The Practice of Primary Nursing: Relationship-Based, Resource-Driven Care Delivery updates on where Primary Nursing fits in today's health care climate. Originally started at the University of Minnesota Hospitals in 1968, Primary Nursing has been used by many hospitals in the U.S., Canada, and the World. This new edition thoroughly explains the four important operating elements of Primary Nursing and outlines the actual steps taken at the unit level for successful implementation. Today's hospital needs the type of relationship-based care delivery that Primary Nursing provides. Winner of the 2002 American Journal of Nursing Book of the Year Award!

First Place, History and Public Policy, 2010 American Journal of Nursing Book of the Year Awards This new interpretation of the history of nursing in the United States captures the many ways women reframed the most traditional of all gender expectations—that of caring for the sick—to create new possibilities for themselves, to renegotiate the terms of some of their life experiences, and to reshape their own sense of worth and power. For much of modern U.S. history, nursing was informal, often uncompensated, and almost wholly the province of female family and community members. This began to change at the end of the nineteenth century when the prospect of formal training opened for women doors that had been previously closed. Nurses became respected professionals, and becoming a formally trained nurse granted women a range of new social choices and opportunities that eventually translated into economic mobility and stability. Patricia D'Antonio looks closely at this history—using a new analytic framework and a rich trove of archival sources—and finds complex, multiple meanings in the individual choices of women who elected a nursing career. New relationships and social and professional options empowered nurses in constructing consequential lives, supporting their families, and participating both in their communities and in the health care system. Narrating the experiences of nurses, D'Antonio captures the possibilities, power, and problems inherent in the different ways women defined their work and lived their lives. Scholars in the history of medicine, nursing, and public policy, those interested in the intersections of identity, work, gender, education, and race, and nurses will find this a provocative book.

This coherent presentation of clinical judgement, caring practices and collaborative practice provides ideas and images that readers can draw upon in their interactions with others and in their interpretation of what nurses do. It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge. The book uncovers the knowledge embedded in clinical nursing practice and provides the Dreyfus model of skill acquisition applied to nursing, an interpretive approach to identifying and describing clinical knowledge, nursing functions, effective management, research and clinical practice, career development and education, plus practical applications. For nurses and healthcare professionals.

How different is nursing today from 1900? A reproduction of the first issue of the American Journal of Nursing (AJN), the world's oldest and highest circulation nursing journal, will show you. Published in October of 1900 with Sophia Palmer as editor, this journal was the first to be owned and managed by nurses and for nurses. It was the official publication of the Associated Alumnae of Trained Nurses of the United States, the precursor to the American Nurses Association. Its contents include discussions of important topics of the day written by some of nursing's legends: what nurses could expect from the law, written by Lavinia Dock; specialties in nursing by Katherine De Witt, hospital economics by Isabel Hampton Robb; the work of nurses at the Henry Street Settlement House by Lillian Wald; a nurse's experience on the ship, The Maine, on its journey to South Africa to provide support during the second Boer War; and The Relation of Bacteriology to Preventive Medicine and Infant Feeding by physicians. You'll find news of hospitals and their alumnae associations, proceedings of the third convention of the Associated Alumnae, and fascinating ads for things such as the female urinal, nurses' uniforms, and even champagne. This historic treasure provides a fascinating glimpse of nursing as it was more than a century ago, leaving today's readers reflecting on how much things change--or stay the same.

Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.