This site needs JavaScript to work properly. Conceptualizations of advanced practice nursing. Google Scholar, Brykczynski KA (1989) An interpretive study describing the clinical judgment of nurse practitioners. It is worth mentioning that a number of other conceptual models have shaped APN in a positive manner. Hanson C, Spross J. Right atrial catheter care, medications), 2) monitor and respond to the occurrence of complications, 3) carry out a recommended exercise and nutrition program, and 4) adapt to post transplant status implementing a variety of resources depending on the problem or need identified. American Nurses Association, Silver Spring, MD, Arslanian-Engoren C (2019) Chapter 2. School of Nursing, Indiana University, Indianapolis, IN, USA, Indiana University Health, IU Hospital, Bloomington, IN, USA, Fulton, J.S. Ethical decision making. Hamric Integrative Model: Purpose and Structure. Therefore, it is undeniable that the model provides the much-needed background for research and development of APNs (Rounds et al., 2013). These competencies are the following: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making.1 This article chronicles a typical patient's journey through a post hospital discharge nursing research study involving APNs as intervention nurses and discusses the various aspects of the APN core competencies throughout the process. McCorkle R, Benoliel J, Donaldson G, Georgiadou F. The effects of home care on patients' symptoms, hospitalizations and complications. This has fostered development of autonomous professional practices among nurses (Rounds et al., 2013). Munro BH. Wolters Kluwer Health, Inc. and/or its subsidiaries. All rights reserved. Randomised trial of a computer-generated tailored written education package for patients following stroke. For the best experience on our site, be sure to turn on Javascript in your browser. He finds the kids exhausting and irritating. Ethical Decision-Making skills: is demonstrated by designing informed consent documents, identifying potential areas for ethical concerns concerning patient care during study implementation, and reporting patient concerns to administration. The key Author, Reston, VA, National League for Nursing (NLN) (1958) Report of the National Working Conference: education of the clinical specialist in psychiatric nursing. "*": { After the meeting she emails the social worker (sends a copy to the MD) for the Hills and asks her to follow-up with the disability questions before discharge. She also coordinates the names of people they both still need to see such as the dietician, pharmacist, case manager, and physical therapist. Scand J Caring Sci. With her nursing perspective she offers the patient and family complex information specific to their needs involving not only medical aspects of care, but psychological, social and existential support. She is concerned about the driving issue, and feels that the MD needs to be aware of his frustrations. Expert coaching and guidance. Disclaimer. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Bingle JM. StudyCorgi. Studies of physical, psychological, social and spiritual well-being in this population have shown how decreases across these dimensions of QOL occur at the time of hospital discharge and may persist for months.1317 Testing a program to support discharge teaching and rehabilitation in this population is critically needed. Bethesda, MD 20894, Web Policies He wants to hide his children from the reality of his situation and talks with Janice about sending them to his sister's house for a few months. A model for CNS practice is a process model demonstrating interrelationships among elements constituting practice including domains of practice, practice competencies, and desired outcomes. Mary's expertise impacts not only the patient, but other nurses as she models and mentors professional behavior. Please try after some time. 2020 Sep;115(6):466-476. doi: 10.1007/s00063-020-00716-w. Epub 2020 Sep 1. Challenges and strategies for recruitment and retention of vulnerable research participants: promoting the benefits of participation. Evidences from literature indicate that the models have structures that depict the generic characteristics of advanced nursing practice. Their leadership competencies make it easier for them to promote the best practices. A Standardized Nursing Intervention Protocol for HCT Patients (Grant # 5-R01-CA107446). Springer Company, New York, NY, pp 3339, International Council of Nurses (ICN) Nurse Practitioner: Advanced Practice Nurse Network (2019) Definition and characteristics of the role. Thomas goes home as scheduled and is amazed with his fatigue. PubMed In: Hamric AB, Spross JA, Hanson CM (eds) Advanced nursing practice: an integrative approach. General principals of management: education. He feels so useless and doesn't want the kids to see him struggle. However, pieces of evidence from literature have confirmed that Hamric model is quite categorical in addressing research matters unlike other models. August 14, 2022. https://studycorgi.com/hamric-integrative-model-purpose-and-structure/. Gemmill R, Williams AC, Cooke L, Grant M. Appl Nurs Res. Clinical and professional leadership: is demonstrated by interacting with medical center staff to implement the study, serving as an APN role model and providing feedback as needed. In: Hamric A, Spross J, Hanson C, editors. The evolving role of advanced practice nursing within the new Veteran's Health Administration. Department of Nursing Research, City of Hope Medical Center 1500 E. Duarte Rd Duarte, Calif. 91010 Work phone number: 626-256-4673, ext 63820, Department of Nursing Research, City of Hope Medical Center 1500 E. Duarte Rd Duarte, Calif. 91010 Work phone number: 626-256-4673, ext 63843, Department of Nursing Research, City of Hope Medical Center 1500 E. Duarte Rd Duarte, Calif. 91010 Work phone number: 626-256-4673, ext 63483. Therefore, it is worth noting that the Hamric integrative model lays a lot of emphasis on the competencies and roles of Advanced Practice Nursing. Elsevier, St. Louis, MO, pp 2560, Baldwin KM, Lyon BL, Clark AP, Fulton JS, Davidson S, Dayhoff N (2007) Developing clinical nurse specialist practice competencies. These include making ethical judgments and decisions, creative thinking, professional leadership, research, coaching and mentoring. Careers, Unable to load your collection due to an error. https://studycorgi.com/hamric-integrative-model-purpose-and-structure/. 2011 Dec;15(5):500-7. doi: 10.1016/j.ejon.2011.01.007. Moreover, a number of evidences illustrate the purpose of the Hamric Model in providing a structure for research on APN. American Association of Critical-Care Nurses, Aliso Viejo, CA, American Nurses Association (2013) Nursing scope and standards of practice, 3rd edn. It is crucial to note that the revision of the model signifies the fact that its structure is dynamic in nature (Hamric et al., 2005). Following the numerous revisions that have been done on the model, most of the crucial characteristics of APN are clearly depicted. FOIA In: Hamric A, Spross J, Hanson C, editors. Musto PK. Mary also attends the MD visit and discusses her findings regarding Thomas to the MD. Identified core competencies in the health policy domain were the guiding and initiating of leadership in policy-related activities, to practice influence in health care and the articulation of the value of nursing to key stakeholders and policymakers on the (inter)national level. Hamric's Model of Advanced Nursing Practice identifies several core competencies: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making.1 This article chronicles a typical patient's journey while participating in a research study involving an APN intervention. He finds his mind wandering to the things in life he has learned to appreciate, such as his family and close friends. Mary is able to give her information from various agencies that offer booklets for children to read and process with their parents about having a parent go through cancer treatment. This model is research-based hence; it serves the purpose of helping an individual to organize beliefs and knowledge about advance nursing practice. He finds it hard to sleep and withdraws from his wife and the kids trying to sort out his feelings. He also discusses specific core competencies which include coaching, ethical decision making, consultation, collaboration, guidance, and other related aspects. Thomas relapses at 9 months. Please. Key Aspects of Comfort: Management of Pain, Fatigue and Nausea. Oberle and Allen (2001) observe that these competencies affect patients wellbeing in differing magnitudes. The way these concepts are structured depicts coherence in the structure of Hamric model. The consensus model for regulation of APRNs: Implications for nurse practitioners. Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M. Comprehensive discharge planning for the hospitalized elderly. 2022. Two weeks pass at home with bi-weekly visits to the transplant clinic. Besides, this model has provoked the spirit of inquiry thereby facilitating a more theoretical understanding of the framework. Patients undergoing allogeneic HCT are at high risk for multiple complications post discharge, and are prime candidates for care and follow-up by the APN. As much as nurses are trained to care for patients, there is a general belief that knowledge, skills and experiences often change progressively. In: Hamric A, Spross J, Hanson C, editors. The emergence of forensic nursing and advanced nursing practice in Switzerland: an innovative case study consultation. The meaning of quality of life for bone marrow transplant survivors. As a library, NLM provides access to scientific literature. These thoughts take him by surprise; he has always been steady and not very introspective. JavaScript seems to be disabled in your browser. The nature of advanced practice nursing. All the content covered is given to them in a notebook for later review. The meaning of quality of life for bone marrow transplant survivors. Lenz ER, Mundinger MO, Kane RL, Hopkins SC, Lin SX. As a matter of fact, there is a direct relationship between nurses and patients bearing in mind that each one of them depends on one another. Bosworth HB, Olsen MK, McCant F, et al. { The .gov means its official. 14 August. Advanced practice nursing outcomes: a review of selected empirical literature. This article was supported in part by National Cancer Institute research study R01 CA107446, Standardized Nursing Intervention Protocol. Clinical Nurse Specialist Role and Practice pp 1735Cite as, Part of the Advanced Practice in Nursing book series (APN). A regulatory model explains the authority to practice, including legal requirements and the associated scope of practice. WebThe core APN research competency has three individual competencies: interpretation and use of research findings and other in clinical decision making, evaluation of practice, and participation in collaborative research (Hamric et al., 2009). Clinical Nurse Specialist and Nurse Practitioner. PLoS One. Accessed 16 Dec 2019, Lewandowski W, Adamle K (2009) Substantive areas of clinical nurse specialist practice. Janice and the children do not experience complicated grief, and with the help of a great deal social support are able to carve out a healthy life after his death. Please try again soon. Nurse Practitioner (NP) core competencies are the knowledge requirements that a nurse practitioner should be acquainted with by the time they graduate from NP school. This explains why the model aims to improve the central competencies of APN (Oberle & Allen, 2001). Clinical Journal: A Tool to Foster Critical Thinking for Advanced Levels of Competence, Ethical Dilemmas in the Care of Premature Infants, Application of the Case Study Design: Nursing Interventions for Discharge Readiness, Privacy Policy (Updated December 15, 2022). There are currently no reviews for "Hamric & Hanson's Advanced Practice Nursing", Copyright 2023 Elsevier, except certain content provided by third parties, Cookies are used by this site. The participants were asked to compare the common RN role with that Thomas and his wife meet with the social worker and find the session very helpful. Mary also teaches him about fatigue, how to conserve his energy and how to restore his energy. WebThese factors include graduate education, certification at an advanced level within a population focus, and patient-centric practice (Hamric, 2014). W.B. Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up. You are free to use it to write your own assignment, however you must reference it properly. J Nurs Adm 14(1):2430, European Specialist Nurses Organizations (2015) Competences of the clinical nurse specialist (CNS): common plinth of competences for the common training framework of each specialty. Springer Company, New York, NY, pp 115, Fulton JS (2019) Fulfilling our social mandate. Conceptualizations of advanced practice nursing. The intervention nurse, Mary who is a Clinical Nurse Specialist calls him within 2 hours and sets up an appointment for his first teaching session the next day. Clin Nurse Spec 23(2):7390, National Association of Clinical Nurse Specialists (2004) Statement on clinical nurse specialist practice and education, 2nd edn. Education techniques for lifelong learning: principles of adult learning. The model can indeed assist a professional nurse to organize beliefs and knowledge about advance nursing practice. For instance, a practicing nurse must attain education up to the graduate level and get certified before initiating the practice as a professional. The role to highlight here is the role of consultation in which the APN becomes the consultant to a population, in this example, the staff nurse. A model or framework is central to achieving clinical nurse specialist (CNS) role consistency and sustainability and in supporting evolution of CNS as a distinct and legitimate healthcare expert in the healthcare delivery system. He is relieved that he does not need to be readmitted. Data is temporarily unavailable. Hoffmann T, McKenna K, Worrall L, Read SJ. Oberle, K., & Allen, M. (2001). She asks how things are going at home, and relays to him the common feelings that most transplant patients feel. 2009 May;25(2):139-50. doi: 10.1016/j.soncn.2009.03.008. An official website of the United States government. After some clarification of the issues, and she understands that for him not being able to drive the car is a symbol of his dependence. Psychological issues of stem cell transplant. He is placed on steroids to treat the graft-versus-host reaction and does not need to be admitted because the rash was caught quickly. Interactive notebook and read-aloud functionality. Oberle and Allen (2001) emphasize that the resiliency in Hamric model has been exemplified by its progressive influence on advanced nursing practice. Part of Springer Nature. Clin Nurse Spec 21(6):297302, CrossRef Mary is implementing the experimental condition in a research study testing the effectiveness of an APN coach for patient outcomes. He understands that it is a common reaction, and oddly enough a little bit of it is a good thing since patients with GVH have less relapse. In: Funk S, Tornquist E, Champagne M, Archer Copp L, Wise R, editors. While he is an inpatient, Mary teaches him the next session which oddly enough focuses on graft-versus-host (GVH) reaction (sometimes called graft-versus-hot disease), and fatigue. Informal caregiving in Hematopoietic Blood and Marrow Transplant patients. "Hamric Integrative Model: Purpose and Structure." He is hesitant to try sexual activity but also feels assured to know that all can be in working order. It feels good for Thomas to have her come to his house. (2022, August 14). Hence, it entails the primary criteria for APNs and seven key competencies (Rounds et al., 2013). Thomas Hill is excited to go home and glad to meet Mary, who he sees as a coach both he and his wife could use. It has a structural base which is synonymous to the Maslows theory of self-actualization (Hamric et al., 2005). She also discusses the screening and preventative practices for transplant patients and teaches him and his wife follow-up health care practices that Thomas should coordinate for himself after transplant. After 2 weeks of mouth sores, nausea, diarrhea, and fevers his brother's white cells engraft and he begins to feel better. He asks Mary about driving, and she observes the tension between him and his wife regarding this question. Tom works in the field of construction for a local construction company. The store will not work correctly in the case when cookies are disabled. In addition, each of the 6 core competencies of the APN role identified by Hamric are outlined and applied using a Journal of the American Association of Nurse Practitioners, 25(4), 180-185. Working with the nursing staff for educational needs in the clinic, Case discussion with Child Life Specialist for skill enhancement, Preparation of evidence-based teaching program, Use of evidence-based literature interpretation for clinical practice, Expert communications skills in meeting with the MD, Clear commitment to the patient and family and their issues, Positive culture of partnership with the physician and social worker which impacts the MD treatment for depression and the social work support of the patient and family, Moral agent: creating an ethical environment following principles of beneficence and fidelity, Adherence to the therapeutic contract or relationship Mary had with the family, Advanced Practice Nurse, Transplant, Intervention research. APN intervention research is a relatively new area of research with cancer patients.1822 The APN core competencies provided the framework for the current study. For instance, upon careful analysis of the model, it is possible to discern that the model is structured in manner similar to Maslows hierarchy of needs (Rounds et al., 2013). It is obvious that this model can be used for personal reference by anyone interested to gain additional knowledge and understanding of advanced practice nursing. These include collaboration, direct practice, evidence-based practice, consultation, ethical decision-making, guidance and coaching as well as professional leadership. In: Hamric A, Spross J, Hanson C, editors. Besides, the model offers a structure where concepts that are crucial in advanced nursing are identified and studies alongside each other. For instance, it effectively serves the purpose of facilitating understand and gaining additional knowledge about Advanced Practice Nursing (APN). The goal of clinical consultation is to enhance the patients care and/or improve skills and confidence of the consultee.41 Swartz and colleagues (2003) in their article A Day in the Lives of APNs in the U.S. found that APNs obtained a physician consult for 15% of the patients, 8% of patients were referred to specialist providers, and 3.5% were referred to another primary care provider.42 Another report discusses the use of a practice team involving APN consultation from a cardiologist for chronic heart failure.43 The team of several specialists improves outcomes for end-stage heart failure patients. They have been married 15 years, and have three children: James who is 10, Susan who is 8, and Kevin who is 5. Collaboration. to maintaining your privacy and will not share your personal information without After 3 days, more than one organism is identified. All counts are good. (2022) 'Hamric Integrative Model: Purpose and Structure'. JBI Database System Rev Implement Rep. 2015. His wife Janice works as a preschool teacher. Access online or offline, on mobile or desktop devices. Rounds, L. R., Zych, J. J., & Mallary, L. L. (2013). Hamric model recognizes numerous core competencies which include research skills, direct clinical practice, professional leadership, ethical decision-making, collaboration and coaching (Oberle & Allen, 2001). She is aware of the content of the study, the aims, and her role. The next day Thomas comes in and his rash is better. Advanced practice nursing and conceptual models of nursing. He is relieved to discover that what he is feeling is normal. Please enable it to take advantage of the complete set of features! Inclusion in an NLM database does not imply endorsement of, or agreement with, Careers. Operationalizes and applies the APRN core competencies to the major APRN roles: the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Nurs Outlook 67(5):511522, Hamric AB, Spross JA (1989) The clinical nurse specialist in theory and practice, 2nd edn. Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control. She is worried about a clear message being sent to the patient regarding his driving restrictions. He is readmitted and is found to have gram positive bacteremia, with the probable source being the right atrial catheter. Minarik P, Zeh M, Johnston L. Collaboration with pscyhiatricts in Connecticut. Mary visits with them the first week after discharge in clinic before his MD appointment. These competencies are the following: Attributes of nurse leaders are expert communications skills clear commitment to the patients about their issues, and the willingness to collaborate with physicians colleagues.32 Often the APN will be a change agent merely by setting an example of collaboration with other health professionals, respecting their assessment and wishing to enrich the care of the patient by adding additional information. Cunningham RS. StudyCorgi. Improving quality of life for bone marrow transplant survivors. Associate Professor, Assistant Dean for the PhD Program and Director of Graduate Studies, School of Nursing, University of Minnesota; Nurse Scientist, University of Minnesota Medical Center, Minneapolis, Minnesota, Certified Nurse Practitioner and Wellness Coach; Founder, The School of Wellness, McLean, Virginia, Associate Dean - Clinical Affairs, University of California Irvine, Irvine, California, Hamric & Hanson's Advanced Practice Nursing, Authors: Mary Fran Tracy, Eileen T. O'Grady, Susanne J. Phillips, Part I Historical and Developmental Aspects of Advanced Practice Nursing, Chapter 1 History and Evolution of Advanced Practice Nursing, Chapter 2 Conceptualizations of Advanced Practice Nursing, 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, Chapter 3 A Definition of Advanced Practice Nursing, DISTINGUISHING BETWEEN SPECIALIZATION AND ADVANCED PRACTICE NURSING, DISTINGUISHING BETWEEN ADVANCED NURSING PRACTICE AND 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, Chapter 4 Role Development of the Advanced Practice Nurse, PERSPECTIVES ON ADVANCED PRACTICE NURSE ROLE DEVELOPMENT, ROLE CONCEPTS AND ROLE DEVELOPMENT ISSUES, Chapter 5 International Development of Advanced Practice Nursing, 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, Part II Competencies of Advanced Practice Nursing, DIRECT CARE VERSUS INDIRECT CARE ACTIVITIES, SIX CHARACTERISTICS OF DIRECT CLINICAL CARE PROVIDED BY ADVANCED PRACTICE NURSES, FORMATION OF THERAPEUTIC PARTNERSHIPS WITH PATIENTS, DIVERSE APPROACHES TO HEALTH AND ILLNESS MANAGEMENT, HELPING PATIENTS MANAGE CHRONIC ILLNESSES, THEORIES AND RESEARCH SUPPORTING APRN GUIDANCE AND COACHING, BUILDING RELATIONSHIPS FOR APRN GUIDANCE AND COACHING, APRN PRACTICE PRINCIPLES FOR SUCCESSFUL GUIDANCE AND COACHING, GENERATING EVIDENCE: HISTORICAL PERSPECTIVE, FROM POLICY TO PRACTICE: TIPS FOR ACHIEVING MEANINGFUL CHANGES IN PRACTICE BASED ON CURRENT BEST EVIDENCE, LEADERSHIP: DEFINITIONS, MODELS, AND CONCEPTS, CHARACTERISTICS OF APRN LEADERSHIP COMPETENCY, DEVELOPING LEADERSHIP IN THE HEALTH POLICY ARENA, OBSTACLES TO LEADERSHIP DEVELOPMENT AND EFFECTIVE LEADERSHIP, STRATEGIES FOR IMPLEMENTING THE LEADERSHIP COMPETENCY, CHARACTERISTICS OF EFFECTIVE COLLABORATION, IMPACT OF COLLABORATION ON PATIENTS AND CLINICIANS, CONTEXT OF COLLABORATION IN CONTEMPORARY HEALTH CARE, PROCESSES ASSOCIATED WITH EFFECTIVE COLLABORATION, OVERVIEW OF ETHICAL APPROACHES TO RESOLVING ETHICAL CONFLICTS, GOALS OF CARE: A CLINICAL-ETHICAL FRAMEWORK TO ENHANCE APRN PRACTICE, NAVIGATING BARRIERS TO ETHICAL PRACTICE AND STRATEGIES TO OVERCOME THEM, Part III Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing, CLINICAL NURSE SPECIALIST PRACTICE: COMPETENCIES WITHIN THE SPHERES OF IMPACT, Chapter 13 The Primary Care Nurse Practitioner, CURRENT AND HISTORICAL PERSPECTIVES ON PRIMARY CARE AND THE NURSE PRACTITIONER ROLE, EMERGENCE OF POSTGRADUATE TRAINING IN PRIMARY CARE, PRIMARY CARE WORKFORCE AND THE CONTEXT OF PCNP PRACTICE TODAY, Chapter 14 The Acute Care Nurse Practitioner, ACNP SCOPE OF PRACTICE: LEVELS OF INFLUENCE, PROFILES OF THE ACNP ROLE AND PRACTICE MODELS, SPECIALIZATION OPPORTUNITIES WITHIN THE ACNP ROLE, THE NURSE-MIDWIFERY PROFESSION IN THE UNITED STATES TODAY, IMPLEMENTING ADVANCED PRACTICE NURSING COMPETENCIES, Chapter 16 The Certified Registered Nurse Anesthetist, BRIEF HISTORY OF CRNA EDUCATION AND PRACTICE, ROLE DEVELOPMENT AND MEASURES OF CLINICAL COMPETENCE, Part IV Critical Elements in Managing Advanced Practice Nursing Environments, Chapter 17 Maximizing APRN Power and Influencing Policy, POLICY: HISTORIC CORE FUNCTION IN NURSING, UNITED STATES FUNDAMENTALLY DIFFERS FROM THE INTERNATIONAL COMMUNITY, CURRENT ADVANCED PRACTICE NURSING POLICY ISSUES, APRN POLITICAL COMPETENCE IN THE POLICY ARENA, EMERGING ADVANCED PRACTICE NURSING POLICY ISSUES, Chapter 18 Marketing Yourself as an APRN: Contracting and Negotiation, CHOOSING BETWEEN ENTREPRENEURSHIP/INTRAPRENEURSHIP, Chapter 19 Reimbursement and Payment for APRN Services, BILLING FOR APRN SERVICES: UNDERSTANDING THE PROCESS, Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements, THE CONSENSUS MODEL FOR APRN REGULATION: LICENSURE, ACCREDITATION, CERTIFICATION, AND EDUCATION, ADVANCED PRACTICE REGISTERED NURSE MASTERS 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, STANDARDS OF PRACTICE AND STANDARDS OF CARE FOR APRNS, ISSUES AFFECTING APRN CREDENTIALING AND REGULATION, Chapter 21 APRN Outcomes and Performance Improvement Research, CONCEPTUAL MODELS OF CARE DELIVERY IMPACT, PERFORMANCE (PROCESS) IMPROVEMENT ACTIVITIES, FUTURE DIRECTIONS FOR USING OUTCOMES IN APRN PRACTICE, Chapter 22 Future Technologies Influencing APRN PracticeDebora SimmonsPamela Salyer, MAKING SENSE OF COMPLEXITY IN HEALTH INFORMATION TECHNOLOGY, DIAGNOSTIC, THERAPEUTIC, AND PROCEDURAL DEVICES AND APPS, DATA, CLINICAL DECISION SUPPORT, AND ADVANCED ANALYTICS, FUTURE IMPLICATIONS OF TECHNOLOGY-ENABLED ADVANCED PRACTICE REGULATION AND GROWTH: A CALL TO PARTICIPATE, Chapter 23 Using Healthcare Information Technology to Evaluate and Improve Performance and Patient Outcomes, 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. dream of hair growing long in islam, pittsburgh pirates uniforms 2022,