The dynamics of health care systems provide both challenges and opportunities for advanced practice nurses (APNs). Today, more than ever, health care is influenced by politics, legislation, regulatory bodies, insurance companies, and global events. Nurse practitioners, clinical nurse specialists, certified nurse midwives and certified registered nurse anesthetists have worked diligently over the decades to ensure their roles in the health delivery system. Although positive patient outcomes have been linked with care provided by advanced practice nurses, APNs need to be ever vigilant in advocating legislation that continues to promote advanced practice nursing.
This text is written for graduate students enrolled in advanced nursing programs. The content presented is not setting or role specific, but rather addresses the competencies identified by organizations representing advanced nursing practice including the American Association of Colleges of Nursing (AACN), the National Organization of Nurse Practitioner Faculties (NONPF), the National Association of Clinical Nurse Specialists, the American Association of Nurse Anesthetists (AANA), and the American College of Nurse Midwives (ACNM).
A brief overview of each of the four advanced nursing roles and the historical context within which they developed provides the reader with an understanding of the richness of advanced practice nursing. Contributors to this text bring perspectives from a wide variety of practice backgrounds and settings. Their current, active involvement in the delivery of care ensures that the content presented is critical for students as they embark on new careers as APNs.
This third edition of Advanced Practice Nursing reflects the changing arena in which APNs practice. Previous editions have emphasized specific subroles of the advanced practice nurse. This edition integrates the roles as a dynamic component of advanced practice nursing. The text is organized in three units: Foundations of Advanced Practice Nursing, Implementation of the APN Role, and Transitions to the Advanced Practice Role.
The editors wish to acknowledge the work of past contributors and, in particular, the past editor, Dr. Mariah Snyder. Dr. Snyder’s high standards and vision for advanced practice nursing were instrumental in establishing the quality of the first two editions of this text. We hope that her retirement is as fruitful as her professional career, and we thank her for all her guidance and assistance.
Michaelene P. Mirr Jansen, Mary Zwygart-Stauffacher
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 midwife, 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 improving 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. Inclusion of a section on evidenced-based practice substantiates the growing 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 for the role aspect of advanced practice. Many courses are devoted to the clinical focus of practice. This text places the clinical content within the realities of the practice arena. All will find it an easy-to-use and helpful text.
Mariah Snyder, PhD, RN, FAAN, Professor Emerita, School of Nursing, University of Minnesota, Minneapolis, MN.
Contents
Unit I Foundations of Advanced Practice Nursing
- 1. Overview of Advanced Practice Nursing
- 2. Advanced Practice Within a Nursing Paradigm
- 3. Multifaceted Roles of the APN
- 4. Leadership Skills and Expertise: Keys to APN Success in Health Care Systems
Unit II Implementation of the APN Role
- 5. Clinical Decision Making in Advanced Practice Nursing
- 6. Professional Issues: Licensure, Certification, Prescriptive Privileges, Credentialing, and Legal Issues
- 7. Reimbursement Realities for APNs
- 8. Ethical Issues in Advanced Practice Nursing
- 9. Applying Research in Advanced Practice Nursing
Unit III Transitions to the Advanced Practice Role
- 10. Publishing and Presenting: You, the Reader, and the Sunset
- 11. Marketing and Negotiating Advanced Practice Roles
- 12. Launching Your Career as an Advanced Practice Nurse
Appendix: Useful Web Sites for Advanced Practice Nurses
Index
About the Author
- Michaelene Jansen PhD, RN,C, GNP-BC, NP-C is a Clinical Professor of Nursing in the School of Nursing at the University of Wisconsin-Madison. She also works as a Family and Gerontological Nurse Practitioner in Pulmonary Medicine at UW Health in Madison, Wisconsin. Her professional career includes advanced practice nursing in primary care and neurosciences, chronic pain and pulmonary medicine, particularly the care of adult cystic fibrosis patients. Her professional nursing career includes critical care, neurosciences and trauma. She was co-editor of the previous three editions of this text and editor of Managing Pain in the Older Adult also published by Springer Publishing.
- Mary Zwygart-Stauffacher, PhD, RN, GNP/GCNS-BC, FAAN is Interim Dean and Professor in the College of Nursing and Health Sciences at the University of Wisconsin - Eau Claire. She also practices as a Gerontological Nurse Practitioner/Gerontological Clinical Nurse Specialist for the Red Cedar Clinic/Mayo Health System - Nursing Homes Services. She is a NIH funded co-principal investigator examining multilevel interventions to promote quality improvement in the nursing home setting. She has extensive experience in gerontological advanced practice, nursing education and quality improvement in long-term care. She is the co-editor of the previous edition of this text, in addition to the author of numerous national presentations, publications and books.
Book Details
- Paperback: 336 pages
- Publisher: Springer Publishing Company; 4 edition (October 26, 2009)
- Language: English
- ISBN-10: 0826105157
- ISBN-13: 978-0826105158
- Product Dimensions: 8.8 x 6 x 0.9 inches
List Price: $55.00