, Preface
The eighth edition of Nursing in Today’s occurring throughout that will lead the reader
World: Trends, Issues, and Management, like to related content appearing in other areas of
the previous editions of this textbook, focuses the book. This goal has been maintained so
on the nonclincal aspects of the professional that content can be reordered if so desired. For
nursing role. Much of this content is just as example, those of you who prefer a chronologic
critical to practicing safely as is competence in approach to the development of nursing as a
the performance of clinical skills. Nursing profession, are encouraged to adapt your use
continues to experience significant changes as of the various chapters to match this prefer-
it responds to the transformation occurring in ence. If you prefer to study the origins of nurs-
the health care delivery system. As those ing first, that section of this text (Chapter 4)
adjustments and modifications have taken can be read and deliberated before studying
place, we have endeavored to keep the content the first three chapters. Similarly, some con-
of this textbook in tune with the times, revis- tent areas might be combined or perhaps elim-
ing and updating each chapter with the latest inated if it appears elsewhere in the curriculum
information and related Internet resources. of your program.
Additonally, we have made every effort to be The textbook is organized to four major
responsive to suggestions provided by our units of study.
readers. Thus, the eighth edition includes two
new chapters devoted to the topics that sur- • Unit I: Economic and Political Aspects of
round the leadership and management role of Health Care Delivery
the nurse. And we have retained in a concise
and readable format the content that is basic to We believe that if students are to gain an
a textbook that has the nursing profession as appreciation of nursing’s place in the health
its focus. Here is what you will find. care delivery system, it is best facilitated by
gaining an understanding of how the health
care delivery system functions and what forces
Text Organization impact its operation. Thus the text begins with
From the onset, we have attempted to design a an overview of economic and political aspects
textbook that can provide a flexible approach of health care delivery, including such infor-
to instruction with the intention that each mation as how it got to where it is today, how
chapter be able to stand alone with references it operates, how it is financed, and how it is
vii
,viii Preface
politically influenced. Of particular applica- of various bioethical issues that impact nursing
tion to nursing is Chapter 3, which is devoted and nursing practice. The bioethical chapter
to the relevance of the politial process to nurses, will challenge students as they consider the
including information describing how one can many facets related to stem cell research, gene
become informed. It also outlines a variety of therapy, and the human genome project.
ways in which nurses can affect the political
• Unit IV: Career Opportunities and
process. This chapter also includes a discus-
Professional Growth
sion of the many nursing organizations, why so
many exist, and the major focus of each. This section of Nursing in Today’s World focuses
on career opportunities and professional growth
• Unit II: Appreciating the Development of
and includes two new chapters devoted to the
Nursing as a Profession
leadership and management role of the profes-
Chapters 4, 5, and 6 focus on nursing itself. By sional nurse. It begins by exploring the various
understanding the early origins of nursing and employment opportunities available to nurses
it’s challenges as a profession, and by explor- today and provides valuable information related
ing the various educational avenues providing to seeking, applying for, and resigning from a
entry into the profession of nursing, students nursing position. This is followed by a discus-
will be better prepared to participate in the var- sion of the workplace and includes a discussion
ious nonclinical activities and discussions that of organizations, their purpose and function, as
are part of nursing. Students will learn about well as the topic of collective bargaining as it
the development of the profession and the applies to nursing. The final two chapters dis-
challenges to that professional standing. The cuss the leadership/management role of the
various educational paths that prepare gradu- nurse. Following a discussion of the various
ates for registered nurse licensure are presented. forms of leadership, practical suggestions for
Issues discussed include the controversy that team building, motivating others, dealing with
exists regarding the form of educational prepa- conflict, and managing change provide the stu-
ration deemed most appropriate for entry-into- dent with critical information needed to effec-
practice, the implementation of differentiated tively perform in a leadership role.
practice, and whether continuing education
should be mandatory or voluntary.
Pedagogical Features
• Unit III: Legal and Ethical Responsibility • Learning outcomes introduce each chapter
and Accountability for Practice to guide learning efforts
• Key terms used in the chapter discussion
This area of study comprises four chapters. It are listed
begins with a focus on legal and ethical • Critical thinking activities interspersed
accountability and includes a discussion of the throughout each chapter help students criti-
credentials found among health care providers, cally process possible application of the
tracing the history of credentialing in the content
United States and leading to an exploration of • “Situations” in selected chapters provide
the legal issues facing today’s nurse. Also examples of real-life experiences to assist
incorporated into this unit is a chapter devoted students in understanding difficult concepts
to ethics that provides a foundation for ethical presented in the chapter.
decision making, including a broad discussion • Key concepts summarize each chapter
, Preface ix
Special Features activities (short answer, true-false, fill in the
blank and multiple choice questions) in a
All of the illustrations in this eighth edition of chapter work sheet format.
Nursing in Today’s World have been redrawn to
provide eye-catching and provocative inter-
pretation of concepts presented in each chapter.
The cartoon feature, always a hallmark of this Your Input is Welcomed
text, has been redone in full color; the illustra- We continue to appreciate the comments and
tions complement the easy reading style and suggestions of colleagues, friends, and stu-
logical approach of this textbook. We hope you dents. We encourage you to review this text
will appreciate the humorous aspects that can critically and advise us of ways in which we
accompany your commitment to nursing. can make it better meet classroom needs. We
thank the many educators who continue to
Instructor’s Resources select Nursing in Today’s World as the textbook
for your class. In this competitive market, we
An Instructor’s Resource CD-ROM is avail-
know there are many texts from which to
able to faculty adopting this text. This invalu-
choose. We appreciate your support and strive
able resource tool includes:
to bring to you the book that will continue to
• Instructor’s Guide meet your needs.
• Computerized Test Generator
• Image Bank—includes all illustrations
from text.
Special Acknowledgments
• Power Point Slides with basic lecture outlines
We are always appreciative of the help and
support that we enjoy from the fine staff at
Instructor’s Guide Lippincott Williams & Wilkins, particularly
This invaluable resource manual includes: that of our editor Margaret Zuccarini and her
editorial assistants. We have enjoyed working
• Chapter overviews
with Tomm Scalera, who is new to this edition
• Situations to Foster Clinical Thinking that
of the textbook, and is responsible for captur-
provide additional clinical thinking tools
ing our concepts in the colorful illustrations.
• Gaming in the classroom
We want to express our special gratitude and
• Student Review Sheets with Matching,
appreciation to our respective husbands, Ivan
Discussion/Essay, Fill-in-the Blank/Short
and Gordon, for their continued support and
Answer, True/False, and Multiple Choice
encouragement during the development of
questions to assess student learning.
another edition of the text. Their willingness to
In addition to all of the above resources, instruc- let deadlines take precedence over home or
tors and students may access the connection social activities and their assistance with
Web site, http://connecton.lww.com./go/ellis8e. household duties and errands has allowed us to
Here, faculty will find lesson plans that have meet publication deadlines.
been developed to facilitate classroom teaching.
Students can find WebQuests, Web Resources,
content updates, and printable Student Review Janice Rider Ellis
Sheets for every chapter that include learning Celia Love Hartley
The eighth edition of Nursing in Today’s occurring throughout that will lead the reader
World: Trends, Issues, and Management, like to related content appearing in other areas of
the previous editions of this textbook, focuses the book. This goal has been maintained so
on the nonclincal aspects of the professional that content can be reordered if so desired. For
nursing role. Much of this content is just as example, those of you who prefer a chronologic
critical to practicing safely as is competence in approach to the development of nursing as a
the performance of clinical skills. Nursing profession, are encouraged to adapt your use
continues to experience significant changes as of the various chapters to match this prefer-
it responds to the transformation occurring in ence. If you prefer to study the origins of nurs-
the health care delivery system. As those ing first, that section of this text (Chapter 4)
adjustments and modifications have taken can be read and deliberated before studying
place, we have endeavored to keep the content the first three chapters. Similarly, some con-
of this textbook in tune with the times, revis- tent areas might be combined or perhaps elim-
ing and updating each chapter with the latest inated if it appears elsewhere in the curriculum
information and related Internet resources. of your program.
Additonally, we have made every effort to be The textbook is organized to four major
responsive to suggestions provided by our units of study.
readers. Thus, the eighth edition includes two
new chapters devoted to the topics that sur- • Unit I: Economic and Political Aspects of
round the leadership and management role of Health Care Delivery
the nurse. And we have retained in a concise
and readable format the content that is basic to We believe that if students are to gain an
a textbook that has the nursing profession as appreciation of nursing’s place in the health
its focus. Here is what you will find. care delivery system, it is best facilitated by
gaining an understanding of how the health
care delivery system functions and what forces
Text Organization impact its operation. Thus the text begins with
From the onset, we have attempted to design a an overview of economic and political aspects
textbook that can provide a flexible approach of health care delivery, including such infor-
to instruction with the intention that each mation as how it got to where it is today, how
chapter be able to stand alone with references it operates, how it is financed, and how it is
vii
,viii Preface
politically influenced. Of particular applica- of various bioethical issues that impact nursing
tion to nursing is Chapter 3, which is devoted and nursing practice. The bioethical chapter
to the relevance of the politial process to nurses, will challenge students as they consider the
including information describing how one can many facets related to stem cell research, gene
become informed. It also outlines a variety of therapy, and the human genome project.
ways in which nurses can affect the political
• Unit IV: Career Opportunities and
process. This chapter also includes a discus-
Professional Growth
sion of the many nursing organizations, why so
many exist, and the major focus of each. This section of Nursing in Today’s World focuses
on career opportunities and professional growth
• Unit II: Appreciating the Development of
and includes two new chapters devoted to the
Nursing as a Profession
leadership and management role of the profes-
Chapters 4, 5, and 6 focus on nursing itself. By sional nurse. It begins by exploring the various
understanding the early origins of nursing and employment opportunities available to nurses
it’s challenges as a profession, and by explor- today and provides valuable information related
ing the various educational avenues providing to seeking, applying for, and resigning from a
entry into the profession of nursing, students nursing position. This is followed by a discus-
will be better prepared to participate in the var- sion of the workplace and includes a discussion
ious nonclinical activities and discussions that of organizations, their purpose and function, as
are part of nursing. Students will learn about well as the topic of collective bargaining as it
the development of the profession and the applies to nursing. The final two chapters dis-
challenges to that professional standing. The cuss the leadership/management role of the
various educational paths that prepare gradu- nurse. Following a discussion of the various
ates for registered nurse licensure are presented. forms of leadership, practical suggestions for
Issues discussed include the controversy that team building, motivating others, dealing with
exists regarding the form of educational prepa- conflict, and managing change provide the stu-
ration deemed most appropriate for entry-into- dent with critical information needed to effec-
practice, the implementation of differentiated tively perform in a leadership role.
practice, and whether continuing education
should be mandatory or voluntary.
Pedagogical Features
• Unit III: Legal and Ethical Responsibility • Learning outcomes introduce each chapter
and Accountability for Practice to guide learning efforts
• Key terms used in the chapter discussion
This area of study comprises four chapters. It are listed
begins with a focus on legal and ethical • Critical thinking activities interspersed
accountability and includes a discussion of the throughout each chapter help students criti-
credentials found among health care providers, cally process possible application of the
tracing the history of credentialing in the content
United States and leading to an exploration of • “Situations” in selected chapters provide
the legal issues facing today’s nurse. Also examples of real-life experiences to assist
incorporated into this unit is a chapter devoted students in understanding difficult concepts
to ethics that provides a foundation for ethical presented in the chapter.
decision making, including a broad discussion • Key concepts summarize each chapter
, Preface ix
Special Features activities (short answer, true-false, fill in the
blank and multiple choice questions) in a
All of the illustrations in this eighth edition of chapter work sheet format.
Nursing in Today’s World have been redrawn to
provide eye-catching and provocative inter-
pretation of concepts presented in each chapter.
The cartoon feature, always a hallmark of this Your Input is Welcomed
text, has been redone in full color; the illustra- We continue to appreciate the comments and
tions complement the easy reading style and suggestions of colleagues, friends, and stu-
logical approach of this textbook. We hope you dents. We encourage you to review this text
will appreciate the humorous aspects that can critically and advise us of ways in which we
accompany your commitment to nursing. can make it better meet classroom needs. We
thank the many educators who continue to
Instructor’s Resources select Nursing in Today’s World as the textbook
for your class. In this competitive market, we
An Instructor’s Resource CD-ROM is avail-
know there are many texts from which to
able to faculty adopting this text. This invalu-
choose. We appreciate your support and strive
able resource tool includes:
to bring to you the book that will continue to
• Instructor’s Guide meet your needs.
• Computerized Test Generator
• Image Bank—includes all illustrations
from text.
Special Acknowledgments
• Power Point Slides with basic lecture outlines
We are always appreciative of the help and
support that we enjoy from the fine staff at
Instructor’s Guide Lippincott Williams & Wilkins, particularly
This invaluable resource manual includes: that of our editor Margaret Zuccarini and her
editorial assistants. We have enjoyed working
• Chapter overviews
with Tomm Scalera, who is new to this edition
• Situations to Foster Clinical Thinking that
of the textbook, and is responsible for captur-
provide additional clinical thinking tools
ing our concepts in the colorful illustrations.
• Gaming in the classroom
We want to express our special gratitude and
• Student Review Sheets with Matching,
appreciation to our respective husbands, Ivan
Discussion/Essay, Fill-in-the Blank/Short
and Gordon, for their continued support and
Answer, True/False, and Multiple Choice
encouragement during the development of
questions to assess student learning.
another edition of the text. Their willingness to
In addition to all of the above resources, instruc- let deadlines take precedence over home or
tors and students may access the connection social activities and their assistance with
Web site, http://connecton.lww.com./go/ellis8e. household duties and errands has allowed us to
Here, faculty will find lesson plans that have meet publication deadlines.
been developed to facilitate classroom teaching.
Students can find WebQuests, Web Resources,
content updates, and printable Student Review Janice Rider Ellis
Sheets for every chapter that include learning Celia Love Hartley
