Ambulatory Registered Nurse (Flint Hills) - Cardio Pulm Rehab - PRN Stormont-Vail HealthCare IncAmbulatory Registered Nurse (Flint Hills) - Cardio Pulm Rehab - PRNJunction City, KSThe staff nurse is a professional who utilizes excellent communication and customer relations skills in assessing, counseling and educating patients on lifestyle modifications as it relates to cardiovascular risk factor reduction and improved quality of life. Delivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect.
Acute Care RN - Perioperative Services - PT - Day Stormont-Vail HealthCare IncAcute Care RN - Perioperative Services - PT - DayTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Perioperative nursing is a specialty within the nursing profession that encompasses the care of individuals across the life span who are undergoing a surgical procedure or procedure requiring anesthesia.
Acute Care RN - Medical Critical Care - FT - Night Stormont-Vail HealthCare IncAcute Care RN - Medical Critical Care - FT - NightTopeka, KSCritical care nurses are required to refine their assessment skills while blending in data obtained from a variety of invasive and noninvasive monitoring technologies to care for acutely and/or chronically ill or injured patients. Delivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect.
NewAmbulatory Clinic Nurse (RN)-pediatrics The University of Kansas Health SystemAmbulatory Clinic Nurse (RN)-pediatricsPrairie Village, KansasThe Registered Nurse (RN) accepts accountability, applies competent clinical knowledge and uses independent nursing judgment for care provided by self and by health care providers to who care is delegated to achieve quality patient care outcomes. Must have current active multistate state Register Nurse (RN) license in good standing in state in which you live OR active single state RN license in good standing in the state you will be working with proof of application of a multistate RN license in the state in which you live.
NewRN Admissions Coordinator | Remote - Wichita, KS | $40/hr | Direct Hire | Morgan StephensRN Admissions Coordinator | Remote - Wichita, KS | $40/hr | Direct Hire |Wichita, KansasRemoteServing hundreds of thousands of members across Kansas, our organization partners with healthcare providers, hospitals, rehabilitation facilities, and community resources to ensure members receive the right care at the right time. The ideal candidate has experience in home health, long-term care, rehabilitation, managed care, or admissions coordination and enjoys working independently while collaborating with interdisciplinary teams.
NewAmbulatory Registered Nurse - Wound Care Center General - FT - Day Stormont-Vail HealthCare IncAmbulatory Registered Nurse - Wound Care Center General - FT - DayTopeka, KSProvides case management to a group of specified patients providing specific assessments according to wound care clinical practice guidelines and policies and procedures, complete all required related documentation, including review of appropriate I-Heal reports and acts as patient advocate in delivery and coordination of patient care. Assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients through the therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members.
NewAmbulatory Registered Nurse (Flint Hills) - Wound Care SB Clinic - FT - Day Stormont-Vail HealthCare IncAmbulatory Registered Nurse (Flint Hills) - Wound Care SB Clinic - FT - DayJunction City, KSAssumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients through the therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act.
NewSpecialty Registered Nurse - Cath Lab/IR - PRN Stormont-Vail HealthCare IncSpecialty Registered Nurse - Cath Lab/IR - PRNTopeka, KSSpecialty Registered Nurse (RN) assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients through the therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. Cardiac and vascular nurses will educate patients about post-operative care management and provide same day discharge instructions for outpatients and continued care for inpatients.
NewAmbulatory Registered Nurse - Diabetes and Endocrinology Center - FT - Day Stormont-Vail HealthCare IncAmbulatory Registered Nurse - Diabetes and Endocrinology Center - FT - DayTopeka, KSDiabetes and Endocrinology department nurses provide episodic and chronic nursing care to patients by telephone or web portal to include assessing patients, refilling medications per standing orders, evaluating the patient's understanding of their medication regime, and providing education and advocacy to patients and their families. Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act.
NewAcute Care RN - Perioperative Services - PT - Variable Stormont-Vail HealthCare IncAcute Care RN - Perioperative Services - PT - VariableTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Perioperative nursing is a specialty within the nursing profession that encompasses the care of individuals across the life span who are undergoing a surgical procedure or procedure requiring anesthesia.
NewRegistered Nurse WellpathRegistered NurseKansas City, KansasFull timeWellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
NewLicensed Practical Nurse (LPN) - Med Surg The University of Kansas Health SystemLicensed Practical Nurse (LPN) - Med SurgGreat Bend, KansasDemonstrates applied knowledge base in areas of medical/ surgical patient care, pain assessment and actions of pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues and all emergency equipment. To act as patient advocate, providing continuity of care designed to meet individual patient needs through collaboration with other members of the health care team and supporting the philosophy, objectives and goals of the facility.
Charge Nurse Emergency Department Providence Medical CenterCharge Nurse Emergency DepartmentKansas City, KansasFull timeCharge nurses manage complex care cases, resolve conflicts, mentor staff, and ensure compliance with healthcare policies, all while fostering a cohesive, efficient team environment that enhances patient care. Responsibilities: Delivers decisive, high-acuity emergency care while leading rapid assessment, intervention, and coordination to stabilize patients and drive optimal outcomes.
Clinical Supervisor RN Telemetry Providence Medical CenterClinical Supervisor RN TelemetryKansas City, KansasFull timeA Tele Charge Registered Nurse oversees nursing operations on our telemetry unit, coordinating staff assignments, managing patient care, and ensuring continuous cardiac monitoring is safely conducted. Direct Patient Care: provide hands-on care for high-acuity or deteriorating patients when needed, including administering medications and treatments .
NewRegistered Nurse PRN Labor and Delivery MENORAH MEDICAL CENTERRegistered Nurse PRN Labor and DeliveryLeawood, KSThe role of the Registered Nurse in Labor and Delivery is to provide care to the perinatal patient under the direction of the Charge Nurse, the Manager, and the Director of the Family Birthing Center. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
Medicare Advantage Case Management Triage Nurse Blue Cross Blue Shield of KansasMedicare Advantage Case Management Triage NurseTopeka, KansasThe Medicare Advantage Case Management Triage Nurse is primarily and independently responsible for the day-to-day activities of researching, reviewing, processing, initial screening and triage of members identified in the resource utilization programs as well as those identified from any other source. health analytics, disease management) to identify and promote management of appropriate Blue Cross and Blue Shield of Kansas (BCBSKS) members and achievement of other corporate goals (e.g.
Case Management Triage Nurse Blue Cross Blue Shield of KansasCase Management Triage NurseTopeka, KansasWith the support of the Supervisor Case Manager, Triage Nurse, carries primary and independent responsibility for the day-to-day activities of researching, reviewing, processing, initial screening and triage of members identified in the resource utilization programs as well as those identified from any other source. This may include FEP plan to plan referrals not sent directly to a case manager, to include any needed claims system or care coordination portal review of member information/alerts as needed.
Registered Nurse Adult Psych Intermediate Care AscensionRegistered Nurse Adult Psych Intermediate CareDerby, KSVia Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University. Facilitate successful community transitions by collaborating with the discharge team to ensure patients have the resources and support they need to maintain their health after leaving the unit.
Registered Nurse Labor and Delivery AscensionRegistered Nurse Labor and DeliveryDerby, KSCertification specializing in Neonatal Resuscitation credentialed from the American Academy of Pediatrics (AAP) obtained within 6 Months (180 days) of hire date or job transfer date required. Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University.
SRC Tutor I, Nursing JCCCSRC Tutor I, NursingOverland Park, Kansasor Director of Human Resources, or the Dean of Students and Learner Engagement at Johnson County Community College, 12345 College Blvd, Overland Park, KS 66210, 913-469-8500; or to Office for Civil Rights, Kansas City Office, U.S. Department of Education, One Petticoat Lane, 1010 Walnut Street, Suite 320, Kansas City, MO 64106, Telephone: 816-268-0550, Facsimile: 816-268-0559, Email to: OCR.KansasCity@ed.gov. Tutor students through drop-in, by-appointment, and/or semester-long tutoring (online and/or in-person) lower-level biology courses by helping students understand concepts clearly with the use of anatomical models and online resources and providing guidance with lab techniques including the use of microscope.
Travel Case Management RN in Wichita, Kansas Gifted HealthcareTravel Case Management RN in Wichita, KansasWichita, KSCase Management RN job responsibilities include, but are not limited to: Pair patients with resources they need within or outside current facilities, finding affordable, efficient healthcare services that suit every patient’s unique medical condition . Case Management Nurses coordinate long-term individual care services beyond the bedside, providing long-term assistance to patients and family members to advocate for their quality care.
Acute Care RN (Flint Hills) - Obstetrical Nursing - FT - Night Stormont-Vail HealthCare IncAcute Care RN (Flint Hills) - Obstetrical Nursing - FT - NightJunction City, KSThis expert, patient-focused team helps care for healthy term newborns, mother baby couplets, high-risk antepartum, and gynecology patients through offering support and comfort throughout their stay. Delivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect.
Acute Care RN (Flint Hills) - Medical Nursing - PT - Night Stormont-Vail HealthCare IncAcute Care RN (Flint Hills) - Medical Nursing - PT - NightJunction City, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Hospice Director of Nursing (RN) Phoenix Home Care, Inc.Hospice Director of Nursing (RN)Overland Park, KS$75,000–$100,000 / yearAt Phoenix Home Care & Hospice, our mission is to offer New Beginnings and meaningful opportunities to our caregivers and clinicians while delivering exceptional care to the clients and families we serve. We're looking for a strong clinical leader who is passionate about hospice care, committed to excellence, and ready to support and develop an outstanding team.
Acute Care RN - 5 North Stroke/Neuropsych - PRN Stormont-Vail HealthCare IncAcute Care RN - 5 North Stroke/Neuropsych - PRNTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - 6 North Medical Surgical - All Shifts Stormont-Vail HealthCare IncAcute Care RN - 6 North Medical Surgical - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Post Surgical Specialties - All Shifts Stormont-Vail HealthCare IncAcute Care RN - Post Surgical Specialties - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Transitional Care Unit - Post Acute Care Transition Unit - All Shifts Stormont-Vail HealthCare IncAcute Care RN - Transitional Care Unit - Post Acute Care Transition Unit - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. The Registered Nurse in the Transitional Care Unit works in collaboration with other members of the care team to provide patient care in the acute care setting within the Kansas Board of Nursing RN scope of practice.
Psychiatric Nurse Practitioner WellpathPsychiatric Nurse PractitionerKansas City, KansasPer diemHow you make a difference : The Psychiatric Nurse Practitioner provides a full range of psychiatric services to incarcerated patients in accordance with state scope of practice, collaborative protocols, and established policies. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
Ambulatory LPN - Croco General - PT - Day Stormont-Vail HealthCare IncAmbulatory LPN - Croco General - PT - DayTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Post Surgical Specialties - PT - 11p - 7a Stormont-Vail HealthCare IncAcute Care RN - Post Surgical Specialties - PT - 11p - 7aTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Specialty Registered Nurse - Cancer Center General - FT - Day Stormont-Vail HealthCare IncSpecialty Registered Nurse - Cancer Center General - FT - DayTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas, supports the effectiveness of professional relationships, and integrates ethics in all aspects of practice.
Acute Care RN - Behavioral Health Adult - PT - Day Stormont-Vail HealthCare IncAcute Care RN - Behavioral Health Adult - PT - DayTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Psychiatric nursing encompasses care of various psychiatric illnesses at varies stages in the acute setting helping prepare the patient and family for safe discharge and therapeutic continuum of care.
Clinical Liaison (RN, RT) Select Medical CorpClinical Liaison (RN, RT)Kansas City, KSKey Responsibilities: You will work with physicians, discharge planners, and patients'' families to plan the best continuum of care after an ICU or post-surgical stay by utilizing your strong clinical background, payer knowledge, and problem-solving skills. It means always putting patients first, making a positive impact in the community where we live and work, staying curious and open to new ideas, delivering top-quality care, and doing the right thing-even when it's hard.
Acute Care RN -5 North Stroke/Neuropsych - PT - 11p to 7a Stormont-Vail HealthCare IncAcute Care RN -5 North Stroke/Neuropsych - PT - 11p to 7aTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Pavilion Medical - All Shifts Stormont-Vail HealthCare IncAcute Care RN - Pavilion Medical - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Post Surgical Specialties - PT - Day - Weekend Only Stormont-Vail HealthCare IncAcute Care RN - Post Surgical Specialties - PT - Day - Weekend OnlyTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Behavioral Health Child/Adolescents - FT - Night Stormont-Vail HealthCare IncAcute Care RN - Behavioral Health Child/Adolescents - FT - NightTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Psychiatric nursing encompasses care of various psychiatric illnesses at varies stages in the acute setting helping prepare the patient and family for safe discharge and therapeutic continuum of care.
Procedural Scheduling Nurse Coordinator-GB The University of Kansas Health SystemProcedural Scheduling Nurse Coordinator-GBGreat Bend, KSPosition Summary / Career Interest: Under the direction of the department Manager/Unit Coordinator, the Procedural Scheduling Nurse Coordinator is responsible for the daily operations/ coordination of the Scheduling function for designated procedural area. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
NewAcute Care RN (Flint Hills) - Emergency Room - FT - Night Stormont-Vail HealthCare IncAcute Care RN (Flint Hills) - Emergency Room - FT - NightJunction City, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - 6 South Post Surgical/Bariatrics - PRN Stormont-Vail HealthCare IncAcute Care RN - 6 South Post Surgical/Bariatrics - PRNTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Joint Center - All Shifts Stormont-Vail HealthCare IncAcute Care RN - Joint Center - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - 5 North Stroke/Neuropsych - PT - Night - Weekend Only Stormont-Vail HealthCare IncAcute Care RN - 5 North Stroke/Neuropsych - PT - Night - Weekend OnlyTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
PRN Registered Nurse - Topeka, KS Marathon HealthPRN Registered Nurse - Topeka, KSTopeka, KS$34–$42 / hourMarathon Health nurses are responsible for front and back-office duties, including assessing patients, informing the physician of changes and assuring Marathon Health physicians have the resources and tools necessary to be successful. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.
Nurse Practitioner First Care Clinic, Inc.Nurse PractitionerHays, KSAbility to determine when patients require care that is outside of scope and collaborate with other FCC physicians and outside providers as necessary. Applicants must have current Advanced Practice Registered Nurse (APRN) licensure in the State of Kansas and active Drug Enforcement Administration (DEA) certificate.
Acute Care RN - 5 North Stroke/Neuropsych - All Shifts Stormont-Vail HealthCare IncAcute Care RN - 5 North Stroke/Neuropsych - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - Spine/Ortho/Trauma - All Shifts Stormont-Vail HealthCare IncAcute Care RN - Spine/Ortho/Trauma - All ShiftsTopeka, KSDelivers professional nursing care guided by Jean Watsons Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Nurse Practitioner or Physician Assistant Inpatient Palliative Curana HealthNurse Practitioner or Physician Assistant Inpatient PalliativeOverland Park, KSAs a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.
Acute Care RN - 6 North Medical Surgical - PRN Stormont-Vail HealthCare IncAcute Care RN - 6 North Medical Surgical - PRNTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
Acute Care RN - 5 North Stroke/Neuropsych - PT - Day - Weekend Only Stormont-Vail HealthCare IncAcute Care RN - 5 North Stroke/Neuropsych - PT - Day - Weekend OnlyTopeka, KSDelivers professional nursing care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.