Prepare to excel in the demanding world of high acuity, progressive, and critical care nursing with the newly updated Critical Care Nursing: Diagnosis and Management, 9th Edition. Recognized as a leading resource in the field and awarded the 2nd-place American Journal of Nursing Book of the Year award in emergency/critical care nursing for 2021, this comprehensive textbook bridges the gap between foundational knowledge and practical application. Dive into the core principles of critical care nursing and learn to expertly apply them in clinical assessments, diagnostic procedures, and therapeutic management.
This ninth edition retains its signature body systems organization, ensuring a logical and efficient approach to understanding the complexities of patient care with physiological alterations. Whether you are a student, a practicing nurse, or preparing for the CCRN® or PCCN® exams, this book is your ultimate guide to mastering the concepts and skills essential for critical care nursing.
Why Choose This Edition for Critical Care Nursing Diagnosis & Management?
This textbook is meticulously crafted to provide you with time-tested, high-quality content that addresses every facet of contemporary critical care nursing. Its consistent structure within each body system unit fosters efficient learning, making it invaluable for certification preparation and a reliable reference in your daily clinical practice.
Comprehensive and Evidence-Based Content: Rest assured knowing that you are learning from a resource grounded in the most current evidence. This edition is thoroughly referenced and includes links to valuable internet resources, empowering you to delve deeper into research and expand your knowledge base.
Enhanced QSEN Integration: Patient safety and quality care are paramount. This edition strengthens its integration of the Quality and Safety Education for Nurses (QSEN) competencies. You’ll find direct links to QSEN throughout the text, including QSEN-related questions in case studies, specifically labeled features and boxes, dedicated QSEN content icons, and highlighted QSEN information. This focused approach ensures you are well-versed in these crucial competencies.
Prepare for the Future of Nursing with Updated Content and NCLEX Alignment: Stay ahead of the curve with completely updated content that reflects the latest advancements in critical care nursing concepts, techniques, and technology. Furthermore, to support your exam readiness, this edition includes Next Generation NCLEX® Exam-style case studies designed to hone your clinical judgment skills for the evolving nursing licensure exam.
New Features Designed to Elevate Your Critical Care Expertise
The 9th Edition of Critical Care Nursing: Diagnosis and Management introduces several key enhancements focused on patient-centered care, practical application, and alignment with contemporary healthcare trends:
Patient-Centered Critical Care: Humanizing the ICU: Step into the future of critical care with the innovative “Patient-Centered Critical Care” features. These illustrated boxes emphasize a crucial shift towards a more humanistic approach in the ICU setting. Explore evidence-based discussions on vital topics such as:
- Effective family meetings
- The importance of debriefing after critical events
- Utilizing patient diaries to enhance communication and reflection
- Creating a calm and therapeutic environment
- Integrating pet visitation and music therapy
- Smooth care transitions
- Implementing 24/7 ICU visitation policies
These features are designed to help you champion a culture of critical care that prioritizes the patient and family experience.
![A healthcare professional is holding a tablet and talking to a patient in a hospital bed.](https://books.google.com/books/content?id=vnrugEACAAJ&printsec=frontcover&img=1&zoom=1&imgtk=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