Advanced Practice Nursing: An Integrative Approach » (4th Edition)

Covering all advanced practice competencies and roles, this book offers strategies for enhancing patient care and legitimizing your role within today’s health care system. It covers the history of advanced practice nursing, the theory behind the practice, and emerging issues. Offering a comprehensive exploration of advanced practice nursing, this edition also adds a focus on topics including the APN scope of practice, certification, and the ethical and legal issues that occur in clinical practice.

• The development of all major competencies of advanced practice nursing is discussed: direct clinical practice, consultation, coaching/guidance, research, leadership, collaboration, and ethical decision-making.
• Advanced practice competencies are discussed in relation to all advanced practice nursing and blended CNS-NP roles (case manager, acute care nurse practitioner), highlighting the shared aims and distinctions of each role.
• In-depth discussions on educational strategies explain how competencies develop as the nurses’ practice progresses.
• A chapter on research competencies demonstrates how to use evidence-based research in practice, and how to promote these research competencies to other APNs.
• A conceptual framework shows the clear relationship between the competencies, roles, and challenges in today’s health care environment.
• Practical strategies are provided for business management, contracting, and marketing.

• Comprehensive information covers the essential competencies of the new Doctor of Nursing Practice degree.
• More exemplars (case studies) provide real-life scenarios showing APN competencies in action.
• A new chapter shows how to provide reliable and valid data to substantiate your impact and justify equitable reimbursement for APN services, also enhancing your skills in quality improvement strategies, informatics, and systems thinking.
• Information on telehealth considerations covers the new sources of electronic healthcare information available to patients and describes how to counsel them on using reliable resources.

Pt. I Historical and Developmental Aspects of Advanced Practice Nursing

Ch. 1 A brief history of advanced practice nursing in the United States Arlene W. Keeling Keeling, Arlene W. 3

Ch. 2 Conceptualizations of advanced practice nursing Judith A. Spross Spross, Judith A. Marjorie Thomas Lawson Lawson, Marjorie Thomas 33

Ch. 3 A definition of advanced practice nursing Ann B. Hamric Hamric, Ann B. 75

Ch. 4 Role development of the advanced practice nurse Karen A. Brykczynski Brykczynski, Karen A. 95

Pt. II Competencies of Advanced Practice Nursing

Ch. 5 Direct clinical practice Mary Fran Tracy Tracy, Mary Fran 123

Ch. 6 Expert coaching and guidance Judith A. Spross Spross, Judith A. 159

Ch. 7 Consultation Anne-Marie Barron Barron, Anne-Marie Patricia A. White White, Patricia A. 191

Ch. 8 Research Judith A. DePalma DePalma, Judith A. 217

Ch. 9 Clinical, professional, and systems leadership Judith A. Spross Spross, Judith A. Charlene M. Hanson Hanson, Charlene M. 249

Ch. 10 Collaboration Charlene M. Hanson Hanson, Charlene M. Judith A. Spross Spross, Judith A. 283

Ch. 11 Ethical decision making Ann B. Hamric Hamric, Ann B. Sarah A. Delgado Delgado, Sarah A. 315

Pt. III Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing

Ch. 12 The clinical nurse specialist Patricia S. A. Sparacino Sparacino, Patricia S. A. Cathy C. Cartwright Cartwright, Cathy C. 349

Ch. 13 The primary care nurse practitioner Ann Reid Anderson Anderson, Ann Reid Eileen T. O'Grady O'Grady, Eileen T. 380

Ch. 14 The acute care nurse practitioner Marilyn Hravnak Hravnak, Marilyn Ruth M. Kleinpell Kleinpell, Ruth M. Kathy S. Magdic Magdic, Kathy S. Jane GuttendorfGuttendorf, Jane 403

Ch. 15 The blended role of the clinical nurse specialist and the nurse pracitioner Patricia M. Hentz Hentz, Patricia M. Ann B. Hamric Hamric, Ann B. 437

Ch. 16 The certified nurse-midwife Cheryl A. Sarton Sarton, Cheryl A. Maureen A. Kelley Kelley, Maureen A. 462

Ch. 17 The certified registered nurse anesthetist Margaret Faut-Callahan Faut-Callahan, Margaret Michael J. Kremer Kremer, Michael J. 489

Ch. 18 Evolving and innovative opportunities for advanced practice nursing Jeanne Salyer Salyer, Jeanne Ann B. Hamric Hamric, Ann B. 520

Pt. IV Critical Elements in Managing Advanced Practice Nursing Environments

Ch. 19 Business planning and reimbursement mechanisms Charlene M. Hanson Hanson, Charlene M. Sally D. Bennett Bennett, Sally D. 543

Ch. 20 Marketing and contracting considerations Donna R. Hodnicki Hodnicki, Donna R. 575

Ch. 21 Understanding regulatory, legal, and credentialing requirements Charlene M. Hanson Hanson, Charlene M. 605

Ch. 22 Health policy issues in changing environments Eileen T. O'Grady O'Grady, Eileen T. Jean E. Johnson Johnson, Jean E. 627

Ch. 23 Strengthening advanced practice nursing in organizational structures : administrative considerations Brenda M. Nevidjon Nevidjon, Brenda M. Cynthia J. Simonson Simonson, Cynthia J. 657

Ch. 24 Outcomes evaluation and performance improvement : an integrative review of research on advanced practice nursing Gail L. Ingersoll Ingersoll, Gail L. 681

Ch. 25 Outcomes evaluation and performance improvement : using data and information technology to improve practice Vicky A. Mahn-DiNicola Mahn-DiNicola, Vicky A. 733

Summary 769

Appendix A Sample Employment Contract 771

Appendix B Sample Collaborative Practice Agreement 775

Appendix C Sample Query Letter 777