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This comprehensive nursing fundamentals text emphasizes clinical decision making and scientific research within the context of an evolving health care delivery system as the foundation for contemporary nursing practice. This interactive approach offers an alternative framework to the nursing process by focusing on the ‘real world’ issues that affect clinical decision-making in nursing including cultural, socioeconomic, ethical/legal, and financial considerations. A practical four-part organization facilitates the transfer of classroom knowledge to actual clinical practice by first addressing context, then process, content, and special considerations.