Advanced Practice Nursing - Emphasizing Common Roles 3rd ed. - J. Stanley (F. A. Davis, 2011) WW

465 Pages·2011·4.59 MB·English

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Advanced Practice
NURSING

EMPHASIZING
COMMON ROLES

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Edition 3

Advanced Practice
NURSING

EMPHASIZING
COMMON ROLES

Joan M. Stanley,
PhD, RN, CRNP, FAAN

Senior Director of Education Policy
American Association of Colleges of Nursing
Washington, DC

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F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com

Copyright © 2011 by F. A. Davis Company

All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a
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recording, or otherwise, without written permission from the publisher.

Printed in the United States of America

Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1

Publisher, Nursing: Joanne Patzek DaCunha, RN, MSN
Developmental Editor: Barbara Tchabovsky
Director of Content Development: Darlene D. Pedersen
Project Editor: Tyler R. Baber
Manager of Art and Design: Carolyn O’Brien

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application of the book, and make no warranty, expressed or implied, in regard to the contents of the
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Library of Congress Cataloging-in-Publication Data

Advanced practice nursing : emphasizing common roles / [edited by] Joan M. Stanley. — Ed. 3.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-8036-2207-4 (pbk. : alk. paper)
1. Nurse practitioners—United States. 2. Midwives—United States. 3. Nurse anesthetists—United States
I. Stanley, Joan M. (Joan Marlene), 1949-
[DNLM: 1. Advanced Practice Nursing. WY 128 A2445 2011]
RT82.8.A37 2011
610.7306’92—dc22 2010013948

Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center
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license by CCC, a separate system of payment has been arranged. The fee code for users of the Transac-
tional Reporting Service is: 8036-2207/11 0 + $.25.

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This book is dedicated to all of the
APRNs who have worked tirelessly
for the past five decades to bring us
to where we are today!

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F O R E W O R D

The current healthcare reform debate in Congress and across the nation raises the possibility
of major changes in the emphasis and structure of our healthcare system. Regardless of the im-
mediate outcome, concerns about cost, quality, access, effectiveness of interventions, prioritiz-
ing prevention, and workforce inadequacy are likely to persist and provoke transformations
far beyond the legislative horizon. Once Pandora’s Box is open, it is impossible to shut again.
In this context, the contribution of nursing to the quality of care and patient outcomes—and
especially the contribution of advanced practice registered nurses (APRNs)—is attaining
growing recognition. APRNs are seen increasingly as a promising, long-overlooked source of
solutions to the shortage of primary care physicians and the inadequate management of
chronic diseases. The potential for nurse practitioners and other APRNs to influence the form
and substance of healthcare delivery has never been so manifest. New models of care and new
practice structures are being proposed that harness the knowledge and skills of APRNs.
This book, now in its third edition, provides an in-depth understanding of the past, pres-
ent, and future of advanced practice nursing and why APRNs are poised to lead the recon-
ceptualization of health care and assume greater prominence in its delivery. The authors ably
describe current issues and trends faced by APRNs, their historical antecedents, and the ma-
jor policy implications of practice, education, and regulatory developments. Although each of
the four APRN roles—certified nurse-midwife, certified registered nurse anesthetist, clinical
nurse specialist, certified nurse practitioner—has evolved along a different path, collectively
they have changed nursing education and the way care is delivered. APRNs continue to lead
changes in practice and in the healthcare system.
The chapters in this book cover a wide range of topics, from microsystems thinking, prac-
tice inquiry, intra- and interprofessional education, and ethics to credentialing, reimburse-
ment, and marketing. The implications of pay for performance and retail clinics are detailed,
as are issues related to scope of practice. The description of recent education/practice devel-
opments, such as the Doctor of Nursing Practice degree and the Consensus Model for APRN
Regulation, documents the evolution of APRNs and provides a vision for the future of ad-
vanced practice nursing.
Each chapter presents perspectives on issues relevant to current APRN practice, education,
certification, and licensure. A valuable part of each chapter is the suggested exercises. Think-
ing through the questions will give APRNs and others a chance to explore issues from a per-
spective they may not have considered. In addition, new to this third edition is a complemen-
tary instructor online resource that provides suggestions for teaching the content, a selection
of PowerPoint slides for classroom use, and additional learning exercises for faculty to help
them integrate this content into the APRN curriculum and learning experiences. Also, pro-
vided online for students are additional learning exercises and useful Web links.
This book will be a valuable resource for students, faculty, practicing APRNs, health sys-
tems that employ APRNs, policy makers, and certifying organizations.

Janet D. Allan, PhD, RN, NP, FAAN
Dean and Professor
The University of Maryland School of Nursing

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