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There is uncertainty within the nursing profession as to not only what leadership is but what knowledge and skills are necessary for nursing to influence health care (Antrobus, 1997; Wilson & PorterO'Grady, 1999; Wright, 1996). Leadership behaviors have not been adequately developed because undergraduate educational programs have not emphasized leadership skill development. This is particularly…
A mission statement is a statement of purpose. It explains why your practice exists. A mission statement provides excitement, clarity, and, especially, inspiration. It is used to help initiate, evaluate, and define your activities. In the form of a directive, your mission statement needs to be understandable in lay terms and embedded in your memory so that it can be easily recalled. Keep your m…
Advanced practice is a contemporary term that has evolved to label an old phenomenon: nurses providing care to others in their surrounding communities. As Barbara Ehrenreich and Deidre English (1973) note, “Women have always been healers. They were the unlicensed doctors and anatomists of western history . . . they were pharmacists, cultivating herbs and exchanging the secrets of their uses. …
A mutant gene, an abnormal chromosome, or a teratologic agent that causes harmful changes in genetic material is as much an etiologic agent of disease as is a microorganism. Certain genetic states are definitely known to increase an individual's susceptibility and resistance to certain specific disorders, whereas others are suspected of doing so. Genes set the limits for the responses and adapt…
We are rapidly approaching the end of two decades of publication of the Annual Review of Nursing Research (ARNR) series. This nineteenth volume follows a pattern established in the eighteenth, that is, the entire volume is devoted to one area of nursing research. In this nineteenth volume the focus is women's health. Drs. Diana Taylor and Nancy Woods, well-known scientists in women's health res…
The world is indeed a global community, and this is an exciting time to be a nurse. There are unlimited opportunities to truly make a difference in promoting social justice, global health equity, and reducing health disparities for all of the world’s peoples. Nurses provide 60% to 80% of the world’s health care, although in some rural areas in Africa, nearly 85% of the health care is pr…
Presurgical Assessment Many patients will have the majority of their preoperative assessment done in advance of the day of surgery through the surgeon’s office. The surgeon will determine the need for surgery, and request the appropriate presurgical evaluation, which may include sending the patient to • His or her primary care physician for clearance • Preanesthetic clinic for evalu…
Patient safety is not a new concept for health care practitioners, but the attention focused on it by the Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health System galvanized public and media attention as well as policymakers (Kohn, Corrigan, & Donaldson, 2000). While safety issues are not new for most caregivers, knowledge of how mistakes and errors occur has been adv…
The first and second editions of this book were conceived to provide distilled, up-to-date information to nursing students and staff nurses about many conditions and diagnoses encountered in nursing practice. With the third edition, we have responded to the ever-changing health care environment as well as to the recommendations of our readers and editors. We have held true to our initial pur…
Abstract Background:Mitral valve stenosis is a common manifestation of chronic rheumatic heart disease. The presence of spontaneous echo contrast in the left atrium and left atrial appendage has been reported to be an independent predictor of thrombo-embolic risk in patients with mitral stenosis. The objective of this study was to retrospectively investigate various clinical and echocardiograp…