Acute and Critical Care Clinical Nurse Specialists

Synergy for Best Practices

Edited by

  • Mary McKinley, RN, MSN, CCRN, Partner, Critical Connections, Maxwell Center, Wheeling, WV; Clinical IV Staff Nurse, Ohio Valley Medical Center, Wheeling, WV


    2007 AJN Book of the Year Award Winner

    Acute and Critical Care Clinical Nurse Specialists: Best Practices presents the knowledge and tools the CNS needs to provide the best standards of practice and performance. It focuses on the role of the CNS in acute and critical care, emphasizing the relationship between critical care nursing, the patient, and the environment of care. Divided into 3 main sections, the framework of the book is based on the Scope and Standards of Practice for the Clinical Nurse Specialist in Acute and Critical Care and the AACN's synergy model. This book delivers up-to-date information for today's health care along with practical tools for the CNS in acute and critical care settings.
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    Book information

    • Published: May 2007
    • Imprint: SAUNDERS
    • ISBN: 978-1-4160-0156-0

    Table of Contents



    Part I

    Chapter 1: The CNS in Acute and Critical Care

    Historical Perspectives: Mandate for Quality in Acute and Critical Care

    Format for Chapter:

    I. Evolution of the CNS

    a. Acute and Critical Care—an overview

    b. CNS role development

    II. Theoretical perspectives

    a. Definition of advanced practice

    b. Related literature and research

    III. Educational preparation

    a. American Association of Colleges of Nursing perspective

    b. Regulatory perspectives

    IV. Scope of Practice and Standards of Professional Performance for the CNS

    a. Development

    b. Implementation

    V. Regulation of CNS practice

    Chapter 2: From Novice to Expert: CNS Competencies

    I. Theoretical perspectives

    a. Models

    b. Framework for practice

    II. Review of the Literature

    a. CNS in education

    b. CNS in practice

    III. Practice implications

    a. Developmental activities

    IV. Strategies to successful development of the CNS

    a. Goal setting

    b. Networking

    c. Mentoring

    Chapter 3: Synergy Model: Guiding the Practice of the CNS in Acute and Critical Care

    I. Synergy Model Defined

    a. Patient needs/nurse characteristics—a match

    b. Applicability to the CNS

    II. Dimensions of Practice

    a. Dimensions defined

    III. Standards of Professional Performance

    a. Standards of Performance defined

    Chapter 4: Spheres of Influence: Defining the Impact of the CNS

    I. Spheres of Influence for the CNS

    a. Different perspectives

    i. ANA

    ii. NACNS

    iii. AACN

    II. Patient/Family

    III. Nursing personnel

    IV. Organizational systems

    V. CNS Making the difference

    Part II
    Dimensions of Practice for the CNS in Acute and Critical Care: Synergy in Motion

    Chapter 5: Clinical Judgment

    Chapter 6: Clinical Inquiry

    Chapter 7: Facilitator of Learning

    Chapter 8: Collaboration

    Chapter 9: Systems Thinking

    Chapter 10: Advocacy/moral agency

    Chapter 11: Caring Practices

    Chapter 12: Response to Diversity

    Part III
    Professional Development of the CNS in Acute and Critical Care

    Chapter 13: Professional Growth

    I. Mandate for professionalism

    a. Life long learning

    b. Dissemination of information

    II. Professional responsibilities

    a. Organizations

    Chapter 14: Expanded Opportunities for the CNS In Acute and Critical Care

    I. CNS in industry

    II. CNS as entrepreneur

    III. CNS in private practice

    IV. CNS in research

    V. CNS in faculty

    Chapter 15: Issues and Future Trends

    I. Issues in CNS practice

    a. Educational

    b. Ethical

    c. Practice

    II. Future trends in CNS practice

    a. Resurgence

    b. Growth while maintaining quality

    c. Research


    A. Scope of Practice and Standards of Professional Performance for the Acute and Critical Care Clinical Nurse Specialist

    B. CCNS examination blueprint