this case policy. Within this context, there are two sorts of policy: public policy and organisational policy. The ac...tivities listed below clearly refer to government functions, hence the term ‘public’; indeed, public policy is allabout how public resources are used and the expected outcomes from theallocation of resources. However, the principles behind each of these points can be adapted to policy areas of health services; that is, ‘organisational’ policy. The umbrella term of policy describes a number of organisational activities(Hogwood & Gunn 1984), including: a label for field of activity; an expression of general purpose or desired state of affairs; specific proposals; decisions of government; formal authorisation; programs; output; outcome; theory or model; and process.
Managing Information
eChapter  18
Added: 01/11/2011
Information can be obtained in many forms -- including personal observations, verbal interactions, written reports and statistical information of various sorts. Information is a vital aspect of manage...ment and modern nurse managers must be able to understand and use computer information systems.
Working with Other Disciplines
eChapter  5
Added: 01/11/2011
This chapter provides a framework for appreciating fundamental differences among disciplines, explains why tensions and conflict occur and outlines strategies for promoting good inter-professional rel...ations.
Managing Performance
eChapter  9
Added: 01/11/2011
Managing performance is a vital management tool if nurse managers are to inspire, motivate and lead their teams to clinical excellence. Performance management includes the evaluation of an individual...s work practice, the review of goals, the setting of new objectives and career planning.
Evidence-based Management
eChapter  22
Added: 01/11/2011
The application of evidence-based practice to health-care management is relevant to people at all levels of health care—and this includes the nurse manager, who is responsible for the overall coordi...nation of nursing team resources.
Managing Ethically
eChapter  3
Added: 01/11/2011
There are many areas in contemporary nursing that involve far-reaching ethical issues—such as informed consent, substitute decision-making, effective use of health-care resources, moral distress of ...staff, and conflict between staff and patient’s family members. This chapter examines some common ethical issues that nursing managers face, the notion of a moral community and ways to combat moral distress among staff.
Working with Job Descriptions
eChapter  14
Added: 01/11/2011
Job descriptions play a vital role in the success of organisational performance. The term job description has been largely replaced by position description (Dessler et al. 2004). Both provide a clear ...written template of roles and expected performance for both an organisation and for individual employees. At the recruitment phase, a job or position description gives the prospective employee an opportunity for self-assessment suitability. In a sense this represents the commencement of the culling phase of selection. Throughout the period of employment the job description serves as an ongoing framework for performance evaluation, as well as for position review and for position redesign. When an employee leaves the organisation, the job description can be further reviewed and refined to assist the organisation in achieving its goals.
Managing Relatives’ Concerns
eChapter  21
Added: 01/11/2011
As consumers of health services have become more knowledgeable about their care and treatment, their expectations have risen. There has been a similar growth in the knowledge and expectations of the r...elatives of those receiving care—relatives want and expect high standards of care and treatment. This chapter explores some of the background to relatives’ concerns and suggest strategies that can be used by nurse managers when dealing with a concerned relative.
Counseling Your Staff
eChapter  7
Added: 01/11/2011
When a staff member comes to a nurse manager for counselling, that staff member expects to take part in a confidential, professional interview through which he or she hopes to feel better and receive ...help in solving problems. Counselling staff involves skilled intervention, confidentiality and, most importantly, the ability to help staff members find a solution to their problems.
Making Meetings Work
eChapter  6
Added: 01/11/2011
Meetings are critical elements in the management of health-care facilities but for a busy nurse manager they can be a liability if not managed well. These gatherings can be held in various settings an...d be formal or informal; however, if they are to create value for the organisation, meetings must have key elements and outcomes of defining issues of importance, resolving problems and making decisions.
Selecting, Recruiting, and Retaining Sta...ff
eChapter  15
Added: 01/11/2011
The current global shortage of nurses has created a highly competitive market in the recruitment of nurses. Health services are competing with each other to recruit suitably qualified nurses and the h...ealth industry as a whole is trying to attract school and university students to undertake nursing studies. This competitive environment has ensured that a critical component of the work of nurse managers is the recruitment and retention of nursing staff.

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