Download or read book Canadian Maternity and Pediatric Nursing written by Jessica Webster and published by Lippincott Williams & Wilkins. This book was released on 2019-08-14 with total page 3845 pages. Available in PDF, EPUB and Kindle. Book excerpt: Canadian Maternity and Pediatric Nursing prepares your students for safe and effective maternity and pediatric nursing practice. The content provides the student with essential information to care for women and their families, to assist them to make the right choices safely, intelligently, and with confidence.
Download or read book Maternity Nursing E Book written by Deitra Leonard Lowdermilk and published by Elsevier Health Sciences. This book was released on 2013-12-27 with total page 875 pages. Available in PDF, EPUB and Kindle. Book excerpt: A streamlined approach covers the fundamentals of maternity nursing! Maternity Nursing, 8th Edition focuses on the care of women during the childbearing years. Designed to meet the needs of today’s students, the book offers a clear, readable style and a concise, focused presentation. It integrates an understanding of family, culture, and health promotion into the continuum of care, and coverage of community-based care emphasizes nursing care in many different settings. Not only does Maternity Nursing focus on childbearing issues and concerns, including care of the newborn, but it also addresses wellness promotion and the management of common women’s health problems. The Evolve companion website includes useful study tools, including medical animations, video clips, a care plan builder, and NCLEX® exam-style review questions. A companion Evolve website includes student resources such as NCLEX® exam-style review questions, audio chapter summaries, a care plan builder, nursing skills, interactive case studies, video clips and animations, anatomy reviews, and an audio glossary with Spanish pronunciations. Unique! Nursing Alerts highlight critical information in providing care. Unique! Emergency boxes provide step-by-step procedures for pediatric and maternity emergencies. Unique! Cultural Considerations boxes discuss customs and beliefs of different cultures that may affect care for patients and families. Unique! Community Activity boxes provide maternal and newborn exercises to enhance care in local community settings. Unique! Nursing Process boxes identify information on major diseases and conditions. Patient Instructions for Self-Management boxes highlight the information nurses need to communicate to patients and families. Critical Thinking exercises are based on case studies of real-life situations. Coverage of nursing care management uses a framework of the five steps of the nursing process as well as a focus on collaborative care. Nursing care plans include specific guidelines and rationales for interventions.
Download or read book Introduction to Maternity and Pediatric Nursing E Book written by Gloria Leifer and published by Elsevier Health Sciences. This book was released on 2022-08-31 with total page 882 pages. Available in PDF, EPUB and Kindle. Book excerpt: Build the knowledge and clinical judgment you need to succeed in maternity and pediatric nursing! Written in a clear, easy-to-read style, Introduction to Maternity and Pediatric Nursing, 9th Edition describes how you can provide effective, evidence-based care for women during pregnancy, labor, and delivery, and for newborns and growing children. The text spans the continuum of child development, organizing topics from simple to complex and from health to illness; this approach makes it easy to locate information. Another hallmark of the book is its strong focus on family-centered care, health promotion, and illness prevention. Written by noted nursing educator Gloria Leifer, this bestselling text includes new Next-Generation NCLEX® exam-style case studies plus updates on infection control, pandemic responses, and more. Unfolding case studies follow one family through the conception and birth process, and include open-ended critical thinking questions applying the content to practice. More than 25 nursing care plans include nursing diagnoses plus goals, nursing interventions, and rationales, along with critical thinking questions to promote clinical decision-making skills. Detailed nursing skills cover a wide range of maternal and pediatric nursing interventions. Safety alerts highlight the importance of protecting patients and others from accidents, medication errors, and the spread of disease. Nursing tips include practical, evidence-based information applicable in the clinical setting. Nursing guidelines reflect the World Health Organization’s Baby Friendly Hospital Initiative, alternative therapies, immunization mandates, emergency preparedness, preventing medication errors, and more. Get Ready for the NCLEX® Examination! at the end of each chapter includes a summary of key points, additional online resources, review questions, and critical thinking questions. Cultural Considerations boxes help you address the needs of culturally diverse patients and families. Patient Teaching boxes help you communicate instructions for self-care with patients and families. Medication tables provide quick access to information about commonly used medications. NEW! Next-Generation NCLEX® examination-style case studies include new-format questions to help you prepare for the licensure examination. NEW! Discussion of the NCSBN Clinical Judgment Measurement Model helps you learn decision making and develop the skills needed to plan effective nursing interventions. NEW! Thorough updates include infection control, pandemic responses, pharmacologic tables, and pediatric treatments.
Download or read book Maternity Nursing Revised Reprint E Book written by Deitra Leonard Lowdermilk and published by Elsevier Health Sciences. This book was released on 2014-04-14 with total page 896 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to meet the needs of today’s students, Lowdermilk’s Maternity Nursing, 8th Edition — Revised Reprint addresses the fundamentals of maternity nursing with a concise, focused presentation of the care of women during the childbearing years. Integrating considerations for family, culture, and health promotion into the continuum of care, it also addresses community-based care to emphasize that nursing care takes place in many settings. Maternity Nursing focuses on childbearing issues and concerns, including care of the newborn, as well as wellness promotion and management of common women’s health problems. Critical thinking exercises present case studies of real-life situations and corresponding critical thinking questions to help you develop your analytical skills. NEW! A helpful appendix identifies text content that reflects the QSEN competencies — patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics — to assist you in developing competencies to provide safe and effective nursing care. NEW! Focus on the family recognizes the nurse’s need to integrate the family in the care of the mother and newborn and the importance of the role of the mother to the wellbeing of the family. NEW! Content updates throughout, including information on the late preterm infant and associated concerns such as feeding; guidelines on prioritization and delegation where relevant; and centering pregnancy, a new model of health care that brings women together in groups for their care. NEW! Evidence-based practice content focuses your attention on how to use current research to improve patient outcomes. NEW! Improved readability helps you learn more efficiently with shorter, more focused content discussions. NEW! 21st Century Maternity Nursing: Culturally Competent, Community Focused chapter combines introductory material, culture, and community into one chapter to help you focus on key content and concepts. NEW! Streamlined content highlights the most essential, need-to-know information.
Download or read book Maternity Nursing Care Book Only written by Lynna Y. Littleton-Gibbs and published by Cengage Learning. This book was released on 2012-01-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: MATERNITY NURSING CARE, 2nd Edition delivers all of the core components of obstetrical nursing, along with in-depth study features to help you develop and enhance analytical skills. Starting with women's health issues and pregnancy care, the chapters progress through labor and childbirth, postpartum care, and newborn development, addressing the nursing considerations for both normal and high-risk scenarios where appropriate. Written from a nursing perspective, MATERNITY NURSING CARE, 2ND Edition emphasizes overall patient care as opposed to medical treatment alone, and illustrates the critical importance of fostering the nurse-patient relationship. MATERNITY NURSING CARE, 2ND Edition is also bound with a helpful StudyWARETM online, which includescase studies, NCLEX-style review questions, videos, activities, a glossary, and many other features to help you meet and exceed the highest standards of obstetrical nursing care. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Download or read book Maternity Women s Health Care written by Deitra Leonard Lowdermilk and published by . This book was released on 2007 with total page 1224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying CD-ROM contains ... "case studies, clinical thinking questions, videos, animations, a care plan constructor, illustrated skills, English-Spanish translations, and an audio glossary."--Page 4 of cover.
Download or read book Reeder s Maternity Nursing written by AV Raman and published by Wolters kluwer india Pvt Ltd. This book was released on 2019-10-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The current edition is a revised edition of the 19th edition which was launched especially for Indian Nursing students. Thoroughly revised and presented in full color, the current edition would serve as a textbook in Maternity nursing to the students of B. Sc Nursing, post-basic B.Sc. Nursing and Diploma in nursing. This book is equally useful to the students of M.Sc Nursing and to those who are preparing to go abroad to work as nurse practitioners.
Download or read book Introduction to Maternity and Pediatric Nursing E Book written by Gloria Leifer and published by Elsevier Health Sciences. This book was released on 2018-11-26 with total page 872 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a solid foundation in maternity and pediatric nursing! Written in a clear, concise, friendly style, Introduction to Maternity and Pediatric Nursing, 8th Edition is the complete guide to caring for maternity and pediatric patients. This best-selling text is organized by developmental stages, discussions of pediatric disorders by body system from simple-to-complex and health-to-illness, and includes a focus on family health. This edition also contains newly updated NCLEX® style review questions, new case studies, new content on zika virus, QSEN and safety, and expanded phases of pregnancy. Evidence-based maternal-child content prepares you for the LVN/LPN to achieve higher levels of learning, a goal expressed by the IOM Committee on the Future of Nursing. Over 42 detailed, updated nursing skills introduce you to skills unique to maternity and pediatric care. Over 25 nursing care plans feature seven different formats/themes/styles, including unfolding case studies. The beginning concepts of critical thinking introduces you to this idea as a basis for clinical nursing care. Updated content on the influence of microbiomes on non-invasive pregnancy and newborn nursing care addresses its impact on the adult health of the newborn. Step-by-step application of the nursing process covers the hospital, home, community and use in improving global health. Expanded cultural practices as they relate to pregnancy, delivery and pediatric care in the community. Coverage of the use of expanding new technologies and computerized medication administration reinforce the nursing process and strengthen problem-solving skills as applied to maternity nursing. NEW! Discussion of new health threats include in-depth coverage of the Zika virus and Influenza NEW! Updated guidelines for hypertension and immunizations for infants and children. NEW! Updated QSEN goals and nursing responsibilities reflect the most recent changes. NEW! Expanded phases of pregnancy includes preconceptual, prenatal, intrapartum, postpartum and interconceptual care and nursing responsibilities. NEW! Updated nursing responsibilities related to global health reflect the "Baby Friendly Hospital" WHO initiative and interprofessional nursing communication related to nursing "hand-off care" and shift change reports. NEW! Updated NCLEX® exam-style review questions have been revised with alternate item formats at the end of each chapter. NEW! Expanded nursing and safety tips throughout include evidence-based online resources which provide pertinent information applicable in the clinical setting that reinforces what you have just learned while building on previously learned information. NEW! Expanded coverage of bioterrorism better reflects trauma related to pregnancy and pediatric care.
Download or read book Maternal Child Nursing E Book written by Emily Slone McKinney and published by Elsevier Health Sciences. This book was released on 2012-10-01 with total page 1599 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated electronic features match icons in the text, so you can use print and electronic resources more effectively together. Using Research to Improve Practice boxes help you determine proper care to reinforce best practice. Spanish translations are included for phrases commonly encountered with maternity and pediatric patients. Improved design makes the text easier to read, and up-to-date photos ensure accuracy.
Download or read book Maternal Child Nursing Care E Book written by Shannon E. Perry and published by Elsevier Health Sciences. This book was released on 2022-03-05 with total page 1643 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master the essentials of maternity and pediatric nursing with this comprehensive, all-in-one text! Maternal Child Nursing Care, 7th Edition covers the issues and concerns of women during their childbearing years and children during their developing years. It uses a family-centered, problem-solving approach to patient care, with guidelines supported by evidence-based practice. New to this edition is an emphasis on clinical judgment skills and a new chapter on children with integumentary dysfunction. Written by a team of experts led by Shannon E. Perry and Marilyn J. Hockenberry, this book provides the accurate information you need to succeed in the classroom, the clinical setting, and on the Next Generation NCLEX-RN® examination. Focus on the family throughout the text emphasizes the influence of the entire family in health and illness. Expert authors of the market-leading maternity and pediatric nursing textbooks combine to ensure delivery of the most accurate, up-to-date content. Information on victims of sexual abuse as parents and human trafficking helps prepare students to handle these delicate issues. Nursing Alerts highlight critical information that could lead to deteriorating or emergency situations. Guidelines boxes outline nursing procedures in an easy-to-follow format. Evidence-Based Practice boxes include findings from recent clinical studies. Emergency Treatment boxes describe the signs and symptoms of emergency situations and provide step-by-step interventions. Atraumatic Care boxes teach students how to manage pain and provide competent care to pediatric patients with the least amount of physical or psychological stress. Community Focus boxes emphasize community issues, provide resources and guidance, and illustrate nursing care in a variety of settings. Patient Teaching boxes highlight important information nurses need to communicate to patients and families. Cultural Considerations boxes describe beliefs and practices relating to pregnancy, labor and birth, parenting, and women’s health. Family-Centered Care boxes draw attention to the needs or concerns of families that students should consider to provide family-centered care.
Download or read book Maternal Child Nursing Care written by Shannon E. Perry and published by Mosby. This book was released on 2017-10-02 with total page 1535 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN� examination. Written by the foremost experts in maternity and pediatric nursing, the user-friendly Maternal Child Nursing Care, 6th Edition provides both instructors and students with just the right amount of maternity and pediatric content. This new edition includes updated case studies within Nursing Care Plans, as well as a new chapter on pediatric cancer. Focus on the family throughout emphasizes the influence of the entire family in health and illness. Focus on the family throughout emphasizes the influence of the entire family in health and illness. Expert authors of the market-leading maternity and pediatric nursing textbooks combine to ensure delivery of the most accurate, up-to-date content. Critical thinking case studies offer you opportunities to test and develop your analytical skills and apply knowledge in various settings. Nursing Care Plans include rationales for interventions and provide you with an overview and specific guidelines for delivering effective nursing care. Nursing Alerts highlight critical information that you need to know when treating patients. Guidelines boxes outline nursing procedures in an easy-to-follow format. Emergency boxes in the maternity unit guide you through step-by-step emergency procedures. Home Care boxes detail important information that you need to deliver care to patients and families in the home setting. Atraumatic Care boxes in the pediatric unit teach you how to provide competent and effective care to pediatric patients with the least amount of physical or psychological stress. Community Focus boxes emphasize community issues, provide resources and guidance, and illustrate nursing care in a variety of settings. Patient Teaching boxes in the maternity unit highlight important information nurses need to communicate to patients and families. Cultural Competence boxes equip you with the knowledge you need to deliver culturally competent care.\ Family-Centered Care boxes draw attention to the needs or concerns of families that you should consider to provide family-centered care. Medication Guides serve as an important reference of drugs and their interactions. NEW! New chapter on pediatric cancer gives you the most up-to-date information on the latest topics. EXPANDED! Additional information on sexuality in the maternity section. EXPANDED! More content on spirituality in the family, culture, and spiritual chapters. EXPANDED and UPDATED! New content about LBGTQ+ included in the Transition to Parenthood chapter. NEW! Information on victims of sexual abuse as parents and human trafficking helps prepare you to handle these delicate issues. NEW and UPDATED! Case studies emphasize interprofessional care, demonstrating how nursing must collaborate with other health care disciplines to provide the most comprehensive care possible to women and children. UPDATED! Nursing Care Plans now incorporate case studies to personalize interventions and promote critical thinking.
Download or read book Foundations of Maternal Newborn and Women s Health Nursing written by Sharon Smith Murray, MSN, RN, C and published by Elsevier Health Sciences. This book was released on 2013-09-23 with total page 919 pages. Available in PDF, EPUB and Kindle. Book excerpt: With easy-to-read coverage of nursing care for women and newborns, Foundations of Maternal-Newborn & Women's Health Nursing, 6th Edition shows how to provide safe, competent care in the clinical setting. Evidence-based guidelines and step-by-step instructions for assessments and interventions help you quickly master key skills and techniques. Also emphasized is the importance of understanding family, communication, culture, client teaching, and clinical decision making. Written by specialists in maternity nursing, Sharon Smith Murray and Emily Slone McKinney, this text reflects the latest QSEN competencies, and the accompanying Evolve website includes review questions to prepare you for the NCLEX® exam! Nursing Care Plans help you apply the nursing process to clinical situations. Procedure boxes provide clear instructions for performing common maternity skills, with rationales for each step. UNIQUE! Therapeutic Communications boxes present realistic nurse-patient dialogues, identifying communication techniques and showing to respond when encountering communication blocks. Communication Cues offer tips for interpreting patients' and families' verbal and nonverbal communication. Critical Thinking exercises focus on clinical situations designed to test your skills in prioritizing and critical thinking. Updated drug guides list important indications, adverse reactions, and nursing considerations for the most commonly used medications. Check Your Reading helps you assess your mastery of key content. Critical to Remember boxes highlight and summarize need-to-know information. Want to Know boxes provide guidelines for successful client education. Glossary provides definitions of all key terms. NEW! Safety Alerts help you develop competencies related to QSEN and safe nursing practice. NEW! Unfolding case studies help you apply what you've learned to practice. UPDATED Evidence-Based Practice boxes highlight the latest research and the most current QSEN (Quality and Safety Education for Nurses) practice guidelines for quality care. UPDATED content includes the late preterm infant, fetal heart rate pattern identification, obesity in the pregnant woman, and the QSEN competencies.
Download or read book Maternity Nursing written by Arlene Burroughs and published by Saunders. This book was released on 2001 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new eighth edition of the classic maternity nursing textbook for nursing students is fully revised, updated and revamped for nursing today, reflecting the rapidly changing world of health care. A timely new chapter on complementary and alternative therapies discusses the relationships among the physiology of pregnancy, medications and homeopathy Includes Chapter Openers with concise Chapter Outlines that guide students through the content and Learning Objectives to help them focus their studying. Includes striking new photographs that bring to life the many current themes and new and improved products and equipment in maternity nursing Includes Clinical Pathways where appropriate to reflect collaborative care. Expands content in the Womens Health Issues Includes striking new photographs that bring to life the many current themes and new and improved products and equipment in maternity nursing. Contains anew chapter on Complementary and Alternative Therapies that explores the wide range of nontraditional therapies that offer pain relief during labor and childbirth, a decrease in nausea during pregnancy, and coping strategies for stress. Provides a free built-in Selfworkbook at the back of the book that includes Clinical Situations, Internet Activities, and multiplequestions with answers in the Instructors Manual. Includes Clinical Pathways where appropriate to reflect collaborative care. Expands content in the Womens Health Issues chapter with more information on major gynecological concerns, sexually transmitted diseases, and violence/rape trauma. Incorporates Fast Focus boxes throughout the text, providing contentpieces that highlight important information. Contains Critical Thinking Activities which encourage the student to assimilate and synthesize information, then to apply it using critical thinking skills. Includes many new tables as well as reorganized and streamlined content to make accessing important information easier, more efficient, and user friendly. Adds a second color to highlight and accentuate many illustrations and important information. Contains updated bibliographies, including the new Healthy People 2010 objectives.
Download or read book Leifer s Introduction to Maternity and Pediatric Nursing in Canada written by Gloria Leifer and published by Saunders. This book was released on 2019-11-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain a solid foundation in Canadian maternity and pediatric nursing! Written in a clear, concise, friendly style, Leifer''s Intro to Maternity & Pediatric Nursing in Canada, is the first Canadian edition of the best-selling Leifer textbook. Fully revised by author, Lisa Keenan-Lindsay, RN, MN, PNC(C), it includes Canadian statistics, terminology, references, guidelines, resources, Canadian nursing best practices, assessments, and more! It''s organized by developmental stages and includes discussions of pediatric disorders by body system from simple-to-complex and health-to-illness. With a rich focus on family health, this text contains exam-style review questions, case studies, and numerous other pedagogical features to give you the tools you need to successfully care for patients within the Canadian social and institutional context. Logical organization of content by simple-to-complex and health-to-illness, makes it easy for you to locate and access information. Health Promotion Considerations boxes focus on preventive strategies for achieving prenatal wellness, health during pregnancy, postpartum health, newborn health, and pediatric illness prevention and wellness---including Canadian immunization schedules for all ages. Unfolding Case Studies with open-ended critical thinking questions assess application of content to practice as you follow one family through conception and the birth process. Nursing Care Plans provide expected outcomes, interventions, and rationales for nursing interventions. Comprehensive coverage of over 35 skills, outlined in step-by-step format cover a wide range of maternal and pediatric nursing interventions. Focus on health promotion and illness prevention, covers women''s health issues, and growth and development of child and parent. Cultural considerations applied as they relate to maternal/infant, and pediatric care in detailed tables. Safety Alerts emphasize protecting patients, family, health care providers, and the public from accidents, medication errors, and the spread of disease. Nursing Tips throughout text provide you with pertinent information applicable in the clinical setting. NEW! Fully revised content for a Canadian audience includes statistics, terminology, references and resources, 2019 Canada''s Food Guide, guidelines from the Society of Obstetricians and Gynaecologist''s of Canada (SOGC), the Canadian Paediatric Society (CPS), and the Public Health Agency of Canada, Canadian nursing best practice guidelines, assessments, and more! NEW! Strong focus on Health Promotion includes application of the social determinants of health, greater emphasis on community nursing, primary health care, and family-centred care approach. NEW! High-Risk Newborn chapter combines preterm/post-term newborn with the child born with a congenital condition. NEW! Chapter covers caring for the child with a chronic illness or in palliative care. UNIQUE! Baby-Friendly Initiatives incorporated throughout the text. UNIQUE! Canadian cultural considerations include content related to Indigenous Peoples threaded throughout all applicable chapters. NEW! Updated labour information based on Canadian guidelines and the five P''s of labour. NEW! Complete inclusion of Canadian medications, dosages, and metric measurements. NEW! Enhanced and updated art programme reflect Canada''s cultural diversity in the health care setting. NEW! Coverage of Canadian ethical and legal standards, and provincial and territorial legislation. NEW! Critical Thinking questions applies concepts learned in the chapter to practical situations. NEW! UPDATED! Examination review questions prepare you for certification exams. NEW! Expanded coverage on safety includes maternity and pediatric care in the home and community.
Download or read book Maternal Newborn Nursing Care Plans written by Carol J. Green and published by Jones & Bartlett Publishers. This book was released on 2014-12-09 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains how to assess, plan, provide, and evaluate care for pregnancy, delivery, recovery, abnormal conditions, and newborn care. Features more than 65 of the most common and high-risk care plans for nursing care using the nursing process approach, this text includes NIC interventions, discussions on collaborative problems, key nursing activities, signs and symptoms, and diagnostic studies. --From publisher description.
Download or read book Introductory Maternity and Pediatric Nursing written by N. Jayne Klossner and published by Lww. This book was released on 2009 with total page 1056 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of Introductory Maternity and Pediatric Nursing reflects the underlying philosophy of love, caring, and support for the childbearing woman, the child, and the families of these individuals. Recognizing that the responsibility of caring for the pregnant woman and ill child increasingly falls on the family, this text stresses teaching the patient, family, and child with an emphasis on prevention. This edition's updated full-color photos and drawings enliven and support the text, especially for visual learners. A companion Website includes video clips related to developmental tasks of pregnancy, vaginal birth, Cesarean delivery, assisting with breastfeeding, developmental considerations in caring for children, care of the hospitalized child, and pediatric medication administration.
Download or read book Maternal Child Nursing Text and Simulation Learning System Package written by Emily Slone McKinney and published by Saunders. This book was released on 2010-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This money saving package includes the McKinney: Maternal-Child Nursing, 3rd edition textbook, and the Simulation Learning System (SLS) User Guide & Access Code for McKinney's Maternal-Child Nursing, 3rd edition. STUDENT ACCESS ONLY - INSTITUTIONAL LICENSE REQUIRED. The Simulation Learning System (SLS) integrates simulation technology into your combined maternity and pediatric nursing course by providing realistic scenarios and supportive learning resources that correspond to McKinney: Maternal-Child Nursing, 3rd edition. The SLS offers targeted reading assignments and critical thinking exercises to prepare you for the simulation experience; access to patient data with a shift report and fully-functional electronic medical record (EMR); post-simulation exercises including charting and documentation activities in the EMR, reflective journaling, and concept mapping; and review resources including animations, videos, and textbook references. Simulation with the SLS is a complete learning experience that bridges the gap between lecture and clinicals to prepare you for the real world of nursing.
