Chapter identifies which Essentials apply to the chapter content. This information is
primarily for the instructor, but students should understand the how these nursing
education standards apply to the chapter content and the nursing profession.
My Hospital Unit: An Evolving Case Experience
See the overview of the My Hospital Unit feature found in the front of the textbook.
Refer students to the specific My Hospital Unit scenario found in the chapter.
This chapter feature can be used in a variety of ways within a course. Students can be
Applying AONE Competencies
The AONE competencies for nurse leaders are found in Appendix A. Ask students to
identify which of the AONE competencies apply to the content in the chapter.
Engaging in the Content: Critical Thinking and Clinical Reasoning and Judgment
See Discussion Questions and Application Exercises at the end of the chapter. Online
options are noted.
Chapter Features: Case Study and Applying Evidence-Based Practice
The Chapter Features: Case Study and Applying Evidence-Based Practice features may
This case is not found in the textbook. It may be used for individual or team assignments:
written assignment and classroom or online team discussions. It may also be used as an
essay question for exams.
Staff from the county public health department is meeting today for their annual staff
retreat. The all day meeting gives the staff the opportunity to come together once a year
to share successes, and discuss problems—and just have time to talk with one another.
The administrator for the department asks one of the data management staff to present
data about the changing demographics in the county. He notes that there is an increase in
diversity, with growth in Hispanics. This is attributed to the use of migrant workers in the
agricultural areas in the county. In addition, one factory has started hiring a more diverse
work staff. The number of elderly in the county is also increasing. One elementary school
has closed. Drugs and alcohol use is on the upswing in all segments of the community,
with an increasing number of DUIs. The Affordable Care Act has provided other health
insurance options for many who could not afford insurance and yet did not qualify for