Delivers a wealth of information for nurses who wish to open and manage their own health clinics Public health nursing—with its focus on compassionate, holistic care and services to the poor, the aged, those suffering from social injustice, and those without adequate health facilities—had its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services—including primary care, health promotion, disease prevention, and behavioral health care—to residents of underserved communities throughout the United States. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform. Helpful appendices include a start-up checklist, sample bylaws, and a managed-care contracting toolkit. KEY FEATURES: Describes key business, policy, medical, financial, and operational considerations for running a nurse-managed health center Addresses the pros and cons of a variety of business models for nurse-led care Identifies the most common clinical services offered Presents quality metrics, best-practice models, and case studies Includes state and federal policy and regulatory challenges and opportunities
In recent years there has been a huge growth in nurse-led clinics within hospital outpatient departments, general practitioner surgeries and health centres. The government has endorsed the use of such clinics as a way for the public to access specialist health care and treatment more quickly and also as an effective way to manage chronic ill health. However, there is a lack of uniform structure in educational preparation for nurses interested in taking up nurse-led practice and a dearth of literature offering practical guidance. This text provides a much-needed overview of this new arena for nursing and includes case studies from practitioners running nurse-led clinics. Topics covered include: * Setting up a clinic * Public protection issues * Nurse education * Managing medicines * Effectiveness and evaluation. The text allows the reader to explore key practice issues which directly affect the quality of service provided. It will be an invaluable handbook for nurses directly involved in running clinics, for those responsible for the provision of nurse-led services and for nurse educators.
Advanced Nursing Practice and Nurse led Clinics in Oncology
Over the past ten years there has been a dramatic increase in new nursing roles and nurse-led clinics within oncology. This unique handbook is a comprehensive companion for nurses studying and practising at an advanced level in this emerging field. This text outlines and discusses roles, responsibilities and skills related to advanced practice in oncology nursing – including leadership, communication skills and prescribing – linking throughout to the implications for clinical practice. It then provides a step-by-step guide to setting up and developing nurse-led clinics, looking in more detail at clinics focusing on surgery, chemotherapy, radiotherapy, clinical trials and follow ups, and providing an in-depth case example of a clinic set up for adjuvant Herceptin use. Practical, relevant and underpinned by current legislation, Advanced Nursing Practice and Nurse-led Clinics in Oncology is an invaluable resource for oncology nurses.
Patients are discharged from Stroke Unit following a stroke, given advice regarding secondary prevention and the leaflet to attend stroke drop-in sessions. Drop-in sessions are held once a month where patients attend as often as they need to and get the advice which is relevant to them. This can range from a simple blood pressure check to therapists giving specific advise on exercises and positioning as well as doctors recommending changes in medication if necessary.A member of the Stroke Association is present who can advise on support availible through their service, especially regarding communication.This is also a good oppurunity to have a social interaction with other stroke patients and share experiences.Patients get seen in 6 month follow-up clinic and they are already aware of what they need to do in order to reduce they risk of a further stroke.In the meantime they are actively participating in stroke prevention and are aware of the importance of blood pressure control.
Comparison of Two Models of Nurse led Hypertension Clinics in a Primary Health Care Setting
Baccalaureate nursing programs across California (CA) are required by the state board of nursing to provide theory of public health and applied clinical learning to meet the requirements of the state's public health nurse (PHN) certification. Students in Bachelor of Science in Nursing (BSN) programs are expected to enter the workforce prepared to address population health needs that synthesize community-based assessment and understand epidemiologic approaches to strategize interventions in diverse populations at the local, state and national levels. To adequately prepare nurses for true population health practice, clinical experiences need to be in appropriate settings where they can apply theory to practice and experience interacting with vulnerable patient populations. Opportunities for interprofessional collaboration and multi-sector system partnerships are essential to preparing BSN graduates for the workforce. Give the growing trends in nursing education to meet the Institute of Medicine recommendations to prepare thirty percent more nursing graduates with BSN as the point of entry to practice by 2020, the competition for clinical placements has accelerated. Parallel to this problem is a growing homeless population across CA. The county of San Diego has become the fourth-largest homeless population in the United States (U.S.), growing at a nearly 10% increase annually. This is a local crisis requiring cooperation at all levels of public and private sectors to unite and develop innovative solutions to address the humanitarian needs of those affected. Preparing nurses who understand the historical, ethical and unique healthcare needs of this population is imperative to solving this urgent situation. An innovative approach to meeting the needs of BSN students and individuals experiencing homelessness with unmet healthcare needs is to provide nurse-led pop-up clinics within the homeless community of San Diego. This upstream approach brings students to the patients where they are. Students gain intimate experiences with diverse patients in community-based settings working alongside community partners to develop public health skills. This authentic immersive experience not only meets the competency requirements for the CA PHN certification but serves to support the multi-disciplinary actions needed to address the homeless crisis in San Diego. This paper outlines the development and implementation of a pop-up clinic model led by Point Loma Nazarene University School of Nursing beginning in 2019.
The third edition of this highly acclaimed U.K. text provides a comprehensive overview of urological nursing written by an outstanding team of nurse specialists and educators. It is extensively revised and updated to include all the latest developments and is suitable for all nurses and students working in the specialty. Additional content covers care pathways, setting up nurse-led clinics and clinical trials, the developing roles of specialist nurses, ACE procedure, and use of viagra and other oral agents Thoroughly updated in line with the latest developments in urology and nursing practice Chapter on nursing developments includes sections on care pathways, research and education Improved layout with clearer headings and a closer match of text with illustrations All chapters updated to maintain the focus of the book on the post-registration nurse specialist Additional topics include ACE procedure; use of viagra and other oral agents; setting up of nurse-led clinics, such as continence assessment clinics; and clemical theory to explain why some tests are carried out and their effects on the patient Expanded contents list at start of each chapter
Filled with practical advice from experienced nurses and up-to-date clinical information, this new edition of the Oxford Handbook of Musculoskeletal Nursing is the invaluable guide for all nurses and allied health professionals working with patients who have rheumatological and musculoskeletal conditions. Written to ensure that a nurse in any care environment will have the core information they require at their fingertips, this Handbook is split into three sections: musculoskeletal conditions and their management; clinical issues; and nursing care issues including treatment, nursing management, and tools. Management approaches have been fully updated since the first edition, and the changing healthcare environment and available treatments have been considered, alongside the move towards patient self-management and self-care. This Handbook also addresses the increasing demand for guidance in relation to musculoskeletal conditions, as the growing elderly and chronic disease populations needs for healthcare continue. Featuring brand new chapters on the patient's perspective, nurse-led clinics, and public health awareness, the Oxford Handbook of Musculoskeletal Nursing second edition is a practical and comprehensive guide to help the reader reach the best possible results for their patients.