Originally published in 1993, this title provides a unique insight into the challenges faced by the women who shaped United States foreign policy at the time. The authors examine the "Gender Gap" in beliefs between men and women in the State and Defense departments. Highlighted by interviews with ten leading women in the field – including Jeane Kirkpatrick and Rozanne Ridgway, then the two highest ranking women in foreign policy – the book provides an intimate glimpse into the making of foreign policy during the Reagan administration. Based on 79 interviews with women and men senior executives in the departments of State and Defense, this title poses a number of key questions. Who are the women in the State and Defense Departments, and how do their background and lifestyle choices compare with those of their male colleagues? What problems do they confront in an attempt to influence policy in the international arena? Do the women on the inside make a difference in how policy is formulated or how the departments are managed? Are women by nature more peaceful than men? Will they alter the face of foreign policy? Or are they more likely to hold the same views as men? This title provided an important insight into these questions, and would have been provocative reading at the time of publication.

This timely collection offers a fresh look on the impact of gender perspectives in the discipline of political science at the beginning of the 21st century. Jane Bayes combats the Eurocentric focus that has characterised both fields and suggests viable alternatives for the future of the disciplines.

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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.