Advanced Practice Nursing -

PREFACE I: FOUNDATIONS OF ADVANCED NURSING PRACTICE OVERVIEW OF ADVANCED PRACTICE REGISTERED NURSING ADVANCED PRACTICE REGISTERED NURSING: THEN AND NOW APRNs and Doctoral Education Nurse Practitioners Nurse-Midwives Clinical Nurse Specialists Certified Registered Nurse Anesthetists INTERNATIONAL CONCLUSION ADVANCED PRACTICE WITHIN A NURSING PARADIGM WHAT IS NURSING?Definitions of Nursing Scope of Practice THE ART AND SCIENCE OF NURSING The Art of Nursing The Science of Nursing THEORETICAL AND CONCEPTUAL MODELS INCORPORATING NURSING INTO ADVANCED PRACTICE NURSING MULTIFACETED ROLES OF THE APRN APRN ROLES Direct Care Systems Support Educator SUMMARY ADVANCED PRACTICE NURSING WITHIN HEALTH CARE SETTINGS: ORGANIZATIONAL ROLES THE U.S. HEALTH CARE SYSTEM Organizational Influences Analysis of Organizations Organizational Climate and Culture The Culture of Safety and Quality SUMMARY INTERPROFESSIONAL COLLABORATIVE TEAMS AND EDUCATION: ROLES FOR THE APRN BARRIERS FOR ICTs Professional Socialization Solutions: Roles for APRNs Interprofessional Collaborative Team Education: Role of the APRN GLOBAL HEALTH: DYNAMIC ROLES FOR THE APRN/APN GLOBAL APRN ROLES AND TRENDS BROADER GLOBAL TRENDS AND NEEDS Agencies Involved in the Global APRN Experience Preparing the APRN for Global Experiences Ethics and Responsibilities: Approach to Care Fulbright Programs and Project HOPE Health Care Medical Brigades Pretravel Preparations Team Meetings Setting Up a Medical Camp Referrals/Transfer to the Hospital Home Visits Team Member Injuries/Serious Illnesses In-Country Debriefing Post trip Debriefing ROLE OF THE APRN IN GLOBAL RESEARCH State of APRN Research in the World Australia Ireland Japan Jordan The Netherlands Scandinavia CONDUCTING GLOBAL RESEARCH ROLE OF THE APRN IN EDUCATION DELIVERY AND CONSULTATION Process Additional Considerations CONCLUSION LEADERSHIP SKILLS AND EXPERTISE: KEYS TO APRN SUCCESS IN HEALTH CARE SYSTEMS EDUCATIONAL AND PRACTICE CHANGES INFLUENCE OF HISTORY APRNs and the Concept of Power Leadership Development in Educational programs KNOWLEDGE, SKILL, AND COMPETENCIES Application of Competencies to the APRN Role CONCLUSION II: IMPLEMENTATION OF THE APRN ROLE ADVANCED CLINICAL DECISION MAKING PROCESSES, FOCUS, AND FRAMEWORKS Decision-Making Processes: Research in Clinical Reasoning Commonalities in Clinical Reasoning Across Health Disciplines Clinical Reasoning in Nursing APRN Practice Focus APRN Practice Frameworks CLINICAL DECISION MAKING AS UNDERSTOOD FROM PRACTICE Relationship Between Critical Thinking and Clinical Decision Making Thinking Clinically Organizing Clinical Knowledge for Practice Clinical Decision Making in Health-Illness Management Heuristics in Advanced Practice Nursing Errors in Clinical Reasoning Tools to Support and Enhance Clinical Decision Making in Advanced Practice Nursing CONCLUSIONS HEALTH CARE POLICY: IMPLICATIONS FOR ADVANCED NURSING PRACTICE LEADERSHIP AND HEALTH POLICY PUBLIC POLICY: THE PROCESS Process Models THE APRN AS ENGAGED CITIZEN Scanning the Environment Working Collaboratively The Policy Process and the Nursing Process PRACTICE ISSUES: REGULATION, CERTIFICATION, CLINICAL PRIVILEGES, PRESCRIPTIVE AUTHORITY, AND LIABILITY REGULATION Title Protection APRN Regulatory Model CERTIFICATION Certifying Bodies Criteria for Certification Accreditation of Educational Programs Credentials Clinical Privileges PRESCRIPTIVE AUTHORITY LIABILITY PRACTICE ISSUES Innovative Health Technology Billing and Reimbursement Issues Blurred Boundaries Professional Accountability SUMMARY REIMBURSEMENT REALITIES FOR THE APRN ACCESS, QUALITY, AND COST U.S. REIMBURSEMENT TRENDS REIMBURSEMENT STRUCTURES Third-Party Payers Provider Systems SELECTED ENTITIES AND PROVIDER SYSTEMS Medicare Medicaid Indemnity Insurers Managed Care Organizations (MCOs)CNM and CRN A Reimbursement DOCUMENTATION AND CODING TO GAIN REIMBURSEMENT CONCLUSION ETHICAL ISSUES IN ADVANCED PRACTICE NURSING ETHICAL CONCEPTS AND DEFINITIONS ETHICAL ISSUES VERSUS LEGAL ISSUES KEYS TO APPLYING ETHICAL GUIDELINES REST'S FOUR-COMPONENT MODEL SUMMARY: ETHICAL DECISION MAKING EVIDENCE-BASED PRACTICE: STAYING INFORMED AND TRANSLATING RESEARCH INTO PRACTICE AND POLICY TRANSLATING RESEARCH INTO PRACTICE EVIDENCE-BASED PRACTICE Characteristics of the Question or Clinical Problem Sources of Answers Evaluation of Research BARRIERS TO TRANSLATING RESEARCH INTO PRACTICE AND POLICY Individual Characteristics System / Organizational Barriers SOLUTIONS: A ROLE FOR APRNs Micro-Level Solutions Meso-Level Solutions Macro-Level Solutions SUMMARY HEALTH INFORMATION TECHNOLOGY FOR THE APRN HIT COMPETENCIES FOR NURSE PRACTITIONERS (NPs)Information Literacy Information Management Analysis of Health Information Current HIT Controversies and Failures CONCLUSION III: TRANSITIONS TO THE ADVANCED PRACTICE ROLE SCHOLARSHIP OF PRACTICE AND PROFESSIONALISM HISTORICAL PERSPECTIVE Model for Clinical Scholarship Definition of Scholarly Practice SCHOLARSHIP OF PRACTICE: APRN FACULTY GUIDELINES FOR PUBLICATION AND PRESENTATION EMPLOYMENT STRATEGIES FOR THE APRN IMPACT OF THE HEALTH CARE SYSTEM ON APRN EMPLOYMENT UNDERSTANDING THE MARKETPLACE AND MARKETING THE APRN ROLE Key APRN Marketing Tasks PRESENTING TO PROSPECTIVE EMPLOYER Professional Portfolio Resumes, Curricula Vitae, and Cover Letters Locating Job Opportunities Interviewing SUMMARY INAUGURATING YOUR ADVANCED PRACTICE CAREER