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This is a one-of-a-kind, all-inclusive reference guide for new clinical nurse specialists (CNSs) entering the field, as well as for seasoned practitionerslooking to update their knowledge. Disseminating a wealth of current professional practice guidance and practical information on reimbursement andcertification, 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 the focus on independent practice, increasing demands on health care due to the growingpopulation of older adults, and updated reimbursement/economic issues. This authoritative toolkit is organized in an easy-toread format and includesnumerous 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 the 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 ensure 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

is a clinical nurse specialist (CNS) in critical care at Pinnacle Health System, Harrisburg, Pennsylvania, and adjunct faculty at Widener University, Chester, Pennsylvania. She is a past president of the National Association of Clinical Nurse Specialists (NACNS) and cochairs the Legislative/Regulatory Committee of NACNS. She is a member of other professional organizations including the American Association of Critical-Care Nurses (AACN), Sigma Theta Tau, and the American Nurses Association (ANA). Her professional influence has been in promoting the role, practice, and leadership aspects of the CNS. She has been an active presenter at national, state, and local meetings. Ms. Duffy was actively involved in gaining title recognition in Pennsylvania for the CNS and is currently working on legislation to implement a scope of practice for the CNS in Pennsylvania.

currently teaches in the clinical nurse specialist (CNS) program at the University of Oklahoma College of Nursing in Oklahoma City. She is a past secretary and board member of the National Association of Clinical Nurse Specialists (NACNS) and a past president of the Oklahoma Association of Clinical Nurse Specialists. Ms. Dresser is an active member of the American Association of Critical-Care Nurses (AACN), and has served as president, secretary, and chair of the Program Committee in the Oklahoma City chapter. She has held multiple positions as a critical care and cardiovascular CNS throughout her career. She obtained her MSN in the adult critical care CNS program at Duke University and is currently enrolled in the PhD program at the University of Kansas Medical Center School of Nursing.

is a professor at Indiana University School of Nursing and coordinator of the Adult/Gerontology (clinical nurse specialist [CNS]) program. She is the editor-in-chief of

and past president of the National Association of Clinical Nurse Specialists (NACNS). She also served as coordinator of the Oncology Nursing Society's CNS Special Interest Group and was a member of the American Nurses Association Council of CNS. She is widely published in the area of CNS practice and education, and is coeditor of

, the only comprehensive textbook for CNS students.