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Cover -- Title -- Copyright -- Contents -- Foreword -- Preface -- How to Use this Book -- Acknowledgments -- I. Nursing and Health Systems -- 1. Quality, Caring, and Health Systems -- Persistent Crisis of Quality in Systems Health -- Quality and Professional Nursing Care -- Improving Quality in Nursing and Health Systems -- Sustaining a Valuable Health System -- Summary -- Reflective Questions/Applications -- 2. Professionalism in Health Systems -- The Profession of Nursing -- Professionalism -- Professional Nursing in a Transformed Health System -- The Grounding Benefits of Theory-Guided Professional Practice -- Summary -- Reflective Questions/Applications . . . -- 3. Evolution of the ­Quality-Caring Model© -- Complex Health Systems -- The Evolving Quality-Caring Model -- Assumptions, Major Concepts, and Propositions of the Quality-Caring Model -- Major Model Concepts -- Propositions of the Quality-Caring Model -- Role of The Nurse -- Hopeful Insights for A More Caring Future -- Summary -- Reflective Questions/Applications -- II. Practicing in Quality-Caring Health Systems -- 4. Humans in Relationship -- The Relational Context of Being Human -- The Fundamental Relationships of the Quality-Caring Model© -- Relating to Self -- Relating to Vulnerable Patients and Families -- Relating to Each Other -- Relating to the Community we Serve -- Importance of Relationships in Health Systems -- Summary -- Reflective Questions/Applications -- 5. Relationship-Centered Professional Encounters -- What Patients and Families want from Health Professionals -- What does "Patient Centered" Really mean? -- Evidence of the Benefits of Patient-Centered Care -- Relationship-Centered Professional Encounters -- Patient-Centered Care and Quality Caring -- Summary -- Reflective Questions/Applications -- 6. Relational Capacity -- The Meaning of Relational Capacity.

Individual Relational Capacity -- Collective Relational Capacity (Team Caring) -- Organizational Relational Capacity -- Summary -- Reflective Questions/Applications -- 7. Feeling "Cared For" -- The Positive Emotion of "Feeling Cared For" -- The Unique Role of the Nurse -- Measuring "Feeling Cared For" -- Improving "Feeling Cared For" -- Researching "Feeling Cared For" -- Summary -- Reflective Questions/Applications -- 8. Practice Improvement -- The Nature of Professional Practice -- Learning in Practice -- Microsystems and Communities of Practice -- The Value of Practice Improvement -- Summary -- Reflective Questions/Applications -- 9. Self-Advancing Systems -- The Meaning of Self-Advancing Systems -- Process, Process, Process -- The Meaning of Self-Advancement for Patients and Families -- The Meaning of Self-Advancement for Health Professionals -- The Meaning of Self-Advancement for Health Systems -- Summary -- Reflective Questions/Applications -- III. Leading and Learning in Quality-Caring Health Systems -- 10. Leading Quality Caring -- The Context of Clinical Practice -- Leadership as a Practice -- Relationship-Centered Leadership -- Implementing and Evaluating Relationship-Centered Professional Practice Models -- Using the QCM to Lead -- Summary -- Reflective Questions/Applications -- 11. Learning Quality Caring -- Nursing Practice -- Nursing Education as a Practice -- Learning how to Care -- Caring Pedagogies -- Clinical Learning: Integrating Cognitive, Psychomotor, and Affective Domains -- The Importance of a Revised Nursing Curriculum -- Evaluating Caring Relationships -- Assuring Individual Caring Capacity -- Program Evaluation Using the QCM -- Summary -- Reflective Questions/Applications -- 12. The Value of Quality Caring -- Envisioning the Future: Ten Years, Fifty Years, and Beyond -- Renewed and Revitalized Quality Caring.

Quality Caring In Action -- Nurses in Clinical Practice -- Leadership -- Education -- Advancing the Science of Caring Relationships -- The Promise of a Valuable Health System -- Summary -- Reflective Questions/Applications -- Appendices -- Appendix A: Quality and Caring Resources on the Internet -- Appendix B: Example Health Systems Using the Quality-Caring Model© as the Foundation for Professional Practice -- Appendix C: Nursing Implications of the Quality-Caring Model© -- Appendix D: Using the Caring Factors to Keep Patients Safe -- Appendix E: Using the Caring Factors to Advance Quality Health Outcomes -- Appendix F: Assessment of Professional Practice -- Appendix G: Potential Research Questions -- Appendix H: Reflections on Practice -- Appendix I: A Mother's Reflections on Nursing -- References -- Index.

First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÃ#x96;This book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the.

Interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care.