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Acute and Critical Care Clinical Nurse Specialists E-book

Acute and Critical Care Clinical Nurse Specialists E-book

Mary G McKinley

(2007)

Additional Information

Book Details

Abstract

2007 AJN Book of the Year Award Winner
Acute and Critical Care Clinical Nurse Specialists: Best Practices presents the knowledge and tools the CNS needs to provide the best standards of practice and performance. It focuses on the role of the CNS in acute and critical care, emphasizing the relationship between critical care nursing, the patient, and the environment of care. Divided into 3 main sections, the framework of the book is based on the Scope and Standards of Practice for the Clinical Nurse Specialist in Acute and Critical Care and the AACN's synergy model. This book delivers up-to-date information for today's health care along with practical tools for the CNS in acute and critical care settings.

  • Provides a current guide for the CNS' role in acute and critical care for the most up-to-date information.
  • Reader-friendly presentation of information provides an easy reference that can be used in day-to-day practice.
  • Discussion questions based on the CCNS blueprint assist in review for the certification examination, making this book a seminal reference for nurses taking the CCNS certification examination.
  • Case studies present applied learning of the acute and critical care setting to prepare the reader for real-life situations.

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Acute and Critical Care Clinical Nurse Specialists: Synergy for Best Practices\r iii
Copyright iv
Contributors v
Preface vii
Acknowledgments ix
Table of Contents xi
PART I: THE CLINICAL NURSE SPECIALIST\rIN ACUTE AND CRITICAL CARE 1
Chapter 1: Evolution of the Clinical Nurse\rSpecialist in Acute and Critical Care 1
OVERVIEW 1
CRITICAL CARE NURSING 1
CNS IN ACUTE AND CRITICAL CARE 5
IMPLEMENTING THE ROLE OF THE CNS IN ACUTE AND CRITICAL CARE 6
References 8
Chapter 2: From Novice to Expert: CNS\rCompetencies 11
CLINICAL NURSE SPECIALIST COMPETENCIES 11
EDUCATION 14
CNS ROLE DEVELOPMENT: THEORETICAL PERSPECTIVES 15
CONCLUSION 27
References 27
Chapter 3: Synergy Model: Guiding the\rPractice of the CNS in Acute and\rCritical Care 29
BACKGROUND 29
THE SYNERGY MODEL 29
PATIENT CHARACTERISTICS 30
NURSE COMPETENCIES 33
THE CLINICAL NURSE SPECIALIST 38
CONCLUSION 45
References 45
Chapter 4: Spheres of Influence: Defining\rthe Impact of the CNS 49
SPHERES OF INFLUENCE FOR THE CNS 49
CONCLUSION 60
References 60
PART II: DIMENSIONS OF PRACTICE FOR\rTHE CNS IN ACUTE AND CRITICAL CARE:\rSYNERGY IN MOTION 61
Chapter 5: Clinical Judgment 61
INTRODUCTION 61
DEFINITION OF CLINICAL JUDGMENT 61
IMPLEMENTATION WITHIN THE DIMENSION OF PRACTICE 66
INTEGRATION OF THE STANDARDS OF PROFESSIONAL PERFORMANCE 68
CONCLUSION 74
References 75
Chapter 6: Clinical Inquiry 77
INTRODUCTION 77
BACKGROUND 77
CREATING AN ENVIRONMENT OF CLINICAL INQUIRY 78
STRATEGIES FOR CLINICAL INQUIRY 80
FACILITATING CLINICIAN-LED RESEARCH 82
MEASURING OUTCOMES OF CI 88
CONCLUSION 88
References 89
Chapter 7: The Clinical Nurse Specialist as\rFacilitator of Learning 91
CNS LEVEL OF EXPERTISE 92
IMPLEMENTATION WITHIN THE DIMENSION OF PRACTICE 93
FORMAL INTERVENTIONS 102
FORMAL EDUCATION OPPORTUNITIES 103
EVALUATION 104
INTEGRATION OF THE STANDARDS OF PROFESSIONAL PRACTICE 105
SUMMARY 106
References 106
Chapter 8: Collaboration 109
INTRODUCTION 109
COLLABORATION IN EXPERT PRACTICE 109
IMPLEMENTING COLLABORATIVE PRACTICE 111
CASE STUDY 111
STANDARDS OF PROFESSIONAL PERFORMANCE 114
References 125
Chapter 9: Systems Thinking 127
INTRODUCTION 127
DEFINITION 127
CNS LEVEL OF EXPERTISE 128
IMPLEMENTATION WITHIN THE DIMENSION OF PRACTICE 130
INTEGRATION OF STANDARDS OF PROFESSIONAL PERFORMANCE 132
CONCLUSION 140
References 141
Chapter 10: Advocacy and Moral Agency:\rQuintessential Nursing 143
DEFINING ADVOCACY AND MORAL AGENCY: WHY IT IS IMPORTANT 143
A CASE FOR ADVOCACY: SETTING THE STAGE 144
INTEGRATION OF STANDARDS OF PRACTICE 145
ANALYSIS OF A CASE FOR ADVOCACY: CNS PERSPECTIVE 146
INTEGRATION OF THE STANDARDS OF PROFESSIONAL PERFORMANCE 148
References 152
Chapter 11: Caring Practices 155
INTRODUCTION 155
IMPLEMENTATION WITHIN THE DIMENSION OF PRACTICE 157
INTEGRATION OF THE STANDARDS OF PROFESSIONAL PERFORMANCE 172
SUMMARY 179
DISCUSSION 179
References 181
Chapter 12: Response to Diversity 183
INTRODUCTION 183
IMPLEMENTATION WITHIN THE RESPONSE TO DIVERSITY 187
INTEGRATION OF THE STANDARDS OF PROFESSIONAL PERFORMANCE 190
References 193
PART III: PROFESSIONAL DEVELOPMENT\rOF THE CNS IN ACUTE AND CRITICAL CARE 195
Chapter 13: Professional Development\rof the Clinical Nurse Specialist 195
INTRODUCTION 195
GETTING STARTED 196
ONGOING STRATEGIES FOR SUCCESS 205
SUMMARY 205
References 205
Chapter 14: Expanded Opportunities:\rThe Clinical Nurse Specialist as\rEntrepreneur 207
INTRODUCTION 207
THE CNS AS ENTREPRENEUR 208
THE CURRENT HEALTH CARE ENVIRONMENT 209
EXPANDED CNS OPPORTUNITIES 211
GETTING STARTED 211
GOING FROM NOVICE TO EXPERT 211
PUTTING A PLAN INTO ACTION 212
CONCLUSION 214
References 214
Chapter 15: Current Issues and\rFuture Trends 217
APPENDIX A: Standards of Practice and Performance for the Acute and Critical Care CNS 231
STANDARDS OF PRACTICE 231
STANDARDS OF PROFESSIONAL PERFORMANCE 233
APPENDIX B: CCNS Examination\rBlueprint 237
ADULT PROGRAM 237
PEDIATRIC PROGRAM 239
NEONATAL PROGRAM 240
APPENDIX C: AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence* 243
ABOUT THE STANDARDS 243
SKILLED COMMUNICATION 246
TRUE COLLABORATION 247
EFFECTIVE DECISION MAKING 248
APPROPRIATE STAFFING 249
MEANINGFUL RECOGNITION 250
AUTHENTIC LEADERSHIP 251
References 252
Index 255