Fundamental Concepts and Skills for Nursing

作者:deWit MSN RN CNS PHN, Susan C.

页数:992

出版时间:2008-10

价格:$ 79.95

isbn号码:9781416052289

具体描述

This market-leading textbook offers an engaging format and clear writing style that make it easy to master the basic nursing concepts and skills you need to practice in a variety of care settings. Its nursing process framework, health promotion focus, emphasis on critical thinking, and thorough coverage of communication and patient teaching provide a strong foundation for your nursing education. Full-color illustrations, critical thinking exercises, and practical examples help you strengthen and apply your knowledge of essential nursing concepts.

More than 500 full-color illustrations - including 50 new to this edition - highlight and explain key concepts presented in the text. Concepts and skills are presented from simplest to most complex to help you gradually build your knowledge and learn more easily. A Companion CD-ROM includes audio clips, an audio glossary, video clips, 3-D animations, English-Spanish phrases, NCLEX®-PN Examination-style review questions, and more. Theory and Clinical Practice Objectives introduce you to the concepts you'll learn in each chapter. Key Terms with phonetic pronunciations familiarize you with the language of nursing and health care. Overview of Structure and Function provides a brief review of essential anatomy and physiology related to specific body systems, with a special section on aging. The nursing process is emphasized throughout in Application of the Nursing Process sections and serves as the framework for Skills and Nursing Care Plans. Think Critically About. boxes encourage you to synthesize information and apply concepts beyond the scope of the chapter. Approximately 80 Skills provide illustrated step-by-step instructions for performing key nursing procedures, with clear actions and rationales and Critical Thinking Questions. Approximately 50 Steps present abbreviated versions of additional skills in a quick-reference action/rationale format. Approximately 20 Nursing Care Plans provide examples for planning care and encourage you to think critically and follow the nursing process. Critical Thinking Activities at the end of each chapter allow you to apply critical thinking and problem-solving skills to specific clinical scenarios. Elder Care Points introduce you to the unique care issues that affect older adults. Health Promotion Points address wellness and disease prevention, including diet, infection control, and more. Communication Cues feature sample dialogues and therapeutic communication techniques to help you build a positive rapport with patients. Concept Maps help you visualize how the multiple nursing diagnoses, treatments, and side effects for specific disorders relate to each other. Home Care boxes provide guidelines for adapting nursing skills and techniques for use in the home setting. Patient Teaching boxes offer step-by-step instructions for patients and their families regarding proper post-hospital care. NCLEX-PN® Exam Style Review Questions at the end of each chapter include alternate item-format questions to prepare you for the exam. Helpful appendixes offer quick access to essential facts and information in the clinical setting.

Assignment Considerations boxes will cover situations in which the RN delegates to the LPN/LVN or when the LPN/LVN assigns tasks to nurse assistants, patient care techs, and other unlicensed assistive personnel Clinical Cues provide guidance and advice related to the nursing care under discussion Safety Alert boxes highlight specific danger or dangers to patients related to clinical care 50 new illustrations and photos have been added to this edition to aid visual learners 5 Skills have been added to this edition, giving deWit a total of 80 skills covered 5 Steps have been added to the 44 in the current edition

用户评价

我尤其欣赏作者在**健康促进与患者教育**这一块所倾注的心力。这本书没有将患者教育视为一个附加任务，而是将其视为护理过程的核心组成部分。它提供的不仅仅是关于“如何告诉患者服用X药片”的技巧，而是深入探讨了“如何确保患者真正理解并愿意遵从治疗计划”背后的社会心理学因素。书中详细分析了文化背景、健康素养水平（Health Literacy）对患者依从性的影响，并提供了针对不同文化群体和教育水平的定制化沟通策略。比如，对于文化保守的家庭，如何以更尊重其传统价值观的方式引入循证护理理念，书中有具体的范例指导。这种强调个体化、尊重患者背景的教学方法，让我意识到，成功的护理干预，建立在深入理解和有效沟通的基础之上，技术能力固然重要，但能否成为一个有效的“教育者”和“合作者”，才是区分优秀护士的关键所在。

这本关于护理基础概念与技能的书籍，读起来就像是进行了一场精心策划的“临床思维”探险。作者显然深谙初学者在面对堆积如山的理论知识和实际操作之间的鸿沟时会产生的困惑，因此，全书的叙事节奏把握得极为精准，绝不急于求成，而是像一位耐心的导师，逐步引导我们建立起稳固的知识框架。特别值得称赞的是，书中对**人际沟通与伦理决策**部分的深入探讨。它不仅仅停留在教科书式的“告知”层面，而是通过大量贴近现实的案例分析，让我们真切体会到，护理工作绝非冰冷的医疗程序执行，而是充满了复杂人性博弈的艺术。例如，在处理“知情同意”的灰色地带时，书中提供的多角度分析工具，远超我之前读过的任何教材。它教会我的不是“标准答案”，而是如何在压力环境下，运用批判性思维，权衡患者自主权、家庭期望与医疗伦理规范的微妙平衡。这种强调实践中复杂决策能力的培养，让我感觉自己真正迈出了从学生到专业人士的关键一步，而非仅仅背诵了一堆护理流程。

这本书最令人惊喜之处，在于其对**无菌技术与感染控制**的讲解，达到了近乎苛刻的严谨性，但其呈现方式却充满了“实操感”。很多教材只是简单地罗列了洗手步骤或铺巾规范，但这本书却深入剖析了微生物传播的物理学和化学原理。它像一个经验丰富的高级护士在带教，会告诉你“为什么要这样做”的内在逻辑——比如，为什么某些特定角度的擦拭效率更高，而不是简单地要求你“照做”。特别是关于院内感染（HAI）的章节，作者清晰地梳理了当前医疗环境中多重耐药菌的传播路径，并提出了非常实际的预防策略，这些策略明显是基于最新的循证医学证据而非陈旧的操作惯例。读完这部分，我感觉自己对“无菌”的理解，从一个抽象的概念提升到了对整个环境风险的全面掌控。它教会了我一种持续保持警惕的专业习惯，这比单纯记住操作规程要重要得多。

坦白说，我原本对任何声称涵盖“基础”的医学书籍都抱持着一种警惕——通常这类书要么过于笼统，要么细节堆砌到让人望而生畏。然而，这本书在**生理监测与病理生理学关联**的处理上，展现出了一种令人耳目一新的结构。它没有把体征（如血压、心率、呼吸模式）孤立地呈现，而是将其紧密地编织进每一个潜在的病理变化链条中。比如，当讨论到休克时，作者没有简单罗列“低血压、心动过速”这些符号，而是详尽地解析了体循环阻力、心输出量与末梢灌注之间的动态反馈机制。这种“为什么会这样，以及如何通过监测来早期识别偏离”的叙事方式，极大地增强了知识的内化程度。我发现自己不再是机械地记着“A指征对应B操作”，而是开始能“预判”病情的走向，这对于需要快速反应的临床环境来说，是无可替代的能力。书中的图表设计也极为用心，复杂的血流动力学图谱被简化到能让一个刚接触心血管概念的人也能迅速抓住重点，避免了许多同行书籍中常见的晦涩难懂的图示陷阱。

作为一个习惯于快速获取信息的学习者，我原本担心一本强调“基础”的书会显得冗长乏味，但这本书在**药物管理与安全实践**这一至关重要的模块上，处理得非常精炼且极具操作指导性。它没有试图囊括所有药物，而是集中火力攻克了初级护理人员最常接触、风险最高的几类药物（如胰岛素、抗凝剂、高警示药物）。作者采用了“错误-预防-纠正”的三段式结构来讲解每一种高风险药物，这种结构极大地提升了学习的效率和安全性意识。例如，在描述静脉输液泵的设置时，书中详细列出了设置错误可能导致的致命后果，并配上了清晰的核对清单（Checklist），而不是仅仅给出操作步骤。这种以“风险规避”为核心的教学理念，让我对药物治疗环节的敬畏感油然而生，也让我明白了在日常工作中，核对流程中的每一个微小动作都关乎生命，绝不能敷衍了事。