Canadian Fundamentals of Nursing

6th Edition - March 28, 2018
Authors: Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall, Barbara J. Astle, Wendy Duggleby
Language: English
Hardback ISBN:
9 7 8 - 1 - 7 7 1 7 2 - 1 1 3 - 4
eBook ISBN:
9 7 8 - 1 - 7 7 1 7 2 - 1 1 4 - 1

With a greater emphasis on, and integration of, interprofessional collaboration, health literacy, and clinical reasoning, Canadian Fundamentals of Nursing, Sixth Edition provides… Read more

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With a greater emphasis on, and integration of, interprofessional collaboration, health literacy, and clinical reasoning, Canadian Fundamentals of Nursing, Sixth Edition provides you with the solid educational foundation to learn nursing principles, concepts, and skills with ease. The text’s proven, reader-friendly approach describes the principles, concepts, and skills essential to your success. The Sixth edition includes new chapters focused on the health needs of Indigenous people along with information on how to collaborate among interprofessional disciplines. Thoroughly reviewed by Canadian nursing experts, this edition ensures that you are well prepared to practise in Canada.

Cover image
Title Page
Disclaimer
Table of Contents
Copyright
Preface to the Student
Preface to the Instructor
Classic Features
New Features
Learning Supplements for Students
Teaching Supplements for Instructors
Multimedia Supplements for Instructors and Students
Acknowledgements
Contributors
Reviewers
Unit I Health and Health Care in Canada
1 Health and Wellness
Conceptualizations of Health
Historical Approaches to Health in Canada
Determinants of Health and Social Determinants of Health
Strategies to Influence Health Determinants
Health Promotion Strategies
Population Health Promotion Model: Putting It All Together
Summary
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
2 The Canadian Health Care Delivery System
Evolution of the Canadian Health Care System
Organization and Governance of Health Care
Health Care Spending
Trends and Reforms in Canada's Health Care System
Right to Health Care
Primary Health Care
Future of Primary Health Care
Settings for Health Care Delivery
Levels of Care
Challenges to the Health Care System
Nursing's Future in the Emerging Health Care System
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
3 The Development of Nursing in Canada
Why Nursing History Matters
Care of Strangers: the Early History of Nursing
Globalization and the Emergence of Modern Nursing
Nursing Education in Canada
Health Care and Educational Reform
Influence of Periods of Social Upheaval on Nursing
Conclusion
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
4 Community Health Nursing Practice
Promoting the Health of Populations and Community Groups
Community Health Nursing Practice
The Changing Focus of Community Health Nursing Practice
Community Assessment
Promoting Clients' Health
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit II Foundations of Nursing Practice
5 Theoretical Foundations of Nursing Practice
Early Nursing Practice and the Emergence of Theory
Nursing Process
Conceptual Frameworks
Metaparadigm Concepts
Philosophy of Nursing Science
Ways of Knowing in Nursing Practice
Paradigm Debates Within Nursing
Nursing Diagnosis
Reflections on Conceptualizing Nursing
Major Theoretical Models
Theorizing in the Future
Key Concepts
Critical Thinking Exercises
Review Questions
References
6 Evidence-Informed Practice
Why Evidence?
Development of Nursing Knowledge
Researching the Evidence
Integrate the Evidence
Evaluate the Practice Design or Change
Support for Evidence-Informed Practice
The Development of Research in Nursing
The History of Nursing Research in Canada
Nursing Research
Research Designs
Ethical Issues in Research
Applying Research Findings in Nursing Practice
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
7 Nursing Values and Ethics
Values
Ethics
Ethical Analysis and Nursing
Ethical Issues in Nursing Practice
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
8 Legal Implications in Nursing Practice
Legal Limits of Nursing
Legal Liability Issues in Nursing Practice
Legal Issues in Nursing Practice
Risk Management
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
9 Global Health
Global Health
Intersectionality
Cultural Diversity
Understanding Cultural Concepts
Historical Development of the Concept of Culture
Cultural Assessment
Global Health Nursing
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
10 Indigenous Health
Indigenous Diversity—the Canadian Perspective
Indigenous History in Canada
Cultural Orientations
Nursing Considerations and Indigenous Health
Illness Experiences—Chronic Diseases
Indigenous Health—the Global Perspective
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
11 Nursing Leadership, Management, and Collaborative Practice
Leadership Theories
Management and Leadership Roles for Nurses
Quality Care and Patient Safety
Leadership Skills for Nursing Students
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit III Approaches to Nursing Care
12 Critical Thinking in Nursing Practice
Critical Thinking Defined
A Critical Thinking Model for Clinical Decision Making
Levels of Critical Thinking in Nursing
Components of Critical Thinking in Nursing
Critical Thinking Competencies
Developing Critical Thinking Skills
Critical Thinking Synthesis
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
13 Nursing Assessment, Diagnosis, and Planning
Critical Thinking Approach to Assessment
Assessment
Nursing Diagnosis
Critical Thinking and Nursing Diagnostic Process
Concept Mapping for Nursing Diagnoses
Sources of Diagnostic Errors
Nursing Diagnoses: Application to Care Planning
Planning
Establishing Priorities
Critical Thinking in Establishing Goals and Expected Outcomes
Written Plans of Care
Consulting Other Health Care Providers
Conclusion
Using the Nursing Process to Answer Multiple-Choice and Multiple-Response Exam Questions
Key Concepts
Review Questions
Recommended Websites
References
14 Implementing and Evaluating Nursing Care
Introduction
Implementation
Types of Nursing Interventions
Selection of Interventions
Critical Thinking in Implementation
Standard Nursing Interventions
Implementation Process
Direct Care
Indirect Care
Achieving Client-Centred Goals
Evaluation
Critical Thinking and Evaluation
Evaluation Process
Conclusion
Using the Nursing Process as a Guide for Exam Preparation for Test-Taking Strategies
The Nursing Process and Studying Disease Management
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
15 Documenting and Reporting
Purposes of Medical Records
The Shift to Electronic Documentation
Interprofessional Communication Within the Medical Record
Confidentiality
Interprofessional Communication Within the Health Care Team
Guidelines for Quality Documentation and Reporting
Methods of Documentation
Common Record-Keeping Forms
Acuity Rating Systems
Documentation in the Home Health Care Setting
Documentation in the Long-Term Health Care Setting
Documenting Communication With Providers and Unique Events
Information Management in Health Care
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
16 Nursing Informatics and Canadian Nursing Practice
Nursing Informatics and the Canadian Health Care System
Standards and Clinical Interoperability
Canadian Privacy Legislation
Informatics Competencies as a Strategic Direction
Clinician Engagement and Informatics Communities
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit IV Working With Patients and Families
17 Communication and Relational Practice
Communication and Interpersonal Relationships
Developing Communication Skills
Levels of Communication
Basic Elements of the Communication Process
Forms of Communication
Professional Nursing Relationships
Elements of Professional Communication
Communication Within The Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
18 Patient-Centred Care
Jane Black's Story
Knowing
Thinking
Nursing Process
Clinical Judgement Model
Interacting
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
19 Family Nursing
What Is a Family?
Current Trends in the Canadian Family
The Family and Health
Family Nursing Care
Assessing the Challenges, Strengths, and Needs of the Family: The Calgary Family Assessment Model
Family Intervention: The Calgary Family Intervention Model
Interviewing the Family
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
20 Patient Education
Goals of Patient Education
Teaching and Learning
Domains of Learning
Basic Learning Principles
Integrating the Nursing and Teaching Processes
Key Concepts
Critical Thinking Exercises
Review Questons
Recommended Websites
References
Unit V Caring Throughout the Lifespan
21 Developmental Theories
Growth and Development
Traditions of Developmental Theories
Organicism
Psychoanalytic and Psychosocial Tradition
Mechanistic Tradition
Contextualism
Dialecticism
Developmental Theories and Nursing
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
22 Conception Through Adolescence
Selecting a Developmental Framework for Nursing
Conception
Transition From Intrauterine to Extrauterine Life
Newborn
Infant
Toddler
Preschooler
School-Age Children and Adolescents
School-Age Child
Adolescence
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
23 Young to Middle Adulthood
Young Adulthood
Middle Adulthood
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
24 Older Persons
Variability Among Older Persons
Myths and SterEotypes
Nurses' Attitudes Toward Older Persons
Aging Well and Quality of Life
Community-Based and Institutional Health Care Services
Assessing the Needs of Older Persons
Addressing the Health Concerns of Older Persons
Older Persons and the Acute Care Setting
Older Persons and Restorative Care
Older Persons and Palliative Care
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
25 The Experience of Loss, Death, and Grief
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
The Nursing Process And Grief
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit VI Psychosocial Considerations
26 Self-Concept
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Self-Concept and the Nursing Process
Nursing Diagnosis
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
27 Sexuality
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Sexuality and The Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
28 Spirituality in Health and Health Care
Historical Perspectives
Spirituality and Nursing Theory
Spirituality and the Life Journey
Critical Thinking
Ethical Spiritual Care
Providing Spiritual Care
Reflecting on Nurses' Spiritual Care
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
29 Stress and Adaptation
Conceptualizations of Stress
Stress Response Systems
Stress and the Immune System
The Relationship Between Type of Stressor and Health
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit VII Scientific Basis for Nursing Practice
30 Vital Signs
Guidelines for Measuring Vital Signs
Body Temperature
Nursing Process and Thermoregulation
Pulse
Nursing Process and Pulse Determination
Respiration
Nursing Process and Respiratory Vital Signs
Blood Pressure
Nursing Process and Blood Pressure Determination
Health Promotion and Vital Signs
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
31 Pain Assessment and Management
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process and Pain
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
32 Health Assessment and Physical Examination
Social and Cultural Considerations
Skills of Physical Assessment
Preparation for Examination
Organization of the Examination
General Survey
The Integumentary System: Skin, Hair, and Nails
Head and Neck
Thorax and Lungs
Heart
Vascular System
Breasts
Abdomen
Female Genitalia and Reproductive Tract
Male Genitalia
Rectum and Anus
Musculoskeletal System
Neurological System
After the Examination
Integration of Physical Assessment With Nursing Care
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
33 Infection Control
Scientific Knowledge Base
Nursing Process In Infection Control
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
34 Medication Administration
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process and Medication Administration
Medication Administration
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
35 Complementary and Alternative Approaches in Health Care
Complementary, Alternative, and Integrative Approaches in Health Care
Nursing-Accessible Approaches
Complementary and Alternative Medicine Approaches Requiring Education
Health Promotion: Nutrition in Disease Prevention
Nursing Role for Interprofessional Collaboration in CAM
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit VIII Basic Physiological Needs
36 Activity and Exercise
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
37 Quality and Patient Safety
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Safety and the Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
38 Hygiene
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
39 Cardiopulmonary Functioning and Oxygenation
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
40 Fluid, Electrolyte, and Acid–Base Balances
Scientific Knowledge Base
Knowledge Base of Nursing Practice
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
41 Sleep
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
42 Nutrition
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process and Nutrition
Self-Monitoring of Blood Glucose
Enteral Tube Feeding
Large-Bore Tube and Nasogastric or Orogastric Suctioning
Parenteral Nutrition
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
43 Urinary Elimination
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process and Alterations in Urinary Function
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
44 Bowel Elimination
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process and Bowel Elimination
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Unit IX Patients With Special Needs
45 Mobility and Immobility
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
46 Skin Integrity and Wound Care
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
47 Sensory Alterations
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
48 Care of Surgical Patients
History of Surgical Nursing
Scientific Knowledge Base
Nursing Knowledge Base
Critical Thinking
Nursing Process in the Preoperative Surgical Phase
Transport to the Operating Room
Intraoperative Surgical Phase
Nursing Process in the Intraoperative Surgical Phase
Postoperative Surgical Phase
Nursing Process in Postoperative Care
Key Concepts
Critical Thinking Exercises
Review Questions
Recommended Websites
References
Appendix A Practical Nursing in Canada
Objectives
Key Terms
History of Practical Nursing in Canada
Practical Nursing Today: Issues and Trends
Standards and Scope of Practice
Legislation, Regulatory Bodies, and Professional Associations
The Future of Practical Nursing in Canada
Key Concepts
Critical Thinking Exercises
Review Questions
References
Appendix B Laboratory Values
Review Question Rationales
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Chapter 12
Chapter 13
Chapter 14
Chapter 15
Chapter 16
Chapter 17
Chapter 18
Chapter 19
Chapter 20
Chapter 21
Chapter 22
Chapter 23
Chapter 24
Chapter 25
Chapter 26
Chapter 27
Chapter 28
Chapter 29
Chapter 30
Chapter 31
Chapter 32
Chapter 33
Chapter 34
Chapter 35
Chapter 36
Chapter 37
Chapter 38
Chapter 39
Chapter 40
Chapter 41
Chapter 42
Chapter 43
Chapter 44
Chapter 45
Chapter 46
Chapter 47
Chapter 48
Appendix A
Index
Special Features
Patient Teaching
Concept Maps
Research Highlights
Nursing Care Plans
Procedural Guidelines
Skills

Patricia A. Potter

Patricia A. Potter, RN, MSN, PhD, FAAN is a Director of Research, Patient Care Services Barnes-Jewish Hospital St. Louis, Missouri.

Affiliations and expertise

Director of Research,Patient Care Services,Barnes-Jewish Hospital,St. Louis, Missouri

Anne G. Perry

Anne Griffin Perry, RN, MSN, EdD, FAAN is a Professor Emerita, School of Nursing, Southern Illinois University, Edwardsville, Illinois.

Affiliations and expertise

Professor Emerita,School of Nursing,Southern Illinois University,Edwardsville, Illinois

Patricia A. Stockert

Patricia Stockert, RN, BSN, MS, PhD is the President of the College, Saint Francis Medical Center College of Nursing, Peoria, Illinois.

Affiliations and expertise

President of the College, Saint Francis Medical Center College of Nursing, Peoria, Illinois.

Amy Hall

Amy Hall, RN, BSN, MS, PhD, CNE, Professor and Dean, School of Nursing, Franciscan Missionaries of Our Lady University, Baton Rouge, Louisiana

Affiliations and expertise

Professor and Dean, School of Nursing, Franciscan Missionaries of Our Lady University, Baton Rouge, Louisiana

Barbara J. Astle

Dr. Barbara J. Astle, RN, PhD, FCAN is the Director of the MSN program and Associate Professor of Nursing at Trinity Western University. Currently a consultant on the TWU COVID-19 Health and Safety Task Force, Dr. Astle is recognized as a leader in global health education, research literacy, and for her involvement in numerous national and international organizations.

Affiliations and expertise

Professor, School of Nursing; Director, MSN Program, Trinity Western University, Langley, British Columbia

Wendy Duggleby

Dr. Wendy Duggleby, RN, PhD research interests include Gero-oncology, psychosocial oncology, family caregivers, palliative and end of life care. Leading several multidisciplinary teams, Dr. Duggleby’s goal is to enhance quality of life for older adults and their families. Her research entitled "Living with Hope" includes research studies of hope for persons with advanced cancer, family caregivers and health care providers. This program of research has received funding from local, provincial and national grants. Five film documentaries of these studies have been produced. The film entitled “Living with Hope” has received 2 international awards.

Affiliations and expertise

Professor Emerita, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada