Transcultural Nursing - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0443122911
Total Pages : 754 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Transcultural Nursing - E-Book by : Joyce Newman Giger

Download or read book Transcultural Nursing - E-Book written by Joyce Newman Giger and published by Elsevier Health Sciences. This book was released on 2024-05-20 with total page 754 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide quality care for clients from culturally diverse backgrounds! Transcultural Nursing, 9th Edition shows you how to apply assessment and intervention strategies to individuals from a variety of different cultures. Based on Giger and Davidhizer's unique transcultural model, this text helps you deliver culturally sensitive care with use of the six key aspects of cultural assessment: communication, time, space, social organization, environmental control, and biologic variations. Practical, real-world coverage shows how an understanding of cultural variations and individual patient needs will help you promote safe and effective care. - UPDATED! Content throughout reflects the latest research and thinking related to transcultural nursing, as well as updated Census data. - UPDATED! Cultural chapters reflect the shifting experiences of cultural groups in our society. - NEW! Jamaican Americans chapter addresses the unique cultural and healthcare needs of this population. - UNIQUE! Individual chapters on the six key aspects of cultural assessment allow you to also apply the Transcultural Assessment Model to cultures not covered in the text. - Twenty-four chapters on specific cultural groups apply this assessment model to the clients most commonly encountered in United States healthcare settings. - Case studies and critical decision-making questions in each chapter help you apply the assessment framework in practice. - Client care plans in culture-specific chapters demonstrate how to apply principles to specific client needs. - Coverage includes information on biological differences among individuals of different racial groups; differences in drug interaction and metabolism specific to various ethnic groups; and clustering of certain pathologies in specific racial groups. - Discussions of spirituality throughout the text present a holistic approach to culture and beliefs that provides a more integrated approach to assessment. - Review questions in each chapter (with answers found in the back of the text) help reinforce knowledge.

Culturally Competent Compassion

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Author :
Publisher : Routledge
ISBN 13 : 1317199928
Total Pages : 209 pages
Book Rating : 4.3/5 (171 download)

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Book Synopsis Culturally Competent Compassion by : Irena Papadopoulos

Download or read book Culturally Competent Compassion written by Irena Papadopoulos and published by Routledge. This book was released on 2018-04-17 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together the crucially important topics of cultural competence and compassion for the first time, this book explores how to practise ‘culturally competent compassion’ in healthcare settings – that is, understanding the suffering of others and wanting to do something about it using culturally appropriate and acceptable caring interventions. This text first discusses the philosophical and religious roots of compassion before investigating notions of health, illness, culture and multicultural societies. Drawing this information together, it then introduces two invaluable frameworks for practice, one of cultural competence and one of culturally competent compassion, and applies them to care scenarios. Papadopoulos goes on to discuss: how nurses in different countries understand and provide compassion in practice; how students learn about compassion; how leaders can create and champion compassionate working environments; and how we can, and whether we should, measure compassion. Culturally Competent Compassion is essential reading for healthcare students and its combination of theoretical content and practice application provides a relevant and interesting learning experience. The innovative model for practice presented here will also be of interest to researchers exploring cultural competence and compassion in healthcare.

Cancer Pain Management in Developing Countries

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975103106
Total Pages : 241 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Cancer Pain Management in Developing Countries by : Sushma Bhatnagar

Download or read book Cancer Pain Management in Developing Countries written by Sushma Bhatnagar and published by Lippincott Williams & Wilkins. This book was released on 2018-06-29 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.

Journal of National Black Nurses' Association

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Publisher :
ISBN 13 :
Total Pages : 312 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Journal of National Black Nurses' Association by :

Download or read book Journal of National Black Nurses' Association written by and published by . This book was released on 1992 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Transcultural Nursing

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 032329328X
Total Pages : 736 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Transcultural Nursing by : Joyce Newman Giger

Download or read book Transcultural Nursing written by Joyce Newman Giger and published by Elsevier Health Sciences. This book was released on 2012-03-12 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2010 census data is incorporated through the book to provide the most current analysis of demographic trends. Completely revised cultural chapters reflect the shifting experiences of different cultural groups in our society. NEW! 6 additional cultural chapters on Nigerians, Uganda Americans, Jordanian Americans, Cuban Americans, Amish Americans, and Irish Americans

Annual Review of Nursing Research, Volume 37

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Publisher : Springer Publishing Company
ISBN 13 : 0826144594
Total Pages : 334 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Annual Review of Nursing Research, Volume 37 by :

Download or read book Annual Review of Nursing Research, Volume 37 written by and published by Springer Publishing Company. This book was released on 2018-12-28 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most challenging aspects of the current healthcare system, especially for nurses, is cultural diversity across a variety of societies. Nurses, caregivers, and other practitioners must be equipped and aware of their patients’ cultural background in order to respond appropriately and sensitively while providing the proper care. Clearly the techniques and beliefs within cultures is highly diverse, requiring those providing care to possess knowledge that allows them to combine global and cultural practices into their day-to-day occupation. This consist of not only learning cultural differences and similarities, but examining nursing throughout other parts of the world, and the health problems being faced in different geographical settings. This volume is intended to provide nurses, physicians, specialists, and providers with the information needed to provide capable care and treatment to individuals of diverse cultures. Each chapter author was selected for their interest and knowledge of transcultural and social research. The content of this volume provides a look at classic contributions to the field, up-to-date research, and evaluates the impact of diverse cultures on issues that may affect nursing and health care, such as: Key Topics: Leininger’s Culture Care Diversity and Universality The Current State of Transcultural Nursing Transcultural Mental Health Nursing Culture and Consent in Clinical Care Obesity Among African Immigrant Populations Cultural Factors Influencing Suicidal Thoughts and Behaviors

Behavioral Objectives

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Publisher : iUniverse
ISBN 13 : 1583482075
Total Pages : 268 pages
Book Rating : 4.5/5 (834 download)

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Book Synopsis Behavioral Objectives by : Dorothy Reilly

Download or read book Behavioral Objectives written by Dorothy Reilly and published by iUniverse. This book was released on 1999-04 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: No description is available at this time.

Delivering Culturally Competent Nursing Care

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826137377
Total Pages : 349 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Delivering Culturally Competent Nursing Care by : Gloria Kersey-Matusiak, PhD, RN

Download or read book Delivering Culturally Competent Nursing Care written by Gloria Kersey-Matusiak, PhD, RN and published by Springer Publishing Company. This book was released on 2018-11-28 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: Newly revised and updated, Delivering Culturally Competent Nursing Care, Second Edition, explores the cross-cultural interactions and conflicts between nurses and the diverse array of patients they may see. Culturally competent nurses can cut through preconceptions, reduce health disparities, and deliver high-quality care as they encounter patients from a range of backgrounds and beliefs. As frontline providers for diverse populations, nurses are expected to treat each patient with empathy and respect. This text addresses what it really means to be culturally competent in nursing practice. As representatives of specific cultural, racial, ethnic, and sociopolitical groups, nurses bring their own values, beliefs, and attitudes to all interactions with patients and with one another. Whether or not nurses choose to make their attitudes explicit, these attitudes ultimately influence the quality of care they provide to patients. The content of this book is grounded in the Staircase Model, which builds upon the nurse’s own self-assessment to identify personal limitations, find strategies to improve cultural competence, and progress to the next level. This text features case scenarios that apply the process of cultural competence to different healthcare situations. What’s New Three New Chapters Chapter 12: Caring for Patients Who Are Morbidly Obese Chapter 13: Caring for Veterans Chapter 14: Caring for Children Expanded content on caring for LGBTQIA community PowerPoint slides provided for instructors Key Features Addresses AACN competencies Provides easy-to-follow self-assessment using the Staircase Model Learning Objectives and Key Terms are identified in each chapter Overview of each chapter provides current information about trends in the United States on the topic under discussion Provides an excellent cultural competency preparation for student nurses in clinical situations as well as for practicing nurses at all levels and areas of nursing Presents content on immigration and transgender individuals

Transcultural Nursing

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Publisher :
ISBN 13 :
Total Pages : 692 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Transcultural Nursing by : Joyce Newman Giger

Download or read book Transcultural Nursing written by Joyce Newman Giger and published by . This book was released on 2004 with total page 692 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transcultural Nursing: Assessment and Intervention, 4/e, addresses specific assessment and intervention strategies needed for clients from a variety of cultural backgrounds. Part 1 provides a systematic model of nursing assessment and intervention which takes into account six cultural phenomena: communication, space, social organization, time, environmental control, and biological variations. In Part 2 these six cultural phenomena are systematically applied to the assessment and care of individuals in specific cultures. Since the first edition Giger & Davidhizar has been praised for its quick reference, user-friendly assessment tool for use with clients in diverse clinical settings. Giger throughout provides clarification of some of the biological variations for select cultural groups. Transcultural Nursing also has an outstanding holistic overview of genetics in Chapter 7 that helps the student understand genetics and genetic based diseases that are cultural, racially, and ethnic based. The 4th edition will be thoroughly updated throughout with an emphasis on including new genetic and biologic variations. Features Giger and Davidhizar's Transcultural Assessment Model, with a full chapter devoted to each of the six aspects of cultural assessment, to help the reader apply this model to any client of any culture. Presents critical thinking questions at the end of each chapter to help students apply the assessment framework in practice. Includes an expansion of the spiritual component throughout, with an emphasis on various religions. Offers clarification of some of the biological variations for select cultural groups. A holistic overview of genetics helps readers understand genetics and genetic based diseases that are cultural, racially, and ethnic based. Update throughout with an emphasis on including new genetic and biologic variations New appendix includes a competency test with over 70 comprehensive multiple choice questions

Staff Development Nursing Secrets

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Publisher : Elsevier Health Sciences
ISBN 13 : 9781560535256
Total Pages : 244 pages
Book Rating : 4.5/5 (352 download)

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Book Synopsis Staff Development Nursing Secrets by : Kristen L. O'Shea

Download or read book Staff Development Nursing Secrets written by Kristen L. O'Shea and published by Elsevier Health Sciences. This book was released on 2002-06-13 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Staff Development Nursing Secrets is a practical guide for nurse educators working in staff development. The question and answer format helps provide readers with specific answers to their everyday questions and challenges. The text explores the state of today's healthcare world and identifies the myriad of competencies and skills necessary for a nurse educator to succeed. In addition, nurse educators will gain useful tips and knowledge regarding the planning, implementation and evaluation of many types of educational programming. The text concludes with a section on the nuts and bolts of common staff development programs. Engaging, interactive Q & A format Concise answers with valuable pearls, tips, memory aids, and "secrets" 22 succinct chapters written for quick review All the most important, "need-to-know" questions and answers in the proven format of the highly acclaimed Secret Series® Thorough, highly detailed index

Delivering Culturally Competent Nursing Care

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826183026
Total Pages : 359 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Delivering Culturally Competent Nursing Care by : Gloria Kersey-Matusiak, PhD, RN

Download or read book Delivering Culturally Competent Nursing Care written by Gloria Kersey-Matusiak, PhD, RN and published by Springer Publishing Company. This book was released on 2024-05-15 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recipient of the 2019 AJN Book of the Year Award: Nursing Management and Leadership! Focusing on what it really means to be culturally competent in nursing practice, this text uses a unique framework to help nurses develop and apply these critical skills and provides numerous techniques for cultural self-assessment and cultural patient assessment. The third edition---imbued with lessons learned from the devastation wrought by COVID-19 and the death of George Floyd and their impact on nurses as frontline workers---is updated to reflect present-day dynamics. It includes three new chapters along with new case studies addressing the changing environment of diversity and inclusion. The third edition also expands on the development of critical thinking skills, aligning with the new format for the Next Generation NCLEX-RN exam. Focusing primarily on developing nurses’ skills in providing care for diverse patients and populations, the text also identifies the inequities and disparities in healthcare access and clinical outcomes experienced by some groups along with strategies for their mitigation. A key element culturally competent practice is enlightened, personal insight of the nurse. The book addresses the application of a self-assessment model (the Staircase Model), enabling nurses to explore their personal biases and limitations and to develop skills in overcoming them. The book explores the use of culturally competent practice in a variety of health care scenarios, considering both nurse-patient encounters and the relationships between health care professionals that can be challenged by differences in race, gender, ethnicity, or language barriers. New to the Third Edition: New chapter: Cultural Considerations When Caring for the Elderly New chapter: Cultural Considerations for Advanced Practice Nurses New chapter: Caring for Victims of Human Trafficking New case studies addressing ways to achieve culturally competent practice Expands on the development of critical thinking skills aligning with the new format for Next Generation NCLEX-RN Key Features: Emphasizes self-reflection as a first step in developing cultural competence Guides readers in using the Staircase Model to promote cultural competence when working with diverse patients Considers the wide variety of populations at risk in contemporary society with strategies for change Highlights critical aspects of case scenarios at the end of each chapter Includes Next Generation NCLEX-RN type questions Examines nurses’ roles in addressing health care disparities

Clinical Nursing Skills and Techniques - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323293913
Total Pages : 1219 pages
Book Rating : 4.3/5 (232 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 2013-02-18 with total page 1219 pages. Available in PDF, EPUB and Kindle. Book excerpt: • Over 250 new photos illustrate the most current equipment and techniques. • Improved readability includes a streamlined presentation, with material that’s easier to comprehend. • Skills performance guidelines include key principles that apply to all skills covered within a chapter. • New Using Evidence in Nursing Practice chapter discusses the complete process of conducting research, collecting, critiquing, evaluating, and applying evidence to improve patient care. • A companion Evolve website includes additional review questions, an audio glossary and access to Evolve Mobile, where you can download the skills checklists and video clips for your iPod or MP3 player.

Foundations and Adult Health Nursing

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323100015
Total Pages : 2227 pages
Book Rating : 4.3/5 (231 download)

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Book Synopsis Foundations and Adult Health Nursing by : Kim Cooper, RN, MSN

Download or read book Foundations and Adult Health Nursing written by Kim Cooper, RN, MSN and published by Elsevier Health Sciences. This book was released on 2014-08-25 with total page 2227 pages. Available in PDF, EPUB and Kindle. Book excerpt: An all-inclusive guide to fundamentals and medical-surgical nursing for the LPN/LVN, Foundations and Adult Health Nursing, 7th Edition covers the skills you need for clinical practice, from anatomy and physiology to nursing interventions and maternity, neonatal, pediatric, geriatric, mental health, and community health care. Guidelines for patient care are presented within the framework of the five-step nursing process; Nursing Care Plans are described within a case-study format to help you develop skills in clinical decision-making. Written by Kim Cooper and Kelly Gosnell, this text includes all of the content from their Foundations of Nursing and Adult Health Nursing books, including review questions to help you prepare for the NCLEX-PN® examination! Full-color, step-by-step instructions for over 100 skills show nursing techniques and procedures along with rationales for each. The 5-step Nursing Process connects specific disorders to patient care - with a summary at the end of each chapter. Nursing Care Plans emphasize patient goals and outcomes within a case-study format, and promotes clinical decision-making with critical thinking questions at the end of each care plan. Clear coverage of essential A&P is provided by an Introduction to Anatomy and Physiology chapter along with an overview of A&P in all body systems chapters. Student-friendly features enhance the learning of nursing skills with summary boxes for Patient Teaching, Health Promotion Considerations, Complementary and Alternative Therapy, Cultural Considerations, Older Adult Considerations, Home Care Considerations, Safety Alert, and Prioritization, Assignment, and Supervision. UNIQUE! Mathematics review in Dosage Calculation and Medication Administration chapter covers basic arithmetic skills prior to the discussion of medication administration. A focus on preparing for the NCLEX examination includes review questions and Get Ready for the NCLEX Examination! sections with key points organized by NCLEX Client Needs Categories. Evidence-Based Practice boxes provide synopses of nursing research articles and other scientific articles applicable to nursing, along with nursing implications for the LPN/LVN. Nursing Diagnosis boxes summarize nursing diagnoses for specific disorders along with the appropriate nursing interventions. UNIQUE! Delegation Considerations boxes provide parameters for delegation to nurse assistants, patient care technicians, and unlicensed assistive personnel. Medication Therapy tables provide quick access to actions, dosages, precautions, and nursing considerations for commonly used drugs. NEW! Reorganized chapters make it easier to follow and understand the material. NEW! Icons in page margins indicate videos, audios, and animations on the Evolve companion website that may be accessed for enhanced learning. UDATED illustrations include photographs of common nursing skills.

Transcultural Caring Dynamics in Nursing and Health Care

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Author :
Publisher : F.A. Davis
ISBN 13 : 0803689764
Total Pages : 472 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Transcultural Caring Dynamics in Nursing and Health Care by : Marilyn A Ray

Download or read book Transcultural Caring Dynamics in Nursing and Health Care written by Marilyn A Ray and published by F.A. Davis. This book was released on 2018-05-16 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do you perceive your cultural identity? All of us are shaped by the cultures we interact with and the cultural backgrounds and ethnicities that are part of our heritage. Take a dynamic approach to the study of culture and health care relationships. Dr. Marilyn A. Ray shows us how cultures influence one another through inter-cultural relationships, technology, globalization, and mass communication, and how these influences directly shape our cultural identities in today’s world. She integrates theory, practice, and evidence of transcultural caring to show you how to apply transcultural awareness to your clinical decision making. Go beyond common stereotypes using a framework that can positively impact the nurse-patient relationship and the decision-making process. You’ll learn how to deliver culturally competent care through the selection and application of transcultural assessment, planning and negotiation tools for interventions.

Handbook of Clinical Nursing Research

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Author :
Publisher : SAGE Publications
ISBN 13 : 1452261881
Total Pages : 713 pages
Book Rating : 4.4/5 (522 download)

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Book Synopsis Handbook of Clinical Nursing Research by : Ada Sue Hinshaw

Download or read book Handbook of Clinical Nursing Research written by Ada Sue Hinshaw and published by SAGE Publications. This book was released on 1999-06-18 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: This ambitious and long-awaited volume brings together foremost nursing scholars, researchers, and educators to review and critique the state of research across areas most relevant to clinical practice. The contributorship appears as a veritable "who′s who" of nursing research and the contents comprise primary areas in the vanguard of nursing science. In the first section, the authors explore theoretical issues, the variety of philosophical approaches to scientific inquiry in nursing, factors shaping nursing research, and the relationship of the philosophical perspectives to research methodologies. In later sections, the scientists review and analyze the state of nursing science in relation to community health, practice strategies, family care, health promotion, biobehavioral investigations, women′s health, gerontologic nursing, and health system perspectives and outcomes. For physiological as well as psychological research, the most relevant theories driving the research are presented along with the review of multiple diverse instruments and measurement issues. Comprehensive in scope, cogent and truly thought provoking, a book such as the Handbook of Clinical Nursing Research arrives only once or twice in a career. It is a must-have shelf reference for every nurse and for those who would teach them.

Fundamentals of Nursing - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323399916
Total Pages : 1398 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Fundamentals of Nursing - E-Book by : Patricia A. Potter

Download or read book Fundamentals of Nursing - E-Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2016-02-02 with total page 1398 pages. Available in PDF, EPUB and Kindle. Book excerpt: It’s your complete guide to nursing — from basic concepts to essential skills! Fundamentals of Nursing, 9th Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, evidence-based practice, nursing theory, and safe clinical care in all settings. With illustrated, step-by-step guidelines, this book makes it easy to learn important skills and procedures. Care plans are presented within a nursing process framework, and case studies show how to apply concepts to nursing practice. From an expert author team led by Patricia Potter and Anne Griffin Perry, this bestselling nursing textbook helps you develop the understanding and clinical reasoning you need to provide excellent patient care. 51 skills demonstrations provide illustrated, step-by-step instructions for safe nursing care — and include rationales for each step. 29 procedural guidelines provide streamlined, step-by-step instructions for performing basic skills. UNIQUE! Critical Thinking Models in each clinical chapter show how to apply the nursing process and critical thinking to achieve successful clinical outcomes. Evidence-Based Practice chapter shows how nursing research helps in determining best practices. UNIQUE! Caring for the Cancer Survivor chapter prepares nurses to care for cancer patients who may still face physical and emotional issues. Case studies include unique clinical application questions and exercises, allowing you to practice using care plans and concept maps. The 5-step nursing process provides a consistent framework for care, and is demonstrated in more than 20 care plans. 15 review questions in every chapter test your retention of key concepts, with answers available in the book and on the Evolve companion website. Practical study tools on Evolve include video clips of skills, skills checklists, printable key points, a fluid & electrolytes tutorial, a concept map creator, an audio glossary, and more. UNIQUE! Clear, streamlined writing style makes complex material more approachable. More than 20 concept maps show care planning for clients with multiple nursing diagnoses. Key points and key terms in each chapter summarize important content for more efficient review and study. Unexpected Outcomes and Related Interventions for each skill alert you to potential problems and appropriate nursing actions. Delegation coverage clarifies which tasks can and cannot be delegated. A glossary provides quick access to definitions for all key terms.

Health, Ethnicity, and Well-Being

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Author :
Publisher : Xlibris Corporation
ISBN 13 : 1483653900
Total Pages : 406 pages
Book Rating : 4.4/5 (836 download)

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Book Synopsis Health, Ethnicity, and Well-Being by : Penelope J. Kinsey, PhD (Editor) and D

Download or read book Health, Ethnicity, and Well-Being written by Penelope J. Kinsey, PhD (Editor) and D and published by Xlibris Corporation. This book was released on 2013 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book speaks to those who influence the delivery of health care services to African Americans, especially policy makers, politicians, and health care providers whose attitudes and beliefs affect the extent to which provided services are effective, reliable, humane, and compassionate. In addition, the purpose is to be of use to a full range of professionals who provide education, health care, and social services for African Americans, irrespective of the program, the service, or the professional discipline. the goal is to facilitate cultural competence in health care delivery.