Author Information
By American Association of Critical-Care Nr; Mary G McKinley, RN, MSN, CCRN, Partner, Critical Connections, Maxwell Center, Wheeling, WV and Clinical IV Staff Nurse, Ohio Valley Medical Center, Wheeling, WV
Foreword
Preface
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
Appendix
A. Scope of Practice and Standards of Professional Performance for the Acute and Critical Care Clinical Nurse Specialist
B. CCNS examination blueprint
