Advanced Practice Nursing: Core Concepts for Professional Role Development PDF
Preview Advanced Practice Nursing: Core Concepts for Professional Role Development
3rd Edition Advanced Practice Nursing Core Concepts for Professional Role Development M i chaelene P. Mirr Ja n s e n Mary Zwygart-Stauffach e r Editors frontmatter.p65 1 6/11/2005, 4:11 PM Michaelene P. Mirr Jansen, PhD, RN, APRN, BC, is a Professor of Nurs- ing in the College of Nursing and Health Sciences at the University of Wisconsin—Eau Claire. She also works as a Family and Gerontological Nurse Practitioner at the Pain Clinic of Northwestern Wisconsin. Her professional career includes advanced practice nursing in primary care and neurosciences, professional nursing in critical care, neurosciences and trauma. She was coeditor of the previous two editions of this text. Mary Zwygart-Stauffacher, PhD, RN, APRN, BC, FAAN, is a Professor and Chair of Department of Nursing Systems , in the College of Nursing and Health Sciences at the University of Wisconsin—Eau Claire. She also works as a Gerontological Nurse Practitioner/Gerontological Clinical Nurse Specialist for the Red Cedar Clinic/Mayo Health System—Nursing Homes Services. She has extensive experience in gerontological advanced prac- tice education and quality improvement in long-term care, including numerous national presentations, publications and books. frontmatter.p65 2 6/11/2005, 4:11 PM frontmatter.p65 3 6/11/2005, 4:11 PM Copyright © 2006 by Springer Publishing Company, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, Inc. Springer Publishing Company, Inc. 11 West 42nd Street New York, NY 10036 Acquisitions Editor: Ruth Chasek Production Editor: Sara Yoo Cover design by Joanne Honigman 06 07 08 09 10/5 4 3 2 1 Library of Congress Cataloging-in-Publication-Data Advanced practice nursing:core concepts for professional role development [edited by] Michaelene P. Mirr Jansen, Mary Zwygart-Stauffacher.—3rd ed. p. ; cm.—(Springer series on advanced practice nursing) Includes bibliographical references and index. ISBN 0-8261-3045-3 (soft cover) 1. Nurse practitioners. 2. Primary care (Medicine) [DNLM: 1. Nurse Clinicians. 2. Nurse Practitioners. 3. Nurse Anesthetists. 4. Nurse Midwives. 5. Nurse’s Role. WY 128 A2444 2006] I. Mirr Jansen, Michaelene P. II. Zwygart-Stauffacher, Mary, 1955- III. Series. RT82.8.A49 2006 610.73'06'92—dc22 2005012505 Printed in the United States of America by Maple-Vail Book Manufacturing Group. frontmatter.p65 4 6/11/2005, 4:11 PM CONTENTS Contributors vii Foreword ix Preface xi Unit I Foundations of Advanced Practice Nursing 1 Overview of Advanced Practice Nursing 3 Linda Lindeke, Mary Zwygart-Stauffacher, Melissa Avery, and Kathleen Fagerlund 2 Advanced Practice Within a Nursing Paradigm 27 Michaelene P. Mirr Jansen 3 Multifaceted Roles of the APN 39 Deborah R. Monicken and Mary Zwygart-Stauffacher 4 Leadership Skills and Expertise: Keys to APN Success in Health Care Systems 61 Janet Krejci and Shelly Malin Unit II Implementation of the APN Role 5 Clinical Decision Making in Advanced Practice Nursing 79 Sheila K. Smith 6 Professional Issues: Licensure, Certification, Prescriptive Privileges, Credentialing, and Legal Issues 107 Michaelene P. Mirr Jansen 7 Reimbursement Realities for APNs 121 Linda Lindeke 8 Ethical Issues in Advanced Practice Nursing 145 Karen S. Feldt 9 Applying Research in Advanced Practice Nursing 157 Ruth Lindquist, Shigeaki Watanuki and Mary Fran Tracy v frontmatter.p65 5 6/11/2005, 4:11 PM vi CONTENTS Unit III Transitions to the Advanced Practice Role 10 Publishing and Presenting: You, the Reader, and the Sunset 181 CeCelia R. Zorn 11 Marketing and Negotiating Advanced Practice Roles 193 Jennifer Peters 12 Launching Your Career as an Advanced Practice Nurse 211 Mary Zwygart-Stauffacher and Michaelene P. Mirr Jansen Appendix: Useful Web Sites for Advanced Practice Nurses 217 Index 219 frontmatter.p65 6 6/11/2005, 4:11 PM CONTRIBUTORS Melissa Avery, PhD, RN, CNM Ruth Lindquist, PhD, RN, APRN, Associate Professor BC, FAAN University of Minnesota Associate Dean and Professor SchoolofNursing University of Minnesota Minneapolis, MN SchoolofNursing Minneapolis, MN Kathleen Fagerlund, PhD, RN, Shelly Malin, PhD, RN CRNA Director of Practice Assistant Professor Children’s Hospital of Wisconsin University of Minnesota Adjunct Associate Professor SchoolofNursing Marquette University, College of Minneapolis, MN Nursing Milwaukee, WI Karen S. Feldt, PhD, RN, APRN, BC Deborah Monicken, MS, RN, Chief of Community Health CRRN, CNP ERA Care Communities Advanced Practice Nurse Seattle, WA Minneapolis Veterans Affairs Medical Center Janet Wessel Krejci, PhD, RN, Minneapolis, MN CNAA Associate Dean for Undergraduate Jennifer Peters, PhD, RN, CNS Program Senior Teaching Specialist Associate Professor University of Minnesota Marquette University SchoolofNursing Milwaukee, WI Minneapolis, MN Linda Lindeke, PhD, RN, CNP Sheila K. Smith, PhD, RN, APRN, BC Associate Professor Chair, Department of Adult University of Minnesota Health Nursing and Professor SchoolofNursing College of Nursing and Health Minneapolis, MN Sciences vii frontmatter.p65 7 6/11/2005, 4:11 PM viii CONTRIBUTORS University of Wisconsin—Eau Shigeaki Watanuki, PhD, RN Claire Associate Professor Eau Claire, WI School of Nursing and Rehabilitation Mary Fran Tracy, PhD, RN, Aino University CCNS, FAAN Osaka, Japan Critical Care CNS Fairview University Medical CeCelia R. Zorn, PhD, RN Center Professor Minneapolis, MN College of Nursing and Health Sciences University of Wisconsin—Eau Claire Eau Claire, WI frontmatter.p65 8 6/11/2005, 4:11 PM FOREWORD It is with pride that I see a book that I originally helped develop now being continued by colleagues. Drs. Mirr Jansen and Zwygart-Stauffacher are to be commended for their efforts in extending the scope of the first two editions so that students in advanced practice programs will have the knowledge and skills needed to be proficient professionals. When the first edition of Advanced Practice Nursing was published 10 years ago, initial efforts were being made in the nursing community to look at similarities among the four advanced practice roles rather than at what differentiated the roles. Since that time there has been an increased uniformity in both the education and legal requirements for the four advanced roles: nurse practitioner, clinical nurse specialist, nurse mid- wife, and nurse anesthetist. This has allowed the nursing community to move forward in identifying strategies to further enhance the roles and the ways that nurses with advanced education can contribute to improv- ing the health care of the citizens. In the third edition, Drs. Mirr Jansen and Zwygart-Stauffacher include the most recent content for preparing students for all advanced practice roles. Viewing these roles from within nursing is emphasized throughout the book. Nursing has established itself as a full-fledged profession. In- clusion of a section on evidenced-based practice substantiates the grow- ing sophistication of nursing practice. While the independence of the advanced practice nurse is emphasized, the need for the collaborative role is addressed. Nurses being prepared for these new roles often encounter difficulties shifting from roles in which they were experts to a new role in which they are novices. Often faculty members forget about the challenges and fears new graduates have about the transition. From their extensive background in teaching advanced practice nursing students, the editors are very aware of these challenges and have included chapters on transition to the new role and marketing the role. Not only will students find these chapters helpful, but it will prod faculty members to include class time to assist students to assume the new roles. Students and faculty members will find the third edition of Advanced Practice Nursing, a valuable text as it contains the key information necessary ix frontmatter.p65 9 6/11/2005, 4:11 PM
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