(Ebook) Advanced Practice Nursing Emphasizing Common Roles 3rd Edition by Joan Stanley 0803622074 9780803622074

(Ebook) Advanced Practice Nursing Emphasizing Common Roles 3rd Edition by Joan Stanley 0803622074 9780803622074

Advanced Practice Nursing: Emphasizing Common Roles 3rd Edition by Joan M. Stanley - Ebook PDF Instant Download/DeliveryISBN:  0803622074, 9780803622074 

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ISBN-10 :  0803622074 

ISBN-13 :  9780803622074

Author:  Joan M. Stanley 

Walk into your new role with confidence. The 3rd Edition of this AJN Book-of-the-Year Award winner prepares graduate nurses to meet the challenges of practice today and to take leadership roles in the future. From its historical roots to contemporary concerns and trends, the author traces the development of the advanced practice nursing role and articulates the major issues facing practitioners today.Joan M. Stanley, PhD, RN, CRNP, currently Director of Education Policy at the American Association of Colleges of Nursing and a who's who of practitioners and educators consider the unique combination of advanced nursing knowledge, science, and practice that differentiates each of the advanced practice registered nursing roles from one another and from other health professional roles and practice.

Advanced Practice Nursing: Emphasizing Common Roles 3rd table of contents:

Chapter 1: The Evolution of Advanced Practice in Nursing
Certified Nurse-Midwives
Early History
Sociopolitical Context
Need For Better-educated Midwives
First Midwifery Schools
Continued Expansion Of Educational Programs
Influence of Government Agencies
Influence of Professional Associations
Influence of Private Foundations, Colleges, and Universities
Forces Influential in Marketing and Effective Use
Certified Registered Nurse Anesthetists
Early History
Sociopolitical Context
Early Nurse Anesthetists
Early Centers For Teaching Anesthesia To Nurses
Resistance From Organized Nursing
Increased Efforts For Education And Certification
New Educational Programs
Certified Registered Nurse Anesthetist As An Advanced Practice Registered Nurse And Increased Autono
Influence of Government Agencies
Clinical Nurse Specialists
Historical Context
Sociopolitical Context
Stimulus For Clinical Nurse Specialist Education
Clarification Of The Role Of The Clinical Nurse Specialist
Influence of Government Agencies, a Private Foundation, and Professional Associations
Nurse Practitioners
Historical and Sociopolitical Context
Birth Of The Nurse Practitioner Movement
Factors That Have Influenced The Nurse Practitioner Movement
Influence of Government Agencies
Influence of Private Foundations, Colleges, and Universities
Forces Influential in Marketing and Effective Use
Interface Among Certified Nurse-Midwives, Certified Registered Nurse Anesthetists, Clinical Nurse Sp
Consensus on Advanced Practice Registered Nurse Education
Similarities and Differences Among Different Advanced Practice Registered Nurses
Trends and the Future for Advanced Practice Registered Nurses
Suggested Learning Exercises
Chapter 2: Advanced Practice Nursing in the Current Sociopolitical Environment
People and Their Health
Aging Society
Ethnic Makeup
Families
Economic Issues
Health Disparities
Future Selves
Health and Lifestyle
Sociopolitical Attitudes Regarding Health Care
Healthcare Delivery System
Early Attempts to Control Costs
Managed Care
Medical Home
The APRN and the Healthcare Delivery System
Underpinnings of APRN Practice
APRN Roles and Public Policy
Strategic Roles for APRNs
Continuing Issues for Advanced Nursing Practice
APRN Licensure, Accreditation, Certification, and Education
Prescriptive Authority
Professional Staff Privileges
Reimbursement
Professional Liability Insurance
Emerging Issues for Advanced Nursing Practice
Invisibility
The American Medical Association and Scope of Practice Partnership
Educational Innovation
Direct Enrollment in an APRN Program
New Paths To Doctoral Education
Summary
Suggested Learning Exercises
Chapter 3: The American Healthcare System: Implications for Advanced Practice Registered Nursing
The American Healthcare Revolution
Excess and Deprivation
Managed Care
The Public's View of the System
Financing Health Care
What the Healthcare Dollar Buys
Where the Healthcare Dollar Comes From
How the Money Is Paid Out
Public Outlays
The Current Challenge To Publicly Financed Health Care
Private Outlays
The Current Challenge To Privately Financed Health Care
How the Money Is Paid Out
Federal Cost Control And Its Effect On Hospital Reimbursement
Federal Cost Control And Its Effect On Physician Payment
The Need for Change
Possible Solutions to Evolving Healthcare Concerns
Medical Homes
Retail Health Clinics
Workforce Issues
Implications for Advanced Practice Registered Nursing
Suggested Learning Exercises
Chapter 4: Selected Theories and Models for Advanced Practice Nursing
Theories of Leadership
Theory X and Theory Y
Consideration and Initiating Structure
Path-Goal Theory
Fiedler's Contingency Model and Cognitive Resource Theory
Tridimensional Leadership-Effectiveness Model
Newer Models of Leadership
Chaos Theory And Complexity Science
Transformational Leadership Theory
Theories and Strategies of Change
The Freezing Model
Unfreezing
Moving
Refreezing
Strategies for Changing
Diffusion of Innovation
Change in Practice by the APRN
Models of Health Promotion
Health Belief Model
Health Promotion Model
The Transtheoretical Model
PRECEDE-PROCEED Model
Theory of Care-Seeking Behavior
Models of Advanced Practice Nursing
Novice to Expert
Advanced Nursing Practice
Differentiated Practice
Comparison of Advanced Practice Models
Collaborative Practice
Summary
Suggested Learning Exercises
Chapter 5: Acute and Primary Care Advanced Practice Nursing: Past, Present, and Future
Health Care in the 20th Century
Health Care in the 21st Century
The Nature of Primary Care
Definitions of Primary Care
Content of Primary Care
Evaluation of Primary Care
Classification Of Patient Encounters
Comparison In Standards Of Care
Documentation Of Functions Of Primary Care
Roles: Generalist Versus Specialist Care
Role of APRNs
Primary Care Providers in the 21st Century
Physicians as Primary Care Providers
Physician Assistants in Primary Care
APRNs as Primary Care Providers
Evolution of APRN Roles
Neonatal Nurse Practitioner
Acute Care Nurse Practitioner
Hospitalist/ACNP Model
Non-Primary Care Roles: Growing Specialties
Research on Advanced Nursing Practice
Primary Care Studies
Acute Care Studies
Policy Issues Influencing Advanced Practice in Emerging Care Systems
Barriers to Advanced Practice in Primary Care
Regulation Of Advanced Nursing Practice
Prescriptive Authority For Advanced Practice Registered Nurses
Reimbursement For APRNs' Services
Removing Barriers to Advanced Practice
The Need for a Mix of Providers in Primary Healthcare Systems
The Needs Of The Target Population
The Provider's Skills And Services
Incentives For Interprofessional Practice Teams
Summary
Suggested Learning Exercises
Chapter 6: Formulation and Approval of Credentialing and Clinical Privileges
Regulation: Professional and Public
Current Issues in Regulation
Regulation of Advanced Practice Registered Nursing: Variety and Confusion
Lack Of Standardization Among State Regulatory Boards
APRN Opposition To Institutional Oversight Of Practice
Emerging Issues in the Advanced Practice Licensure Process
Proposal For Second Licensure
Development Of Multistate Compacts
External Review Of Certifying Bodies
Development Of The APRN Consensus Model
Professional Certification for Advanced Practice Registered Nursing
Master's Requirement for NPs
Increasing Need for Doctor of Nursing Practice Degree
Certification Requirements for Different APRN Roles
Np Certification
Clinical Nurse Specialist Certification
Nurse-midwife Certification
Nurse Anesthetist Certification
Requirements For Recertification
Clinical Practice and Institutional Privileges
State and Institutional Control of the Practice of Healthcare Providers
Clinical Practice Settings for APRNs
Certified Registered Nurse Anesthetists
Certified Nurse-midwives
Clinical Nurse Specialists And Nurse Practitioners
Increased APRN Role in Acute Care Hospital Settings
Factors Governing Institutional Privileges
State Laws And Regulations
Facility Accreditation Standards
Institutional Bylaws And Policies
Types of Institutional Privileges
Clinical Privileges
Admitting Privileges
Appeal for Denial of Privileges
Complaints To The FTC
Antitrust Rulings
Primary Care Provider Status for APRNs
APRN Access to Reimbursement Panels
Summary
Suggested Learning Exercises
Chapter 7: Reimbursement for Expanded Professional Nursing Practice Services
The Economic System
Criteria for an Economic System Related to Health Care
Types of Economic Systems
Market Competition
Cost-Unconscious Demand
Attempts to Reduce Costs
Medicare Payment Systems
Growth of Retail Health Clinics
APRN Autonomy and Reimbursement
Disequilibrium
Supplier-Induced Demand
The Effects of Changes in Price, Supply, and Demand for Health Care
Increasing Hospital Inpatient Expenses
Public and Private Efforts to Control Costs
Cost Considerations in Provision of Care and Reimbursement for Physicians and APRNs
Price of Services
Access Issues
Healthcare Plans and Health Insurance Policies
Competition
Antitrust Issues
Key Terms in Finance and Reimbursement
Fee-for-Service, Capitation, and Other Models of Reimbursement
Co-payment, Coinsurance, and Deductibles
Adverse Selection
Community Rating
Experience Rating
Global Budgeting
Issues to Be Considered by APRNs
Reimbursement for Specific APRN Roles
Certified Nurse-Midwives
Certified Registered Nurse Anesthetists
Workforce Of Equally Qualified But Less Expensive Providers Diminishing
Inflationary Payment Systems
Possible Solutions
Clinical Nurse Specialists and Nurse Practitioners
Economic Comparisons of APRNs, PAs, and Physicians
A New Reimbursement Model-Pay for Performance
Improving Quality-Never Events
Summary
Suggested Learning Exercises
Chapter 8: Marketing the Role: Formulating, Articulating, and Negotiating Advanced Practice Nursing
The Traditional Marketing Approach: The Four Ps
Knowledge of Personal Values, Professional Skills, and Practical Necessities
Knowledge of Practice Regulations
Knowledge of Existing Services
Knowledge of Clients' Healthcare Needs and Desires
Knowledge of the Target Population's Understanding of the Role and Scope of Practice of the APRN
Knowledge of the Utilization and Cost-Effectiveness of and Satisfaction with APRN Services
Knowledge of Specific Marketing Elements
Substitution and Complement Functions
The Product or Service
The Marketing Plan
Communication Skills
Networking
Informal Network
Formal Network
The Job Description
The Cover Letter
The Résumé
The Interview
Evaluation of Job Opportunities
The Company
The Position
The Salary and Benefits Package
Salary
Benefits
Close of the Deal
Contracts
Employment Confirmation Letter
Letter of Acceptance
Noncompete Agreement
Mentors and Career Advancement
Summary
Suggested Learning Exercises
Chapter 9: Advanced Practice Nursing: Inquiry and Evaluation
Practice-Based Evidence
Evaluating Practice and Outcomes of Care to Improve Quality and Patient Safety
Leading Data-Driven Improvement Efforts
Conceptual Models For Evaluating Quality And Outcomes Research
Practical Implementation Of Performance Improvement
Selecting A Team To Assist With The Improvement Efforts
Choosing The Appropriate Improvement Method And Applying Pi Tools
Implementing A Proposed Improvement Solution, Evaluating The Change, And Sustaining Improvement Gain
Evidence-Based Practice
Ensuring Practice Is Based on Evidence
Relationship Between Research Utilization And EBP
Importance Of EBP
Translating Evidence Into Practice
Initiatives For Translating Research Evidence Into Practice
Practice Inquiry
Engaging in Practice Inquiry
Continuous Quality Improvement Compared With Research
Areas For Future Advanced Practice Nursing Research
Research-Practice Exchange
Practice-Based Research Networks
APRN Inquiry and Evaluation Competencies
Practice-Based Evidence Competencies
EBP Competencies
Practice Inquiry Competencies
Summary
Suggested Learning Exercises
Chapter 10: Publishing in Nursing Journals
Choosing The Journal And Publisher
Factors That Make an Article Publishable
Student Papers
The Audience
Outlining
Basic Definitions and Foundational Information
Quotations
Previous Literature
Correct Format
Reference Guide and Key References
Rechecking the Article
Have A Strong Conclusion
Finalize The Article Title And Abstract
Have The Article Reviewed By Unbiased Experts
Submitting the Article
What to Expect From a Reviewer
The Fate of an Accepted Article
What to Do If the Article Is Rejected
Writing for Other Forms of Media
Contemporary Issues in Publishing
Permissions
Copyright
Self-Plagiarism
Conflict of Interest
Summary
Suggested Learning Exercises
Chapter 11: Legal and Ethical Aspects of Advanced Nursing Practice
Nurse Practice Acts
Professional Negligence (Malpractice)
Duty
Standard of Care
Locality Rule
Causation
Damages
Wrongful Death
Proof of Professional Negligence
Possible Exceptions to Expert Witness Requirement
Package Inserts And Manufacturer's Instructions
Medical Literature
Malpractice Insurance
Prevention of Negligence Suits
Additional Education in Law Needed
The Patient and the APRN
Professional Ethics
Historical Perspectives
Ethical Principles
Autonomy
Nonmalfeasance
Beneficence
Justice
Fidelity
Bases of Ethical Theory
Responses of APRNs to Ethical Issues
Autonomy Vs. Beneficence
Ethical Dilemmas
Ethical Decision Making in the Genomic Era
Empowering Patients
Genetic Screening
Need for Collaboration Among Healthcare Providers
Time and Levels of Decision Making
Need for Continuing Education in Ethics
Decision-Making Models
Potential Ethical Concerns of the APRN
Futility of Treatment
Use of Complementary/Alternative Medicine
Managed Care
Conflict of Interest
Suggested Learning Exercises
Chapter 12: Global Health and International Opportunities
What the Problems Are
Where, How, and What Interventions Should Be Implemented
Characteristics of Successful International Health Projects
Ethics and Spiritual and Cultural Responsivity in a Global Environment
The APRN Role Outside the United States
Where APRNs Have Served
Learning About Opportunities
Globalization of Advanced Practice Registered Nursing
APRN Impacts on Global Nursing Practice and Education
Changing Educational Requirements for APRNs in the United States
Reimbursement Issues
Growing Recognition of the Contributions of APRNs
NONPF Core Competencies for APRNs in the United States
Spread of NONPF Core Competencies Internationally
The Influence of the ICN and INP/APN Network on APRN Practice
NP Role and Education in Other Developed Nations
APRN Roles in Other Nations
CRNA Role In Developing Nations
Certified Nurse-midwifery (CNM) Role In Developed And Developing Countries
Preparing APRNs With A Global Perspective
Twofold Need
Placement Opportunities
Need to Respect the Local Customs
Need to Know and Prepare for the New Environment
Need for Educational Preparation Within the APRN Curriculum
Summary
Suggested Learning Exercises
Chapter 13: Advanced Practice Nursing and Health Policy
Tensions Among Healthcare Costs, Quality, and Access
Costs
Quality
Access
The American Health Policy Process
Agenda Setting
The Dance of Legislative Development
Policy Implementation: Bringing Laws to Life
Policy Modification: No Policy Decisions are Ever Permanent
Unique Structural Characteristics of the U.S. Health Policy Arena
The APRN Health Policy Agenda
Healthcare Homes
Direct Medicare Reimbursement in Skilled Nursing Facilities
Home Health Care: A Change Is Needed
Professional Autonomy: Restraint of Practice
Provider-Neutral Language: Breaking the Physician Monopoly on Health Care
APRN Workforce: A Dearth of Data
APRN Political Competence
APRNs and DNP: Policy Engagement in Every DNP Essential
Power Versus Force
Civic Engagement
Individual Political Competence
Interpersonal/communication Skills
Analytic Skills/policy Knowledge
Conflict Resolution Skills
Professional Leadership Skills
APRN Organizational Design to Support Political Competencies
Fragmentation of APRN Professional Organizations
Important Health Policy Web Sites
Federal Government Sites
State/Local Health Policy
Foundations
Think Tanks
International
Suggested Learning Exercises
Chapter 14: The Advanced Practice Registered Nurse as Educator
The APRN Role in Teaching Patients, Families, and Professional Colleagues
Role of the APRN in Continuing Education
CE Required by Many Boards of Nursing and Nursing Organizations
Ways to Provide CE
Standards for CE Credits
Identifying a Need for the CE Program
Outlining and Leveling Objectives of the Program
Organizing the CE Presentation
Using Appropriate Learning Strategies
Maintaining the Attention of the Audience
Patient Education and Learning Theories
Schools of Learning Theory
The Humanistic School
The Behaviorist School
The Cognitive School
Learning Principles and Theories of Education
Determinants of Learning
Adult Learning Theory
Patient Literacy and Readability Formulas
Assessing Literacy Levels
Using Readability Measurement Tools
Checking Internet Sources of Information
Becoming Familiar With Books on Specific Health Topics
Including Family Members
Patient Counseling
The APRN as Preceptor
Models for Developing Skills and Competencies
Factors Facilitating a Preceptor's Success
Common Teaching Methods Applicable to the Preceptor Role
Suggested Learning Exercises
Chapter 15: Clinical Microsystem Thinking and Resources for Advanced Practice Nursing
Clinical Microsystem Thinking
Methods and Measurements in Improving the Work of Clinical Microsystems
Assessment
Establishing Goals
Implementing a Change
Measuring Outcomes
Clinical Micro-, Meso-, and Macrosystems: Implications for APRN Practice and Education
Summary
Suggested Learning Exercises
Chapter 16: The Future of APRN Practice and the Impact of Current Healthcare Trends
Emphasis on Cost Containment
Expanded APRN Practice Opportunities
Implementation of Electronic Health Records
Increased Emphasis on Quality Improvement
Increased Need for Primary Care Services
Growing Numbers of Uninsured and Underinsured
Implementation of the APRN Regulatory Model
Summary
Suggested Learning Exercises

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