Anita Finkelman - Professional Nursing Concepts: Competencies for Quality Leadership

World Headquarters

Jones & Bartlett Learning

25 Mall Road

Burlington, MA 01803

978-443-5000

www.jblearning.com

Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com.

Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information or send an email to .

Copyright 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.

The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. Professional Nursing Concepts: Competencies for Quality Leadership, Fifth Edition is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks or service marks referenced in this product.

There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious but are used for instructional purposes only.

The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used.

23098-7

Production Credits

Vice President, Product Management: Marisa R. Urbano

Vice President, Product Operations: Christine Emerton

Director, Product Management: Matthew Kane

Product Manager: Joanna Gallant

Director, Content Management: Donna Gridley

Manager, Content Strategy: Carolyn Pershouse

Content Strategist: Christina Freitas

Director, Project Management and Content Services: Karen Scott

Project Manager: Kristen Rogers

Project Specialist: Angela Montoya

Digital Project Specialist: Rachel DiMaggio

Senior Marketing Manager: Jennifer Scherzay

Content Services Manager: Colleen Lamy

VP, Manufacturing and Inventory Control: Therese Connell

Product Fulfillment Manager: Wendy Kilborn

Composition: S4Carlisle Publishing Services

Project Management: S4Carlisle Publishing Services

Cover and Text Design: Scott Moden

Senior Media Development Editor: Troy Liston

Rights & Permissions Manager: John Rusk

Rights Specialist: Maria Leon Maimone

Cover Image (Title Page, Part Opener, Chapter Opener): simonbradfield/E+/Getty Images

Printing and Binding: LSC Crawfordsville

Library of Congress Cataloging-in-Publication Data

Library of Congress Cataloging-in-Publication Data unavailable at time of printing.

6048

Printed in the United States of America

25 24 23 22 21 10 9 8 7 6 5 4 3 2 1

simonbradfield/E+/Getty Images

simonbradfield/E+/Getty Images

I thank my family for all of their support of my writing: Fred, Shoshannah, and Deborah. This edition is in honor of my grandson, Matanel Yizhar Chodoff. Thank you to Elisabeth Garofalo for her role as developmental editor in previous editions; Amanda Martin and Tina Chen for guidance in the ongoing editions of this text; Christina Freitas and Joanna Gallant for guidance and management of the project; Maria Leon Maimone for guidance regarding copyright; the production team led by Latha Padmaraj; and all the team at Jones & Bartlett Learning who have participated in this project. I also want to recognize all students and faculty I have worked with who taught me so much about what students need to know to practice competently and what other faculty have taught me about effective learning experiences for students in the classroom, simulation, and clinical settings.

simonbradfield/E+/Getty Images

The development of this text is motivated by the need to provide background information about the nursing profession and critical healthcare delivery issues that affect our profession to students who are beginning their nursing education or working toward their baccalaureate degree for career development. This goal has been the same for all of this texts editions, but it is even more imperative today with a healthcare system experiencing many changes due to healthcare legislation and as we experience more changes with a new U.S. presidential administration. Change is part of health care, and we need to understand where we came from and update ourselves so we can effectively engage in the change process that lies ahead of us. We hear much about healthcare reimbursement in the news, and this is importantbut we cannot ignore that we have a healthcare system that needs repair and improvement. Thus, this