Clinical Effectiveness in Practice

"The authors of this book have produced a seminal text that explores clinical effectiveness with regard to the role of the Clinical Nurse Specialist and Nurse Practitioner ... For the student it provides an opportunity to understand how clinically effective care is provided." - Extract from the Foreword by Sue Norman - Chief Executive/Registrar, UKCC. Clinical effectiveness is a concept of central importance for health care professionals, and yet it is often unclear exactly what it is, how it can be applied, and how it should influence the delivery of care. This stimulating text clarifies what clinical effectiveness is and explains how it can be achieved in practice. Written by experienced practitioners and academics, it presents a wide range of research and case studies that demonstrate clinically effective care and the necessity for evidence-based practice. Drawing on their own original research into clinical effectiveness, the authors highlight key issues influencing practice and examine them in the light of new research. They combine solid evidence with guidelines for practice to show how a real difference can be made to the delivery of care. This balanced and engaging text will be an essential resource for all health care professionals wishing to enhance their practice, and a valuable guide for students who need to understand how clinically effective care is delivered in practice.

Table of Contents:
Clinical Effectiveness, Nursing Diagnosis and the Role of the Clinical Nurse Specialist and Nurse Practitioner; C.L.Cox and S.Ahluwalia Factors that Foster and Hinder Clinically Effective Care of Clinical Nurse Specialists and Nurse Practitioners: A Qualitative Study; C.L.Cox and S.Ahluwalia Clinical Effectiveness and the Realities of Practice: A National Quantitative Study; C.L.Cox and S.Ahluwalia Alteration in Cardiovascular Function: Caring for the Patient with Septic Shock; A.M.Price and D.Kavanagh Alteration in Respiratory Function: Caring for the Patient with Tuberculosis; V.Gleissberg and R.Hall Alteration in Sexuality Pattern: Caring for the HIV Positive Pregnant Woman; J.Sunderland Alteration in Endocrine Function: Caring for the Woman in Obstetric Crisis; J.Hutchinson Alteration in Comfort: Caring for the Patient Using Complementary Therapies; C.L.Cox Alteration in Endocrine Function: Caring for the Patient with Leg Ulcers; M.van Orsouw.

About the Author :
CAROL L. COX is Professor of Advanced Clinical Practice at St Bartholomew School of Nursing and Midwifery, City University, London and a Consultant Nurse at Newham Healthcare NHS Trust. She has developed Masters and Doctoral Programmes in Nursing, Midwifery and Health Studies and is internationally known for her practice developments and research. ADRIAN REYES-HUGHES is Director of Policy and Standards at the United Kingdom Central Council for Nursing, Midwifery and Health Visiting. He is also a registered general nurse and Honorary Senior Lecturer in Adult Nursing at City University, London. CAROL L. COX is Professor of Advanced Clinical Practice at St Bartholomew School of Nursing and Midwifery, City University, London and a Consultant Nurse at Newham Healthcare NHS Trust. She has developed Masters and Doctoral Programmes in Nursing, Midwifery and Health Studies and is internationally known for her practice developments and research. ADRIAN REYES-HUGHES is Director of Policy and Standards at the United Kingdom Central Council for Nursing, Midwifery and Health Visiting. He is also a registered general nurse and Honorary Senior Lecturer in Adult Nursing at City University, London.

Review :
'...a valuable reference guide to all health care workers who are keen to enhance their clinical effectiveness.' - Denise Rankin-Box, Editor-in-Chief, Complementary Therapies in Nursing & Midwifery 'Cox and Reyes-Hughes have provided a useful overview of the tasks and skills of clinical nurse specialists and nurse practitioners, offering a basis for discussion of further developments.' - Maya Shaha, University of London, Nursing Ethics