Clinical Nurse Specialists (CNS) play a critical role in ensuring the implementation of high-quality evidence based care, improved patient outcomes, and reduced health care delivery costs. Professional certification is one way we distinguish our unique contributions and advanced practice nursing expertise from other advanced practice roles. This first edition of the book represents a compilation of Clinical Nurse Specialist practice knowledge contributed by respected clinicians from across the nation for certification examination preparation. The book incorporates content from the American Association of Colleges of Nursing Adult-Gerontology Clinical Nurse Specialist (AGCNS) Population Focused Competencies and the American Association of Critical Care Nurses Scope and Standards for CNS Practice. It begins with an introduction to the current AGCNS examination options, test plans and processes, as well as test taking strategies for success. The remainder of the book organizes test plan subject matter according to the three spheres of impact of CNS practice. The book includes twelve chapters presenting the overview, pathophysiology, etiology, assessment, diagnosis, treatment/management, and related pharmacology content according to each body system. It addresses the nurse and nursing practice sphere of impact. Relevant content includes age-related response to illness and adult-gerontology population specific practice standards for care and advocacy of the older adult. Emphasis is placed upon culturally competent care and safe care transitions. Nursing practice content includes consultation, collaboration, education, mentoring and communication skills. Nurse and nursing practice advocacy topics review public policy, professional practice issues, and ethical concerns. The book covers systems and systems leadership competencies of the CNS. Relevant content involves quality improvement principles, safety initiatives, financial stewardship, organizational level program development and systems change. Clinical inquiry subject matter covers evidence- based practice, research methodology, and skills for dissemination of CNS work.

This book is a must-buy book, particularly for creating and integrating clinical simulations in nursing program. It presents step-by-step guidelines for nursing faculty to design, develop, and implement clinical simulation scenarios in diverse settings, with diverse patients, and for different levels of students, from the novice in a fundamentals course to the student in a senior-level critical care or capstone course, to a nurse practitioner in a graduate program. The book is organized into four parts: (a) setting the foundation, (b) innovative nursing scenarios in diverse settings for diverse students, (c) interdisciplinary and inter-professional scenarios, and (d) simulation journey containing fifty-six chapters. Part I provides an introduction to simulation-focused pedagogy with an explanation and updates on the Framework for Simulation Learning in Nursing Education©. Part II presents a collection of 27 exemplars divided into five key areas of specialty undergraduate nursing: (a) medical-surgical; (b) obstetric and pediatric; (c) older adult; (d) thematic scenarios on cultural humility, Quality and Safety Education in Nursing, and mental health; and (e) advanced practice nurses. Part III focuses on 16 scenarios that capture many of the key themes in nursing, including ethics, spirituality, palliative care, communication, and cultural humility. Part IV explores the continuing simulation journey in nursing education. The role of certification in simulation for nursing education has been updated to incorporate the changing landscape. It also presents a model for “writing across the curriculum” that focuses on how to write like a nurse in clinical simulation environments, support for publishing simulation work, and evolution of simulation and its integration in nursing curriculum and practice. The book provides concrete information about the use of simulation in a variety of programs, courses, and schools with flexible simulator uses, including static and live actors, and low-, medium-, and high-fidelity human patient simulators.

This book is unique, because there are no current textbooks on the market that are aimed at communication, assessment, and treatment goals of the obese patient from the perspective of an advanced practice nurse (APN). The first part of the book focuses on the disease of obesity in the United States and worldwide. The current trends and causes of obesity are addressed in detail. Obesity terms and numerous definitions used are also discussed. The first part describes the multifaceted roles of the APN. The second part describes nursing at its best. It focuses on common “dos and don’ts” with regard to the overweight or obese patient. A section on therapeutic communication is also provided. Real patient stories are shared to allow appreciation of the patient’s perspective. The third part focuses on the technical aspects of obesity genetics and pathophysiology. The addiction of obesity and eating disorders are discussed. Physical assessments of both adult and pediatric patients from the APN point of view are seen. Exercise and dietary assessment and recommendations with examples will be of interest to clinicians. The fourth part focuses on the numerous comorbid conditions associated with obesity. This includes the assessment and treatment of each disease in both the pediatric and adult populations. Diseases addressed in the adult population include hypertension (HTN), dyslipidemia, cardiovascular disease (CVD), diabetes mellitus (DM), obesity and the pulmonary system, osteoarthritis (OA), polycystic ovary syndrome (PCOS), and metabolic syndrome. Obesity in combination with pediatric HTN, dyslipidemia, DM, obstructive sleep apnea (OSA), and asthma is also addressed. Prevention efforts for obesity, as well as methods to avoid weight cycling, are discussed. The final part of the book explains the treatment of many comorbid conditions related to obesity.

This book is a response to the need for nursing students to have resources about core Evidence-based practice (EBP) knowledge and competencies for each level of nursing practice degrees. It addresses critical essentials that nursing students must master as they move from one nursing degree level to the next. The book takes an inclusive view of EBP from the perspectives of direct care nurses, advanced registered nurse practitioners, healthcare systems leaders, researchers, and faculty. It aligns EBP content with specific Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and Doctor of Nursing Practice (DNP) essentials outlined by the American Association of Critical-Care Nurses (AACN) and addresses leveling EBP process and content across curricula. The book is organized into four major parts containing 20 chapters. Part I: Conceptual Foundations of Evidence-Based Practice contains five chapters and provides readers with necessary foundational knowledge on which to build clinical decision-making skills based on the best available evidence. Part II: Designing And Implementing Evidence-Based Practice Projects contains six chapters that systematically explore the critical elements of conceptualizing, developing, implementing, and evaluating EBP projects. PART III: Science-Based Decisions and Evidence-Based Practice contains three chapters that emphasize the importance of translational research and quality improvement for the implementation and evaluation of EBP. The final part, Evidence-Based Practice: Empowering Nurses contains six chapters that address the importance of an EBP culture and structural empowerment strategies required to achieve and sustain a culture that fosters EBP.

The doctor of nursing practice (DNP) capstone project is a scholarly method to directly impact quality of care and health care outcomes. Translating knowledge into practice and disseminating outcomes for care and policy are consistent with the call for action in the Institute of Medicine report. This book adds to the dialogue by presenting exemplary capstone projects that have provided leadership for change in clinical practice, enhanced interdisciplinary collaboration, promoted advocacy and policy changes, or contributed to quality improvement in health care systems. Each exemplar presented is linked to one or more of the DNP essentials. After a presentation on the impact of DNP degree on clinical practice, the book addresses issues related to the development of the bachelor’s in science of nursing to doctor of nursing (BSN-DNP) capstone curriculum. DNP education is heavily focused on innovative and evidence-based practices (EBPs), and the capstone exemplar describes how a DNP student was guided to design and implement an EBP capstone project. Subsequently, the book discusses burnout as a barrier to practice among nurse-midwives, describes a systems-level change in implementing diabetic group visits in a primary care clinic, and explains the development of a training program for emergency nurses to prevent compassion fatigue and strengthen resiliency skills. One of the chapters is devoted to the development of a data collection tool for microcosting provision of care within the freestanding birth center (FBC) model of maternity care.

This book introduces an innovative model of care coordination clinical reasoning that builds on past work with the Outcome-Present State-Test (OPT) model of reflective clinical reasoning. It includes contemporary knowledge, skills, and abilities required to work effectively as a member of an interprofessional care team in the current health care arena. The OPT model has been described as a third-generation nursing process model that responds to the need for patient-centered nursing care coordination challenges. The fundamental aspects of the OPT model of clinical reasoning are explained and linked to care coordination challenges at several levels—those related to patient-centered care planning, team-centered negotiation, and service or health care system considerations. The book explains the Care Coordination Clinical Reasoning (CCCR) model and discusses some of the distinctions, system dynamics, and relationship issues that emerge when health care team members have different points of view with regard to care coordination. It also presents a series of case studies to illustrate how the CCCR model is activated and applied across the lifespan and in a number of healthcare contexts. Cases across the health care continuum related to primary care, acute care, rehabilitative care, and long-term care are presented with patient scenarios that are in need of care coordination. The book further summarizes the benefits of the CCCR model and suggests future evolution and development of the model and discusses the need for health care team members to develop competencies related to ongoing innovations.

The practice of nursing is both art and science. It requires a broad range of skills and capabilities. This book takes complex topics and legal theories, explains them in no-nonsense, understandable language, and makes them relevant to the current world in which nurses practice their profession. The book is organized into twelve chapters. Each chapter begins with a statement of objectives, which will make the reading of the chapter most meaningful. The first chapter presents an overview of law relevant to nurses’ interests, including basic legal principles that underlie and form the framework for the practice of nursing. The second chapter describes the challenges facing advanced practice registered nurses (APRNs) in a rapidly changing health care delivery system. It focuses on the practice areas of the APRN and the pivotal roles they play in the delivery of health care. The third chapter is about nursing malpractice and negligence. Chapter four presents the fundamentals and principles of documentation and systems of documentation, including electronic systems, and contains numerous legal cases. The fifth chapter covers patient rights with regard to care, decision making, and privacy issues. Chapter six talks about risk management and continuing quality improvement. Chapter seven outlines the major laws governing disaster and emergency events. Chapter eight covers the law of corporations and provides information on the types of business structures that can be used for health care business and facility operations. Chapter nine addresses the developing area of corporate compliance and the nurse’s role in regard to it. The tenth chapter provides comprehensive information on employment and employment-related law. Chapter eleven focuses on both civil and criminal trials. The final chapter discusses alternate methods of dispute resolution: arbitration, mediation, and negotiation.

This book on nursing care of adoption and kinship families begins with a chapter, which focuses on the historical, cultural, and legal landscape that has shaped adoption and kinship care in the United States and describes the types of adoption, trends in adoption, and processes involved in adopting a child. This is followed by a discussion highlighting the common health care needs of both adoptive and kinship children. Some birth parents do not voluntarily release parental rights of their children and experience grief and postpartum depression after relinquishing a baby. Parental postadoption depression (PAD) should be screened for by advanced practice nurses (APNs) to optimize parental functioning and avoid negative outcomes. The book discusses the broader issues like maltreatment of children, educational and social issues, and transracial adoption, and the outcomes of children adopted by same-sex individuals. It explores the role and needs of kinship parents, a unique, vulnerable, diverse population with health risk factors compounded by the responsibilities of raising children as older adults. Complex and diverse relationships exist among birth parents, their children, and the kinship caregivers who have stepped in as surrogate parents. Children under the care of kin experience maltreatment and traumatic events. The book also provides an overview of systems and practices that surround adoption and kinship triads.

Education of the advanced practice registered nurse (APRN), especially as clinical application becomes more complex and clinical sites become more challenging to locate, requires additional expertise on the part of the educator. This book provides some insight into the additional methodologies that are available to the educator to address some of these challenges. Unlike other simulation books, this book is dedicated to advanced practice nursing students, their faculty, and the simulation staff that support their training. One third of the content is dedicated to narrative entries written for APRN students, faculty, and simulation staff, each with timely topics surrounding APRN training as well as sound advice from recent graduates, faculty experts, and leaders in the simulation field. The remaining two thirds of the book is dedicated to detailed clinical simulation cases arranged by APRN specialty. These simulation scenarios are designed to promote critical thinking and clinical reasoning in advanced practice nursing students, new APRN graduates preparing for boards, novice APRNs enrolled in onboarding or internship programs, experienced nurse practitioners looking to transition to a new clinical practice area, and advanced practice nurses seeking a review. The prepared simulation cases in this book will aid in alleviating the faculty/staff workload for design and allow the focus to primarily rest on support and implementation to enhance and measure outcomes. The book provides a method and firm foundation for transforming graduate nursing education to competency-based clinical evaluation, empowering programs with standardized templates and interprofessional education options for each case to advance graduate simulation education and research. This comprehensive guide includes all of the most commonly seen and most clinically prevalent clinical scenarios for all APRN specialties. It also includes a broad range of scenarios not commonly found in other simulation books.

This book is an excellent introduction to nursing at the master’s level. It addresses a gap in literature regarding nonadvanced practice nursing degrees. The book focuses on key roles in both direct and indirect care settings as identified by the American Association of Colleges of Nursing (AACN). It provides a different perspective on the role of the nurse functioning within an interprofessional or interdisciplinary team, while providing tools that can be applied quickly. The book is organized into five sections comprising 16 chapters that can be extremely helpful to nurses moving toward the next level of their careers. Section one describes nursing history, nursing process, nursing theory selection, nursing research ethics, and clinical ethics and the role of the master’s-prepared nurse (MSN). Section two discusses the various roles of MSN such as clinical nurse leader, nurse educator, and advanced practice nurse. Section three presents the indirect care roles of MSN: public health nurse, informaticist, and nurse executive. Section four discusses MSN as change agent, AACN essentials, and Interprofessional collaboration. The final section focuses on special topics such as considerations for lifelong learning, self-care, and mentoring. The book could be introduced to students at the BSN level to help them make career choices as they move forward with their careers.

The assessment of genetic/genomic risk is an important tool toward health promotion, prevention, and reduction of disease risk. This book provides a quick and easy format to study the basic elements and steps required for risk assessment. It is geared toward advanced practice registered nurses’ (APRNs), particularly nurse practitioners and midwives who provide assessment, diagnosis, and management of care in clinical settings. The book is divided into 12 chapters, with a wide range of topics to assist APRNs in the risk assessment process. The first chapter provides an introduction to risk assessment including genetics/genomics core competencies for APRNs. The second chapter presents a brief overview of genetics/genomics including basic concepts. The next chapter describes patterns of inheritance. The fourth chapter gives an introduction to risk assessment–review of data including personal, behavioral, environmental, and family history and the assessment of the physical examination. Chapter five describes family history–using a three-generation pedigree and common pedigree nomenclature and symbols. Chapters six, seven, and eight discuss risk identification, risk probability, and risk communication and management including consultation/referral. The next three chapters describe risk assessment process for special populations with considerations in preconception, maternal care, newborn and pediatric care, and cancer care, specifically assessing risks for breast and colon cancer. The final chapter summarizes the future of genetics and genomics. Each chapter includes a brief introduction to the topic, objectives, specific content related to the topic, online resources, and “Info Boxes” that are all integral to the chapter’s focus. Challenges and limitations in the genomic risk assessment are addressed, particularly as they relate to history data and pedigree interpretation. This book serves as a quick reference to use in clinical practice as well as a means to expand APRN’s knowledge, skills, and attitudes regarding genetics/genomics, genomic risk assessment, genetic conditions/disorders/diseases, and referral agencies.

The ability to reduce the burden of illness among older adults is necessary as individuals are living longer and experiencing lower rates of disability. Advanced practice nurses are skilled to relieve the burden of illness among older adults through specialized training and providing treatment in a variety of clinical settings. While geriatric-focused content exists, advanced practice nurses can benefit from clinical pearls specific for the advanced practice nurse providing holistic mental health care. This handbook offers advanced practice nurses, nurse educators, and graduate nursing students a reference that is intended to be supplemental to uniquely providing care for older adults which includes an overview of the aging process as well as assessing and developing treatment plans for older adults with mental health disorders. As older adults often work collaboratively with family, friends, caregivers, and health care providers, approaches to such relationships are explored and intended to serve as a resource for providing mental health care that can contribute to the overall success of treatment. The text provides an interprofessional box that encourages and assists the advanced practice nurse navigating through interdisciplinary collaborative practice. Such interprofessional partnerships can enhance care—particularly in cases of complexity. Advanced practice nurses can utilize the provided case studies to identify and modify service delivery that promotes evidence based practice.

Psychotherapy is foundational to both mental health and psychiatric nursing. In psychotherapy, one must constantly reflect on oneself and one's part in the evolving process as well as constantly assess the person receiving care. Both partners grow in an effective therapeutic relationship. The nurse's growth is in the development of competencies and skills that are then taken forward to others. Thus, the concept of “becoming” a nurse psychotherapist is an important part of the therapeutic process. This book, in examining this process in depth and breadth, is an important addition to this body of knowledge. It guides the novice psychiatric advanced practice registered nurse (APRN) into the role of a psychotherapist, not so much as in the context of “how-to” but in the necessary process of “becoming ready” to function in this capacity before applying techniques. It helps the nurse prepare to handle the content of other “how-to” texts and to use it therapeutically. Because of American Nurses Credentialing Center certification requirements, all psychiatric APRN programs have introductory course content on at least two modes of psychotherapy, cognitive behavioral therapy, motivational interviewing, and so forth. However, it is often assumed that the process of applying these techniques will flow naturally. The authors have translated their own experience as psychotherapists into teaching strategies to be used during clinical supervision and to provide tools for psychiatric APRN students and graduates pursuing this area of practice.

This book begins by exploring how the role of the nurse practitioner has evolved and will continue to play an essential role in shaping healthcare–both today and in the future. Nursing has long been referred to as both an art and a science. It is a practice discipline. Advanced practice registered nurses (APRNs) typically maintain competency by obtaining certifications, attending conferences, reading journals, and completing continuing education activities. The book describes what was learned and provides the reader with the current standards of practice in the evaluation and management of conditions typically presented in primary care settings. It stimulates both critical thinking and clinical reasoning. The book serves as a resource to advanced practice nursing students as well as practicing nurse practitioners. Each chapter presents a different clinical specialty area. Common primary care conditions are described with corresponding management plans. Although scientific and evidence-based, the format presents information to the reader as part of a journey, making the book more accessible than the traditional textbook. Global, complex health challenges must be solved in interdisciplinary, collaborative ways, and APRNs must work alongside all members of the healthcare team meaningfully and effectively. The goal of this book is for a seasoned nurse practitioner to share practical guidance, which supports the reader to be better prepared in the provision of high-quality primary care to their clients and families.

This book serves as a guide for students as well as Doctors of nursing practice (DNP) engaged in advance practice in the following specialty areas: leadership, policy, and information technology. The book is organized into five sections comprising 18 chapters. The first section retraces the rich history of advanced nursing practice. It further addresses the evolution of the DNP in the context of contemporary healthcare challenges and culminates in a discussion of how the DNP can influence the essential changes identified in The Future of Nursing reports. Section II takes the reader through the process of clinical scholarship, beginning with the definition of clinical scholarship and the evolution of students into scholars. Section III explores the application of the DNP essential, the role and continual evolution of the nursing profession. It gives concrete guidance on how to gain valuable leadership experience in the clinical setting and discusses the unique skill set needed for the advanced practice registered nurse and executive nurse leader. Section IV highlights three important essentials of the DNP curriculum: evidence-based practice, health information technology, and outcomes measurement. The final section addresses policy, politics, and the DNP. With the advent of the degree, national organizations and nursing leaders were engaged in discussion and the objectives for the practice doctorate defined. The book discusses the importance of developing a community for DNPs as a place to connect within the discipline. Healthcare economics and health reform unquestioningly represent both obstacles and opportunities for nurses engaged in advanced practice. Finally, the book culminates in a discussion around the need for global nursing leadership and the DNP.

The value of advanced practice registered nurse (APRN) practice is found in their impact on health care quality, especially in “comparative effectiveness data” that documents APRN adherence to best care practices while achieving desired patient health and care system outcomes. Today, APRN care processes and health care outcomes form the basis for evaluating the educational preparation, individual provider and practice performance, policy initiatives that authorize APRN practice, and also serve an increasing role in reimbursement for services. APRNs serve at the front lines of health care and are expected to make even greater contributions in the future to improve the health care system. This is in part because they have developed a reputation for providing accessible, high-quality, cost-effective care. This book provides APRN students and educators, practicing APRNs, and the administrators with whom they work up-to-date information on the advanced practice nursing care process as well as patient health outcome, population health outcome and system-based outcome assessment—the who, what, when, where, how, and why. It includes critical perspectives on not only the health effects of advanced practice nursing but also the economic impact of the practice. Its chapters, which synthesize current data on each APRN role, will guide practice innovations and enhance practice authority. Content regarding identification of metrics, which will help APRNs quantify their impact, is especially relevant. Identified gaps in data will help one prioritize future research and develop new advanced practice nursing care models, which might lead to improvements in health and health care delivery. The authors provide the essential information to accomplish all of these important objectives. The true impact of advanced practice nursing care can be established only through continued focus on outcome assessment and evaluation—something that this book encourages readers to actively pursue.

The only policy text written specifically for APRN students, this preeminent resource delivers a sweeping examination of policy impact on the full implementation of the APRN role across all environments, including its effectiveness on specific patient populations. The expanded third edition–containing six new chapters–includes expanded information on policy analysis, nursing roles, and the impact of technology. It provides practical knowledge on developing policy to advocate for vulnerable populations–bolstered by case examples–and discusses how interprofessional education has changed and will continue to alter health policy in the United States and internationally. Additionally, the text discusses the evolving influence of the Patient Protection Affordable Care Act (PPACA) and the implications of current and future health policy changes as they affect APRN practice. New doctoral-level content adds to the book’s relevance for DNP students.

The text addresses the initiative within nursing for Full Practice Authority for all APRNs, which enables them to practice to the full extent of their educational preparation. Edited by experienced APRN leaders who have been closely involved with health policy development, the text meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for the inclusion of health policy and advocacy in the curriculum. This “call to action” for APRNs is specifically designed for courses serving a variety of APRN trajectories and includes content from all APRN role perspectives in every section.

This succinct, engaging text for graduate and undergraduate nursing programs distills the complexities of health care finance, economics, and policy into a highly accessible resource that can be applied to any practice setting. It presents economic and financial dynamics in healthcare as a precursor to policy and advocacy in nurses. The second edition adds graduate-level considerations and is updated to reflect our current political and legislative landscape. Real-life illustrations support foundational concepts and interactive quizzes reinforce information. Faculty resources include PowerPoint slides, a test bank, comprehensive review questions, and a sample syllabus. The book adds new chapter on early lessons from COVID-19 and graduate-level considerations to content. It updates to reflect current political and legislative landscape. The book expands payment section to include advanced practice roles. It includes updated information on the Patient Protection and Affordable Care Act, The Tax Cuts and Jobs Act, and Supreme Court deliberations. The book presents complex concepts in easy-to-understand language. It addresses policy and payment competencies that align with nursing program accreditation criteria. The book breaks down complex financial principles to educate nurses with no prior understanding of health care finance and includes practical, accessible real-life examples to help make sense of complex health care systems. It provides interactive quizzes so readers can test knowledge and includes a step-by-step, skill-building guide to enhancing professional influence through participation on governing boards. This text is designed to prepare students at all levels with foundational material that can support a lifetime of informed, impactful advocacy.

This book addresses roles for nurses engaged in doctoral advanced nursing practice, to which similarly but differently describes the role of the clinical executive, faculty member with a clinical focus, quality officer, and the other diverse roles that the Doctor of Nursing Practice (DNP) graduate may assume. It is divided into three sections. The first section provides background information on the evolution of the DNP degree, essential content on role theory, what nursing “roles” are and how they evolved, and a discussion of how master’s- versus doctoral-level advanced nursing practices differ. The second section focuses on the three basic roles of the DNP graduate that currently predominate: practitioner, clinical executive, and faculty member with a clinical focus; as well as the role of the clinical scholar, something each graduate is expected to embrace as stewards of the discipline. One of the assumptions of the book is that there is a domain of practice beyond the master of science in nursing (MSN) degree and that with the doctoral credential the graduate is empowered and obliged to be a greater steward to the discipline. Part of this enhanced stewardship is a commitment to both the conduct and dissemination of clinical scholarship in its multiple forms. The final section covers the diverse skills that comprise the doctoral advanced practice registered nurses (APRN) and doctoral advanced practice nursing (APN) role; including leadership content, negotiation skills, quality improvement, and leveraging technology to support doctoral advanced level practice; and inclusion of doctoral global health competencies with mandatory study abroad; and how the doctoral APRN or the DNP engaged in doctoral APN can use their new competencies to function at a higher level.

Patients with psychiatric diagnoses comprise some of our most vulnerable global populations. The specialty of psychiatric nursing follows the general nursing code of ethics and also has its own specialty-oriented strategies, interventions, and scope of practice. This book is divided into five sections. The first section provides the nurse with general information related to psychiatric diagnosis, prevalence statistics, and theories of etiology. It reviews the basic environmental safety guidelines and discusses ethics in caring for the mentally ill. Finally, it presents the importance of the therapeutic alliance in providing trauma-informed care in a safe environment. The second section provides brief examination of seven specific disorder categories that nurses may need to understand in providing safe care to patients admitted for any reason, including a psychiatric disorder. These categories include pediatrics and neurodevelopmental disorders, thought disorders, bipolar disorder, anxiety disorders, obsessive compulsive disorder and related disorders, trauma and stress, and neurocognitive and neurodegenerative disorders. The third section examines three specific groups of medical diagnoses in which the signs and symptoms of the medical diagnosis share symptoms with a psychiatric diagnosis. Misidentification of these symptoms as purely psychiatric can lead to incorrect treatment of the patient’s condition. Section four investigates substance use disorders and dual diagnosis. The final section focuses on what the nurse may encounter in different subspecialties with patients who have a psychiatric disorder, but who have been admitted and are being treated for a separate medical issue. It closes with suggestions for practice for all nurses who may be dealing with patients with mental illness. The book is designed for the non-psychiatric nurse, advanced practice nurse, and those with a psychiatric specialization. It can serve as an evidenced-based, user-friendly resource that will help all nurses provide excellent care to patients with and without a mental illness.

This book provides a high-quality resource on evaluation for nurses. It addresses the special needs of Doctorate of Nursing Practice nurses to understand the principles of conducting large scale evaluations, and translating those principles into developing smaller projects, such as unit-based projects or projects required in DNP degree programs. Along with the higher expectations for DNP nurses come greater opportunities to lead evaluation teams and influence high-level decision making in all areas of health care. The book recognizes that the reader does not necessarily read a book from first chapter through the last. The intended audiences for this book are students enrolled in master and doctoral level programs, including advanced practice registered nurses (APRN) and DNP programs; DNP graduates and practicing APRNs; nurse administrators; directors of quality improvement; faculty teaching evaluation; and others interested in evaluation of health care from a practice and clinical perspective. The book provides an overview of the state of the science and knowledge of evaluation, and its application to common practice issues in which DNP, APRN, and master's prepared nurses lead and participate. Students, graduates, and colleagues provided information about their particular needs which was greatly appreciated. The intent of this book is to lay a foundation in evaluation for DNPs/APRNs to assume their important role in the process. Evaluation principles (concepts) as applied to health care continue to be underdeveloped and evolving. Evaluation is a nonlinear and messy process. While there is no one right way to conduct an evaluation, it is driven by the intended purpose and use of the evaluation findings.

This book provides an advanced practice registered nurse (APRN) in women’s health to aim for becoming an influential women’s health provider. It is divided into three parts, where Part 1 looks at women and their health from a population perspective by describing selected their sociodemographic characteristics, presents an overview of the current U.S. women health care workforce, and explores a gender-sensitive approach to health care for women, including integration for sexual and reproductive health (SRH). The section also discusses the risk factors of vulnerable women, and provides feminist frameworks for women’s health. Part II traces experiences of health and health promotion in young, midlife, and older women as a foundation for understanding well-woman’s health. It considers a psychosocial developmental perspective on women’s mental health, and examines the contexts for women’s health and the implications for health care. Women’s sexual health, including special considerations for women who are lesbians, transgender, bisexual, and questioning, warrants special attention of health care providers. In the last part of the book, an array of health problems are addressed that are unique to women, are more prevalent in women (such as breast cancer), and are managed in different ways for women (such as thyroid disorders, diabetes, and heart disease). Some consideration are linked most directly to reproductive health care, including sexual health dysfunctions, vulvar and vaginal health problems, perimenstrual and pelvic symptoms and syndromes, sexually transmitted infections, women’s experiences of HIV/AIDS, human papillomavirus, gynecologic cancers, menopause, osteoporosis, and unintended pregnancy.

This book highlights how nurses have held a myriad of roles as leaders since the time of Florence Nightingale. Schools of nursing developed master's-prepared nursing programs, which led to the development of advanced practice registered nursing (APRN) roles. Graduate nursing education for nurse leaders has evolved to address the advanced knowledge and skills required in these roles. The book has been developed to be a resource for clinical nurse leader (CNL) and other Nurse Leadership Programs. The intent is to provide a book for faculty and students that focuses on the essential knowledge required in any graduate nurse leader role and in any setting. All graduate level nurses should be prepared to embrace leadership and have a positive impact on healthcare and patient outcomes. The book is organized into three sections comprising 26 chapters. Section I, Nursing Leadership, describes trends in leadership; leadership types; healthcare advocacy; CNL role; lateral integration of care services; integrating the CNL/APRN skill set as master'-prepared nurse leaders; and ethical nurse leadership. Section II, Patient Assessment and Clinical Outcomes, discusses advanced patient assessment; illness/disease management; health promotion, disease prevention, and injury reduction; interprofessional communication and collaboration skills; and health policy, laws, and regulatory issues. Section III, The Care Environment, covers a wide range of topic, which includes healthcare systems and organizational structure; healthcare economics essentials for the nursing professional; financial and budget principles for nurse leaders; knowledge and outcomes management; evidence-based practice; evaluating statistical approaches in nursing; quality improvement and patient safety; and healthcare informatics. Each chapter provides an overview of the topic and how it applies to master’s-prepared nurse leaders. It is hoped that faculty will provide assignments that further clarify how to apply the content to a nurse leader role. This may include papers, projects, in person or online discussions, presentations, and internships.

This book addresses the role of neuromonitoring in neurocritical care. It discusses current utilization, benefits, and concerns for each commercially available neuromonitoring device and describes basic strategies for neuromonitoring implementation and analysis. Topics covered in the book include: intracranial pressure (ICP) monitoring, transcranial Doppler (TCD) monitoring, continuous electroencephalography (EEG) monitoring, cerebral oxygenation, brain-tissue perfusion monitoring and cerebral microdialysis. The roles of ICP monitoring and control are both unique and vital to neurocritical care. There are four main locations within the brain where ICP monitoring devices are frequently placed: fluid filled ventricle, brain parenchyma, subarachnoid, and epidural space. The decision of which location and device to use is based on the clinical scenario, appearance of the head computed tomography (CT) (i.e., size of cerebral lateral ventricles) and operator experience. Patients with brain injuries may have impaired cerebral autoregulation. Continuous monitoring of cerebral autoregulation is feasible in neurocritical care. In patients with brain injury, conservation of cerebral autoregulation is related to prognosis. Monitoring of cerebral autoregulation is useful for optimizing and individualizing the therapeutic management of patients with brain injury. The book also focuses on strategies for successful training of the neurocritical care nurse and the role of the nurse in neuromonitoring. The responsibility of the advanced practice nurse (APN) in developing a successful neuromonitoring unit is also addressed. Finally, the book focuses on the current benefits, misunderstandings, limitations, and unjustified expectations surrounding multimodal monitoring (MMM).

Healthcare delivery system reforms initiated by the Patient Protection and Affordable Care Act emphasized the health of populations and social determinants of health. These areas are central to public and community health nursing practice. The core processes of community assessment, program planning, implementation, and evaluation remain relevant to advanced public and community health nursing practice. This book assists graduate students in public and community health nursing and other nursing specialties who focus on population health to become competent advanced practice nurses. The book is organized into six sections containing 21 chapters. Section one comprising two chapters provides the learner with an introduction to public and community health nursing specialty practice and foundations for this advanced level of practice. Section two provides the depth of knowledge needed by the advanced practice nurse to competently conduct community assessments. Section three takes the learner through the steps needed to develop coherent and high-quality program plans. Section four provides the learner with the necessary information to implement program plans at the individual, group, or community level. The section five addresses program evaluation in-depth, providing detailed content on how to develop an evaluation plan and revise programs. The final section directs the learner’s attention to graduate preparation in public and community health nursing as well as to the leadership role in creating a professional practice environment. The book suggests clinical or practicum activities that assist the learner to apply the content in a variety of ways and settings. It also presents examples of actual programs or projects conducted by advanced public and community health nurses.

Project management is an important skill in both career and life, yet little has been written to provide nurses and other healthcare professionals acting in leadership and advanced practice roles with the tools needed to ensure success in this area. This book offers guidance and insights and ties the skills of a seasoned project manager, advanced practice nurse, and nurse educator together to take the reader through all phases of the project management process from start to finish through tools integrated throughout the text. It continues to grow from teaching and practice experiences in nursing informatics as well as working as a consultant and project manager implementing electronic health records nationally and internationally. Concepts in this text provide a guiding framework that graduate students can use in both clinical practice and leadership, as well as when preparing a practicum assignment for graduation and residencies to guide masters of science in nursing, nurse executive, and doctoral projects such as those in doctor of nursing practice and PhD programs. The book supports nurses and healthcare professionals in understanding and applying project management (nursing process) structures to goals and objectives that must be accomplished in an organized way, thus promoting the development of leadership skills as well. It outlines the phases of project management, such as design and planning, implementation, monitoring and controlling, and final evaluation. Tools utilized in the process include timelines and tracking tools, and many other management documents that help application and monitoring tasks are included. New to this second edition are case scenarios with exemplars of a process or application of a tool, critical-thinking questions and activities, and new, updated content based on the current practices and national organizations’ mandates. Many tools used in organizations for management of goals and objectives are included in each chapter.

This book updates current trends in practice and reviews the origins, standards, and competencies of the advanced practice registered nurses (APRNs) in the United States. It discusses APRN roles within a nursing context, identifies organizational roles for APRNs, and examines ethics in guiding APRN clinical decision making. The book is organized into three parts comprising 16 chapters. It examines and addresses all four APRN roles. The book reviews useful tools in advanced clinical decision making, practice issues (regulation, certification prescriptive authority, credentialing, and liability), and the exploration of employment opportunities and strategies. It explores the role of the APRN in the team’s formation and leadership. The chapter discusses the composition of interprofessional teams that will include a variety of healthcare providers. It challenges APRNs to assume more prominent leadership roles in healthcare delivery systems. The book emphasizes the importance of leadership competencies necessary for the delivery of quality care, evidence-based practice, and patient safety. Different leadership development models and curricula related to leadership in master’s and doctor of nursing practice (DNP) programs are considered. The book describes the multifaceted roles of APRNs internationally. The Patient Protection and Affordable Care Act (ACA) has placed APRNs on the front lines of healthcare reform. The book reviews the critical events that have sculpted the APRN policy role in influencing and creating legislation and discusses how to become an engaged citizen in directing change. It discusses health information technology competencies for nurses and APRNs, as well as common information management resources that APRNs are using or likely to encounter in the near future. The book explores the multiple modalities that are incorporated into the scholarship of practice, such as sharing tricks of the trade, completing quality improvement projects, collaborating with nursing researchers, and being an active member in professional organizations.

The book is designed primarily for graduate students in nursing, especially those in advanced practice nursing programs at the master’s and doctoral (DNP) programs who are engaged in clarifying the process of advanced nursing practice, and those in PhD programs who are interested in addressing epistemic questions related to nursing practice as generic subject matter. The conceptualization of client from the nursing perspective is discussed, as the client is the central figure in nursing practice. Detailed descriptions and comprehensive expositions regarding the structures of perspective, knowledge, philosophy, dimension, and process of the model of nursing practice are presented in the book. The book identifies, describes, and examines the essential general tools of practice specific to nursing, which are required for and applied in nursing practice. These are behavioral and cognitive repertoires that are applicable to various sorts of nursing practice situations, and that have nursing-specific utility, meaning, and application. The book addresses the concept of collaborative practice in terms of intra-, inter-, and cross-agency collaboration in the context of person-centered practice. Knowledge application in practice is examined applying a model of knowledge application in nursing practice. The concept of knowledge-based practice is discussed vis-à-vis evidence-based practice, and critical reflective inquiry as a generative mode of development in practice is presented. The book also deals with excellence in practice and the meaning of good practice in relation to the concept of quality of practice.

The increasing focus on evidence needed for practice decisions propels us to re-envision how we teach graduate students about research and evidence-based practice (EBP). This book serves as a resource for graduate students and practicing advanced practice registered nurses (APRNs) who contribute to the scholarly output in the discipline, particularly in the area of clinical practice. Increasing numbers of APRNs are prepared with a doctorate in nursing practice (DNP) degree. Collaborative teams, comprising APRNs prepared with master’s and doctoral degrees, can accelerate the translation of evidence into practice to improve health outcomes. Therefore, this book teaches APRNs prepared at the master’s and doctoral levels how to (a) find relevant and current evidence, (b) appraise the evidence, (c) translate evidence into practice to improve patient care and outcomes, and (d) disseminate findings. This book expands on the previous edition by providing a chapter on quality improvement (QI) models, processes, and tools; expanding Chapter 14 (systematic reviews) to include integrative and literature reviews; adding a chapter with exemplars of APRN-led initiatives that showcase improved processes and health outcomes. The book is organized into four parts. The chapters in Part I focus on an overview of EBP: the definitions of EBP that have evolved over time, types of evidence, and models of EBP. Components of the research process are presented from a reviewer’s perspective of using the article as supporting evidence for practice in subsequent chapters. Part III discusses meta-analyses, systematic reviews, integrative reviews, and practice guidelines from various sources, such as professional organizations and government websites, are other types of evidence that may be used in establishing EBP. Part IV discusses cost, outcomes, and ethical aspects are essential components of EBP and QI.

Advanced practice nurses study long and hard to achieve the skills and knowledge necessary to provide safe and cost-effective patient-centered care across a variety of practice settings. As experts in a practice discipline, advanced practice nurses are practice scholars. This book is intended to support that scholarship. The intended audience are advanced practice nurses, students in advanced nursing practice programs, and doctoral students interested in conducting clinically based projects. The book is presented in two sections, wholly devoted to doctor of nursing practice (DNP) scholarly practice and the DNP project. The first section is about scholarship. Chapter 1 is about being a scholar and engaging in scholarly inquiry. Chapter 2 is about scholarly inquiry and the domains of scholarship. Chapters 3 and 4 are new to this second edition. Chapter 3 describes the DNP project. Chapter 4 is about searching the literature for evidence to support a project and critically appraising that literature. The second section is on the methods of scholarly inquiry that lend themselves to clinical projects. Chapter 5 introduces action research. Chapter 6 is about constructing a case study. Chapter 7 is about qualitative descriptive projects. Chapter 8 is about clinical interventional projects. Chapter 9 is about systematic review. Chapter 10 describes integrative review. Chapter 11 is on quality improvement. Chapter 12 is about program evaluation. Chapters 13 and 14 are new to this edition. Chapter 13 describes descriptive observational projects within the framework of time, place, and person. Chapter 14 is about disseminating the findings of the DNP project. Advance practice nurses can develop clinically focused practice projects that not only advance nursing practice but also inform the redesign of healthcare considering new and emerging healthcare mandates. The aim of the second edition is to provide a foundation to accomplish this goal and disseminate the results.

This book provides both health professional students and experienced practitioners with the cognitive strategies for clinical leadership and opportunities for applying these strategies to the realities of advanced clinical practice. It offers advanced practice providers (APPs) a clear focus on clinical leadership while providing an important differentiation between true leadership skills and behaviors and mere task-oriented management skills. The book reports on various leadership theories/models and uses meaningful leadership research evidence that relates well to real-world clinical settings while cautioning the reader to understand that research findings may not always produce predictable leadership outcomes. It is an excellent resource for the next generation of leaders in health care. The book is organized into four parts. The first part discusses clinical leadership traits and behaviors. Part two presents administrative leadership strategies for physician assistants and nurse practitioners, vis-à-vis the financial principles of clinical leadership and change strategies used by clinical leaders to achieve desired, planned change in complex health care environments. Part three describes the human aspects of clinical leadership such as the importance of clinical leaders being ethical and culturally informed in their advanced practice; the potential for and qualities of being a spiritual leader in a clinical setting; teaching others and leading other leaders in a clinical setting; and resiliency of the clinical leader in preventing burnout. The final part invites readers to look ahead to the future and ponder the possibilities of a desired future for health care.

Fetal and neonatal physiology is foundational to the care provided by neonatal professionals and creates a framework for how the body works and; in some cases; doesn't work. Understanding physiology provides in-depth knowledge of the mechanical; physical; and biochemical function of humans. This book discusses the basic principles of placental; fetal; maternal; and neonatal development and physiology. It outlines each system with a timeline for organ development; developmental physiology; genetics; maternal influences; common problems; and lifetime implications. The book serves as a learning resource for students and provides them with learning tools. In this new age of data; the work on cellular physiology expands our understanding of disease not only at the cellular level; but in the microenvironment that surrounds the cell. The book offers a unique framework for the study of human physiology and common diseases that may afflict premature and term infants. It provides advanced practice nurses with core concepts of fetal and neonatal physiology in a manner that promotes contemplative thinking; understanding; and retention. The book introduces core concepts; including fetal origins of disease; genetic inheritance patterns; and placental physiology. It investigates each major human body system; and offers an exploration into the transition to extrauterine life and common challenges facing perinatal and neonatal clinicians. It is well known that teamwork; communication; and mentoring behaviors are associated with optimal outcomes for individuals and organizations. Therefore; each chapter of the book reflects a purposeful; interprofessional integration of the knowledge of both junior and senior nursing and medical professionals. Blank timelines encourage self-directed learning and creation of feedback loops with academic or clinical mentors. Practical advice from contributing authors offers valuable perspectives and role models an interprofessional information exchange.

Psychiatric-mental health advanced practice registered nurses (PMH-APRNs) are like water: they are flexible, they are fluid, and they go where they are needed. Deinstitutionalization of psychiatric patients resulted in not only more community-based treatment, but also new and expanded outpatient roles for psychiatric nurses. The third edition of Advanced Practice Psychiatric Nursing meets the practice standards developed by the American Psychiatric Nurses Association, the International Society of Psychiatric-Mental Health Nurses, and the American Nurses Association, which require all PMH-APRNs to have skills in psychotherapy, psychopharmacology, and holistic assessment. Each chapter reflects not only state-of-the-art knowledge, but decades of clinical wisdom. The book is divided into five sections: Section I provides an overview of the theoretical and evidence base for practice and an exploration of the concept of shared decision-making and reaching concordance between clinicians and clients. Section II explores the foundations necessary for the practitioner to implement integrated practice and discusses the synergistic effects of integrating practice concepts. This includes chapters presenting the overviews of psychotherapy, psychopharmacology, and complementary and alternative approaches in the context of the stages of treatment. A new chapter focuses on legal and ethical issues in treatment. Section III applies the information from previous chapters and focuses on integrative management of specific syndromes. The chapters discuss mood disorders, anxiety-related disorders, psychotic symptoms, sleep disturbances, disordered eating, disordered cognition, impulse control, disordered attention, self-directed injury, and other-directed violence. Section IV covers aspects of managing substance misuse, medical problems, pregnancy, telehealth, and forensic issues that often co-occur with psychiatric syndromes. A new chapter focuses on care for sexual and gender minority patients. Section V covers the importance of maintaining competence and quality in clinical practice. The section includes a new chapter on self-care among PMH-APRNs that focuses on resilience in practitioners, and the final chapter focuses on the global perspectives and the future of psychiatric-mental health advanced practice nursing.

Students in advanced practice programs face the monumental challenge of applying knowledge of pathophysiology to clinical practice. To do this, the student must first have solid command of the principles of physiology, translate those principles to the pathophysiology of diseases, and then translate them again to the clinical setting. Each step must be undergirded by a firm understanding of the “whys” of the physiologic mechanisms. This book guides the student through those “whys”—in a step-wise fashion that is logical and systematic. It presents the physiology of each system at the appropriate level, in easily accessible book that is complemented by clear tables and figures. Throughout, it provides relevant examples and metaphors to help the student visualize and relate to complex pathophysiologic mechanisms. Thought-provoking questions challenge the student and offer practice for long-term retention. The book explains equations—which are inescapable in physiology—in words to make them less daunting to the student; it also presents every equation in the context of its pathophysiological application. It provides a complete chapter on the basic principles of genetics and genomics with coverage of genetic variations, assessment, and genomics. The book consists of seventeen chapters. Each chapter begins with a short introduction that sets the stage for the content’s relevance to clinical practice. It introduces the common disease states of that organ system, briefly highlighting their incidence and prevalence. In each chapter, major subtopics conclude with questions to improve student mastery of information. The chapters conclude with the discussion of pediatric considerations, gerontological considerations, case studies, clinical practice, key points, and key disorders.

Knowledge-driven evidence-based treatment models take time and effort but also must be provided by someone who is knowledgeable about the range of psychiatric mental health problems to be addressed. Dr. Wheeler is among a handful of people in the profession who offer an up-to-date evidence-based text of the knowledge and skills required by advanced practice psychiatric nurses. Since the publication of the first edition in 2008 of Psychotherapy for the Advanced Practice Psychiatric Nurse a number of other books for advanced practice psychiatric nurses (APPNs) have been published and the number of graduate psychiatric nursing programs has steadily increased. This is a how-to compendium of evidence-based approaches to practicing psychotherapy for both the experienced and neophyte advanced practice psychiatric nurse. This book integrates neuroscience with relationship science and unites disparate psychotherapeutic approaches into a model that is concise and straightforward, yet sufficiently comprehensive to provide a framework for practice. The most useful therapeutic models are highlighted with principles, and techniques of treatment for nurse psychotherapists and those with prescriptive authority. This second edition expands the award-winning first edition, providing guidelines, forms, and case studies to assist APPNs in deciding which treatment to use based on psychotherapy outcome studies and practice guidelines. New chapters in the second edition includes: motivational interviewing; dialectical behavior therapy; group therapy; family therapy; eye movement desensitization and reprocessing; therapeutic approaches for addictions; and new current procedural terminology codes & reimbursement. Nurses who are healers understand that they can only accompany the patient on his or her journey if they have begun their own self-healing and that self-healing is a continuous process whereby one continues to develop clarity about one’s own strengths and weaknesses.

The healthcare environment in which advanced practice registered nurses are currently practicing is a complex setting with rapid change underway driven by a need to transform the healthcare delivery system. The United States faces challenges with escalating healthcare delivery costs and questionable performance on many quality indicators for patient safety and overall population health. As an answer to these challenges, Health information technology (HIT) has been promoted as a critical element in the National Quality Strategy (NQS) to achieve three aims: better care, affordable care, and healthy populations and communities (U.S. Department of Health and Human Services, 2011). More recently, a fourth aim has been added to include care of the provider within interprofessional teams. This fourth aim was added because HIT is creating undue stress and the burden of documentation associated with the Electronic Health Record (EHR), often resulting in burnout. Nurses will play an essential role within interprofessional teams in transforming the healthcare delivery system and are critical team members for success, particularly related to the effective and efficient deployment of HIT. In the last 10 years, the United States has focused on laying the HITEHR foundation established under the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. Now, the United States is focused on optimizing the investments made on Health ITEHR implementations and to address unintended consequences that have resulted from the rapid deployment of I.T. across the nation. This book consists of five sections. Section one provides a brief introduction to nursing informatics. Section two briefs on point-of-care technology. Section three discusses data management and analytics. Section four details patient safety/quality and population health. Finally, section five describes new and emerging technologies and is intended to provide the advanced practice nurse with a view for the future of healthcare-based informatics.