The Clinical Nurse Specialist Handbook

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  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2009-08-19
  • Publisher: Jones & Bartlett Learning

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The only resourse designed specifially for Clinical Nurse Specialists, the Second Edition of this best-selling text addresses the specific, practical, day-to-day responsibilities and challenges of the CNS role. Concrete, user-friendly strategies and exemplars are drawn from real practice and offer suggestions as well as considerations for CNS practice. Educators and professionals alike will find this book very helpful. The topics are cutting-edge and this text is a great resource for graduate students enrolled in CNS graduate programs, especially in clinical practicum courses. It will also serve as excellent refreshers for established advanced practice nurses. The topics will also help ground the new CNS by facilitating the transition from staff to APN.

Table of Contents

Prefacep. xi
Contributorsp. xiv
Strategic Career Planning: Professional and Personal Developmentp. 1
Reflectionp. 1
Reflective Practicep. 2
Professional Portfolio Basicsp. 4
Competing with a Curriculum Vitaep. 9
Résumép. 14
Referencesp. 14
Professional Organizationsp. 15
Stepping Up and Stepping In: Getting Organizationally Involvedp. 17
Connecting Professionally in an Electronic Worldp. 18
APRN Certification: A Value-Added Enhancementp. 20
APRN Certification Opportunitiesp. 22
Personal Development and Self-Carep. 24
Conclusionp. 28
Referencesp. 28
Communication Strategies and Tips: Avoiding Problems; Achieving Desired Resultsp. 33
Netiquettep. 33
E-Mailp. 34
Voice Mail and Computer Usage Tipsp. 40
Organizing Successful Meetingsp. 41
Communicating Professionalismp. 46
Surviving and Flourishing in a Work World Filled with Difficult Peoplep. 48
Excellent Interviews: Knowing What to Ask and How to Ask Itp. 52
Conclusionp. 58
Referencesp. 60
Influencing Healthcare Quality: Educating Patients, Nurses, and Studentsp. 63
Patient and Community Educationp. 64
Staff Education: Influencing Staff via Educational Programmingp. 84
Essentials for Educating with Excellence: Academic Teaching and the CNSp. 97
Conclusionp. 114
Referencesp. 115
Supplemental Resourcesp. 118
Mastering Performance Appraisal: Tips for the CNSp. 119
Employee Evaluationp. 119
Job Descriptions or Job Standardsp. 124
Self-Regulation and Peer Reviewp. 136
Conclusionp. 144
Referencesp. 144
CNSs and Difficult Clinician-Patient Situations: Strategies for Successp. 147
Coaching to Change Nursing Staff's Approachp. 149
Education and Supervision: Helping Staff Avoid the Dark Side of Nursingp. 160
Case Studies: Practicing De-escalation Techniquesp. 169
Referral, Collaboration, and Behavioral Contractsp. 170
Interdisciplinary Roundsp. 172
Therapeutic Communicationp. 172
Referencesp. 177
The Clinical Nurse Specialist Consultant Role: Issues and Pragmaticsp. 183
The CNS as Consultantp. 185
What Is Nursing Consultation?p. 185
What Skills Does It Take to Implement CNS Consultation?p. 189
How Does a CNS Consultant Get Started?p. 191
What Can the CNS Consultant Offer the Consulting Person, Organization, or System?p. 196
Forms of Business Association for CNS Consultationp. 199
Legal Implications of Nurse Consultationp. 201
Barriers to Effective Consultationp. 202
Conclusionp. 204
Referencesp. 207
Recommended Resourcesp. 209
Workplace Violence: Creating and Sustaining a Healthy Place to Workp. 211
Workplace Violencep. 211
Background Informationp. 212
Causative Factors of Violencep. 213
Behavioral Typologies of Violent Peoplep. 215
Conceptual Frameworks for Understanding Violencep. 216
Setting the Stage for Understanding Hospital Violencep. 217
Types of Violence in Healthcare Settingsp. 218
Risk Factors for Violent Behaviorsp. 219
The Challenges of Establishing Violence Reporting Systemsp. 221
The Lingering Effects of Violencep. 222
Strategies for Violence Reductionp. 223
Nursing Opportunitiesp. 232
Healthy Work Environments: Violence Freep. 232
Conclusionp. 233
Referencesp. 234
Supplemental Resourcesp. 239
Influencing Outcomes: Improving Quality at the Point of Carep. 241
What Is an Outcome?p. 242
Outcomes Measures: Key Players and Driving Forcesp. 243
Leaders and Partners in Outcomes Measurement and Managementp. 245
Establishing an Outcomes Project of Interestp. 252
Improving Quality by Systematically Examining and Managing Outcomesp. 266
Conclusionp. 284
Referencesp. 285
Patient Safety: Preventing Unintended Consequences and Reducing Errorsp. 291
Human Error and Types of Errorp. 292
Creating a Just Culture for Patient Safetyp. 295
Creating a Safe Environmentp. 297
Safety and Quality Organizationsp. 306
Tools of the Tradep. 306
Educating New and Experienced Nurses: Electronic Resources for the CNSp. 319
Case Study: Development and Implementation of a Rapid Response Teamp. 323
Referencesp. 328
Exemplar 9-2 Referencesp. 330
The Basics of Nursing Businessp. 333
The Context of CNS Practice: An Overview of the U.S. Healthcare Systemp. 333
Third-Party Payorsp. 334
The Budget Processp. 337
Types of Budgetsp. 338
Building the Nursing Budgetp. 341
Justification Considerations for Nursing Staffingp. 348
Variance Reportingp. 349
Preparing for the Capital Budget: Product Evaluationp. 349
Referencesp. 363
Indexp. 365
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