Edited and written by a "Who's Who" of internationally known thought leaders in advanced practice nursing, Hamric and Hanson's Advanced Practice Nursing: An Integrative Approach, 7th Edition provides a clear, comprehensive, and contemporary introduction to advanced practice nursing today, addressing all major APRN competencies, roles, and issues. Thoroughly revised and updated, the 7th edition of this bestselling text covers topics ranging from the evolution of advanced practice nursing to evidence-based practice, leadership, ethical decision-making, and health policy.
Coverage of the full breadth of APRN core competencies defines and describes all competencies, including direct clinical practice, guidance and coaching, evidence-based practice, leadership, collaboration, and ethical practice.
Operationalizes and applies the APRN core competencies to the major APRN roles: the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Care Nurse Practitioner (both adult-gerontology and pediatric), the Certified Nurse-Midwife, and the Certified Registered Nurse Anesthetist.
Content on managing APRN environments addresses factors such as business planning and reimbursement; marketing, negotiating, and contracting; regulatory, legal, and credentialing requirements; health policy; and nursing outcomes and performance improvement research.
Part I Historical and Developmental Aspects of Advanced Practice Nursing
Chapter 1 History and Evolution of Advanced Practice Nursing
CHAPTER OUTLINE
NURSE ANESTHETISTS
NURSE-MIDWIVES
CLINICAL NURSE SPECIALISTS
NURSE PRACTITIONERS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 2 Conceptualizations of Advanced Practice Nursing
CHAPTER OUTLINE
NATURE, PURPOSES, AND COMPONENTS OF CONCEPTUAL MODELS
CONCEPTUALIZATIONS OF ADVANCED PRACTICE NURSING: PROBLEMS AND IMPERATIVES
CONCEPTUALIZATIONS OF ADVANCED PRACTICE NURSING ROLES: ORGANIZATIONAL PERSPECTIVES
CONCEPTUALIZATIONS OF THE NATURE OF ADVANCED PRACTICE NURSING
MODELS USEFUL FOR ADVANCED PRACTICE NURSES IN THEIR PRACTICE
RECOMMENDATIONS AND FUTURE DIRECTIONS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 3 A Definition of Advanced Practice Nursing
CHAPTER OUTLINE
DISTINGUISHING BETWEEN SPECIALIZATION AND ADVANCED PRACTICE NURSING
DISTINGUISHING BETWEEN ADVANCED NURSING PRACTICE AND ADVANCED PRACTICE NURSING
DEFINING ADVANCED PRACTICE NURSING
CORE DEFINITION OF ADVANCED PRACTICE NURSING
SIX CORE COMPETENCIES OF ADVANCED PRACTICE NURSING
DIFFERENTIATING ADVANCED PRACTICE ROLES: OPERATIONAL DEFINITIONS OF ADVANCED PRACTICE NURSING
CRITICAL ELEMENTS IN MANAGING ADVANCED PRACTICE NURSING ENVIRONMENTS
IMPLICATIONS OF THE DEFINITION OF ADVANCED PRACTICE NURSING
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 4 Role Development of the Advanced Practice Nurse
CHAPTER OUTLINE
PERSPECTIVES ON ADVANCED PRACTICE NURSE ROLE DEVELOPMENT
NOVICE-TO-EXPERT SKILL ACQUISITION MODEL
ROLE CONCEPTS AND ROLE DEVELOPMENT ISSUES
ROLE TRANSITIONS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 5 International Development of Advanced Practice Nursing
CHAPTER OUTLINE
ADVANCED PRACTICE NURSING ROLES WITHIN A GLOBAL HEALTHCARE CONTEXT
FACILITATING THE INTRODUCTION AND INTEGRATION OF ADVANCED PRACTICE NURSING ROLES
NEXT STEPS IN THE GLOBAL EVOLUTION OF ADVANCED PRACTICE NURSING ROLES
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Part II Competencies of Advanced Practice Nursing
Chapter 6 Direct Clinical Practice
CHAPTER OUTLINE
DIRECT CARE VERSUS INDIRECT CARE ACTIVITIES
SIX CHARACTERISTICS OF DIRECT CLINICAL CARE PROVIDED BY ADVANCED PRACTICE NURSES
USE OF A HOLISTIC PERSPECTIVE
FORMATION OF THERAPEUTIC PARTNERSHIPS WITH PATIENTS
EXPERT CLINICAL PERFORMANCE
USE OF REFLECTIVE PRACTICE
USE OF EVIDENCE AS A GUIDE TO PRACTICE
DIVERSE APPROACHES TO HEALTH AND ILLNESS MANAGEMENT
MANAGEMENT OF COMPLEX SITUATIONS
HELPING PATIENTS MANAGE CHRONIC ILLNESSES
DIRECT CARE AND INFORMATION MANAGEMENT
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 7 Guidance and Coaching
CHAPTER OUTLINE
WHY GUIDANCE AND COACHING?
GUIDANCE AND COACHING DEFINITIONS
THEORIES AND RESEARCH SUPPORTING APRN GUIDANCE AND COACHING
BUILDING RELATIONSHIPS FOR APRN GUIDANCE AND COACHING
DETERMINING PATIENT READINESS FOR CHANGE
THE “FOUR AS” OF THE COACHING PROCESS
APRN PRACTICE PRINCIPLES FOR SUCCESSFUL GUIDANCE AND COACHING
BUILDING COACHING INTO PRACTICE
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 8 Evidence-Based Practice
CHAPTER OUTLINE
APRNS AND THE DNP
EVIDENCE-BASED PRACTICE AND THE APRN
GENERATING EVIDENCE: HISTORICAL PERSPECTIVE
STEPS OF THE EVIDENCE-BASED PROCESS
FROM POLICY TO PRACTICE: TIPS FOR ACHIEVING MEANINGFUL CHANGES IN PRACTICE BASED ON CURRENT BEST EVIDENCE
FUTURE PERSPECTIVES
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 9 Leadership
CHAPTER CONTENTS
THE IMPORTANCE OF LEADERSHIP FOR APRNS
LEADERSHIP: DEFINITIONS, MODELS, AND CONCEPTS
TYPES OF LEADERSHIP FOR APRNS
CHARACTERISTICS OF APRN LEADERSHIP COMPETENCY
ATTRIBUTES OF EFFECTIVE APRN LEADERS
DEVELOPING SKILLS AS APRN LEADERS
DEVELOPING LEADERSHIP IN THE HEALTH POLICY ARENA
OBSTACLES TO LEADERSHIP DEVELOPMENT AND EFFECTIVE LEADERSHIP
STRATEGIES FOR IMPLEMENTING THE LEADERSHIP COMPETENCY
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 10 Collaboration
CHAPTER CONTENTS
DEFINITION OF COLLABORATION
CHARACTERISTICS OF EFFECTIVE COLLABORATION
IMPACT OF COLLABORATION ON PATIENTS AND CLINICIANS
IMPERATIVES FOR COLLABORATION
CONTEXT OF COLLABORATION IN CONTEMPORARY HEALTH CARE
PROCESSES ASSOCIATED WITH EFFECTIVE COLLABORATION
IMPLEMENTING COLLABORATION
STRATEGIES FOR SUCCESSFUL COLLABORATION
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 11 Ethical Practice
CHAPTER OUTLINE
FOUNDATIONS OF ETHICAL PRACTICE
OVERVIEW OF ETHICAL APPROACHES TO RESOLVING ETHICAL CONFLICTS
PROFESSIONAL CODES AND GUIDELINES
GOALS OF CARE: A CLINICAL-ETHICAL FRAMEWORK TO ENHANCE APRN PRACTICE
ETHICAL COMPETENCY OF APRNS
ETHICAL ISSUES AFFECTING APRN PRACTICE
SOCIETAL ISSUES
LEGAL ISSUES
NAVIGATING BARRIERS TO ETHICAL PRACTICE AND STRATEGIES TO OVERCOME THEM
APRN WELL-BEING
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Part III Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing
Chapter 12 The Clinical Nurse Specialist
CHAPTER CONTENTS
CLINICAL NURSE SPECIALIST PRACTICE: COMPETENCIES WITHIN THE SPHERES OF IMPACT
CURRENT MARKETPLACE FORCES AND CONCERNS
ROLE IMPLEMENTATION
FUTURE DIRECTIONS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 13 The Primary Care Nurse Practitioner
CHAPTER CONTENTS
CURRENT AND HISTORICAL PERSPECTIVES ON PRIMARY CARE AND THE NURSE PRACTITIONER ROLE
THE PRIMARY CARE NURSE PRACTITIONER
EMERGENCE OF POSTGRADUATE TRAINING IN PRIMARY CARE
PRIMARY CARE AND THE FEDERAL GOVERNMENT
THE PRIMARY CARE SAFETY NET
PRACTICE REDESIGN IN PRIMARY CARE
PRIMARY CARE WORKFORCE AND THE CONTEXT OF PCNP PRACTICE TODAY
TRENDS IN PRIMARY CARE
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 14 The Acute Care Nurse Practitioner
CHAPTER CONTENTS
EMERGENCE OF THE ACNP ROLE
COMPETENCIES OF THE ACNP ROLE
PREPARATION OF ACNPS
ACNP SCOPE OF PRACTICE: LEVELS OF INFLUENCE
PROFILES OF THE ACNP ROLE AND PRACTICE MODELS
SPECIALIZATION OPPORTUNITIES WITHIN THE ACNP ROLE
CHALLENGES SPECIFIC TO THE ACNP ROLE
FUTURE DIRECTIONS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 15 The Certified Nurse-Midwife
CHAPTER CONTENTS
MIDWIFE DEFINITIONS
HISTORICAL PERSPECTIVE
THE NURSE-MIDWIFERY PROFESSION IN THE UNITED STATES TODAY
IMPLEMENTING ADVANCED PRACTICE NURSING COMPETENCIES
CURRENT PRACTICE of NURSE-MIDWIFERY
PROFESSIONAL ISSUES
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 16 The Certified Registered Nurse Anesthetist
CHAPTER CONTENTS
BRIEF HISTORY OF CRNA EDUCATION AND PRACTICE
PROFILE OF THE CRNA
ROLE DEVELOPMENT AND MEASURES OF CLINICAL COMPETENCE
CURRENT CRNA PRACTICE
NURSE ANESTHESIA ORGANIZATIONS
FUTURE DIRECTIONS IN CRNA PRACTICE
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Part IV Critical Elements in Managing Advanced Practice Nursing Environments
Chapter 17 Maximizing APRN Power and Influencing Policy
CHAPTER CONTENTS
POLICY: HISTORIC CORE FUNCTION IN NURSING
POLICY: APRNS AND MODERN ROLES
POLICY VERSUS POLITICS
UNITED STATES FUNDAMENTALLY DIFFERS FROM THE INTERNATIONAL COMMUNITY
KEY POLICY CONCEPTS
POLICY MODELS AND FRAMEWORKS
CURRENT ADVANCED PRACTICE NURSING POLICY ISSUES
APRN POLITICAL COMPETENCE IN THE POLICY ARENA
EMERGING ADVANCED PRACTICE NURSING POLICY ISSUES
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 18 Marketing Yourself as an APRN: Contracting and Negotiation
CHAPTER CONTENTS
SELF-AWARENESS: FINDING A GOOD FIT
CHOOSING BETWEEN ENTREPRENEURSHIP/INTRAPRENEURSHIP
MARKETING FOR THE NEW APRN
NEGOTIATION AND RENEGOTIATION
OVERCOMING INVISIBILITY
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 19 Reimbursement and Payment for APRN Services
CHAPTER CONTENTS
HEALTHCARE REFORM HISTORY
REIMBURSEMENT MODELS
BILLING FOR APRN SERVICES: UNDERSTANDING THE PROCESS
VALUE-BASED AND FEE-FOR-SERVICE MODELS
BUSINESS DEVELOPMENT
FUTURE TRENDS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
CHAPTER CONTENTS
THE CONSENSUS MODEL FOR APRN REGULATION: LICENSURE, ACCREDITATION, CERTIFICATION, AND EDUCATION
ADVANCED PRACTICE REGISTERED NURSE MASTER’S AND DOCTORAL EDUCATION
BENCHMARKS OF ADVANCED PRACTICE NURSING AND EDUCATION
ADVANCED PRACTICE REGISTERED NURSE COMPETENCIES
ELEMENTS OF APRN REGULATION AND CREDENTIALING
LANGUAGE ASSOCIATED WITH THE CREDENTIALING OF APRNS
SCOPE OF PRACTICE FOR APRNS
STANDARDS OF PRACTICE AND STANDARDS OF CARE FOR APRNS
ISSUES AFFECTING APRN CREDENTIALING AND REGULATION
INFLUENCING THE REGULATORY PROCESS
CURRENT PRACTICE CLIMATE FOR APRNS
FUTURE REGULATORY CHALLENGES FOR APRNS
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 21 APRN Outcomes and Performance Improvement Research
CHAPTER CONTENTS
REVIEW OF TERMS
CONCEPTUAL MODELS OF CARE DELIVERY IMPACT
EVIDENCE TO DATE
“PROCESS AS OUTCOME” STUDIES
PERFORMANCE (PROCESS) IMPROVEMENT ACTIVITIES
OUTCOMES MANAGEMENT ACTIVITIES
POPULATION HEALTH ACTIVITIES
IMPACT OF APRN PRACTICE
FUTURE DIRECTIONS FOR USING OUTCOMES IN APRN PRACTICE
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 22 Future Technologies Influencing APRN PracticeDebora SimmonsPamela Salyer
CHAPTER CONTENTS
ILLUSIONS OF TECHNOLOGY IN A PANDEMIC
MAKING SENSE OF COMPLEXITY IN HEALTH INFORMATION TECHNOLOGY
HUMAN-CENTERED DESIGN
TECHNOLOGY-ASSISTED COMMUNICATION
DIAGNOSTIC, THERAPEUTIC, AND PROCEDURAL DEVICES AND APPS
SUPPORTIVE TECHNOLOGY
DATA, CLINICAL DECISION SUPPORT, AND ADVANCED ANALYTICS
CYBERSECURITY
HIGH-TECH HOME CARE
FUTURE IMPLICATIONS OF TECHNOLOGY-ENABLED ADVANCED PRACTICE REGULATION AND GROWTH: A CALL TO PARTICIPATE
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Chapter 23 Using Healthcare Information Technology to Evaluate and Improve Performance and Patient Outcomes
CHAPTER CONTENTS
INFORMATICS AND INFORMATION TECHNOLOGY SUPPORTING IMPROVED PERFORMANCE AND OUTCOMES
REGULATORY REPORTING INITIATIVES THAT DRIVE PERFORMANCE IMPROVEMENT
RELEVANCE OF REGULATORY REPORTING TO ADVANCED PRACTICE NURSING OUTCOMES
FOUNDATIONAL COMPETENCIES IN MANAGING HEALTH INFORMATION TECHNOLOGY
FOUNDATIONAL COMPETENCIES IN QUALITY IMPROVEMENT
STRATEGIES FOR DESIGNING QUALITY IMPROVEMENT AND OUTCOME EVALUATION PLANS FOR ADVANCED PRACTICE NURSING
CONCLUSION
KEY SUMMARY POINTS
REFERENCES
Index
