The Clinical Nurse Specialist Handbook

by Zuzelo, Patti Rager

• ISBN13: 9780763761141
• ISBN10: 0763761141
• Edition: 2nd
• Format: Paperback
• Copyright: 2009-09-02
• Publisher: Jones & Bartlett Learning

Summary

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

Preface	p. xi
Contributors	p. xiv
Strategic Career Planning: Professional and Personal Development	p. 1
Reflection	p. 1
Reflective Practice	p. 2
Professional Portfolio Basics	p. 4
Competing with a Curriculum Vitae	p. 9
Résumé	p. 14
References	p. 14
Professional Organizations	p. 15
Stepping Up and Stepping In: Getting Organizationally Involved	p. 17
Connecting Professionally in an Electronic World	p. 18
APRN Certification: A Value-Added Enhancement	p. 20
APRN Certification Opportunities	p. 22
Personal Development and Self-Care	p. 24
Conclusion	p. 28
References	p. 28
Communication Strategies and Tips: Avoiding Problems; Achieving Desired Results	p. 33
Netiquette	p. 33
E-Mail	p. 34
Voice Mail and Computer Usage Tips	p. 40
Organizing Successful Meetings	p. 41
Communicating Professionalism	p. 46
Surviving and Flourishing in a Work World Filled with Difficult People	p. 48
Excellent Interviews: Knowing What to Ask and How to Ask It	p. 52
Conclusion	p. 58
References	p. 60
Influencing Healthcare Quality: Educating Patients, Nurses, and Students	p. 63
Patient and Community Education	p. 64
Staff Education: Influencing Staff via Educational Programming	p. 84
Essentials for Educating with Excellence: Academic Teaching and the CNS	p. 97
Conclusion	p. 114
References	p. 115
Supplemental Resources	p. 118
Mastering Performance Appraisal: Tips for the CNS	p. 119
Employee Evaluation	p. 119
Job Descriptions or Job Standards	p. 124
Self-Regulation and Peer Review	p. 136
Conclusion	p. 144
References	p. 144
CNSs and Difficult Clinician-Patient Situations: Strategies for Success	p. 147
Coaching to Change Nursing Staff's Approach	p. 149
Education and Supervision: Helping Staff Avoid the Dark Side of Nursing	p. 160
Case Studies: Practicing De-escalation Techniques	p. 169
Referral, Collaboration, and Behavioral Contracts	p. 170
Interdisciplinary Rounds	p. 172
Therapeutic Communication	p. 172
References	p. 177
The Clinical Nurse Specialist Consultant Role: Issues and Pragmatics	p. 183
The CNS as Consultant	p. 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 Consultation	p. 199
Legal Implications of Nurse Consultation	p. 201
Barriers to Effective Consultation	p. 202
Conclusion	p. 204
References	p. 207
Recommended Resources	p. 209
Workplace Violence: Creating and Sustaining a Healthy Place to Work	p. 211
Workplace Violence	p. 211
Background Information	p. 212
Causative Factors of Violence	p. 213
Behavioral Typologies of Violent People	p. 215
Conceptual Frameworks for Understanding Violence	p. 216
Setting the Stage for Understanding Hospital Violence	p. 217
Types of Violence in Healthcare Settings	p. 218
Risk Factors for Violent Behaviors	p. 219
The Challenges of Establishing Violence Reporting Systems	p. 221
The Lingering Effects of Violence	p. 222
Strategies for Violence Reduction	p. 223
Nursing Opportunities	p. 232
Healthy Work Environments: Violence Free	p. 232
Conclusion	p. 233
References	p. 234
Supplemental Resources	p. 239
Influencing Outcomes: Improving Quality at the Point of Care	p. 241
What Is an Outcome?	p. 242
Outcomes Measures: Key Players and Driving Forces	p. 243
Leaders and Partners in Outcomes Measurement and Management	p. 245
Establishing an Outcomes Project of Interest	p. 252
Improving Quality by Systematically Examining and Managing Outcomes	p. 266
Conclusion	p. 284
References	p. 285
Patient Safety: Preventing Unintended Consequences and Reducing Errors	p. 291
Human Error and Types of Error	p. 292
Creating a Just Culture for Patient Safety	p. 295
Creating a Safe Environment	p. 297
Safety and Quality Organizations	p. 306
Tools of the Trade	p. 306
Educating New and Experienced Nurses: Electronic Resources for the CNS	p. 319
Case Study: Development and Implementation of a Rapid Response Team	p. 323
References	p. 328
Exemplar 9-2 References	p. 330
The Basics of Nursing Business	p. 333
The Context of CNS Practice: An Overview of the U.S. Healthcare System	p. 333
Third-Party Payors	p. 334
The Budget Process	p. 337
Types of Budgets	p. 338
Building the Nursing Budget	p. 341
Justification Considerations for Nursing Staffing	p. 348
Variance Reporting	p. 349
Preparing for the Capital Budget: Product Evaluation	p. 349
References	p. 363
Index	p. 365
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