Brunner and Suddarth's Textbook of Medical-Surgical Nursing by Suzanne C. Smeltzer

By Suzanne C. Smeltzer

Now in its twelfth variation, Brunner and Suddarth's Textbook of Medical-Surgical Nursing is designed to aid nurses in getting ready for his or her roles and obligations within the medical-surgical environment. This major textbook makes a speciality of physiological, pathophysiological, and psychosocial thoughts as they relate to nursing care. Brunner is understood for its robust Nursing strategy concentration and its clarity. This version keeps those strengths and contains more advantageous appearance and higher portability for college students.

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Extra info for Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Two Volume Set), Twelfth Edition

Example text

These methods and models have changed over the years and have included functional nursing, team nursing, primary nursing, and patient-focused or patient-centered care. The models most commonly utilized today include primary nursing, which is characterized by assigning one primary nurse to accept overall responsibility for a given patient’s individualized nursing care, and patient-focused care, which is characterized by assigning a nurse to manage the care of a caseload of patients during a given shift, who may then delegate care activities to other nursing personnel, including UAPs.

Most community-based and home health care is directed toward specific patient groups with identified needs, which usually relate to illness, injury, or disability, resulting most often from advanced age or chronic illness. However, nurses in the community are meeting the needs of groups of patients with a variety of problems and needs. qxd 8/26/09 8:54 AM Page 11 Aptara Chapter 1 care is a major aspect of community-based care discussed throughout this text. Community-based programs and agencies for specific populations (eg, the elderly, ventilatordependent patients), as well as home health care agencies, hospices, independent professional nursing practices, and freestanding health care agencies, provide home health care services.

Nursing leadership involves four components: decision making, relating, influencing, and facilitating. Each of these components promotes change and the ultimate outcome of goal achievement. Basic to the entire process is effective communication, which determines the success of the process and achievement of goals. The components of the leadership process are appropriate during all phases of the nursing process and in all settings. A new role, the clinical nurse leader (CNL) is a nurse generalist with a master’s degree in nursing and a special background in clinical leadership to help patients navigate through complex health care systems (American Association of Colleges of Nursing [AACN], 2007).

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