Foundations of Clinical Nurse Specialist Practice Second Edition

Foundations of Clinical Nurse Specialist Practice  Second Edition Author Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN
ISBN-10 9780826129673
Release 2014-04-17
Pages 512
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2014 AJN Book of the Year Award Winner in Advanced Practice Nursing, First Place Designated a Doody's Core Title! "This widely acclaimed resource has been improved with this update. It is an excellent addition to the library of clinical nurse specialist students, faculty, and current practitioners. The release of the second edition ensures that the information is current for the ever-changing healthcare environment." Score: 100, 5 stars Now in its second edition, this highly acclaimed text remains the only cohesive, comprehensive textbook and professional reference for CNS education and practice. Supported by theory, research, and current literature, the text focuses on CNS roles and scope of practice, expanding opportunities in primary and home care settings, and on outcomes of CNS practice across the care continuum. This second edition reflects two emerging trends affecting CNS practice: an increased focus on transitional care (continuity across the care setting continuum) and new Centers for Medicare Services reimbursement rules related to pressure ulcers, fall and infection prevention, and pain management. Additionally, the second edition places increased emphasis on CNS practice outcomes and newly emerging roles in chronic illness management in primary and home care settings. Contributors to this edition represent the ìWhoís Whoî of CNS Nursing. Outstanding features include text boxes throughout that highlight core competencies and practice outcomes identified in NACNSís Statement on Clinical Nurse Specialist Practice and Education. Additional chapter features include discussion questions, analysis and synthesis exercises, and clinical application considerations. The text also contains four models of CNS specialty care, and 10 exemplars of CNS practice, all including outcomes. New to the Second Edition: Increased focus on transitional care, primary care, program evaluation, and opportunities for CNS within the ACO and Medicare Emphasis on CNS role and practice outcomes pertaining to care of pressure ulcers, fall and infection prevention, and pain management New chapter on Program Evaluation New chapter on Affordable Care Organizations: New Horizons for CNS Practice New chapter on economics of CNS practice New chapter on CNS in primary care



Clinical Nurse Specialist Toolkit Second Edition

Clinical Nurse Specialist Toolkit  Second Edition Author Melanie Duffy, MSN, RN, CCRN, CCNS
ISBN-10 9780826171924
Release 2016-02-10
Pages 266
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Praise for the First Edition: "This is a valuable resource for new clinical nurse specialists as they begin their journey. It provides excellent guidance that will help new graduates as they negotiate new positions and develop new roles in healthcare organizations." Score: 95, 4 stars --Doody's This is a one-of-a-kind, all-inclusive reference guide for new Clinical Nurse Specialists entering the field as well as seasoned practitioners looking to update their knowledge. Disseminating a wealth of current professional practice guidance and practical information on reimbursement and certification, the second edition has been fully updated to reflect changes resulting from the Affordable Care Act and the APRN Consensus Model. Four new chapters address changes and emerging trends, expanding focus on independent practice, increasing demands on health care due to the growing population of older adults, and updated reimbursement/economic issues. This authoritative toolkit is organized in an easy-to-use, bullet-point format and includes numerous clinical examples, case scenarios, and personal anecdotes culled from the contributors' own professional experiences. New to the Second Edition: Fully revised and updated Addresses CNS practice within Affordable Care Organizations Describes CNS leadership role in system-level evidence-based practice initiatives Covers documentation and communication of CNS activities aligning with strategic initiatives and CNS practice priorities Discusses facilitating transitions of care to assure safety and quality Addresses the CNS role in interprofessional education in clinical settings Key Features: Presents crucial information on negotiating and securing a job Provides advice on establishing credibility, prioritizing, and finding a mentor Contains guidelines on mentoring staff, leading groups, and precepting students Addresses documenting and measuring clinical outcomes Describes how to network with professional organizations and community agencies Offers practical guidance on applying for reimbursement and pursuing certification and licensure



Psychiatric Mental Health Nursing Second Edition

Psychiatric Mental Health Nursing  Second Edition Author Jeffrey S. Jones, DNP, RN, PMHCNS-BC, CST, LNC
ISBN-10 9780826131294
Release 2016-03-22
Pages 692
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" The editors and contributors are to be congratulated for their clear effort to bring some degree of correction to the singular emphasis on pharmacotherapy. While it is clear that pharmacotherapy has a role to play in treatment, it is equally clear that the use of relationships as therapy has an equal if not more important role to playÖThere are several other features of this text that commend it to the student and the nurse seeking a review or a refresher course. First, the authors have done an excellent job in noting historical context. Second, [they] have made extensive use of the current research literature." - Grayce M. Sills, PhD, RN, FAAN Thoroughly updated to correlate with DSM 5 diagnostic descriptions and QSEN guidelines, the second edition of this highly acclaimed undergraduate psychiatric nursing text features concrete strategies for establishing interpersonal relationships as the basis not only for working with the psychiatric patient population, but as a timeless foundation for all nursing practice. The text guides students through the essential phases of self-discovery necessary to integrate interpersonal nursing theory into practice. Modules designed to foster growth in therapeutic use of self, including the importance of boundary management, are integrated with psychodynamic and current neurobiological theories to provide sturdy theoretical underpinnings for practice. A wealth of descriptive psychiatric diagnoses, QSEN criteria, and NANDA-based care plans, case scenarios, evidence-based practice, patient and family education tips, drug summary lists, and complementary and alternative therapy approaches populate the text. The main body of the book focuses on common mental illnesses and weaves both the psychodynamic and neurobiological concepts into evidence-based strategies for nursing interventions. Additional features such as examples of therapeutic dialogue and a "Consumer's Perspective" featuring an actual consumer's voice relating personal experience about living with a specific illness, provide further guidance in understanding and adopting a relationship-based approach to nursing. Web links facilitate quick access to additional information and NCLEX-style review questions prepare students for passing the NCLEX exam. New to the Second Edition: Revisions correlate to DSM 5 descriptions, QSEN criteria and NANDA nursing diagnoses Provides new information on psychopharmacology, compassion fatigue and a recovery model, use of informed consent, and cognitive behavioral therapy Presents updates on complementary and alternative interventions Includes expanded content on cultural and lifespan considerations related to mental health care worldwide Key Features: Focuses on interpersonal relationships and boundary navigation as the foundation for practice Promotes psychodynamic and neurobiological perspectives within ISPN curricular guidelines Written by national and international experts in nursing education and psychiatric/mental heath practice Includes digital student companion with key chapter concepts and critical thinking questions for practice situations Provides digital faculty resources including power point slides, expanded test bank, case studies, and critical thinking exercises



Nursing Leadership

Nursing Leadership Author Harriet R. Feldman, PhD, RN, FAAN
ISBN-10 9780826121776
Release 2011-12-19
Pages 580
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A single comprehensive reference for nursing leaders, leadership organizations, nursing clinicians, and educators, Nursing Leadership is the only compendium of nursing terminology in existence. Written by eminent nursing professionals, it provides descriptions of prominent individuals in nursing, information regarding nine leadership-related topics, and current trends in nurse leadership. This second edition has been expanded to encompass 80 new entries and revisions or updates to all original entries. It provides an extensive overview of current leadership issues including theories, characteristics, and skills required of nurse leaders in today's complex health care system. Highly respected contributors include Claire Fagan, Beverly Malone (NLN CEO), Polly Bednash (AACN CEO), Patricia Benner, and many others. For ease of use this new edition contains both alphabetic and thematic indexes, extensive cross-referencing, and print and web references for each entry. The new edition features: Thematic list of entries in addition to alphabetic index An extensive overview on salient nursing leadership issues, themes, characteristics, and current and future developments A "legacies" section on nursing luminaries throughout history Over 80 new entries and updates and revisions of original entries Extensive cross-referencing and print and web resources for each entry



Clinical Nurse Leader Certification Review Second Edition

Clinical Nurse Leader Certification Review  Second Edition Author Cynthia R. King, PhD, MSN, NP, RN, CNL, FAAN
ISBN-10 9780826137630
Release 2016-03-08
Pages 472
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" Drs. King and Gerard continue to provide an in-depth review that reinforces major skills and responsibilities of this advanced nursing practice role ... This revision provides excellent illustrations and examples of the Clinical Nurse Leader role throughout. Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice (2013) are integrated in the presentation of key areas of focus. I know that students and faculty will appreciate the authors' attention to detail.." -Linda Roussel, PhD, RN, NEA-BC, CNL Co-Author, Initiating and Sustaining the Clinical Nurse Leader Role: A Practical Guide From the Foreword Now in its second edition, this book remains the only comprehensive resource for clinical nurse leaders preparing for certification. The guide stems directly from Dr. King' s acclaimed exam preparation course, which resulted in a 100% pass rate among students who took the course. The second edition reflects the new requirements of Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice (2013), featuring new and updated chapters with information about risk mitigation, lateral integration, interprofessional skills, care coordination, and evidence-based practice; an updated glossary of key terms; and new multiple choice questions and case studies. The resource mirrors the format of the AACN exam, and continues to cover all aspects of the current test, providing detailed information on taking the exam, how to analyze and interpret exam questions, basic test-taking skills, questions to stimulate critical thinking, a sample exam with answers and rationales, and content review of everything you need to know to succeed on the exam. The review not only helps individuals preparing for the exam, but also provides strategies to help groups make the best use of the book. It offers direction for faculty who are designing review courses and serves as a valuable resource during the CNL program itself. New to the Second Edition: Reflects new competencies Presents new and updated chapters Includes a new glossary of terms Provides new multiple choice questions and case studies Addresses risk mitigation, lateral integration, interprofessional skills, care coordination, and evidence-based practice Key Features: Delivers top-notch, comprehensive test preparation assistance Presents guidelines on question dissection and analysis Includes new competencies Facilitates critical thinking with unfolding case studies Presents multiple choice questions written by certified CNLs



Statement on clinical nurse specialist practice and education

Statement on clinical nurse specialist practice and education Author National Association of Clinical Nurse Specialists
ISBN-10 UCLA:L0097740666
Release 2004
Pages 96
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Statement on clinical nurse specialist practice and education has been writing in one form or another for most of life. You can find so many inspiration from Statement on clinical nurse specialist practice and education also informative, and entertaining. Click DOWNLOAD or Read Online button to get full Statement on clinical nurse specialist practice and education book for free.



Clinical Nurse Leader Certification Review Second Edition Elist w App

Clinical Nurse Leader Certification Review  Second Edition Elist w App Author Cynthia R. King, PhD, MSN, NP, RN, CNL, FAAN
ISBN-10 9780826172242
Release 2016-03-14
Pages 472
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Now in its second edition, this book remains the only comprehensive resource for clinical nurse leaders preparing for certification. The guide stemsdirectly from Dr. King’ s acclaimed exam preparation course, which resulted in a 100% pass rate among students who took the course. The second editionreflects the new requirements of Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice (2013), featuring new andupdated chapters with information about risk mitigation, lateral integration, interprofessional skills, care coordination, and evidence-based practice; anupdated glossary of key terms; and new multiple-choice questions and case studies. The resource mirrors the format of the AACN exam, and continues to cover all aspects of the current test, providing detailed information on taking theexam, how to analyze and interpret exam questions, basic test-taking skills, questions to stimulate critical thinking, a sample exam with answers andrationales, and content review of everything you need to know to succeed on the exam. The review not only helps individuals preparing for the exam, butalso provides strategies to help groups of students make the best use of the book. It offers direction for faculty who are designing review courses andserves as a valuable resource during the clinical nurse leader program itself. NEW TO THE SECOND EDITION: Reflects new competencies Presents new and updated chapters Includes a new glossary of terms Provides new multiple-choice questions and case studies Addresses risk mitigation, lateral integration, interprofessional skills, care coordination, and evidence-based practice KEY FEATURES: Delivers top-notch, comprehensive test-preparation assistance Presents guidelines on question dissection and analysis Facilitates critical thinking with multiple-choice questions and case studies written by certified clinical nurse leaders



Psychiatric Mental Health Nursing

Psychiatric Mental Health Nursing Author Jeffrey S Jones, DNP, PMHCNS, BC, LNC
ISBN-10 9780826105646
Release 2012-03-16
Pages 696
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This psychiatric-mental health undergraduate textbook, based on the theories of Hildegard Peplau and Joyce Travelbee, is the first recent book devoted to interpersonal relations as the foundation for therapeutic practice in psychiatric nursing. It guides the student through the essential phases of self-discovery necessary to integrate interpersonal nursing theory into practice, and provides a historical overview of the profession. The book addresses the most current ISPN and APNA competencies and presents content designed to foster self-growth, and critical thinking and decision-making skills, as well as to implement therapeutic interventions. It offers an overview of theories of mental illness and a detailed discussion of commonly seen psychiatric disorders, and addresses mental health care settings across the lifespan and different populations. Clinical case studies and first-hand accounts vividly describe the realities of living with specific mental illnesses, "What would you do?" questions stimulate discussions, and sample and practice care plans for chronic mental illness facilitate integration of concepts into practice. Evidence-based practice summaries from psychiatric nursing and related research literature are included, and NANDA guidelines are integrated throughout. A new chapter with DSM-V updates is also available. This affordably priced text additionally comes with supplementary materials for both teachers and students, including handy review guides, summaries, drug monographs, and hyperlinks to films and video illustrating content. A test bank and PowerPoint slides are also available for instructors. Key Features: Integrates and applies the Peplau/Travelbee interpersonal relations theories to the four-step Assessment, Planning/Diagnosing, Implementation, and Evaluation (APIE) nursing process Addresses critical thinking, clinical decision making, therapeutic interventions, case management roles, and mental health care settings across the lifespan Features NCLEX preparation questions, vivid clinical scenarios, and evidence-based practice summaries Addresses the most current ISPN and APNA competencies A new chapter with DSM-V updates is available Both student and teacher digital aids, including review guides, summaries, hyperlinks to films and video, and drug monographs are available A test bank and PowerPoint slides are also available for instructors eBook Features (available in all eBook formats): Bidirectional link between Key Terms and their glossary definitions Learning Outcomes at start of chapters link to respective sections in book Hyperlinks to supplementary films and videos Care plans DSM-V update This book is also available as part of a discounted set. To view the Psychiatric-Mental Health Nursing Special A Student Pack, click the link above.



DNP Role Development for Doctoral Advanced Nursing Practice Second Edition

DNP Role Development for Doctoral Advanced Nursing Practice  Second Edition Author H. Michael Dreher, PhD, RN, FAAN
ISBN-10 9780826171740
Release 2016-12-15
Pages 616
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This core text for the DNP curriculum explores the historical and evolving advanced practice doctoral role as envisioned by leading DNP scholars and educators. Its distinctive point-counterpoint format—consisting of commentaries that dispute or support the opinions of chapter authors--provides a foundation of varying opinions that stimulate vigorous critical dialogue. The second edition has been revised to examine the latest developments in the ongoing evolution of doctoral-level roles along with the specific skills that advance these roles. With six completely new chapters, the second edition provides essential content on role theory, examines the meaning of nursing roles, and addresses their continued evolution in a variety of arenas.



Oxford Handbuch der klinischen Medizin

Oxford Handbuch der klinischen Medizin Author
ISBN-10 3456819994
Release 1991
Pages 765
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Oxford Handbuch der klinischen Medizin has been writing in one form or another for most of life. You can find so many inspiration from Oxford Handbuch der klinischen Medizin also informative, and entertaining. Click DOWNLOAD or Read Online button to get full Oxford Handbuch der klinischen Medizin book for free.



Advanced Practice Psychiatric Nursing Second Edition

Advanced Practice Psychiatric Nursing  Second Edition Author Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN
ISBN-10 9780826132529
Release 2016-10-14
Pages 768
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This text reinvigorates the emphasis on the therapeutic relationship that is the core of nursing practice. It also relies on our strong history as therapists and introduces a need for integration of all aspects of care, a true holistic approach that characterizes the nursing perspective...The book should serve as a review for nurses who are studying for certification exams [and is] very useful for coursework in DNP programs as well as the masters programs in psychiatric mental health nursing. -Grayce M. Sills, PhD, RN, FAAN Professor Emerita, Ohio State University From the Foreword Now in its second edition, this groundbreaking text and reference continues to be the only resource for APRNs to focus on integrative interventions forindividuals with mental health problems across the lifespan. Combining theory and practice, it provides a clear framework for integratingpsychopharmacology, psychotherapy, and Complementary and Alternative Medicine (CAM) into advanced practice nursing. The second edition is thoroughlyupdated to reflect current research, new classifications in DSM 5, genetic testing, and increased use of telemental health delivery. It builds upon itslifespan focus and updates quick-access pediatric pointers and aging alerts. Additionally, the resource incorporates the 2014 publication of the ANA Scopeand Standards of Practice for Psychiatric Nurses, offers a new focus on QSEN requirements, and responds to the need to reduce health disparities andaddress cultural considerations. Organized around psychiatric syndromes, the text covers neurobiology, theory and research evidence related to psychopharmacology, psychotherapy, and CAMinterventions. It provides a virtual buffet of clear treatment options in the form of well-designed decision trees and accompanying explanatory narratives.The text also includes a section on such special considerations as substance misuse, medical problems, pregnancy, and forensic issues that often co-occurwith psychiatric syndromes. Concise, clear language and abundant charts, graphs, and algorithms enhance the books’ value in supporting sound clinicalreasoning. New to the Second Edition: Thoroughly updated, evidence-based content Encompasses new research Presents three completely new chapters on Integrative Management of Impulse Control, Telehealth, and Quality Improvement and Evidence-BasedPractice Includes the expertise of new contributors Reflects DSM 5 updates, ANA Standard of Practice for Psychiatric Nurses, and QSEN standards Updates quick-access Pediatric Pointers and Aging Alerts Key Features: Integrates theory and practice Simplifies complex concepts using clear language while retaining depth of information Supports clinical decision-making skills through easy-to-follow Decision Trees Organized around psychiatric syndromes Edited by internationally acclaimed practitioner/educators



Translation of Evidence into Nursing and Health Care Second Edition

Translation of Evidence into Nursing and Health Care  Second Edition Author Kathleen M. White, PhD, RN, NEA-BC, FAAN
ISBN-10 9780826117830
Release 2016-03-17
Pages 430
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Designed as a textbook for the DNP curriculum and as a practical resource for more seasoned health professionals, this acclaimed text encompasses an interprofessional approach to translating evidence into nursing and health care practice that is useful for both clinical and nonclinical environments. The second edition presents new chapters, three of which feature additional approaches for translating evidence into practice, new methods of information technology for translation, and interprofessional collaboration and practice for translation and three that offer 19 exemplars that illustrate actual translation work within the areas of population health and specialty practice, and in the health care system. Consistently woven throughout are the themes of integration and application of knowledge into practice, leadership and evaluating change, leadership strategies for translation, and interprofessional applications across settings. Also included is new information about outcomes management for improvement of direct and indirect care. The second edition continues to deliver applicable theory and strategies to achieve improved outcomes, and meets the DNP core competency requirements. It features a variety of models for change as they relate to translation of research into practice. The text underscores the importance of translating evidence for use in practice to improve health care and health care delivery, and presents strategies to achieve this. It addresses the use of evidence to improve nursing education, discusses how to reduce the divide between researchers and policy makers, and presents expedients for overcoming resistance to change. Extensive lists of references, web links, and other resources enhance learning and support the development of the DNP core competencies. NEW TO THE SECOND EDITION: Addition of an esteemed co-editor Reorganized and revised for enhanced comprehension New chapters: Methods for Translation, Information Technology and Decision Support, Interprofessional Collaboration and Practice for Translation, and Data Management and Evaluation of Translation Three new exemplar chapters: Population Health Exemplars, Specialty Practice Exemplars, and Health Care System Exemplars Updated information on integration and application of knowledge into practice, leading and evaluating change, leadership strategies for translation, and interprofessional application across settings New coverage of outcomes management for improvement of direct and indirect care KEY FEATURES: Offers an in-depth guide for planning, implementing, and translating evidence Includes extensive references necessary for doctoral study Provides the perfect supplement for evidence-based practice materials that often have limited information or value for translation/implementation activities



Anatomie und Physiologie f r die Geburtshilfe

Anatomie und Physiologie f  r die Geburtshilfe Author Jane Coad
ISBN-10 3437275402
Release 2007
Pages 505
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Anatomie und Physiologie f r die Geburtshilfe has been writing in one form or another for most of life. You can find so many inspiration from Anatomie und Physiologie f r die Geburtshilfe also informative, and entertaining. Click DOWNLOAD or Read Online button to get full Anatomie und Physiologie f r die Geburtshilfe book for free.



Nursing Theories

Nursing Theories Author Hesook Suzie Kim, PhD, RN
ISBN-10 0826140068
Release 2005-07-29
Pages 309
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Designated a Doody's Core Title! This second edition is the perfect companion to original theoretical works in nursing for a better understanding of both the theories themselves and the essential questions about nursing theory development. Rather than being a nursing theory survey, the text provides the reader with a deeper understanding of nursing theories through examining them in their conceptual and philosophical contexts. This is a work of international collaboration, with distinguished nurse scholars from the United States, Germany, and Norway, organized around major themes in nursing and health care into which information on specific nursing theories is integrated. It is designed for advanced nursing students, educators, and others interested in nursing theory and concepts. For Further Information, Please Click Here! Please note that this website is in German!



Integrating Gerontological Content Into Advanced Practice Nursing Education

Integrating Gerontological Content Into Advanced Practice Nursing Education Author Carolyn Auerhahn, EdD, GNP-BC, FAANP
ISBN-10 9780826105370
Release 2010-06-28
Pages 224
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2010 AJN Book of the Year Award Winner in Gerontologic Nursing! Designated a Doody's Core Title! "This is a valuable and timely resource as primary care practitioners are facing a growing aging population. Advanced practice nurses have always been swift to recognize and respond to healthcare challenges, and this resource allows them to be proactive in confronting this evolving healthcare crisis. Nursing faculty can use this resource to design and implement program changes that will help to arm advanced practice nurses with strong gerontological competencies." Score: 100, 5 stars.óDoodyís Medical Reviews "This small book couldnít be more timely. As directors of advanced practice nursing (APN) programs struggle to find resources to convert their existing adult APN tracks into adultñgerontology programs, this book offers a clear path for integrating critical content throughout an entire program. For graduate clinical nursing directors who are challenged to quickly ramp up their gerontology contentóoften without having clinical geriatrics specialty experts among their own facultyóthis book will definitely provide that expertise." --AJN This book presents nursing faculty with clear, user-friendly guidelines for incorporating gerontological content into existing non-gerontological Advanced Practice Nursing (APN) programs without requiring major curricular changes. With almost 50 years of combined experience, the authors share a wealth of knowledge and expertise regarding the rationale and strategies for integrating gerontological content into APN curricula. Topics includes health policy, myths of aging, assessment of functional status, normal versus pathological changes in aging, and more. The authors present strategies to integrate blended technology and multiple resources to ensure that students gain gerontological competency. Key Topics: The impact of aging America on advanced practice nursing Gerontologizing" clinical management courses and shaping the clinical experience Strategies for integrating geriatric e-learning materials into APN curricula Evaluation methods for integrating new content into graduate nursing core, APN core, and specialty courses Complete with detailed lists of print media and Internet resources, this book is a must-have for APN faculty across a number of non-gerontological specialty areas, including family, adult, acute, holistic, palliative, and pediatric care.



Psychologie der Intelligenz

Psychologie der Intelligenz Author Jean Piaget
ISBN-10 9783608202243
Release 2015-03-21
Pages 208
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Die im Jahre 1942 an der Sorbonne gehaltenen Vorlesungen liefern eine übersichtliche Zusammenfassung von Jean Piagets bisheriger entwicklungspsychologischer Forschung. Insbesondere seine ausführliche Auseinandersetzung mit der Gestalttheorie ermöglicht einen Einblick in seine Theorieentwicklung und Argumentationsmuster. Mit seiner Analyse und Kritik der Gestalttheorie kommt er zu dem Schluss, dass die Wahrnehmung nicht der grundlegende Mechanismus der Intelligenzentwicklung sein kann, sondern dass sie auf Handlungen aufbaut. Da diese in einem Raum stattfinden, haben die Operationen, die verinnerlichten Handlungen, eine mathematische Struktur. Deren Entwicklung zeichnet Piaget in den zentralen Dimensionen und Stufen nach, wobei sowohl die sozialen wie auch die biologisch-psychologischen Faktoren berücksichtigt werden.



Conceptual Foundations of Professional Nursing Practice

Conceptual Foundations of Professional Nursing Practice Author
ISBN-10 0815114060
Release 1996-01-01
Pages 511
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(1E 1991) Discusses socialization to professional nursing/ issues in health care delivery nursing/legal aspects etc.