Operational Definitions of Advanced Practice
Nursing
Chapter 14 The Clinical Nurse Specialist
Overview and Definitions of the Clinical Nurse Specialist
Clinical Nurse Specialist Practice: Competencies Within the Spheres of Influence
Current Marketplace Forces and Concerns
Role Implementation
Future Directions
Conclusion
Key Summary Points
References
Chapter 15 The Primary Care Nurse Practitioner
Current and Historical Perspectives on Primary Care and the Nurse Practitioner Role
Primary Care and the Federal Government
Practice Redesign in Primary Care
Primary Care Workforce and the Context of PCNP Practice Today
The Primary Care Nurse Practitioner
Future Trends in Primary Care
Conclusion
Key Summary Points
References
Chapter 16 The Adult-Gerontology Acute Care Nurse Practitioner
Emergence of the Adult-Gerontology ACNP Role
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
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
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
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
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
