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Foundations of Clinical Nurse Specialist Practice

Third Edition View Latest Edition
Editors

Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FCNS, FAAN

Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN

Kristen L Swartzell, MSN, RN, ACNS-BC, ONC, CWOCN

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Description

2014 AJN BOOK OF THE YEAR AWARD!

2014 DOODY’S CORE TITLE

Now in its third edition, this highly acclaimed text remains the leading comprehensive textbook and professional reference for Clinical Nurse Specialist (CNS) education and practice. Supported by theory, research, and current literature, the book focuses on CNS roles and scope of practice; expanding opportunities in primary and home care settings; and outcomes of CNS practice throughout the care continuum and across the three spheres of impact. The third edition is updated to reflect current trends affecting CNS practice, with several new chapters that focus on telehealth, home care, and quality improvement.

The text begins with an overview of the evolution, attributes, philosophical underpinnings, and key outcomes of CNSs in the United States. It then addresses nursing interventions, quality, and care delivery, as well as the business side of CNS practice—consultation, mentoring, project management, and entrepreneurship. It features examples of CNS practice in a variety of settings and specialty areas. This resource provides students and professionals with the guidance required to achieve core competencies and improve patient outcomes.

    NEW TO THE THIRD EDITION:
  • Updated to reflect current practices and the latest core competencies
  • Features a new section—Creating a Culture of Quality—that addresses patient safety, high-reliability organizations, Big Data, and efficiency
  • Highlights emerging areas of CNS practice such as telehealth, pediatric palliative care, wound care, and home care
    KEY FEATURES:
  • Emphasizes the importance of the CNS practitioner as expert clinician, consultant, researcher, and educator
  • Written and edited by more than 40 individuals representing the “Who’s Who” of CNS nursing
  • Highlights core competencies and practice outcomes identified in NACNS’s 2019 Statement on Clinical Nurse Specialist Practice and Education
  • Presents models of CNS specialty care and CNS practice with outcomes
  • Includes discussion questions, ethical considerations, analysis and synthesis exercises, and clinical application considerations
  • Instructor’s PowerPoint slides included
  • Purchase includes digital access for use on most mobile devices or computers
Contents

Contributors

Foreword Tracy B. Chamblee, PhD, APRN, PCNS-BC, CPHQ, CPPS

Preface

Acknowledgments

UNIT I. THE NATURE OF CLINICAL NURSE SPECIALIST PRACTICE

1. Evolution of the Clinical Nurse Specialist Role and Practice in the United States

2. Clinical Nurse Specialist Comportment: Professional Attributes, Ethical Conduct, and Citizenship

3. Exploring the Nature of Nursing Knowledge and Its Implications for Clinical Nurse Specialist Practice

4. Nurse-Sensitive Outcomes

UNIT II DESIGNING AND EVALUATING NURSING INTERVENTIONS

5.Clinical Reasoning Model: A Clinical Inquiry Guide for Solving Problems in the Nursing Domain

6. Managing the Change/Innovation Process

7. Evaluating Interventions in Clinical Nurse Specialist Practice

8.Using Complex Adaptive Systems Theory to Guide Change

9. Engaging Staff in Learning

10. Shaping Practice: Evidence-Based Practice Models

11. The Clinical Nurse Specialist and Conducting Research in the Practice Setting

12. Transformational Leadership as the Clinical Nurse Specialist’s Capacity to Influence

UNIT III. CREATING A CULTURE OF QUALITY

13. Patient Safety

14. Application of High Reliability Tenets to the Practice of Clinical Nurse Specialists

15. Answering Questions With Big Data

16. Improving Efficiency: New Approaches to Quality Improvement

17. Clinical Nurse Specialist Practice Supporting Magnet® Certification

18. Clinical Nurse Specialist Fellowship Model

UNIT IV. DELIVERING CARE TO CLIENTS

19. Individual as Client

20. Family as Client

21. Population-Based Data Analysis

22. Patient-Centered Teaching and Coaching: The Clinical Nurse Specialist Role

23. New Horizons for Clinical Nurse Specialist Practice: Telehealth

UNIT V. THE BUSINESS OF CLINICAL NURSE SPECIALIST PRACTICE

24. Consultation in Clinical Nurse Specialist Practice

25. Mentoring

26. Project Management: An Essential Competency for Clinical Nurse Specialists

27. Program Evaluation and Clinical Nurse Specialist Practice

28. Technology Management in Complex Healthcare Settings

29. Advanced Nursing Practice: Pathway to Entrepreneurship

30. Regulatory and Professional Credentialing of Clinical Nurse Specialists

31. Student Clinical Experiences: Responsibilities of Student, Preceptor, and Faculty

UNIT VI. CLINICAL NURSE SPECIALIST ROLE IN A VARIETY OF SETTINGS

32. Hospital-Based Clinical Nurse Specialist Practice

33. Clinical Nurse Specialist Entrepreneurship: A Journey From Idea to Invention Leading to a Consulting/Education Business

34. The Clinical Nurse Specialist in Industry/Business

35. CNS Practice in Home Healthcare: Clinical Nurse Specialists Bridging the Gap From Inpatient to Independence

UNIT VII. EXEMPLARS OF CLINICAL NURSE SPECIALIST PRACTICE IN A VARIETY OF SPECIALTY AREAS

36. Providing Pediatric Palliative Care in a Regional Children’s Medical Center

37. Clinical Nurse Specialist as Wound & Ostomy Care Provider

38. The Clinical Nurse Specialist as Online Patient Advocate and Educator

39. Exploring Clinical Nurse Specialist Practice in the Emergency Department

40. Rapid Response Exemplar: Implementation of an In-Hospital Stroke Identification and Response Program

41. Managing a Cardiac Arrhythmia Clinic

42.Implementing and Sustaining Evidence-Based Practice

Index

Authors

Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FCNS, FAAN, is the Centennial Endowed Professor in Innovation in Nursing Education Emerita at Indiana University School of Nursing and editor-in-chief for Clinical Nurse Specialist: The Journal of Advanced Nursing Practice. She served nationally as president of the National Association of Clinical Nurse Specialists (NACNS) and coordinator of the Oncology Nursing Society’s CNS Special Interest Group. She designed an innovative distance accessible CNS program, Learn Where You Live; received teaching awards from Indiana University, The Ohio State University Alumni Association, and NACNS; and received leadership awards from NACNS and Sigma Theta Tau, Alpha Chapter. She is also a recipient of the prestigious NACNS President’s Award and was recognized as a Top 100 graduate by The Ohio State University on occasion of the School of Nursing’s 100th Anniversary. She is an American Nurses Credentialing Center (ANCC)-certified Adult Clinical Nurse Specialist and holds fellowships in the National League for Nursing’s Academy of Nurse Educators, the Clinical Nurse Specialist Institute, and the American Academy of Nursing. Dr. Fulton has written in multiple publications including articles, books, chapters and editorials.  

Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN, is a faculty member at North Island College and the University of Victoria in British Columbia. She is an associate editor for the Canadian Journal of Nursing Research and a past president of the National Association of Clinical Nurse Specialists (NACNS). She is licensed as a Clinical Nurse Specialist (CNS) in Oregon and is certified by the American Nurses Credentialing Center (ANCC) as a CNS in adult health. Dr. Goudreau is a recipient of the Brenda Lyon Leadership Award and the President’s Award from NACNS and is a Fellow of the Clinical Nurse Specialist Institute and the American Academy of Nursing. She has published more than 30 journal articles and is the coeditor of two books. Dr. Goudreau holds a Baccalaureate in Nursing from the University of British Columbia in Canada, a master’s in nursing from Washington State University, and a PhD in Nursing from the University of Alabama at Birmingham.

Kristen L. Swartzell, PhD, RN, ACNS-BC, CNE is a clinical assistant professor at Purdue University School of Nursing, West Lafayette, Indiana. Kristen has substantial clinical experience in orthopedics, surgical trauma, and wound and ostomy care, as well as hospital leadership. Her research and publications address health policy and caregiving.  She is certified by the American Nurses Credentialing Center (ANCC) as an adult health CNS and by the National League for Nursing (NLN) as a nurse educator.    

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Product Details
  • Release Date: April 4, 2020
  • Paperback / softback
  • 564 Pages
  • Trim Size: 8.5in x 11in
  • ISBN: 9780826195432
  • eBook ISBN: 9780826195449
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