2014 AJN Book of the Year Award Winner in Advanced Practice Nursing, First Place
Designated a Doody’s Core Title!
‘This widely acclaimed resource has been improved with this update. It is an excellent addition to the library of clinical nurse specialist students, faculty, and current practitioners. The release of the second edition ensures that the information is current for the ever-changing healthcare environment.’ Score: 100, 5 stars
Now in its second edition, this highly acclaimed text remains the only cohesive, comprehensive textbook and professional reference for CNS education and practice. Supported by theory, research, and current literature, the text focuses on CNS roles and scope of practice, expanding opportunities in primary and home care settings, and on outcomes of CNS practice across the care continuum. This second edition reflects two emerging trends affecting CNS practice: an increased focus on transitional care (continuity across the care setting continuum) and new Centers for Medicare Services reimbursement rules related to pressure ulcers, fall and infection prevention, and pain management. Additionally, the second edition places increased emphasis on CNS practice outcomes and newly emerging roles in chronic illness management in primary and home care settings.
Contributors to this edition represent the ìWhoís Whoî of CNS Nursing. Outstanding features include text boxes throughout that highlight core competencies and practice outcomes identified in NACNSís Statement on Clinical Nurse Specialist Practice and Education. Additional chapter features include discussion questions, analysis and synthesis exercises, and clinical application considerations. The text also contains four models of CNS specialty care, and 10 exemplars of CNS practice, all including outcomes.
New to the Second Edition:
- Increased focus on transitional care, primary care, program evaluation, and opportunities for CNS within the ACO and Medicare
- Emphasis on CNS role and practice outcomes pertaining to care of pressure ulcers, fall and infection prevention, and pain management
- New chapter on Program Evaluation
- New chapter on Affordable Care Organizations: New Horizons for CNS Practice
- New chapter on economics of CNS practice
- New chapter on CNS in primary care
विषयसूची
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Contributors ix
Foreword xiii
Preface xv
Acknowledgments xvii
UNIT I. THE NATURE OF CLINICAL NURSE SPECIALIST
PRACTICE
1. Evolution of the Clinical Nurse Specialist Role
and Practice in the United States 1
Janet S. Fulton
2. Professional Attributes in the Context of
Emotional Intelligence, Ethical Conduct, and
Citizenship of the Clinical Nurse Specialist 17
Janet M. Bingle and Sue B. Davidson
3. Philosophical Underpinnings of Advanced
Nursing Practice: A Synthesizing Framework for
Clinical Nurse Specialist Practice 33
Frank D. Hicks
4. Nurse-Sensitive Outcomes 41
Diane M. Doran, Souraya Sidani, and
Tammie Di Pietro
UNIT II. DESIGNING AND EVALUATING NURSING
INTERVENTIONS
5. Clinical Reasoning Model: A Clinical Inquiry
Guide for Solving Problems in the Nursing
Domain 65
Brenda L. Lyon
6. Managing the Change/Innovation Process 81
Jeannette Richardson
7. Evaluating Interventions 97
Kelly A. Goudreau
UNIT III. PROMOTING INNOVATION, CHANGE,
AND DIFFUSION IN PRACTICE
8. Using Complex Adaptive Systems Theory to
Guide Change 109
Kathleen Chapman
9. Engaging Staff in Learning 123
Christine M. Pacini
10. Shaping Practice: Evidence-Based Practice
Models 145
Lisa Hopp
11. Transformational Leadership as the Clinical
Nurse Specialistís Capacity to Influence 163
Brenda L. Lyon
12. Creating a Culture of Quality 173
Nancy Benton
13. Patient Safety 183
Patricia R. Ebright
UNIT IV. DELIVERING CARE TO CLIENTS
14. Individual as Client 199
Janet S. Fulton and Carol L. Baird
15. Family as Client 215
Barbara S. OíBrien, Ginette G. Ferszt,
Cheryl L. Crisp, and Desiree Hensel
16. Community as Client: Clinical Nurse Specialist
Role 231
Naomi E. Ervin
17. Population-Based Data Analysis 241
Ann L. Cupp Curley
18. Client-Focused Teaching and Coaching: The
Clinical Nurse Specialist Role 255
Kelly A. Goudreau
UNIT V. THE BUSINESS OF CLINICAL NURSE
SPECIALIST PRACTICE
19. Consultation in the Clinical Nurse Specialist
Role 269
Geraldine S. Pearson
20. Mentoring 277
Kelly A. Goudreau
21. Project Management: A Core Competency for
Clinical Nurse Specialists 287
Stacy Webster-Wharton and Kelly A. Goudreau
22. Program Evaluation and Clinical Nurse
Specialist Practice 295
Jane A. Walker
23. Accountable Care OrganizationsóNew
Horizons for Clinical Nurse Specialist
Practice 309
Kimberly S. Hodge, Courtney Federspiel, and
Janet S. Fulton
24. Economic and Financial Considerations for
Clinical Nurse Specialists 319
Mary L. Fisher, Leeann Blue, Lori D. Stark, and
Jan M. Powers
25. Technology Management in Complex Health
Care Settings 331
Patricia OíMalley
26. Entrepreneurship and Intrapreneurship in
Advanced Nursing Practice 345
Maria R. Shirey
27. Regulatory and Professional Credentialing of
Clinical Nurse Specialists 363
Brenda L. Lyon
28. Student Clinical Experiences: Responsibilities of
Student, Preceptor, and Faculty 373
Florence Myrick and Diane Billay
UNIT VI. CLINICAL NURSE SPECIALIST ROLE IN A
VARIETY OF SETTINGS
29. Hospital-Based Clinical Nurse Specialist
Practice 391
Ginger S. Pierson
30. Clinical Nurse Specialist in Collaborative
Private Practice 397
Jeffrey S. Jones
31. Clinical Nurse Specialist Entrepreneurship: A
Journey From Idea to Invention, Leading to
Consulting/Education Business 403
Kathleen M. Vollman
32. The Clinical Nurse Specialist in Industry/
Business 411
Jane L. Bromund, Mary A. Short, and
Kathleen C. Solotkin
UNIT VII. EXEMPLARS OF CLINICAL NURSE
SPECIALIST PRACTICE IN A VARIETY OF SPECIALTY
AREAS
33. Providing Pediatric Palliative Care in a Regional
Childrenís Medical Center 417
Patricia OíMalley
34. Implementing a Comprehensive Bariatric Care
Protocol 421
Kathleen D. Wright
35. Reducing Central LineñAssociated Bloodstream
Infections Through a CNS-Led Systemwide
Approach 427
Mary Pat Johnston
36. Improving Clinical Care for a Specialty Surgical
Oncology Population 433
Colleen OíLeary and Taletha M. Askew
37. Facilitating a Programmatic Approach
to Children With Special Health Care
Needs 435
Jo Ellen Rust
38. The Clinical Nurse Specialist in Primary Care
Jeannette Richardson 439
39. Growing a Clinical Nurse Specialist Practice in a
Rehabilitation Setting 451
Kathleen L. Dunn
40. Exploring Clinical Nurse Specialist Practice in
the Emergency Department 457
Garrett K. Chan
41. Establishing a Private Practice for Diabetes
Self-Management 463
Patricia S. Moore
42. Rapid Response Exemplar: Maturation
and Refinement of a Rapid Response
Program 469
Tracey Loudon and Victoria Church
Appendix: Specialty Practice Organizations in
Nursing 479
Michelle L. Treon and Diana Jones
Index 487
‘लेखक के बारे में
Kelly A. Goudreau, Ph D, RN, ACNS-BC, FCNS, FAAN, is the associate director for patient care services and nurse executive, Kansas City VA Medical Center, Kansas City, MO.
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