Concept-Based Clinical Nursing Skills

Fundamental to Advanced Competencies

2nd Edition - February 27, 2023
Authors: Loren Nell Melton Stein, Connie J Hollen
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 2 7 4 0 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 6 3 6 - 3

**Selected for Doody’s Core Titles® 2024 in Fundamentals**Concept-Based Clinical Nursing Skills: Fundamental to Advanced Competencies, 2nd Edition covers more than 250 nursing sk… Read more

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**Selected for Doody’s Core Titles® 2024 in Fundamentals**

Concept-Based Clinical Nursing Skills: Fundamental to Advanced Competencies, 2nd Edition covers more than 250 nursing skills in an innovative　concept-based format. Unlike any other text, Stein and Hollen incorporate an overarching framework of seven critical concepts — accuracy, person-centered care, infection control, safety, communication, evaluation, and health maintenance — to drive home the importance of these key themes in performing nursing skills and developing nursing competencies. Every chapter includes a detailed case study with a concept map to help you apply your knowledge to clinical situations involving nursing skills. The nursing process is seamlessly integrated within the skills, and Next-Generation NCLEX® question types strengthen your critical thinking and clinical judgment skills. This fully referenced text identifies and applies credible researched-based knowledge that comprises the knowledge for nursing practice.

NEW! 12 Faculty Simulation Guides (for use by instructors) employ the NCSBN^® Clinical Judgment Measurement Model and AACN Essentials competencies to help students identify, anticipate, and apply the steps of the Clinical Judgement Measurement Model and focus on key competencies.
More than 250 nursing skills are presented in a step-by-step format with concise rationales, current evidence, and over 900 outstanding photos and illustrations.
Emphasis on NCLEX^® preparation is incorporated throughout with language and concepts that reflect those used on the exam.
Concept-based approach to skills education pairs well with the Giddens framework.
Critical concepts to skills performance — accuracy, person-centered care, infection control, safety, communication, evaluation, and health maintenance — are reinforced throughout the text with a strong emphasis on safety.
Detailed case studies with concept maps in each skill chapter depict patients with problems that might be experienced in the clinical setting and are followed by a series of critical thinking questions. Questions are designed to help you learn how to apply knowledge, synthesize nursing competencies, and use clinical judgment in nursing practice.
Easy-to-understand, conversational writing style with a logical organization presents fundamental skills first, then intermediate acute care skills, and finally advanced skills often performed in critical care, with an emphasis on safety and person-centered care.
Application of the QSEN competencies includes critical thinking questions that challenge you to apply a competency from the QSEN quality and safety framework.
Application of the AACN Essentials competencies includes objectives and critical thinking questions that allow you to integrate nursing clinical skills into the broader role of the nurse.
Application of the nursing process sections in each chapter present nursing diagnoses that include specific examples of client outcomes and nursing interventions.
Lifespan, cultural, and home care considerations assist you in understanding the diverse needs of your patients.
Lessons from the Evidence boxes highlight current research that can contribute to evidence-based clinical practice and identify gaps in knowledge.
Lessons from the Courtroom boxes summarize actual court cases related to the skills in the chapter to help you understand legal implications.
Storytelling-style "Lessons From" boxes include Lessons from Experience sharing practical insights from more experienced nurses and Expect the Unexpected boxes preparing you to anticipate unexpected situations that could occur and explore appropriate responses.
Performing an Assessment chapter details essential physical assessment skills.

Cover image
Title page
Table of Contents
Copyright
About the Authors
Contributors and Reviewers
Preface
Purpose of the Book
Critical Concepts
Organization of the Text
References
Unit 1: Fundamental Nursing Skills
Chapter 1: Foundations of Safe Client Care
Section 1 Identifying the Client
Section 2 Preventing Infection
Section 3 Moving Clients Safely
Section 4 Using Restraints
References
Chapter 2: Personal Care and Hygiene
SECTION 1 Bathing a Client
SECTION 2 Oral Hygiene
SECTION 3 Providing Hair Care
SECTION 4 Eye and Ear Care
SECTION 5 Assisting With Elimination
SECTION 6 Making Beds
■ Concept Map
References
Chapter 3: Vital Signs and Vital Measurements
Vital signs
SECTION 1 Assessing Temperature
SECTION 2 Regulating Temperature
SECTION 3 Assessing Pulses
SECTION 4 Assessing Respirations
SECTION 5 Assessing Blood Pressure
Vital measurements
SECTION 6 Assessing Oxygen Saturation
SECTION 7 Assessing Blood Glucose
■ Concept Map
References
Chapter 4: Performing an Assessment
The assessment process
SECTION 1 Collecting Subjective and Objective Data
SECTION 2 Performing a Head-to-Toe or System-Specific Assessment
References
Chapter 5: Nutrition and Gastrointestinal Tube Therapy
Essential and nonessential nutrients
Macronutrients and micronutrients
Digestion and assimilation of nutrients
Nutritional guidelines
Alterations that can cause nutritional deficiencies
SECTION 1 Nutritional Assessment
SECTION 2 Assisting Clients With Oral Nutrition
SECTION 3 Providing Gastric Tube Therapy
SECTION 4 Providing Enteral Nutrition
Concept Map
References
Chapter 6: Supporting Mobility and Immobilization
SECTION 1 Supporting Mobility
SECTION 2 Supporting Immobilization
SECTION 3 Caring for a Client With an Amputation
■ Concept Map
References
Chapter 7: Comfort Care
The impact of pain
Nociceptive and neuropathic pain
Acute and chronic or persistent pain
SECTION 1 Assessment of Pain and Discomfort
SECTION 2 Using Relaxation Measures to Promote Comfort
SECTION 3 Using a TENS Unit to Promote Comfort
SECTION 4 Using Heat or Cold to Promote Comfort
SECTION 5 Using Patient-Controlled Analgesia to Promote Comfort
SECTION 6 Using Epidural Analgesia to Promote Comfort
■ Concept Map
References
Chapter 8: End-of-Life Care
Definition of end of life
End-of-life care and palliative care
Nursing initiatives and end-of-life care
SECTION 1 Bereavement and Spiritual Care
SECTION 2 Assisting a Client and Family With Advance Care Planning
SECTION 3 Caring for a Client Near the End of Life
SECTION 4 Caring for a Client After Death
■ Concept Map
References
Unit 2: Intermediate Nursing Skills
Chapter 9: Gas Exchange and Airway Maintenance
SECTION 1 Maintaining the Health of the Respiratory System
SECTION 2 Administering Oxygen
SECTION 3 Establishing and Maintaining an Open Airway
■ Concept Map
References
Chapter 10: Sterile Technique
SECTION 1 Preparing a Sterile Field
SECTION 2 Preparing to Enter a Sterile Perioperative Setting
■ Concept Map
References
Chapter 11: Medication Administration
Medication safety initiatives
Rights of medication administration
Safely processing medication orders
Performing preassessments
Safely preparing and distributing medications
Performing safety checks
Safety considerations for high-alert medications
Performing dosage calculation
SECTION 1 Administering Oral Medications
SECTION 2 Administering Enteral Medications
SECTION 3 Administering Mucous Membrane Applications
SECTION 4 Administering Topical Medications
SECTION 5 Administering Parenteral Medications
■ Concept Map
References
Chapter 12: Venous Access
SECTION 1 Collecting Venous Blood Specimens
SECTION 2 Initiating, Dressing, and Discontinuing a Peripheral Intravenous Catheter
SECTION 3 Intravenous Fluids
SECTION 4 Administering Intravenous Medications
SECTION 5 Administering a Blood Transfusion
Concept Map
References
Chapter 13: Central Venous Access
SECTION 1 Caring for a Client With a CVAD
SECTION 2 Infusing Fluids With a CVAD
■ Concept Map
References
Chapter 14: Bowel Elimination
Characteristics of stool
SECTION 1 Supporting Healthy Bowel Elimination
SECTION 2 Administering Enemas
SECTION 3 Collecting Specimens
SECTION 4 Caring for a Client With a Bowel Diversion
Concept Map
References
Chapter 15: Urine Elimination
Urine elimination
SECTION 1 Collecting Urine Measurements and Specimens
SECTION 2 Urine Elimination With a Transurethral Catheter
SECTION 3 Urine Elimination With a Urinary Diversion
Concept Map
References
Chapter 16: Impaired Tissue Integrity and Wound Care
Tissue integrity
Impaired tissue integrity
SECTION 1 Providing Wound Care
SECTION 2 Managing Wound Drainage
SECTION 3 Preventing and Treating Pressure Injury and Venous and Diabetic Ulcers
Concept Map
References
Chapter 17: Perioperative Care
SECTION 1 Providing Preoperative Education and Care
SECTION 2 Providing Intraoperative Care
SECTION 3 Managing Postoperative Care
Concept Map
References
Unit 3: Advanced Nursing Skills
Chapter 18: Advanced Respiratory Care
SECTION 1 Caring for a Client With Invasive Mechanical Ventilation
SECTION 2 Arterial Blood Gas Sampling
SECTION 3 Caring for a Client With a Chest Tube
Concept Map
References
Chapter 19: Advanced Cardiovascular Care
Cardiovascular system
SECTION 1 Caring for a Client on Cardiac Monitoring
SECTION 2 Caring for a Client With a Dysrhythmia or Altered Cardiac Conduction
SECTION 3 Caring for a Client With a Cardiac Pacemaker
SECTION 4 Caring for a Client With a Cardiac Emergency
Concept Map
References
Chapter 20: Advanced Neurologic Care
Intracranial processes
Major neurologic injuries: traumatic and nontraumatic
SECTION 1 Advanced Neurologic Assessment
SECTION 2 Caring for a Client With Increased Intracranial Pressure (ICP)
SECTION 3 Caring for a Client With a Neurologic Emergency
Concept Map
References
Illustration credits
Index

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Health

Concept-Based Clinical Nursing Skills

Fundamental to Advanced Competencies

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Institutional subscription on ScienceDirect

Loren Nell Melton Stein

Connie J Hollen