Addressing all major advanced practice nursing competencies, roles, and issues, Advanced Practice Nursing: An Integrative Approach, 5th Edition provides a clear, comprehensive, and current introduction to APN today. It applies APN core competencies to the major APN roles - including the burgeoning Nurse Practitioner role - and covers topics ranging from the evolution of APN to evidence-based practice, leadership, ethical decision-making, and health policy. This edition includes a new chapter on the international development of APN, new and enhanced illustrations, and a colorful new reader-friendly format for improved readability. From internationally known APN experts Ann Hamric, Charlene Hanson, Mary Fran Tracy, and Eileen O'Grady, along with a host of internationally recognized APN contributors, Advanced Practice Nursing introduces you to APN and helps you identify an APN role, develop key competencies for that role, and succeed as an APN.
Coverage of APN core competencies
defines and describesall competencies, including direct clinical practice, guidance and coaching, consultation, evidence-based practice (EBP), leadership, collaboration, and ethical decision-making.
Operationalizes and applies APN core competencies to the major APN specialties including the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Care Nurse Practitioner, the Certified Nurse-Midwife, and the Certified Registered Nurse Anesthetist.
Content on managing APN environments addresses such factors as business planning and reimbursement; marketing, negotiating, and contracting; regulatory, legal, and credentialing requirements; health policy issues; and nursing outcomes and performance improvement research.
Unique Exemplar boxes provide real-life scenarios, showing APN competencies in action.
In-depth discussions of educational strategies show how nurses develop competencies as they progress into advanced practice.
Discussions of APN role development clearly explain the career trajectory that you can anticipate as you transition to advanced practice.
New to this Edition
EXPANDED international focus
includes a NEW International Development of Advanced Practice Nursing chapter that addresses common issues such as the public image and status of APN, dealing with physician resistance, discrepancies in titling, and educational standardization.
ENHANCED reader-friendly format includes moreheadings, tables, and illustrations in lieu oflong stretches of unbroken text.
REVISED Evidence-Based Practice chapter emphasizes the key competency of evidence-based practice (EBP) and includes a comprehensive history and explanation of the steps of the EBP process.
UPDATED Health Policychapter covers key U.S. initiatives affecting APN including the Patient Protection and Affordable Care Act, the Institute of Medicine's Future of Nursing report, the Consensus Model of APRN Regulation, and how APNs can engage in the political process.
ENHANCED Exemplar boxes (case studies), including Day in the Life vignettes of each APN specialty, emphasize innovative practices and coverage of advanced practice roles.
Increased interprofessional content emphasizesthe subjects of ethics, collaboration, and consultation.
Enhanced integration of Doctor of Nursing Practice (DNP) considerations and literature makes this text ideal for DNP programs.
Part I: Historical and Developmental Aspects of Advanced Practice Nursing
1. A Brief History of Advanced Practice Nursing in the United States
2. Conceptualizations of Advanced Practice Nursing
3. A Definition of Advanced Practice Nursing
4. Role Development of the Advanced Practice Nurse
5. Evolving and Innovative Opportunities for Advanced Practice Nursing
6. International Development of Advanced Practice Nursing NEW!
Part II: Competencies of Advanced Practice Nursing
7. Direct Clinical Practice
8. Guidance and Coaching
10. Evidence-Based Practice NEW TITLE/FOCUS!
13. Ethical Decision Making
Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing
14. The Clinical Nurse Specialist
15. The Primary Care Nurse Practitioner
16. The Acute Care Nurse Practitioner
17. The Certified Nurse-Midwife
18. The Certified Registered Nurse Anesthetist
Part IV: Critical Elements in Managing Advanced Nursing Practice Environments
19. Business Planning and ReimbursementMechanisms
20. Marketing and Negotiating NEW TITLE/FOCUS!
21. Understanding Regulatory, Legal, and Credentialing Requirements
22. Health Policy Issues in Changing Environments
23. An Integrative Review of Advanced Practice Nursing Outcomes and Performance Improvement Research
24. Using Outcomes and Performance Improvement Data to Evaluate and Improve Practice
By Ann B. Hamric, PhD, RN, FAAN, Associate Dean for Academic Programs and Professor, Virginia Commonwealth University School of Nursing, Richmond, Virginia
; Charlene M. Hanson, EdD, RN, CS, FNP, FAAN, Professor Emerita, School of Nursing, Georgia Southern University, Statesboro, Georgia; Mary Fran Tracy, PhD, RN, CCNS, FAAN, Critical Care Clinical Nurse Specialist, University of Minnesota Medical Center - Fairview, Minneapolis, Minnesota
and Eileen T. O'Grady, Visiting Professor, Pace University Leinhard School of Nursing, New York, New York; Policy Editor, AJNP and NP World News; Private Practice, Certified Nurse Practitioner and Wellness Coach, McLean, Virginia