Decision-Making in Nursing: Thoughtful Approaches for Leadership / Edition 2

by Sandra B. Lewenson, Marie Truglio-Londrigan

Overview

Decision-Making in Nursing: Thoughtful Approaches for Leadership, Second Edition explores multiple decision-making approaches to enable nursing students and professionals to become insightful, critical, flexible, and confident decision makers in today’s complex healthcare environment. With a reflective, multidimensional approach to decision-making, it examines the ways in which history, legal and ethical issues, spirituality, culture, family, the media, economics, technology, and health policy affect the way nurses make decisions. With a greater emphasis on leadership, teamwork, and intra- and inter- professional relationships, this new edition provides nurses and students the opportunity to see themselves as leaders and feel comfortable making decisions as leaders. Each chapter features vignettes using a nursing scenario to illustrate particular approaches in an actual practice setting. New to this edition is a chapter on using technology for decision-making. In addition, it has been revised to include the latest American Association of Colleges of Nursing Master's and Baccalaureate essentials, evidence to support the models used, and thoroughly updated references.

Product Details

ISBN-13:	9781284026177
Publisher:	Jones & Bartlett Learning
Publication date:	03/21/2014
Edition description:	New Edition
Pages:	254
Product dimensions:	5.90(w) x 8.80(h) x 0.90(d)

About the Author

Sandra B. Lewenson, EdD, RN, FAAN, graduated in 1971 from Hunter-Bellevue School of Nursing where she graduated with a baccalaureate degree in nursing. She received a Master’s of Nursing as a Family Nurse Clinician (with a focus on aging) in 1984 from Mercy College, and later received a Doctorate of Nursing Education from Teachers College, Columbia University in 1989. She has worked in public health in both urban and suburban settings. Currently, Dr. Lewenson is a professor of nursing at the College of Health Professions, Lienhard School of Nursing at Pace University. She integrates nursing history research into her courses addressing primary health care, decision-making, nursing education, and nursing research. Throughout her career, she has served in several leadership positions in nursing and has received several honors for her work. Her honors include the Kenan award for teaching excellence, the 2011 Agnes Dillon Randolf Scholar from the University of Virginia Center for Nursing Historical Inquiry, Outstanding Scholarship and Research Award from Teachers College, Columbia University, induction into the Hall of Fame of the Alumni Association of Hunter College, and the American Association for the History of Nursing Lavinia Dock Award for Historical Scholarship and Research in Nursing for her work, Taking Charge: Nursing, Suffrage, and Feminism in America, 1873-1920. Dr. Lewenson is a member of the American Academy of Nursing and Sigma Theta Tau International Honor Society. Her most recent research examines the history of the American Red Cross Town and Country Rural Nursing Service – a service that provided primary health care like services to populations living in rural settings between 1912 and 1948.

Marie Truglio-Londrigan, PhD, RN, has been a nurse since 1976 and has primarily practiced in public health, community, and long-term care nursing. She holds a Baccalaureate Degree from Herbert H. Lehman College, a Master of Science Degree in Primary Health Care Nursing of the Aged from Seton Hall University, and a PhD from Adelphi University. Dr. Londrigan has published in the areas of gerontology as well as areas pertaining to public health, health promotion and disease prevention. Her research has also focused on older adults living in the community. She has maintained a faculty practice in public health throughout her career. She has served in several academic administrative positions until recently where she returned to the faculty role. Dr. Londrigan actively participated in Zeta Omega Westchester-Rockland County at-large- Chapter, of Sigma Theta Tau International and served a term as the president of this chapter. Presently, Dr. Londrigan is a faculty member at Pace University, College of Health Professions, Lienhard School of Nursing. Her research reflects her interest in aging and public health nursing. At the present time she is conducting a qualitative inquiry in the area of shared decision- making in nursing practice. Her book, Decision-Making in Nursing: Thoughtful Approaches for Practice received the American Journal of Nursing 2008 Book of the Year Award.

Table of Contents

Foreword vii

Preface xi

About the Authors xxi

Acknowledgments xxiii

List of Contributors xxv

Chapter 1 Know Yourself: Reflective Decision-Making Marie Truglio-Londrigan Sandra B. Lewenson 1

Self-Reflection and Decision-Making 2

Use of Self 4

Know Yourself 5

Self-Reflection Assists Decision-Making 10

Chapter 2 Looking Back: History and Decision-Making in Health Care Sendra B. Lewenson 13

Nursing History Informs the Decision-Making Process 19

A Historical Look at Decision-Making in Nursing 20

Historical Critiques Assist Decision-Making in Nursing 24

History as Evidence 28

Chapter 3 Right or Wrong: Policy, Legal and Ethical Issues, and Decision-Making Elizebeth Furlong 33

Legal Aspects 37

National Council of State Boards of Nursing 38

Ethical Decision-Making 41

Nebraska Nurses Respond to the Nebraska Amendment 46

Reaction to the "Out-of-State" Initiative 47

Chapter 4 More than Prayer: Spirituality and Decision-Making Joy Buck 51

Spirituality and Decision-Making Defined 54

Rites and Rights of Living and Dying 56

Spirituality and Decision-Making in Contemporary Times 59

Spirituality and Individual and Familial Decision-Mating 63

Spirituality, Nursing, and Decision-Making: Where to Go from Here? 53

Chapter 5 Culture and Decision-Making Caroline Cemunas 75

Culture 75

Patterns of Knowing 79

Care, Caring, and Culture 81

Unknowing 82

In-Between and Beyond 82

Dialogue, Culture, and Knowing 83

Judging Other Cultures 84

What to Do When Making Decisions 86

Culture, Critical Thinking, and Decision-Making 87

Chapter 6 Family and Decision-Making Susan Salmond 93

What Is Patient (Person)- and Family-Centered Care (PFCC)? 94

Who Is the Family? 95

The Impact of Illness on the Family 97

The Family Role in the Illness Experience 99

Family Management Styles: One Size

Does Not Fit All 100

Intentional Nursing Actions to Support PFCC 102

Nursing Care Promotes Dignity and Respect 103

Information Giving and Sharing 103

Involvement and Shared Decision-Making 104

Collaboration 106

Chapter 7 Media and Decision-Making 113

The Pervasive Influence of the Media 119

Effects of Media on Health Care and Nursing 119

Nursing's Role in Shaping Health Messages 122

Media Portrayal of Nurses: The Stereotypes 122

The Challenge of Getting "Real Nursing" into the Media 128

The Process of Communicating 128

Nurses Must Improve Nursing's Image in Order to Improve Health Care 129

Nursing's Influence on the Healthcare Decisions of Others 135

Send Feedback to the Media 136

Chapter 8 Working Together: Shared Decision-Making 141

Group Work and Shared Decision-Making on an Interdisciplinary Team 142

Group Work and Shared Decision-Making in a Coalition Partnership Model 146

Shared Values and Collective Action for the Common Good 151

Why Consensus? 153

Techniques and Tools for Consensus 154

Outcomes of Consensus 156

Chapter 9 Evidence-Based Decision-Making 163

History and Definition of EBP 164

The EBP Process 165

Barriers to Evidence-Based Practice 174

Chapter 10 Healthcare Costs Matter: Economics and Decision-Making 181

Healthcare Spending 182

Rising Healthcare Costs 183

Nurses as Drivers of Clinical and Financial Innovation 184

Consumers Demand Quality at Reduced Costs 184

Healthcare Financing 186

Health Finance 188

Patient Protection and Affordable Care Act (ACA) 191

Bare Facts about Healthcare Finance and Budgets 192

Accounting Principles 193

Creating the Budget and Knowing the Process 194

Cost-Benefit Analysis 196

Financial Acumen and Leadership Capacity 197

Chapter 11 Getting Involved: Public Policy and Influencing the Outcomes Judith K. Leavitt Andréa Sonenberg 205

Policy, Politics, and Values 206

The Policy Process 207

The Federal Government 209

State Government 211

Local Government 212

Influencing the Process: Political Action 212

Nursing Leadership in Decision-Making to Influence Policy Reform 214

Chapter 12 Use of Technology for Decision-Making Christine Malmgreen Karen Koziol Angela Northrop Veronica Elizabeth Francois Lorraine Von Eeden Sharon Stahl Wexler Lin Drury 223

What Is Information Technology? 224

What Is Data Mining? 224

What Are Electronic Health Records and Electronic Medical Records? 226

What Is Telehealth? 228

Use of Technology for Nursing Education 230

Researching Technology as an Intervention for Best Practice 232

Index 237

Editorial Reviews

Reviewer: Cynthia Cummings, EdD, RN, CHSE, CNE (University of North Florida Brooks College of Health)
Description: This book uses interesting case studies to illustrate a variety of topics in leadership and decision making in nursing, ranging from the history of decision making in the profession to media and financial decisions.
Purpose: The purpose is to provide a different view of the concepts of leadership and decision making. The authors incorporate a number of reflections and case studies.
Audience: The audience includes nurses, nursing administrators, educators, and others in leadership positions.
Features: The book provides a different approach to the idea of nursing decision making. Instead of simply noting how it should be done, the authors use case studies to demonstrate how decisions are developed and reflect on the success and possible problems in these areas. The book is interesting and easy to understand. The reflections and case studies are an excellent way to present this material. There are very few illustrations, which is appropriate.
Assessment: I found the book interesting and insightful. It would be a good tool for any nurse leader and provides excellent background information for those embarking on a leadership career. This is a well-done second edition.

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