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Direct Care and Information Management
Conclusion
Key Summary Points
References
Chapter 8 Guidance and Coaching
Why Guidance and Coaching?
Context of Guidance and Coaching: Definition and Skills
Theories and Research Supporting APRN Guidance and Coaching
APRN Guidance and Coaching Skills
APRN Proficiencies Specific to Coaching
APRN Coaching Process
The “Four As” of the Coaching Process
The Dilemma of Guiding or Leading From Behind
Conclusion
Key Summary Points
References
Chapter 9 Consultation
Consultation and Advanced Practice Nursing
Defining Consultation
Model of APRN Consultation
Other Models of Consultation
Common APRN Consultation Situations
Issues in APRN Consultation
Conclusion
Key Summary Points
References
Chapter 10 Evidence-Based Practice
Evidence-Based Practice and the APRN
Evidence and Current Best 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 11 Leadership
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 12 Collaboration
Definition of Collaboration
Domains of Collaboration in Advanced Practice Nursing
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 13 Ethical Decision Making
Foundations of Ethical Practice
Characteristics of Ethical Challenges in Nursing
Ethical Issues Affecting APRNs
Ethical Decision-Making Competency of APRNs
Evaluation of the Ethical Decision-Making Competency
Barriers to Ethical Practice and Potential Solutions
Conclusion
Key Summary Points
References
Part III Advanced Practice Roles: The
Elements in Managing Advanced Practice Nursing Environments
Chapter 19 Maximizing APRN Power and Influencing Policy
Policy: Historic Core Function in Nursing
Policy: APRNs and Modern Roles
Politics Versus Policy
United States Differs From the International Community
Key Policy Concepts
Policy Models and Frameworks
Current Advanced Practice Nursing Policy Issues
Emerging Advanced Practice Nursing Policy Issues
APRN Political Competence in the Policy Arena
Conclusion
Key Summary Points
References
Chapter 20 Marketing and Negotiation
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 21 Reimbursement and Payment for APRN Services
Historical Perspective
Reimbursement in the United States
Commonly Used CPT Codes
Medicare Reimbursement
Other Reimbursement Models
Current and Emerging Reimbursement Issues for APRNs
Conclusion
Key Summary Points
References
Chapter 22 Understanding Regulatory, Legal, and Credentialing Requirements
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 Facing APRNs
Conclusion
Key Summary Points
References
Chapter 23 Integrative Review of APRN Outcomes and Performance Improvement Research
Review of Terms
Conceptual Models of Care Delivery Impact
Evidence to Date
“Process as Outcome” Studies
Performance (Process) Improvement Activities
Disease Management Activities
Outcomes Management Activities
Impact of APRN Practice
Future Directions for Using Outcomes in APRN Practice
Conclusion
Key Summary Points
References
Chapter 24 Using Health Care 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
Conclusion
Key Summary Points
References
Index
Copyright
3251 Riverport Lane St. Louis, Missouri 63043
HAMRIC and HANSON'S ADVANCED PRACTICE NURSING:ISBN:
978-0-323-44775-1
AN INTEGRATIVE APPROACH, SIXTH EDITION
Copyright © 2019 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
Notices
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information,
methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors, or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Previous editions copyrighted 2014, 2009, 2005, 2000, and 1996.
Library of Congress Cataloging-in-Publication Data
Names: Tracy, Mary Fran, editor. | O'Grady, Eileen T., 1963- editor.
Title: Hamric and Hanson's advanced practice nursing : an integrative approach / [edited by] Mary Fran Tracy, Eileen T. O'Grady.
Other titles: Advanced practice nursing (Hamric) | Advanced practice nursing
Description: Sixth edition. | St. Louis, Missouri : Elsevier, [2019] | Preceded by Advanced practice nursing : an integrative approach / [edited by] Ann B. Hamric, Charlene M. Hanson, Mary Fran Tracy, Eileen T. O'Grady.
5th ed. 2014. | Includes bibliographical references and index.
Identifiers: LCCN 2017055231 | ISBN 9780323447751 (pbk. : alk. paper)
Subjects: | MESH: Advanced Practice Nursing
Classification: LCC RT82.8 | NLM WY 128 | DDC 610.73–dc23 LC record available at https://lccn.loc.gov/2017055231
Executive Content Strategist: Lee Henderson
Content Development Manager: Lisa Newton
Senior Content Development Specialist: Danielle M. Frazier
Publishing Services Manager: Julie Eddy
Book Production Specialist: Clay Broeker
Design Direction: Renee Duenow
Printed in the United States of America
Dedication
I would like to dedicate this book to my advanced practice nurse colleagues who are inspirational as they strive every day to provide optimal care for patients. I'm extremely grateful to my family and friends who were a constant source of support throughout the project.
MFT
I dedicate this book to my beloved profession, to nurses everywhere who care deeply about the human condition, and of course, to my one and only Humayun, who listened patiently to my editing and other woes. Also, to my teenage sons Liam and Conor who keep it real. And funny.
EO
The editors would also like to dedicate this edition to Ann Hamric and Charlene Hanson. We are grateful for their foresight, their vision, and the passion they convey for the advanced practice nurse role. We are thankful for their previous mentoring and for the consultation they specifically provided for this current edition.
Contributors
Anne W. Alexandrov PhD, RN, AGACNP-BC, CNS, ANVP-BC, NVRN-BC, CCRN, FAAN
Professor
College of Nursing
University of Tennessee Health Science Center
Memphis, Tennessee
Professor
College of Nursing
Australian Catholic University
Sydney, Australia
NET SMART
Health Outcomes Institute
Fountain Hills, Arizona
Cynthia Arslanian-Engoren PhD, MSN, BSN, FAAN
Associate Professor
School of Nursing, Department of Health Behavior and Biological Sciences
University of Michigan
Ann Arbor, Michigan
Melissa D. Avery PhD, CNM, FACNM
Professor
School of Nursing
University of Minnesota
Minneapolis, Minnesota
Denise Bryant-Lukosius BScN, MScN, PhD
Associate Professor
School of Nursing and Department of Oncology
Co-Director
Canadian Centre for APN Research
McMaster University
Clinician Scientist and Director
Canadian Centre of Excellence in Oncology APN
Juravinksi Hospital and Cancer Centre
Hamilton, Canada
Karen A. Brykczynski PhD, RN, FNP, FAAN
Home Health Nurse
Largo, Florida
Professor (retired)
School of Nursing
University of Texas Medical Branch
Galveston, Texas
Maureen Cahill BSN, MSN, APN-CNS
Senior Policy Adviser
Regulation
National Council of State Boards of Nursing Chicago, Illinois
Margaret Faut Callahan CRNA, PhD, FNAP, FAAN
Provost
Health Sciences Division
Loyola University Chicago, Illinois
Michael Carter DNSc, DNP
University Distinguished Professor
College of Nursing
University of Tennessee Health Science Center
Memphis, Tennessee
Adjunct Clinical Professor of Geriatrics
College of Medicine
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Adjunct Professor
School of Nursing, Midwifery, and Paramedicine
Curtin University
Perth, Australia
Anne Z. Cockerham PhD, CNW, WHNP-BC, CNE
Associate Dean for Academic Affairs
Frontier Nursing University
Hyden, Kentucky
Cindi Dabney BSN, MSNA, DNP
Assistant Director of Didactic Education
Anesthesia Option
University of Tennessee Health Science Center
Memphis, Tennessee
Lynne M. Dunphy PhD, APRN, FNP-BC, FAAN, FAANP
Associate Dean for Practice and Community Engagement
Professor
Christine E. Lynn College of Nursing
Florida Atlantic University
Boca Raton, Florida
Margaret M. Flinter MSN, PhD
Senior Vice President and Clinical Director
Community Health Center, Inc.
Middletown, Connecticut
Mikel Gray PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN
Professor
Department of Urology and Department of Acute and Specialty
Nursing Care
School of Nursing
University of Virginia
Charlottesville, Virginia
Jane Guttendorf DNP, CRNP, ACNP-BC, CCRN
Assistant Professor
School of Nursing, Department of Acute/Tertiary Care
University of Pittsburgh
Acute Care Nurse Practitioner
Department of Critical Care Medicine
University of Pittsburgh Medical Center, UPMC Presbyterian Pittsburgh, Pennsylvania
Ann B. Hamric PhD, MS, BSN
Professor Emeritus
School of Nursing
Virginia Commonwealth University Richmond, Virginia
Charlene M. Hanson EdD, RN, FNP-BC, FAAN
Professor Emerita and Family Nurse Practitioner
Nursing
Georgia Southern University Statesboro, Georgia
Gene E. Harkless BSN, MSN, DNSc
Associate Professor
Nursing
University of New Hampshire
Durham, New Hampshire
Marilyn Hravnak RN, PhD, CRNP, BC, FCCM, FAAC
Professor
School of Nursing
University of Pittsburgh
Pittsburgh, Pennsylvania
Jean E. Johnson PhD, RN, FAAN
Dean Emerita
School of Nursing
George Washington University
Washington, District of Columbia
Arlene W. Keeling PhD, RN, FAAN
Centennial Distinguished Professor and Associate Director
Eleanor Crowder Bjoring Center for Nursing
Historical Inquiry
School of Nursing
University of Virginia
Charlottesville, Virginia
Ruth M. Kleinpell PhD, RN, APRN-BC, FAAN, FAANP, FCCM
Assistant Dean for Clinical Scholarship
Professor
Vanderbilt University School of Nursing
Nashville, Tennessee
Professor
Rush University College of Nursing
Chicago, Illinois
Michael J. Kremer PhD, CRNA, CHSE, FNAP, FAAN
Professor and Director
Nurse Anesthesia Program
Rush University College of Nursing
Co-Director
Rush Center for Clinical Skills and Simulation
Rush University Medical Center
Chicago, Illinois
Brigid Lusk PhD, RN, FAAN
Adjunct Clinical Professor
College of Nursing
University of Illinois at Chicago
Chicago, Illinois
Carole L. Mackavey DNP, MSN, RN, FNP-C
Assistant Professor and Co-Director, FNP Track
Family Health/SON
University of Texas Health Science Center at Houston Houston, Texas
Kathy S. Magdic DNP, ACNP-BC
Assistant Professor
Acute-Tertiary Care
University of Pittsburgh
Pittsburgh, Pennsylvania
Nancy Munro MN, CCRN, ACNP-BC, FAANP
Senior Acute Care Nurse Practitioner
Critical Care Medicine Department
National Institutes of Health
Bethesda, Maryland
Eileen T. O'Grady PhD, RN, ANP
Certified Nurse Practitioner and Wellness Coach
Owner, The School of Wellness
McLean, Virginia
Geraldine S. Pearson PhD, PMH-CNS, FAAN
Associate Professor
Psychiatry, Child/Adolescent Division
University of Connecticut School of Medicine
Farmington, Connecticut
Susanne J. Phillips DNP, APRN, FNP-BC
Clinical Professor
Nursing Science
University of California, Irvine
Irvine, California
Laura Reed MSN, DNP
Assistant Professor
Advanced Practice and Doctoral Studies
University of Tennessee Health Science Center
Memphis, Tennessee
Melissa A. Saftner PhD, CNM, RN
Clinical Associate Professor
School of Nursing
University of Minnesota
Minneapolis, Minnesota
Jeanne Salyer PhD, RN
Associate Professor
Adult Health and Nursing Systems
Virginia Commonwealth University School of Nursing
Richmond, Virginia
Sue Sendelbach PhD, RN, FAAN, FAHA
Director of Nursing Research (retired)
Abbott Northwestern Hospital Minneapolis, Minnesota
Katherine E. Simmonds MS, MPH, WHNP-BC
Assistant Professor
School of Nursing
Track Coordinator of Women's Health and Adult Gerontology/Women's Health NP Specialties
MGH Institute of Health Professions
Charlestown, Massachusetts
Mary Fran Tracy PhD, RN, APRN, CNS, FAAN
Associate Professor
School of Nursing
University of Minnesota
Nurse Scientist
University of Minnesota Medical Center
Minneapolis, Minnesota
S. Brian Widmar PhD, RN, ACNP-BC, CCRN, FAANP
Director, Adult-Gero Acute Care NP Specialty
School of Nursing
Vanderbilt University
Nashville, Tennessee
Marisa L. Wilson DNSc, MHSc, RN-BC, CPHIMS, FAAN
Associate Professor and Specialty Track Coordinator Nursing
Informatics
Family, Community, and Health Systems
University of Alabama at Birmingham School of Nursing
Birmingham, Alabama
Lucia Wocial BA, BS, MS, PhD
Nurse Ethicist
Fairbanks Center for Medical Ethics
Indiana University Health
Adjunct Assistant Professor
School of Nursing
Indiana University
Indianapolis, Indiana
Frances Kam Yuet Wong BSN, MEd, PhD Professor
School of Nursing
Hong Kong Polytechnic University
Hong Kong, China
Reviewers
Deborah Becker PhD, ACNP, BC, CHSE, FAAN
Practice Associate Professor of Nursing
Director, Adult Gerontology Acute Care Nurse Practitioner Program
Biobehavioral and Health Science Department
University of Pennsylvania, School of Nursing Philadelphia, Pennsylvania
Angela P. Clark PhD, RN, ACNS-BC, FAAN, FAHA
Associate Professor Emerita
School of Nursing
University of Texas at Austin Austin, Texas
Michelle L. Edwards DNP, APRN, FNP, ACNP, FAANP
System Vice President, Advanced Practice
National Clinical Enterprise
Catholic Health Initiatives
Englewood, Colorado
Loretta C. Ford EdD, PNP, FAAN, FAANP
Professor and Dean Emerita
School of Nursing
University of Rochester Rochester, New York
Lynn Gallagher-Ford PhD, RN, DPFNAP, NE-BC
Director
Center for Transdisciplinary Evidence-Based Practice
College of Nursing
Ohio State University
Columbus, Ohio
Deborah B Gardner PhD, RN, FAAN, FNAP
Health Policy and Leadership Consultant
Gardner and Associates, LLC
Honolulu, Hawaii
Laurie K. Glass RN, PhD, FAAN
Professor Emerita and Director Center for Nursing History
College of Nursing University of Wisconsin Milwaukee Milwaukee, Wisconsin
Ann B. Hamric PhD, RN, FAAN
Professor Emeritus School of Nursing
Virginia Commonwealth University Richmond, Virginia
Charlene M. Hanson EdD, RN, FNP-BC, FAAN
Professor Emerita
Georgia Southern University
Family Nurse Practitioner School of Nursing
Georgia Southern University Statesboro, Georgia
Catherine Horvath DNP, CRNA
Assistant Professor
School of Nursing and Health Studies
Georgetown University
Washington, District of Columbia
Lynda A. Mackin PhD, AGPCNP-BC, CCNS
Health Science Clinical Professor
Physiological Nursing
University of California San Francisco School of Nursing
San Francisco, California
Tim Porter-O'Grady DM, EdD, APRN, FAAN, FACCWS
Senior Partner, Health Systems
TPOG Associates, Inc.
Adjunct Professor, SON
Emory University
Registered Mediator and Arbitrator
Clinical Wound Specialist, Mercy Care
Atlanta, Georgia
Professor of Practice, CONHI
Arizona State University Phoenix, Arizona
Professor of Practice and Leadership Scholar, CON Ohio State University Columbus, Ohio
Joanne K. Singleton PhD, RN, FNP-BC, CNL, FNAP, FNYAM Professor
Graduate Studies
College of Health Professions, Lienhard School of Nursing
Pace University New York, New York
Margaret C. Slota DNP, RN, FAAN
Associate Professor; Director, DNP Program
School of Nursing and Health Studies
Georgetown University Washington, District of Columbia
Sheila Cox Sullivan PhD, RN, VHA-CM
Director/Research, EBP and Analytics
Office of Nursing Services
Department of Veterans Affairs
Washington, District of Columbia
Lisa Summers MSN, DrPH, FACNM
Deputy Director
DNP Program
School of Nursing
Yale University
New Haven, Connecticut
Carol Taylor PhD, RN
Professor of Medicine and Nursing
Senior Clinical Scholar, Kennedy Institute of Ethics
Department of Advanced Nursing Practice
Georgetown University School of Nursing and Health Studies
Washington, District of Columbia