Concept-Based Clinical Nursing Skills - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 032384636X
Total Pages : 2637 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Concept-Based Clinical Nursing Skills - E-Book by : Loren Nell Melton Stein

Download or read book Concept-Based Clinical Nursing Skills - E-Book written by Loren Nell Melton Stein and published by Elsevier Health Sciences. This book was released on 2023-02-27 with total page 2637 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW! End-of-chapter Next Generation NCLEX® types of questions challenge you to apply critical thinking and clinical judgment. NEW! AACN Essentials language and competencies are incorporated into every chapter and included in case study questions.

Clinical Nursing Skills

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Publisher :
ISBN 13 : 9780134616834
Total Pages : 784 pages
Book Rating : 4.6/5 (168 download)

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Book Synopsis Clinical Nursing Skills by : Barbara Callahan

Download or read book Clinical Nursing Skills written by Barbara Callahan and published by . This book was released on 2018-01-17 with total page 784 pages. Available in PDF, EPUB and Kindle. Book excerpt: For courses in concept-based nursing. #1 curriculum choice for concept-based schools of nursing Nursing: A Concept-Based Approach to Learning provides all of the core content and materials needed to deliver an effective concept-based program that develops practice-ready nurses. This three-volume series is the only concepts curriculum developed from the ground up as a cohesive, comprehensive learning system. An intentional instructional design and learning pattern fosters connections between concepts and a deep level of comprehension that can be applied broadly. Volume III, Clinical Skills: A Concept-Based Approach, presents more than 275 key nursing skills, with 250 minor skills embedded within them, that complement concepts in the first two volumes and support a concept-based approach. The 3rd edition of Volume III is a full-scale, cover-to-cover revision that brings the text in line with new evidence-based practice, care, and safety guidelines.

Clinical Nursing Skills

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Publisher : Pearson
ISBN 13 : 9780135172032
Total Pages : 648 pages
Book Rating : 4.1/5 (72 download)

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Book Synopsis Clinical Nursing Skills by : Barbara Callahan

Download or read book Clinical Nursing Skills written by Barbara Callahan and published by Pearson. This book was released on 2017-12-08 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only skills book of its kind! Clinical Nursing Skills: A Concept-Based Approach, Volume III, 2nd edition is designed to meet the specific needs and approach of concept-based nursing programs in teaching key nursing skills. Clinical Nursing Skills: A Concept-based Approach is the third volume in a three-volume concept-based textbook series and presents more than 435 of the most important skills performed by nurses including common variations. This second edition has been revised, restructured, and updated to reflect the most current nursing practices and standards. Each skill is characterized by an overarching concept and is presented in exceptional step-by-step detail with beautiful, real-life illustrations, which help students visualize exactly how each skill is completed.

Clinical Nursing Skills and Techniques - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0443115915
Total Pages : 1347 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Clinical Nursing Skills and Techniques - E-Book by : Anne G. Perry

Download or read book Clinical Nursing Skills and Techniques - E-Book written by Anne G. Perry and published by Elsevier Health Sciences. This book was released on 2024-01-16 with total page 1347 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn the clinical nursing skills you will use every day and prepare for success on the Next-Generation NCLEX® Examination! Clinical Nursing Skills & Techniques, 11th Edition provides clear, step-by-step guidelines to more than 200 basic, intermediate, and advanced skills. With more than 1,200 full-color illustrations, a nursing process framework, and a focus on evidence-based practice, this manual helps you learn to think critically, ask the right questions at the right time, and make timely decisions. Written by a respected team of experts, this trusted text is the bestselling nursing skills book on the market! Comprehensive coverage includes more than 200 basic, intermediate, and advanced nursing skills and procedures. Rationales for each step within skills explain the "why" as well as the "how" of each skill and include citations from the current literature. Clinical Judgments alert you to key steps that affect patient outcomes and help you modify care as needed to meet individual patient needs. UNIQUE! Unexpected Outcomes and Related Interventions sections highlight what might go wrong and how to appropriately intervene. Clinical Review Questions at the end of each chapter provides case-based review questions that focus on issues such as managing conflict, care prioritization, patient safety, and decision-making. More than 1,200 full-color photos and drawings help you visualize concepts and procedures. Nursing process format provides a consistent presentation that helps you apply the process while learning each skill. NEW! All-new Clinical Judgment in Nursing Practice chapter incorporates concepts of the NCSBN clinical judgment model. Updated evidence-based literature is incorporated throughout the skills. NEW! End-of-chapter questions and end-of-unit unfolding case studies provide optimal preparation for the Next-Generation NCLEX® (NGN).

Clinical Nursing Skills

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (141 download)

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Book Synopsis Clinical Nursing Skills by :

Download or read book Clinical Nursing Skills written by and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Clinical Nursing Skills & Techniques

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Author :
Publisher : Mosby
ISBN 13 : 9780323052894
Total Pages : 0 pages
Book Rating : 4.0/5 (528 download)

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Book Synopsis Clinical Nursing Skills & Techniques by : Anne Griffin Perry

Download or read book Clinical Nursing Skills & Techniques written by Anne Griffin Perry and published by Mosby. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edition offers new up-to-date content and improved features, in addition to complete coverage of more than 200 nursing skills, and a nursing process framework for a logical and consistent presentation.

Concept-Based Clinical Nursing Skills

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Publisher :
ISBN 13 : 9780323625579
Total Pages : 1024 pages
Book Rating : 4.6/5 (255 download)

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Book Synopsis Concept-Based Clinical Nursing Skills by : Loren Stein

Download or read book Concept-Based Clinical Nursing Skills written by Loren Stein and published by . This book was released on 2020-02-03 with total page 1024 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you looking for a new way of learning skills? Do you want to learn how to problem solve and think conceptually??Stein and Hollen's Concept-Based Clinical Nursing Skills: Fundamental to Advanced covers over 250 nursing skills in an innovative?concept-based format with excellent illustrations, concise rationales, and current evidence. Unlike any other text, Stein and Hollen incorporate an overarching framework of seven critical concepts - accuracy, client-centered care, infection control, safety, communication, evaluation, and health maintenance - to drive home the importance of these key themes in performing nursing skills. Each section balances need-to-know narrative with step-by-step skills, and every chapter includes a detailed case study with a concept map to help you apply knowledge and use clinical judgement in clinical situations involving nursing skills. Over 250 step-by-step nursing skills with over 900 photos and illustrations. Language and concepts reflect those used on the NCLEX. Concept-based approach to skills education pairs well with the Giddens framework. Accuracy, Client-Centered Care, Infection Control, Safety, Communication, Evaluation, and Health Maintenance are reinforced throughout as Critical Concepts to skills performance. Case studies with concept maps depict patients with problems that might be experienced in the clinical setting and are followed by a series of critical thinking questions with every chapter. Application of the QSEN competencies: A?question that challenges you to apply a QSEN competency is provided within the critical thinking questions of each case study. Lessons from the Evidence boxes highlight and summarize current research that can contribute to evidence-based clinical practice; Lessons from the Courtroom boxes summarize actual court cases related to the skills in the chapter in order to help you understand legal implications; and Lessons from Experience boxes use a storytelling format to share the experiences of more experienced nurses with students. Application of the nursing process:?Nursing diagnoses that include specific examples of client outcomes and nursing interventions are presented within each section of the chapters. ? Uses an easy-to-understand, conversational writing style. Organized to present fundamental skills first, then intermediate acute care skills, and finally advanced skills often performed in critical care. Critical concepts align with the quality and safety framework of the QSEN competencies. Emphasis on safety and client centered care. Expect the Unexpected boxes use a storytelling format to present unexpected situations that could occur and explore appropriate responses to them. Home Care, Lifespan, and Cultural Considerations provided in each chapter. Performing an Assessment chapter details physical assessment skills. Evolve site for students features skills video clips, skills checklists for all skills, and NCLEX-style review questions.

Clinical Nursing Skills

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Author :
Publisher : Prentice Hall
ISBN 13 : 9780133351798
Total Pages : 0 pages
Book Rating : 4.3/5 (517 download)

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Book Synopsis Clinical Nursing Skills by : Barbara Callahan

Download or read book Clinical Nursing Skills written by Barbara Callahan and published by Prentice Hall. This book was released on 2014-07-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Clinical Nursing Skills: A Concept-Based Approach, Volume III, 2nd edition is designed to meet the specific needs and approach of concept-based nursing programs in teaching key nursing skills. Clinical Nursing Skills: A Concept-based Approach is the third volume in a three-volume concept-based textbook series and presents more than 435 of the most important skills performed by nurses including common variations. This second edition has been revised, restructured, and updated to reflect the most current nursing practices and standards."--Publisher's website.

Clinical Nursing Skills

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Publisher : Pearson
ISBN 13 : 9780136909491
Total Pages : 0 pages
Book Rating : 4.9/5 (94 download)

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Book Synopsis Clinical Nursing Skills by : Pearson Pearson Education

Download or read book Clinical Nursing Skills written by Pearson Pearson Education and published by Pearson. This book was released on 2022-08-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For courses in concept-based nursing. #1 curriculum choice for concept-based schools of nursing Nursing: A Concept-Based Approach to Learning is the only true concepts curriculum built from the ground up as a comprehensive, cohesive learning system. This 3-volume series provides all the nursing curriculum content and materials needed to develop practice-ready nurses. Its pedagogy fosters a deep comprehension of connections between concepts, with broad applications. Volume III, Clinical Nursing Skills, is the only volume of any concept-based curriculum devoted exclusively to nursing skills. The 4th Edition help students learn and apply essential skills and knowledge for patient care, while relating topics to broader contexts. Hallmark features of this title Only true concept-based solution Students use clinical reasoning by focusing on concepts over memorization. Concept of section explains the chapter's theory underpinning each skill. Hundreds of nursing skills Students learn to execute 277 major skills with nearly 250 minor skills embedded in them. They also learn how to delegate, educate patients and individualize their care. The skills support concepts in Volumes I and II. In each chapter of Volume III, skills appear in subgroups that reflect the sequence of skill performance. Learning aids Skills are categorized by concept and rendered step-by-step beside illustrations demonstrating skill performance. NCLEX(R)-style questions assess students' mastery of learning outcomes, while preparing them for the NCLEX-RN exam. New and updated features of this title UPDATED: New and restructured skills have been added to the 4th Edition. This includes skills related to the care of newborns, infants and children. EXPANDED: Covid-19 coverage addresses the effects of the pandemic on the nursing profession and strategies for caring for affected patients and families. About Pearson eText Extend learning beyond the classroom. Pearson eText is an easy-to-use digital textbook. It lets students customize how they study and learn with enhanced search and the ability to create flashcards, highlight and add notes all in one place. The mobile app lets students learn wherever life takes them, offline or online. Optimize study time Find it fast. Enhanced search makes it easy to find a key term or topic to study. Students can also search videos, images and their own notes. Get organized and get results. Students can add their own notes, bookmarks and highlights directly in their eText. Study in a flash. Students can use pre-built flashcards or create their own to study how they like. Meet students where they are Read online or offline. With the mobile app, you and your students can access your eText anytime, even offline. Listen anywhere. Learners can listen to the audio version of their eText for most titles, whether at home or on the go. Watch and learn. Videos and animations right within the eText help bring tricky concepts to life. Available in select titles.

Concept-based Clinical Nursing Skills

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Author :
Publisher :
ISBN 13 : 9780323846400
Total Pages : 0 pages
Book Rating : 4.8/5 (464 download)

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Book Synopsis Concept-based Clinical Nursing Skills by : Loren Nell Melton Stein

Download or read book Concept-based Clinical Nursing Skills written by Loren Nell Melton Stein and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Timby's Fundamental Nursing Skills and Concepts

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975141776
Total Pages : 1816 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Timby's Fundamental Nursing Skills and Concepts by : Loretta A. Moreno

Download or read book Timby's Fundamental Nursing Skills and Concepts written by Loretta A. Moreno and published by Lippincott Williams & Wilkins. This book was released on 2020-10-01 with total page 1816 pages. Available in PDF, EPUB and Kindle. Book excerpt: Help your LPN/LVN students develop the understanding and clinical skills necessary for effective practice in today’s challenging health care environments with this trusted authority. Timby’s Fundamental Nursing Skills and Concepts, Twelfth Edition continues a tradition of excellence in preparing LPN/LVN students for success throughout their nursing education and into clinical practice. This approachable resource gives students a solid foundation in theoretical nursing concepts, step-by-step skills and procedures, and clinical applications while encouraging them to apply philosophical concepts focusing on the human experience. Filled with engaging learning tools that promote critical thinking, this new edition has been fully updated to reflect current medical and nursing practice and features visually enticing photos and illustrations that bring the information to life to reinforce learning.

Concepts for Nursing Practice

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Publisher :
ISBN 13 : 9780323377003
Total Pages : 0 pages
Book Rating : 4.3/5 (77 download)

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Book Synopsis Concepts for Nursing Practice by : Jean Giddens

Download or read book Concepts for Nursing Practice written by Jean Giddens and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This innovative interactive text explains 58 of the most common nursing concepts - including six all new concepts - that span the areas of patient physiology, patient behavior, and the professional nursing environment. Featured exemplars for each concept are also discussed to help you more easily understand the concepts and apply them to the clinical setting. In addition to more concepts and featured exemplar sections, this new second edition also boasts a more intuitive organization and review questions for both RN and LPN/LVN programs"--Publisher.

Clinical Nursing Skills

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Publisher :
ISBN 13 :
Total Pages : 127 pages
Book Rating : 4.4/5 (628 download)

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Book Synopsis Clinical Nursing Skills by : Barbara Callahan

Download or read book Clinical Nursing Skills written by Barbara Callahan and published by . This book was released on 2021-08-23 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: #1 curriculum choice for concept-based schools of nursing Nursing: A Concept-Based Approach to Learning provides all of the core content and materials needed to deliver an effective concept-based program that develops practice-ready nurses. This three-volume series is the only concepts curriculum developed from the ground up as a cohesive, comprehensive learning system. An intentional instructional design and learning pattern fosters connections between concepts and a deep level of comprehension that can be applied broadly. Volume III, Clinical Skills: A Concept-Based Approach, presents more than 275 key nursing skills, with 250 minor skills embedded within them, that complement concepts in the first two volumes and support a concept-based approach. The 3rd edition of Volume III is a full-scale, cover-to-cover revision that brings the text in line with new evidence-based practice, care, and safety guidelines.

Nursing Interventions & Clinical Skills E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323571034
Total Pages : 904 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Nursing Interventions & Clinical Skills E-Book by : Anne G. Perry

Download or read book Nursing Interventions & Clinical Skills E-Book written by Anne G. Perry and published by Elsevier Health Sciences. This book was released on 2019-01-08 with total page 904 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master nursing skills with this guide from the respected Perry, Potter & Ostendorf author team! The concise coverage in Nursing Interventions & Clinical Skills, 7th Edition makes it easy to learn the skills most commonly used in everyday nursing practice. Clear, step-by-step instructions cover more than 160 basic, intermediate, and advanced skills — from measuring body temperature to insertion of a peripheral intravenous device — using evidence-based concepts to improve patient safety and outcomes. A streamlined, visual approach makes the book easy to read, and an Evolve companion website enhances learning with review questions and handy checklists for each clinical skill. Coverage of more than 160 skills and interventions addresses the basic, intermediate, and advanced skills you'll use every day in practice. Safe Patient Care Alerts highlight risks or other key information to know in performing skills, so you can plan ahead at each step of nursing care. Unique! Using Evidence in Nursing Practice chapter provides the information needed to use evidence-based care to solve clinical problems. Coverage of evidence-based nursing techniques includes the concept of care bundles, structured practices that improve patient safety and outcomes, in addition to the coverage of teach-back. Delegation & Collaboration guidelines help you make decisions in whether to delegate a skill to unlicensed assistive personnel, and indicates what key information must be shared. Teach-Back step shows how to evaluate the success of patient teaching, so you can see whether the patient understands a task or topic or if additional teaching may be needed. Recording guidelines describe what should be reported and documented after performing skills, with Hand-off Reporting sections listing important patient care information to include in the handoff. Special Considerations indicate the additional risks or accommodations you may face when caring for pediatric or geriatric patients, as well as patients in home care settings. A consistent format for nursing skills makes it easier to perform skills, organized by Assessment, Planning, Implementation, and Evaluation. Media resources include skills performance checklists on the Evolve companion website and related lessons, videos, and interactive exercises on Nursing Skills Online. NEW! 2017 Infusion Nurses Society standards are included on administering IVs and on other changes in evidence-based practice. NEW Disaster Preparedness chapter focuses on caring for patients after biological, chemical, or radiation exposure. NEW! SBAR samples show how to quickly and effectively communicate a patient’s condition in terms of Situation, Background, Assessment, and Recommendation. NEW! Practice Reflections sections include a clinical scenario and questions, helping you reflect on clinical and simulation experiences. NEW! Three Master Debriefs help you develop a better understanding of the "big picture" by synthesizing skill performance with overall patient care.

Nursing

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Publisher : Pearson Higher Ed
ISBN 13 : 0133772314
Total Pages : 1689 pages
Book Rating : 4.1/5 (337 download)

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Book Synopsis Nursing by : Pearson Education

Download or read book Nursing written by Pearson Education and published by Pearson Higher Ed. This book was released on 2015-06-12 with total page 1689 pages. Available in PDF, EPUB and Kindle. Book excerpt: NOTE: Before purchasing, check with your instructor to ensure you select the correct ISBN. Several versions of Pearson's MyLab & Mastering products exist for each title, and registrations are not transferable. To register for and use Pearson's MyLab & Mastering products, you may also need a Course ID, which your instructor will provide. Used books, rentals, and purchases made outside of Pearson If purchasing or renting from companies other than Pearson, the access codes for Pearson's MyLab & Mastering products may not be included, may be incorrect, or may be previously redeemed. Check with the seller before completing your purchase. For all nursing programs The state-of-the-art three-volume, concept-based, student-centered introduction to nursing focuses on 51 indispensable biophysical professional and healthcare concepts; and more than 435 nursing skills. Today, nurses must be able to transfer their knowledge to new situations, and stay current with new disorders, treatments, and evidence-based practice. Nursing: A Concept-Based Approach to Learning, Volumes I-III, Second Edition with MyNursingLab for Concepts will help them achieve all these goals. Its concept-based approach requires students to participate actively, assume more responsibility for their knowledge, integrate concepts, apply information, and use clinical reasoning. Instead of memorizing thousands of alterations, students gain in-depth knowledge of selected alterations, and learn how to apply that knowledge as new challenges and client presentations come their way. VOLUME I: The first of three volumes, the fully-updated Volume I focuses on 21 crucial biophysical concepts: acid-base balance; cellular regulation; comfort; digestion; elimination; fluids/electrolytes; health, wellness, and illness; immunity; infection; inflammation; intracranial regulation; metabolism; mobility; nutrition; oxygenation; perfusion; perioperative care; sensory perception; sexuality; thermoregulation, and tissue integrity. These concepts are illuminated with nearly 100 exemplars covering the entire lifespan. VOLUME II: The second of two volumes, the fully-updated Volume II focuses on 30 crucial concepts every nurse needs to master. It begins with several Psychosocial Modules covering addiction, cognition, culture/diversity, development, family, grief/loss, mood/affect, self, spirituality, stress/coping, and violence. After focusing on reproduction, it turns to the nursing domain, covering assessment, caring interventions, clinical decision making, collaboration, communication, care management, professional behaviors, and client teaching/learning. Finally, it turns to the nurse's broader roles, focusing on accountability, advocacy, evidence-based practice, healthcare systems, health policy, informatics, legal issues, quality improvement, and safety. The 30 concepts included in Volume II are illuminated with more than 80 exemplars covering the entire lifespan. CONSISTENT PEDAGOGY FOR IMPROVED KNOWLEDGE RETENTION: Volume I and II in the textbook series have an updated concept-level template that presents each concept and exemplar in the same manner: Each CONCEPT follows the following template: Normal Presentation - Developmental Considerations - Alterations - Related Concepts - Physical Assessment - Diagnostic Tests - Interventions & Therapies Each EXEMPLAR follows the following template: Overview - Pathophysiology and Etiology - Clinical Manifestations and Therapies - Nursing Process - Nursing Care Plan - Relate and Reflect VOLUME III: The only skills book of its kind, Clinical Nursing Skills: A Concept-Based Approach, Volume III, 2nd edition is designed to meet the specific needs and approach of concept-based nursing programs in teaching key nursing skills. Clinical Nursing Skills: A Concept-based Approach presents more than 435 of the most important skills performed by nurses including common variations. This second edition has been revised, restructured, and updated to reflect the most current nursing practices and standards. Each skill is characterized by an overarching concept and is presented in exceptional step-by-step detail with beautiful, real-life illustrations, which help students visualize exactly how each skill is completed. MyNursingLab for Concepts MyNursingLab for Conceptsis an online homework, tutorial, and assessment program that truly engages students in learning, and is designed to support the concepts and exemplars included in Volumes I and II of Nursing: A Concept-based Approach to Learning, 2e. MyNursingLab for Concepts helps students review, remember, and apply key concepts–resulting in better performance in the course–and provides educators with a dynamic set of tools for gauging individual and class progress. 0133937364 / 9780133937367 Nursing: A Concept-Based Approach to Learning Volume I, I, III Plus MyNursingLab with Pearson eText -- Access Card Package Package consists of: 0132934264 / 9780132934268 Nursing: A Concept-Based Approach to Learning, Volume I 0132934272 / 9780132934275 Nursing: A Concept-Based Approach to Learning, Volume II 0133351793 / 9780133351798 Clinical Nursing Skills: A Concept-Based Approach Volume III 0133926842 / 9780133926842 MyNursingLab with Pearson eText -- Access Card -- for Nursing: A Concept-Based Approach to Learning

Taylor's Handbook of Clinical Nursing Skills

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1582557357
Total Pages : 1006 pages
Book Rating : 4.5/5 (825 download)

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Book Synopsis Taylor's Handbook of Clinical Nursing Skills by : Pamela Lynn

Download or read book Taylor's Handbook of Clinical Nursing Skills written by Pamela Lynn and published by Lippincott Williams & Wilkins. This book was released on 2010-11-01 with total page 1006 pages. Available in PDF, EPUB and Kindle. Book excerpt: Taylor's Handbook of Clinical Nursing Skills is a step-by-step guide to basic and advanced nursing skills. This book will be a quick reference tool for review of cognitive and technical knowledge and will assist students and practicing nurses to provide safe and effective healthcare. It is an ideal companion to any nursing skills or nursing fundamentals text, including Lynn, Taylor's Clinical Nursing Skills and Taylor, Fundamentals of Nursing: The Art and Science of Nursing Care.

Clinical Nursing Skills

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Author :
Publisher : Prentice Hall
ISBN 13 : 9780135114735
Total Pages : 0 pages
Book Rating : 4.1/5 (147 download)

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Book Synopsis Clinical Nursing Skills by : Sandra Fucci Smith

Download or read book Clinical Nursing Skills written by Sandra Fucci Smith and published by Prentice Hall. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Appropriate for all levels of nursing-from basic to advanced. This resource remains a comprehensive source of the essential information needed for success at all levels of nursing.