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Publisher: Jones & Bartlett Learning
Author: Patti Zuzelo
Category : Medical
Languages : en
Pages : 382

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The Clinical Nurse Specialist Handbook

The Clinical Nurse Specialist Handbook by Patti Zuzelo, The Clinical Nurse Specialist Handbook Books available in PDF, EPUB, Mobi Format. Download The Clinical Nurse Specialist Handbook books, The Clinical Nurse Specialist Handbook, Second Edition is a comprehensive resource designed exclusively for clinical nurse specialists. Completely revised and updated, it delves more deeply into topics covered in the first edition, winner of the 2007 AJN Book of the Year award. As the CNS role continues to evolve, opportunities and challenges will emerge. Readers gain valuable insight and learn effective strategies to manage the day-to-day responsibilities and complexities associated with continuous quality improvement, patient safety initiatives, chairing meetings, and teaching. The text provides practical advice using real-world CNS scenarios to facilitate learning and positively influence care outcomes. It also contains information and tools to help students expand their knowledge and succeed professionally. Chapters address issues such as workplace violence, professional and personal development, and performance appraisal.

Book Details
Publisher: Springer Publishing Company
Author: Janet S. Fulton
Category : Medical
Languages : en
Pages : 465

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Foundations Of Clinical Nurse Specialist Practice

The Clinical Nurse Specialist Handbook by Janet S. Fulton, Foundations Of Clinical Nurse Specialist Practice Books available in PDF, EPUB, Mobi Format. Download Foundations Of Clinical Nurse Specialist Practice books, Print+CourseSmart

Book Details
Publisher: Jones & Bartlett Learning
Author: Patti Rager Zuzelo
Category : Medical
Languages : en
Pages : 397

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Book Description

The Clinical Nurse Specialist Handbook

The Clinical Nurse Specialist Handbook by Patti Rager Zuzelo, The Clinical Nurse Specialist Handbook Books available in PDF, EPUB, Mobi Format. Download The Clinical Nurse Specialist Handbook books, The Clinical Nurse Specialist Handbook Addresses The Specific, Practical, Day-To-Day Responsibilities And Challenges Of The CNS Role. This Text Is Great For Graduate Students Enrolled In CNS Graduate Programs, Particularly During Their Last Year Of Study When Students Are Typically Involved In Clinical Praticum Courses.

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Publisher: Springer Publishing Company
Author: Melanie Duffy
Category : Medical
Languages : en
Pages : 192

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Clinical Nurse Specialist Toolkit

The Clinical Nurse Specialist Handbook by Melanie Duffy, Clinical Nurse Specialist Toolkit Books available in PDF, EPUB, Mobi Format. Download Clinical Nurse Specialist Toolkit books, " This is a valuable resource for new clinical nurse specialists as they begin their journey. It provides excellent guidance that will help new graduates as they negotiate new positions and develop new roles in healthcare organizations.Score: 95, 4 stars --Doody's The Clinical Nurse Specialist Toolkit serves as a one-stop, all-inclusive guide designed for novice Clinical Nurse Specialists (CNSs) just getting started in this exciting new career. Organized in an easy-to-use, bullet-point format, this book contains 6 key sections: Getting Started presents valuable information on negotiating and securing a job, with tips for interviews and the application process Moving Forward provides advice on establishing credibility in the field, prioritizing, and finding a mentor Gaining Momentum contains guidelines on mentoring staff, leading groups, and precepting students Evaluation sets forth critical information on how to document and measure clinical outcomes Reaching Out describes how to network with professional organizations and community agencies Professional Recognition provides practical guidance on applying for reimbursement and pursuing certification and licensure With numerous clinical examples, case scenarios, and personal anecdotes culled from the contributors' own professional experiences, this toolkit serves as an insightful, authoritative resource for all CNS students and practitioners. Seasoned CNSs looking to expand their knowledge of the field will also want to add this book to their collection. "

Book Details
Publisher: Elsevier Health Sciences
Author: AACN
Category : Medical
Languages : en
Pages : 288

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Acute And Critical Care Clinical Nurse Specialists E Book

The Clinical Nurse Specialist Handbook by AACN, Acute And Critical Care Clinical Nurse Specialists E Book Books available in PDF, EPUB, Mobi Format. Download Acute And Critical Care Clinical Nurse Specialists E Book books, 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.

Book Details
Publisher: Springer Nature
Author: Janet S. Fulton
Category : Medical
Languages : en
Pages : 299

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Book Description

Clinical Nurse Specialist Role And Practice

The Clinical Nurse Specialist Handbook by Janet S. Fulton, Clinical Nurse Specialist Role And Practice Books available in PDF, EPUB, Mobi Format. Download Clinical Nurse Specialist Role And Practice books, Developed under the direction of the International Council of Nurses (ICN), this book is part of a series exploring advanced practice globally. It is the first known volume to provide an international view of the advanced practice role of clinical nurse specialist (CNS). It features an in-depth examination of advanced speciality practice in nursing, and the advanced practice role of the clinical CNS. Content includes models of practice, core practice competencies, curricular recommendations, practice outcomes, and regulatory requirements related to scope of practice. The CNS role and practice as implemented in North America, Europe, Asia and Oceania are examined in the context of the country’s healthcare system, educational traditions and regulatory requirements. Exemplars describe role implementation in various specialty practices and discuss how the role is implemented to advance nursing and improve clinical and fiscal outcomes. Measurement and evaluation of CNS practice in the context of countries and health care systems are examined. For practicing CNSs, this book provides an in-depth examination of the role from the global perspective; for administrators it provides a foundational understanding of the CNS role and practice and performance expectations. Educators will use the book as a resource for curriculum development, whereas students will offers an expanded global view of the role. Advanced practice roles, including the CNS, are continuing to evolve. This book makes important contributions to a global understanding of the CNS role.

Book Details
Publisher: Springer Publishing Company
Author: Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN
Category : Medical
Languages : en
Pages : 512

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Book Description

Foundations Of Clinical Nurse Specialist Practice Second Edition

The Clinical Nurse Specialist Handbook by Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN, Foundations Of Clinical Nurse Specialist Practice Second Edition Books available in PDF, EPUB, Mobi Format. Download Foundations Of Clinical Nurse Specialist Practice Second Edition books, 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

Book Details
Publisher: F.A. Davis
Author: Janet G Foster
Category : Medical
Languages : en
Pages : 1024

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Advanced Practice Nursing Of Adults In Acute Care

The Clinical Nurse Specialist Handbook by Janet G Foster, Advanced Practice Nursing Of Adults In Acute Care Books available in PDF, EPUB, Mobi Format. Download Advanced Practice Nursing Of Adults In Acute Care books, Written by a Clinical Nurse Specialist for Clinical Nurse Specialists, this text explores the expanding roles and responsibilities of the CNS—from core competencies and theoretical foundations for practice to caring for the hospitalized adult to shaping the healthcare system through the CNS’s spheres of influence.

Book Details
Publisher:
Author: AMY. SHAY
Category :
Languages : en
Pages : 472

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Adult Gerontology Clinical Nurse Specialist Certification Review

The Clinical Nurse Specialist Handbook by AMY. SHAY, Adult Gerontology Clinical Nurse Specialist Certification Review Books available in PDF, EPUB, Mobi Format. Download Adult Gerontology Clinical Nurse Specialist Certification Review books, Co-Published with the National Association of Clinical Nurse Specialists (NACNS) to provide you with invaluable guidance for acing your Adult-Gerontology CNS exam! This comprehensive review manual provides the ultimate resource for either the AACN Adult-Gerontology Clinical Nurse Specialist Wellness Through Acute Care (ACCNS-AG) or the ANCC Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) certification exam. It incorporates both current test plans and the most recent NACNS core competencies, encompassing all the essential knowledge you need to pass the exam and succeed in practice. Written by certified Clinical Nurse Specialist educators and practitioners, this guide begins with an overview of both exams, study tips, and test-taking strategies to help you prepare for the big day. The manual is then organized into three sections according to the Three Spheres of Impact for CNS Practice. Patient Direct Care: covers health assessment, diagnostic reasoning, pharmacology, and pathophysiology Nurses & Nursing Practice: reviews health maximization, consultation, advocacy, culturally competent care, and coaching and mentoring Organizations & Systems: features sections on leadership, QI/safety, outcomes, research, and evidence-based practice Adult-Gerontology Clinical Nurse Specialist Certification Review provides a targeted, systematic review for the ACCNS-AG and AGCNS-BC exams with end-of-chapter review questions and a FULL practice test that includes answers and rationales in an easy-to-digest format. Key Features: Reflects the latest AACN and ANCC test plans Incorporates the updated NACNS Core Competencies and the AACN Scope and Standards for CNS Practice Edited and authored by certified Clinical Nurse Specialist educators and practitioners Includes end-of-chapter review questions, PLUS a valuable 175-question practice test with rationales for self-assessment Purchase includes digital access for use on most mobile devices or computers

Book Details
Publisher: W B Saunders Company
Author: Ann B. Hamric
Category : Medical
Languages : en
Pages : 466

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The Clinical Nurse Specialist In Theory And Practice

The Clinical Nurse Specialist Handbook by Ann B. Hamric, The Clinical Nurse Specialist In Theory And Practice Books available in PDF, EPUB, Mobi Format. Download The Clinical Nurse Specialist In Theory And Practice books, This text fully explores the clinical nurse specialist's role as a direct provider of patient care, as a researcher, as a consultant, and as an educator. Presents a comprehensive analysis that runs the gamut from history, conceptualization, and development to practice, education, evaluation, and future directions for clinical specialization within the nursing profession. Winner of AJN Book of the Year Award in previous edition.

Book Details
Publisher: Springer Publishing Company
Author: Ruth M. Kleinpell
Category : Medical
Languages : en
Pages : 289

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Book Description

Outcome Assessment In Advanced Practice Nursing

The Clinical Nurse Specialist Handbook by Ruth M. Kleinpell, Outcome Assessment In Advanced Practice Nursing Books available in PDF, EPUB, Mobi Format. Download Outcome Assessment In Advanced Practice Nursing books, This book provides up-to-date resources and examples of outcome measures, tools and methods that can be used by APNs in their quest to keep pace with new developments in the rapidly expanding field of outcome measurement. The chapter authors, recognized expert practitioners, offer invaluable insight into the process of conducting outcomes assessments in all APN practice, including the clinical nurse, nurse practitioner, certified registered nurse anesthetist and certified nurse midwife practice specialties. Detailed figures, tables, and examples of outcome studies from actual research in APN practice make this an essential resource for evaluating the true impact the advanced practice nurse has on the delivery and fulfillment of care.

Book Details
Publisher: Springer Nature
Author: Lisbeth Maria Fagerström
Category : Medical
Languages : en
Pages : 248

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Book Description

A Caring Advanced Practice Nursing Model

The Clinical Nurse Specialist Handbook by Lisbeth Maria Fagerström, A Caring Advanced Practice Nursing Model Books available in PDF, EPUB, Mobi Format. Download A Caring Advanced Practice Nursing Model books, This book introduces readers to the basics of Advanced Practice Nursing (APN), which offers expanded clinical competence that can help improve the quality of health and care services. The book offers a range of perspectives on APN, APN models, APN education, challenges in the implementation of APN in new countries, as well as a description of the APN role, including areas of expertise. These core areas of the Caring APN model (clinical nursing practice; ethical decision-making; coaching and teaching; consultation; collaboration; case management; leadership; research and development) are described, together with the role of APN in acute care and primary healthcare service contexts. The book also explores the connection between epistemology, a three-dimensional view of knowledge (epistêmê, technê and phronesis) and a caritative perspective, as well as central theoretical aspects of nursing, e.g. health, holism and ethics/ethos. All research should be grounded in theoretical perspectives, and here we highlight the value of a caring and person-centered philosophy in advanced practice nursing. Through its specific focus on the central, generic theoretical features of nursing science that deepen the role of APN and the scope of practice and APN research and education, the content presented here will help any researcher, teacher or student understand the importance of epistemological issues for research, education and clinical practice in this field. Moreover, it can be used when designing Master’s programs in Advanced Practice Nursing, making the book a valuable resource for the international nursing community.

Book Details
Publisher: Mometrix Media LLC
Author: Mometrix Media
Category : Medical
Languages : en
Pages : 180

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Book Description

Adult Ccns Exam Secrets Study Guide

The Clinical Nurse Specialist Handbook by Mometrix Media, Adult Ccns Exam Secrets Study Guide Books available in PDF, EPUB, Mobi Format. Download Adult Ccns Exam Secrets Study Guide books, ***Includes Practice Test Questions*** Adult CCNS Exam Secrets helps you ace the Adult Acute and Critical Care Clinical Nurse Specialist Certification Exam without weeks and months of endless studying. Our comprehensive Adult CCNS Exam Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. Adult CCNS Exam Secrets includes: The 5 Secret Keys to CCNS Exam Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive Content review including: Stable Angina, Endocarditis, Pericarditis, Papillary Muscle Rupture, Myocardial Infarction, Cardiac Tamponade, Cardiogenic Shock, Restrictive Cardiomyopathy, Glycoprotein IIB, Anticoagulants, Antidysrhythmics, Temporary Pacemakers, Pulmonary Hypertension, Aortic Aneurysm, Fat Embolism Syndrome, Respiratory Failure, Air Leak Syndromes, Pneumothorax, Chronic Obstructive Lung Disease, Cystic Fibrosis, Thoracic Trauma, Lung Volume Reduction, Treatment of Ketoacidosis, Endocrine System, Hormone Production, Thyroid Gland, Hematologic System, Reticuloendothelial Systems, Leukocytes, Heparin-Induced Thrombocytopenia, Hypertensive Encephalopathy, Infectious Encephalopathy, Seizure Disorders, Ischemic, Acute Abdominal Trauma, Peptic Ulcers, Esophageal Varices, and much more...

Book Details
Publisher: Sigma
Author: Angeline Dewey
Category : Medical
Languages : en
Pages :

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The Nurse S Healthcare Ethics Committee Handbook

The Clinical Nurse Specialist Handbook by Angeline Dewey, The Nurse S Healthcare Ethics Committee Handbook Books available in PDF, EPUB, Mobi Format. Download The Nurse S Healthcare Ethics Committee Handbook books, Healthcare ethics help guide and influence the way physicians, nurses, and other members of the healthcare team care for patients and make decisions. Ethics address the moral dilemmas that arise out of conflicts with duties or obligations as well as the consequences of decision-making. As healthcare has continued to grow and evolve, so has the way healthcare ethics are handled. Nurses are uniquely positioned to serve as leaders in healthcare ethics because they are intricately involved in all aspects of patient care, including care coordination, recommendations for plans of care, provision of life-sustaining interventions, and patient education. The Nurse’s Healthcare Ethics Committee Handbook focuses on a nurse-led ethics consultative service. Authors Angeline Dewey and Andrea Holecek provide tools that nursing students, professionals, administrators, and other members of the healthcare team need to develop infrastructure and processes that support nurses in an ethics committee leadership role. Filled with real-life scenarios, this book outlines a step-by-step process for nurses to evaluate ethical cases and the risks involved

Book Details
Publisher: Springer Publishing Company
Author: June Fabre, MBA, RNC
Category : Medical
Languages : en
Pages : 232

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Book Description

Smart Nursing

The Clinical Nurse Specialist Handbook by June Fabre, MBA, RNC, Smart Nursing Books available in PDF, EPUB, Mobi Format. Download Smart Nursing books, CE credit available through the North Dakota Nurses Association "Smoothly written and effectively blending hard facts and personal observations, the book is peppered with inspiring success stories about "what works" in terms of improving morale and the quality of nursing practice." Sean Clarke, RN, PhD, CRNP University of Pennsylvania School of Nursing "[Fabre's] not afraid to tackle the tough issuesÖ.Implementing Smart Nursing concepts will result in energy enhancing experiences for your nurses and better care for your patients." --Susan Keane Baker, MHA Author, Managing Patient Expectations Too many health care organizations are using short-term fixes to patient health care delivery problems. Patients, however, require long-term solutions that treat the whole person, not just their particular ailment. What the profession needs is Smart Nursing. Smart Nursing provides practical guidance on patient care that every nurse, manager, and health care facility can use to restore patient safety, generate revenue, reduce nurse turnover, and stimulate realistic health care solutions. In this new edition, Fabre presents the recently updated Smart Nursing model. This practical model uses seven basic elements to deliver improved results, improved patient care, and increased employee job satisfaction. These simple yet critical building blocks- caring, respect, simplicity, flexibility, integrity, communication, and professional culture-allow nurses to create a positive work environment, and provide holistic care to patients. Special Features: Provides practical, cost-effective solutions to business and management problems, such as strategies for improved staffing and retention Includes guidance on leadership and mentoring, building high-performance teams, and accelerating professional development Presents strategies and recommendations for developing strong relationships with staff for increased communication and efficiency

Book Details
Publisher: Elsevier Health Sciences
Author: Mary Fran Tracy
Category : Medical
Languages : en
Pages : 696

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Hamric Hanson S Advanced Practice Nursing E Book

The Clinical Nurse Specialist Handbook by Mary Fran Tracy, Hamric Hanson S Advanced Practice Nursing E Book Books available in PDF, EPUB, Mobi Format. Download Hamric Hanson S Advanced Practice Nursing E Book books, Edited and written by a Who’s Who of internationally known advanced practice nursing experts, Hamric and Hanson's Advanced Practice Nursing: An Integrative Approach, 6th Edition helps you develop an understanding of the various advanced practice registered nursing (APRN) roles. This bestselling textbook provides a clear, comprehensive, and contemporary introduction to advanced practice nursing today, addressing all major APRN competencies, roles, and issues. It covers topics ranging from the evolution of advanced practice nursing to evidence-based practice, leadership, ethical decision-making, and health policy. New to this edition is expanded coverage of interprofessional collaborative practice, updated coverage of APRN roles related to implementation of healthcare reform in the U.S., updated and expanded coverage of IOM and QSEN, a global focus on international advanced practice nursing, and much more! Coverage of all APN core competencies defines and describes all competencies, including direct clinical practice, guidance and coaching, consultation, evidence-based practice, leadership, collaboration, and ethical decision-making. Operationalizes and applies the APN core competencies to the major APN specialties including the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Care Nurse Practitioner, the Certified Nurse-Midwife, and the Certified Registered Nurse Anesthetist. Content on managing APN environments addresses such factors as business planning and reimbursement; marketing, negotiating, and contracting; regulatory, legal, and credentialing requirements; health policy; and nursing outcomes and performance improvement research. UNIQUE! Exemplar boxes (case studies), including Day in the Life vignettes of each APN specialty, emphasize innovative practices and coverage of advanced practice roles. In-depth discussions of educational strategies for APN competency development show how nurses develop competencies as they progress into advanced practice. NEW and UNIQUE! Expanded coverage of interprofessional collaborative practice includes the latest Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice. NEW! Updated coverage of APRN roles related to implementation of healthcare in the U.S. reflects current and anticipated changes in APRN roles related to healthcare reform. NEW! Coverage of IOM and QSEN has been updated and expanded. NEW! Refocused International Development of Advanced Practice Nursing chapter has been rewritten to be more global and inclusive in focus, to reflect the state of advanced practice nursing practice throughout all major regions of the world. NEW! Expanded content on the role of advanced practice nurses in teaching/education/mentoring and health policy related to the APRN role is featured in the 6th edition.

Book Details
Publisher:
Author: Nancy Burns (Ph. D.)
Category : Nursing
Languages : en
Pages : 848

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Book Description

The Practice Of Nursing Research

The Clinical Nurse Specialist Handbook by Nancy Burns (Ph. D.), The Practice Of Nursing Research Books available in PDF, EPUB, Mobi Format. Download The Practice Of Nursing Research books, This instuctor's manual accompanies third edition providing step-by-step guidance for critiquing, using and conducting quantitative and qualitative nursing research, with an aim to help the reader make informed choices about their approach to research. Information is included on phenomemologial research, grounded theory research, ethnographic research, historical research, philosophical inquiry and critical social theory.

Book Details
Publisher: Jones & Bartlett Learning
Author: Carolyn Buppert
Category : Medical
Languages : en
Pages : 496

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Nurse Practitioner S Business Practice And Legal Guide

The Clinical Nurse Specialist Handbook by Carolyn Buppert, Nurse Practitioner S Business Practice And Legal Guide Books available in PDF, EPUB, Mobi Format. Download Nurse Practitioner S Business Practice And Legal Guide books, "Every NP should own a copy of this book!" - The Nurse Practitioner Journal Written by a nurse practitioner who is also a practicing attorney, Nurse Practitioner's Business Practice and Legal Guide, Second Edition provides the unique point of view of an author who knows what legal and business problems arise on a daily basis. The second edition to this best seller will teach you: --How to write an effective business plan using the most up-to-date information and planning strategies-How to avoid malpractice and other lawsuits-What rights an employed NP has-What to do if rejected for payment-How to effectively negotiate managed care contracts-How to get the highest marks on performance report cards-What must take place for NPs to become primary care providers-What decisions need to be made before starting a practice-How to handle patient flow-And more!Nurse practitioners and NP students who read this book will have a solid foundation of knowledge with which they may continue their practice confidently and effectively, whether it be in developing an employment relationship, undertaking a business venture, giving testimony before the state legislature, composing a letter to an insurance company about an unpaid bill, teaching at a school of nursing, or serving as president of a state or national organization.