Advanced Public and Community Health Nursing Practice

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Publisher : Springer Publishing Company
ISBN 13 : 0826138446
Total Pages : 471 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Advanced Public and Community Health Nursing Practice by : Naomi E. Ervin, PhD, RN, PHCNS-BC, FNAP, FAAN

Download or read book Advanced Public and Community Health Nursing Practice written by Naomi E. Ervin, PhD, RN, PHCNS-BC, FNAP, FAAN and published by Springer Publishing Company. This book was released on 2018-03-28 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by advanced practice public/community health nurse experts, this comprehensive resource for advanced practice nursing students and clinicians builds upon the core foundations of practice: social justice, interdisciplinary practice, community involvement, disease prevention, and health promotion. Interweaving theory, practice, and contemporary issues, Advanced Public and Community Health Nursing Practice, Second Edition, provides essential knowledge needed to successfully assess communities, diagnose community situations, plan programs and budgets, and evaluate programs in public and community health. This revised edition has been thoroughly updated to encompass the evolution of public/community health nursing practice during the past 15 years. With several examples of community assessments, community health program plans, and evidence-based and best-practice interventions, the content in this publication addresses the core processes of advanced public/community health nursing practice. Chapters integrate new material about the physical environment and cover key changes in nursing education and practice and healthcare financing and delivery. This new edition includes additional content on culture and diversity, in-depth theory and conceptual frameworks, doctoral preparation, and policy. New to the Second Edition: Completely new information reflecting changes in nursing education and practice and healthcare financing and delivery Abundant examples of community assessments and community health program plans Evidence-based/best-practice interventions, programs, and services Clinical/practicum activities to help learners apply content in varied settings Suggested readings and references to support more in-depth study Additional information about the physical environment, culture and diversity, doctoral preparation, and policy Interprofessional/interdisciplinary practice In-depth information regarding theories and conceptual frameworks New references, examples, case studies, problems, and discussion questions Key Features: Provides comprehensive, in-depth information regarding community assessment, program planning, program implementation, evaluation, and program revision Delivers timely knowledge about using evidence, practice standards, public health ethics, Healthy People 2020, and competent practice in varied settings Includes realistic case studies of program and evaluation plans Presents examples of programs and projects conducted by advanced practice public/community health nurses

Advanced Practice Nursing in the Community

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Publisher : SAGE
ISBN 13 : 0761900357
Total Pages : 495 pages
Book Rating : 4.7/5 (619 download)

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Book Synopsis Advanced Practice Nursing in the Community by : Carl O. Helvie

Download or read book Advanced Practice Nursing in the Community written by Carl O. Helvie and published by SAGE. This book was released on 1998 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this new text-reference, Dr. Carl Helvie explores the realm of community health care for advanced practice nurses currently working in community care or requiring an awareness and understanding of its salient issues. Simple in its presentation but rigorous in its coverage of related theories and concepts, Advanced Practice Nursing in the Community reviews community health nursing and advanced practice and then presents the Helvie Energy Theory as a guiding framework for the remainder of the volume. This comprehensive volume comprises thoughtful discussions of the economic, environmental, and sociocultural influences on community health, providing a foundation for subsequent chapters on community assessment, analysis, and diagnosis. It examines community intervention, addressing such topics as multilevel community intervention; diffusion and maintenance of community change; mass media and the political process; coalition building among professional and lay organizations as well as nursing centers and the schools; and rural health care. In addition to numerous assessments and other tools found throughout the book, case studies follow nearly every chapter to illuminate the content. Clinicians early in their community advanced practice will find the extensive assessment example of an actual community in the Rudyville Community Analysis especially interesting. Advanced Practice Nursing in the Community is a remarkably comprehensive and thought-provoking work. It is a must for both the community health specialist and advanced practice nurse seeking a reference for public and community health care.

Advanced Practice Nursing

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Publisher : Elsevier Health Sciences
ISBN 13 : 1455739804
Total Pages : 754 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Advanced Practice Nursing by : Ann B. Hamric, PhD, RN, FAAN

Download or read book Advanced Practice Nursing written by Ann B. Hamric, PhD, RN, FAAN and published by Elsevier Health Sciences. This book was released on 2013-07-18 with total page 754 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing all major advanced practice nursing competencies, roles, and issues, Advanced Practice Nursing: An Integrative Approach, 5th Edition provides a clear, comprehensive, and current introduction to APN today. It applies APN core competencies to the major APN roles - including the burgeoning Nurse Practitioner role - and covers topics ranging from the evolution of APN to evidence-based practice, leadership, ethical decision-making, and health policy. This edition includes a new chapter on the international development of APN, new and enhanced illustrations, and a colorful new reader-friendly format for improved readability. From internationally known APN experts Ann Hamric, Charlene Hanson, Mary Fran Tracy, and Eileen O'Grady, along with a host of internationally recognized APN contributors, Advanced Practice Nursing introduces you to APN and helps you identify an APN role, develop key competencies for that role, and succeed as an APN. Coverage of APN core competencies defines and describes all competencies, including direct clinical practice, guidance and coaching, consultation, evidence-based practice (EBP), leadership, collaboration, and ethical decision-making. Operationalizes and applies 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 issues; and nursing outcomes and performance improvement research. Unique Exemplar boxes provide real-life scenarios, showing APN competencies in action. In-depth discussions of educational strategies show how nurses develop competencies as they progress into advanced practice. Discussions of APN role development clearly explain the career trajectory that you can anticipate as you transition to advanced practice. EXPANDED international focus includes a NEW International Development of Advanced Practice Nursing chapter that addresses common issues such as the public image and status of APN, dealing with physician resistance, discrepancies in titling, and educational standardization. ENHANCED reader-friendly format includes more headings, tables, and illustrations in lieu of long stretches of unbroken text. REVISED Evidence-Based Practice chapter emphasizes the key competency of evidence-based practice (EBP) and includes a comprehensive history and explanation of the steps of the EBP process. UPDATED Health Policy chapter covers key U.S. initiatives affecting APN including the Patient Protection and Affordable Care Act, the Institute of Medicine's Future of Nursing report, the Consensus Model of APRN Regulation, and how APNs can engage in the political process. ENHANCED Exemplar boxes (case studies), including Day in the Life vignettes of each APN specialty, emphasize innovative practices and coverage of advanced practice roles. Increased interprofessional content emphasizes the subjects of ethics, collaboration, and consultation. Enhanced integration of Doctor of Nursing Practice (DNP) considerations and literature makes this text ideal for DNP programs.

Advanced Practice Nursing: Essential Knowledge for the Profession

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284176126
Total Pages : 968 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Advanced Practice Nursing: Essential Knowledge for the Profession by : Susan M. DeNisco

Download or read book Advanced Practice Nursing: Essential Knowledge for the Profession written by Susan M. DeNisco and published by Jones & Bartlett Learning. This book was released on 2019-10-11 with total page 968 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advanced Practice Nursing:Essential Knowledge for the Profession, Fourth Edition is a core advanced practice text used in both Master's Level and DNP programs.

Advanced Practice Nursing

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Publisher : Jones & Bartlett Learning
ISBN 13 : 1284264661
Total Pages : 1022 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Advanced Practice Nursing by : Susan M. DeNisco

Download or read book Advanced Practice Nursing written by Susan M. DeNisco and published by Jones & Bartlett Learning. This book was released on 2023-02-21 with total page 1022 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advanced Practice Nursing: Essential Knowledge for the Profession, Fifth Edition is a core advanced practice text used in both Master's Level and DNP programs. This bestselling textbook is framed around the AACN's Master's Essentials as well as the Essentials for Doctoral Education featuring the most up-to-date content on each set of Essentials. Throughout the Fifth Edition the authors address the rapid changes in the health care environment with a special focus on health care finance, electronic health records, quality and safety as well as emerging roles for the advanced practice nurse. Patient care in the context of the advanced nursing role is also discussed.

The Future of Nursing 2020-2030

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Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Advanced Practice Nursing: Essential Knowledge for the Profession

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 0763788279
Total Pages : 610 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Advanced Practice Nursing: Essential Knowledge for the Profession by : Anne M. Barker

Download or read book Advanced Practice Nursing: Essential Knowledge for the Profession written by Anne M. Barker and published by Jones & Bartlett Publishers. This book was released on 2008-02-06 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advanced Practice Nursing is the perfect text for any course that serves as an introduction to the profession. It follows the nation nursing accreditation standards and ensures that curriculum is built on professional standards.

The Future of Nursing

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Publisher : National Academies Press
ISBN 13 : 0309208955
Total Pages : 700 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Future of Nursing by : Institute of Medicine

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

A Caring Advanced Practice Nursing Model

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Publisher : Springer Nature
ISBN 13 : 303053555X
Total Pages : 248 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis A Caring Advanced Practice Nursing Model by : Lisbeth Maria Fagerström

Download or read book A Caring Advanced Practice Nursing Model written by Lisbeth Maria Fagerström and published by Springer Nature. This book was released on 2021-06-30 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Introduction to Advanced Nursing Practice

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Publisher : Springer
ISBN 13 : 3319322044
Total Pages : 174 pages
Book Rating : 4.3/5 (193 download)

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Book Synopsis Introduction to Advanced Nursing Practice by : Madrean Schober

Download or read book Introduction to Advanced Nursing Practice written by Madrean Schober and published by Springer. This book was released on 2016-10-20 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepared under the auspices of the International Council of Nurses (ICN), this first volume provides a comprehensive overview of the rapidly emerging field of advanced nursing practice. It addresses central issues in the role and practice development that are fundamental to defining and differentiating the nature of this field. Topics include defining the role, role characteristics, scope of practice, education, regulation and research. Obstacles to and facilitators of that role are addressed and include ethical questions arising in the context of practice development. With an international focus, this volume examines international developments in the field, as reflected in country-specific case studies and examples. It offers a valuable resource for advanced practice nurses, educators and administrators at healthcare institutions.

Primary Care

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Publisher : F.A. Davis
ISBN 13 : 0803644949
Total Pages : 1344 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Primary Care by : Lynne M Dunphy

Download or read book Primary Care written by Lynne M Dunphy and published by F.A. Davis. This book was released on 2015-02-19 with total page 1344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by nurse practitioners for nurse practitioners in collaboration with a physician, this popular text builds a solid understanding of the theoretical foundation of nursing practice, while also providing comprehensive patient-care guidance based on the latest scientific evidence.

Advanced Practice Nursing

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Publisher : Springer Publishing Company
ISBN 13 : 9780826105165
Total Pages : 336 pages
Book Rating : 4.1/5 (51 download)

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Book Synopsis Advanced Practice Nursing by : Dr. Michalene Jansen, PhD, RN,C, GNP-BC, NP-C

Download or read book Advanced Practice Nursing written by Dr. Michalene Jansen, PhD, RN,C, GNP-BC, NP-C and published by Springer Publishing Company. This book was released on 2009-10-26 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! "This is a valuable resourceÖto help prepare advanced practice nurses with the skills necessary to navigate the healthcare arena. The editors and contributors are experienced advanced practice nurses with valuable information to share with novice practitioners." Score: 100, 5 stars.óDoodyís Medical Reviews Now in its fourth edition, this highly acclaimed book remains the key title serving graduate-level advanced practice nurses (APNs) and recent graduates about to launch their careers. The book outlines what is required of the APN, with guidelines for professional practice for each of the four APN roles: the nurse practitioner, clinical nurse specialist, certified nurse midwife, and certified registered nurse anesthetist. Advanced Practice Nursing focuses not only on the care and management of patients, but also on how to meet the many challenges of the rapidly changing health care arena. Obtaining certification, navigating reimbursement, and translating research into practice are just a few of the challenges discussed. Key Features: Essential information on educational requirements and certification Advice on how to make the transition into professional practice Guidelines for ethical and clinical decision making Discussions on the DNP and CNL roles in AP nursing Updated and revised content on leadership development, regulation, informatics, health care organization, and health care policy

Advanced Practice Nursing Procedures

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Publisher : F.A. Davis
ISBN 13 : 080369816X
Total Pages : 560 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Advanced Practice Nursing Procedures by : Margaret R Colyar

Download or read book Advanced Practice Nursing Procedures written by Margaret R Colyar and published by F.A. Davis. This book was released on 2020-01-22 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is an illustrated, easy-to-reference handbook with step-by-step instructions for the procedures most commonly performed by primary care clinicians in office, hospital, and other outpatient settings. Organized by major body systems, each section reviews the diagnostic procedures for that system, followed by all of the information you need to perform the procedure. Begin with an overview and a list of methods for performing the procedure, followed by rationales, indications and contraindications. The procedure section lists the required equipment and provides step-by-step instructions for performing the procedure. You’ll also have CPT coding guidelines and health promotion and safety prevention tips for client teaching as well as post-procedure care.

Leadership and the Advanced Practice Nurse

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Publisher : F.A. Davis
ISBN 13 : 0803642253
Total Pages : 292 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Leadership and the Advanced Practice Nurse by : Diane Whitehead

Download or read book Leadership and the Advanced Practice Nurse written by Diane Whitehead and published by F.A. Davis. This book was released on 2017-01-25 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Envision a better future… Be prepared to lead the way to better outcomes…for your patients, your team, your institution, and yourself. You’ll not only learn about leadership, but also how to use your skills to manage staff, implement policy changes, and to develop systems that deliver cost effective, quality-controlled care. The coverage encompasses the competencies required by the American Association of Colleges of Nursing in conjunction with major specialty nursing organizations. You’ll begin with the theories, models, and frameworks that provide the window through which to view leadership in the context of the regulations and standards that guide the delivery of care. Then, you’ll explore the importance of creating a culture that ensures safe, quality care, and learn how to plan and evaluate programs to affect change.

Clinical Guidelines for Advanced Practice Nursing

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284093131
Total Pages : 768 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis Clinical Guidelines for Advanced Practice Nursing by : Rebekah Kaplan

Download or read book Clinical Guidelines for Advanced Practice Nursing written by Rebekah Kaplan and published by Jones & Bartlett Publishers. This book was released on 2016-03-17 with total page 768 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Guidelines for Advanced Practice Nursing: An Interdisciplinary Approach, Third Edition is an accessible and practical reference designed to help nurses and students with daily clinical decision making. Written in collaboration with certified nurse midwives, clinical nurse specialists, nurse practitioners, nutritionists, pharmacists, and physicians, it fosters a team approach to health care. Divided into four areas—Pediatrics, Gynecology, Obstetrics, and, Adult General Medicine—and following a lifespan approach, it utilizes the S-O-A-P (Subjective-Objective-Assessment-Plan) format. Additionally, the authors explore complex chronic disease management, health promotion across the lifespan, and professional and legal issues such as reimbursement, billing, and the legal scope of practice. The Third Edition has a keen focus on gerontology to accommodate the AGNP specialty and to better assist the student or clinician in caring for the aging population. The authors follow the across the life span approach and focus on common complete disorders. Certain chapters have been revised and new chapters have been added which include:Health Maintenance for Older Adults; Frailty; Common Gerontology Syndromes; Cancer Survivorship; Lipid Disorders; Acne (pediatrics section). Please note that the 2016 CDC Guidelines for prescribing opioids for chronic pain in the United States were not yet available at the time the authors were updating the Third Edition. See the Instructor Resources tab to read a note from the authors about their recommendations for resources around these guidelines.

Advanced Practice Nursing Leadership: A Global Perspective

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Publisher : Springer Nature
ISBN 13 : 3030205509
Total Pages : 337 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Advanced Practice Nursing Leadership: A Global Perspective by : Susan B. Hassmiller

Download or read book Advanced Practice Nursing Leadership: A Global Perspective written by Susan B. Hassmiller and published by Springer Nature. This book was released on 2020-03-27 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is distinctive in its focus on Advanced Practice Nursing leadership globally. It has a unique structure, first highlighting global APN leadership and then including case studies on leadership from various regions around the world. This beneficial and practical book has a specific emphasis on academic, clinical and policy leadership and is relevant for all readers. Finally, a section on leadership development focuses on coaching and mentoring, business acumen, collaboration and patient advocacy provides an important contribution. Authors are distinguished APN leaders from around the world along with junior authors who are emerging leaders being mentored by these leaders. This book will appeal to APN clinicians, students and emerging leaders who want to bring important global lessons to their work. The book will become an indispensable part of the libraries of all APN leaders at all stages in their development worldwide.

Population-Based Nursing, Third Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826136745
Total Pages : 352 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Population-Based Nursing, Third Edition by : Ann L. Curley, PhD, RN

Download or read book Population-Based Nursing, Third Edition written by Ann L. Curley, PhD, RN and published by Springer Publishing Company. This book was released on 2019-09-03 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for the First Edition: “...nicely integrates epidemiological concepts, evidence-based practice in population health, and program development and evaluation...Authors describe epidemiological research designs, research synthesis, and evidence assessment—knowledge essential for advanced practice nurses working with populations or in the community.”—Journal of Community Health Nursing In its third edition, Population-Based Nursing continues to be the only advanced practice nursing text to focus on core competencies in both epidemiology and population health. This comprehensive resource delivers essential content for doctoral nursing practice (as outlined by the AACN) and encompasses the many changes in health care that affect population-based nursing. It describes the role of the advanced practice nurse in identifying and mitigating health care disparities at the local, national, and global levels and provides guidance on how to conduct community assessments. A strong foundation in epidemiologic methodology is provided, including coverage of mortality measures, testing validity and reliability, study designs, risk and casualty assessment, and data analysis and interpretation. Updated throughout, the third edition includes new and expanded topics such as the role of accreditation in validating population-based practice and programs; value-based care; and the use of technology, data, and information systems in population health. The text includes links to online resources and a robust instructor manual with exercises and discussion questions. In addition to its value as a primary textbook in DNP and MSN programs, the text also serves as valuable resource for advanced practice nursing professionals. Key Features: Includes a strong focus on both epidemiology and population-based nursing competencies Addresses the Essentials of Doctoral Education for Advanced Nursing Practice as outlined by the AACN Includes new and expanded topics such as the role of accreditation in validating population-based practice and programs; value-based care; and the use of technology, data, and information systems in population health Examines how technological innovation and social networking impact the development of interventions and population outcomes Provides links to online resources and a robust Instructor Manual with exercises and discussion questions