This session covers the social aspects of his life. For instance, it effectively serves the purpose of facilitating understand and gaining additional knowledge about Advanced Practice Nursing (APN). Swartz MK, Grey M, Allan JD, et al. Nursing Science Quarterly, 17(2), 135-138. His physician, aware of the depression, places him on antidepressants and the social worker steps in to offer more social support. Mary continues to talk about common emotional responses. Inclusion in an NLM database does not imply endorsement of, or agreement with, WebThese competencies focus on the unique attitudes, knowledge, skills, and practice of the Womens Health CNS. Collins J. Operationalizes and applies the APRN core competencies to the major APRN roles: the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Clinical Nurse Specialist22(5):218-225, September-October 2008. Design considerations for a personalised patient education system. It is crucial to note that the revision of the model signifies the fact that its structure is dynamic in nature (Hamric et al., 2005). Careers, Unable to load your collection due to an error. sharing sensitive information, make sure youre on a federal Hence, they are also referred to as central competencies. It is irrefutable that the model provides a structure for research on advance practice nursing. Moreover, it is beyond reasonable doubt that the other theories have been very influential in the formulation of this model. "component": "Magento_Customer/js/view/customer" Mary was present and helped him and his family make tough decisions such as developing an Advanced Directives, addressing end-of-life concerns, writing letters to the kids on special occasions, making a video tape for closure for the family, and setting up funeral arrangements. After completion of conditioning, his brother's stem cells are infused. The participants were asked to compare the common RN role with that Representatives, Elsevier's Novel Coronavirus Information Center. All counts are good. The clinical nurse specialist. If you decide to participate, a new browser tab will open so you can complete the survey after you have completed your visit to this website. As a library, NLM provides access to scientific literature. Advanced practice nursing and conceptual models of nursing. Tijhuis GJ, Zwinderman AH, Hazes JM, Breedveld FC, Vlieland PM. StudyCorgi. Clin Nurse Spec. There are currently no reviews for "Hamric & Hanson's Advanced Practice Nursing", Copyright 2023 Elsevier, except certain content provided by third parties, Cookies are used by this site. "Hamric Integrative Model: Purpose and Structure." Numerous studies have shown the value of using advanced practice nurses in the clinical setting yielding significant contributions and examples of outcome measures for APNs.2 Cunningham (2004) listed many studies of diverse populations submitting undeniable recent evidence that APNs are effective in improving the outcomes such as patient satisfaction, readmissions, cost, health status, and complications.3 Mundinger and colleagues have done two studies with clear evidence that nurse practitioners have equal or better clinical outcomes in the primary care setting as compared to physicians.4, 5 Tujhuis and colleagues conducted a randomized controlled trial of a clinical nurse specialist intervention and found that clinical outcomes were comparable to inpatient and day teams.6 Burns, et al (2003) used four advanced practice nurses to manage, enhance protocol adherence and monitor a process of implementation for an institutional program to improve clinical and financial outcomes of mechanically ventilated patients.7 Gawlinski and colleagues (2001) discussed the role of the APN in affecting cardiovascular outcomes in a study comparing two groups of patients: one on a nurse-implemented diuretic protocol therapy and the other group on a nonprotocol diuretic therapy arm. WebMany Family Nurse Practitioners (FNPs) possess unique competencies in order to achieve the best medical outcomes. Patients undergoing allogeneic HCT are at high risk for multiple complications post discharge, and are prime candidates for care and follow-up by the APN. It is important to note that the circle is stable and flexible. Thereafter, the model focuses on experiences that are built on core competencies in the delivery of nursing care. Nurs Outlook 67(5):511522, Hamric AB, Spross JA (1989) The clinical nurse specialist in theory and practice, 2nd edn. Accessibility Mary visits with them the first week after discharge in clinic before his MD appointment. Education techniques for lifelong learning: principles of adult learning. WebThe purpose of this paper was to describe evidenced-based interventions as implemented by advanced practice nurses (APNs) conducting intervention research with a vulnerable population of blood and marrow transplant patients. However, for the sake of outlining the competencies clearly throughout the article only one competency was highlighted at a time. Fawcett, Newman and McAllister (2004) posit that the model is inherently refined and elaborated and as a result, it forms a firm foundation for advanced practice nursing. Thomas relapses at 9 months. She also reviews any questions regarding the right atrial catheter care at home. Colella J, Douglas C, VanBuitenen N, Galesi J, Aroh D. J Nurs Meas. The method used for program development, and administration parallels that tested by McCorkle and colleagues, who have completed research on Standardized Nursing Intervention Program (SNIP).1822 Their research has demonstrated positive outcomes including decreased symptom distress, improved functional status and mental health, decreased caregiver burden, and longer survival.1822 Their recent studies have focused on post surgical patients, and demonstrated the need to focus on the period of transition from the hospital to the home setting. She asks how things are going at home, and relays to him the common feelings that most transplant patients feel. However, she advises that he not drive for at least a few weeks, and discusses other ways he can feel useful. He also begins to think about whether or not he wants to return to his previous job, or look for a new career. WebThe core APN research competency has three individual competencies: interpretation and use of research findings and other in clinical decision making, evaluation of practice, and participation in collaborative research (Hamric et al., 2009). WebEarly Origins of the Hamric family. As a CNS gains experience, his or her practice may include more advanced and additional skills and knowledge not included in (2022) 'Hamric Integrative Model: Purpose and Structure'. These include evidence-based practice, guidance, leadership and coaching. The way these concepts are structured depicts coherence in the structure of Hamric model. Further review of literature has shown that the seven competences determine the overall state of patient wellness. Before It is vital to mention that there are a number of crucial concepts in advanced practice nursing which can be identified and related to one another. NURSING PAPER We are always looking for ways to improve customer experience on Elsevier.com. W.B. Numerous conceptual frameworks offer guidelines for Advanced Practice Nursing (APN). In 1840 there was 1 Hamric family living in Georgia. Georgia and Conceptualizations of advanced practice nursing. Before Mary meets Thomas in clinic for Session 5 she is stopped by one of the clinic nurses who has noticed Thomas's 8-year old girl, Susan crying. After a few minutes the kids go out to play in the backyard leaving Thomas and his wife alone with Mary. In: Hamric A, Spross J, Hanson C, editors. In addition, each of the six core competencies of the APN role identified by Hamric are outlined and applied using a patient case study. Mary begins to talk about common psychological responses after transplant such as depression and anxiety. McCorkle R, Benoliel J, Donaldson G, Georgiadou F. The effects of home care on patients' symptoms, hospitalizations and complications. A model or framework is central to achieving clinical nurse specialist (CNS) role consistency and sustainability and in supporting evolution of CNS as a distinct and legitimate healthcare expert in the healthcare delivery system. He asks Mary about driving, and she observes the tension between him and his wife regarding this question. The Theory and Practice of Mental Health Consultation. An integrative review of leadership competencies (2022, August 14). Bingle JM. Gemmill R, Williams AC, Cooke L, Grant M. Appl Nurs Res. Cookie Notice Thomas and Janice do have some questions about disability paperwork. Mary goes on to discuss the communication with the kids and urges the couple to keep the children close, stating that research indicates that inclusion in the family's challenges is actually healthier for their coping. advanced practice nurse, intervention research, transplant. The mask precautions and food restrictions are lifted and Thomas has an intense craving for a hamburger with lots of lettuce and tomato. Total time in the hospital is 28 days. If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. Hughes LC, Robinson LA, Cooley ME, Nuamah I, Grobe SJ, McCorkle R. Describing an episode of home nursing care for elderly postsurgical cancer patients. Janice really connects and appreciates the time to focus on her. The core competencies are meant to assist practicing nurses to advance their knowledge through continuous consultation, guidance, research, coaching, leadership and collaboration (Rounds et al., 2013). Competencies of nurse practitioners in family practices: You are free to use it to write your own assignment, however you must reference it properly. J Nurs Adm 14(1):2430, European Specialist Nurses Organizations (2015) Competences of the clinical nurse specialist (CNS): common plinth of competences for the common training framework of each specialty. Advanced Practice Nursing: An integrative approach. 2022. The intervention nurse, Mary who is a Clinical Nurse Specialist calls him within 2 hours and sets up an appointment for his first teaching session the next day. "Hamric Integrative Model: Purpose and Structure." MeSH The https:// ensures that you are connecting to the Wolters Kluwer Health, Inc. and/or its subsidiaries. Richmond TS, Becker D. Creating an advanced practice nurse-friendly culture: a marathon, not a sprint. Advanced Practice in Nursing. PMC The surname Hamric was first found in Tours in Normandy, where the name was spelt D'Amery, or Amaury the delicate of Pontoisse, and Mary goes to the house for Session 4 and meets all the kids and the family. St. Loius: Elsevier. However, the remaining features are directly related to the central competencies. It is evident from research studies that there has been continuous evolution of APNs roles and practices. Mary talks about sexuality and what can be expected at this time. Somehow he thinks that being in his own bed and eating food at home will restore him quickly. This model has been refined several times. The key COOKE, LIZ MN, RN, AOCN, ANP; GEMMILL, ROBIN MSN, RN, CNS, CWOCN; GRANT, MARCIA DNS, RN, FAAN. Author, Reston, VA, National League for Nursing (NLN) (1958) Report of the National Working Conference: education of the clinical specialist in psychiatric nursing. Bosworth HB, Olsen MK, McCant F, et al. https://www.cna-aiic.ca/en/nursing-practice/the-practice-of-nursing/advanced-nursing-practice/clinical-nurse-specialists. Hamric Integrative Model: Purpose and Structure. August 14, 2022. https://studycorgi.com/hamric-integrative-model-purpose-and-structure/. The complexity of this shift is especially evident in the population of hematopoietic cell transplantation (HCT) patients who have life-threatening disease and treatment, and are acutely ill for weeks to months after hospital discharge. "components": { After the meeting she emails the social worker (sends a copy to the MD) for the Hills and asks her to follow-up with the disability questions before discharge. The second week home Thomas notices an itchy rash on his chest and back. Wilson R, Godfrey CM, Sears K, Medves J, Ross-White A, Lambert N. JBI Database System Rev Implement Rep. 2015 Oct;13(10):146-55. doi: 10.11124/jbisrir-2015-2150. An integrative framework for advanced practice nursing is a science and research-based model that provides a framework for competencies and roles of practicing nurses. These are defined as follows: Each of the core competencies represents essential features needed to carry out the teaching intervention. The meaning of quality of life for bone marrow transplant survivors. Please. WebMutual respect, trust, and the appreciation and recognition of diverse, complementary knowledge are also considered essential elements of collaboration; however, these characteristics develop over time (Hamric, Hanson, Tracy & OGrady, 2014). Semin Oncol Nurs. The competency to highlight at this stage is clinical and professional leadership which according to Hanson and Spross (2005) involves roles such as advocate, change agent and group leader.31 Mary's presence and participation in tandem with the MD visit demonstrates her clear role as advocate for her patient. Bethesda, MD 20894, Web Policies His remission after therapy lasted six months. Janice begins to cry and relates how Thomas has been so distant. Research Skills: are demonstrated by the ability to be the intervention nurse in a research study. A model for CNS practice is a process model demonstrating interrelationships among elements constituting practice including domains of practice, practice competencies, and desired outcomes. In: Kleinpell RM, editor. He knows that Mary said readmissions were common, but he feels that he is going to be the exception. "customer": { 2011 Dec;25(4):661-70. doi: 10.1111/j.1471-6712.2011.00876.x. The MD tells him the fluctuations with a new marrow are normal, and indeed his WBC and platelets rise after a week of IV therapy. Your message has been successfully sent to your colleague. Mary assesses him for depression, and teaches both of them that depression does occur after transplant in approximately 25% of patients. He kept hearing the word disease after graft-versus-host and thought that he had another big problem. In: Fulton JS, Lyon BL, Goudreau KA (eds) Foundations of clinical nurse specialist practice. Springer Company, New York, NY, pp 115, Fulton JS (2019) Fulfilling our social mandate. Moreover, it acts as a foundation for further research on advanced nursing practice. Google Scholar, Baldwin KM, Clark AP, Fulton JS, Mayo A (2009) Validation of the NACNS clinical nurse specialist core competencies through a national survey. The purpose of this paper was to describe evidenced-based interventions as implemented by advanced practice nurses (APNs) conducting intervention research with a vulnerable population of blood and marrow transplant patients. She continues to cover new content about diet asking his wife about the food preparation issues specific to the home and offering suggestions that fit their food preferences. Informal caregiving in Hematopoietic Blood and Marrow Transplant patients. (Hamric et al., 2014) as occurring in four primary domains; in clinical practice with patients and staff, in Some texts are foundational references for practice, and Hamric and Hansons Advanced Practice Nursing is such a reference. This contributes to an individuals belief and understanding that goals can be best attained when challenges are handled in a systematic manner. Right atrial catheter care, medications), 2) monitor and respond to the occurrence of complications, 3) carry out a recommended exercise and nutrition program, and 4) adapt to post transplant status implementing a variety of resources depending on the problem or need identified. Liz Cooke attended Mount St. Mary's College for her BSN degree in 1984, UCLA for her Master's degree in 1991, and CSULB for her NP certificate in 1993. Thomas and his wife meet with the social worker and find the session very helpful. She talks about caregiver strain and the need for Janice to really take care of herself. She is concerned about the driving issue, and feels that the MD needs to be aware of his frustrations. Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey Accessed 17 Dec 2019, Fenton MV (1985) Identifying competencies of clinical nurse specialists. Musto PK. The patient is approached by the accrual nurse who educates him about a current nursing discharge teaching study available for eligible transplant patients. For instance, a practicing nurse must attain education up to the graduate level and get certified before initiating the practice as a professional. Sitemap. He returns home now a bit more knowledgeable regarding the mountain of recovery before him. An official website of the United States government. He is relieved that he does not need to be readmitted. the contents by NLM or the National Institutes of Health. She is worried about a clear message being sent to the patient regarding his driving restrictions. She came up with a primary criterion of examining the level of education, certification in a nursing specialty and clinical practice of practicing nurses (Hamric, Spross & Hanson, 2005). She also begins to assess the family for role shifting and asks Janice how the communication between them has been. Clipboard, Search History, and several other advanced features are temporarily unavailable. She is aware of the content of the study, the aims, and her role. Hamric & Hanson's Advanced Practice Nursing - Elsevier Establishing Interrater Reliability Within the Advanced Practice Nurse Peer Review Process. In: Hamric A, Spross J, Hanson C, editors. These thoughts take him by surprise; he has always been steady and not very introspective. For the best experience on our site, be sure to turn on Javascript in your browser. From the peer review literature, it is possible to attest that this model has positioned nursing practice as an independent profession (Oberle & Allen, 2001). } Accessibility After Session six, Mary continues to telephone Thomas and his family monthly. 2009 May;25(2):139-50. doi: 10.1016/j.soncn.2009.03.008. Both he and his wife feel that they were given a comprehensive, team-focused intervention for his depression, His counts continue to be good. Nurse Practitioner (NP) core competencies are the knowledge requirements that a nurse practitioner should be acquainted with by the time they graduate from NP school. Hamric Name Meaning & Hamric Family History at Ethical decision making. American Nurses Association, Silver Spring, MD, Arslanian-Engoren C (2019) Chapter 2. https://doi.org/10.1007/978-3-319-97103-2_2, DOI: https://doi.org/10.1007/978-3-319-97103-2_2. Clin Nurse Spec 23(2):7390, National Association of Clinical Nurse Specialists (2004) Statement on clinical nurse specialist practice and education, 2nd edn. Doupi P, van der Lei J. McCorkle R, Benoliel JQ, Donaldson G, Georgiadou F, Moinpour C, Goodell B. Please try again soon. Proposed conceptual definition of APN and defining characteristics and a set of core competencies. The plan is to send him home in 3 days. In addition, each of the 6 core competencies of the APN role identified by Hamric are outlined and applied using a patient case study. FOIA For instance, there are those that are made up of direct nursing practice. Thoroughly revised and updated, the 7th edition of this bestselling text covers topics ranging from the evolution of advanced practice nursing to evidence-based practice, leadership, ethical decision-making, and health policy. Evolution of the clinical nurse specialist role and practice in the United States. Some error has occurred while processing your request. Conceptual Models for Clinical Nurse Specialist Role and Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. [Clinical leadership competencies in advanced nursing practice : Scoping review]. Outcome Assessment in Advanced Practice Nursing. Author, New York, NY, Reiter F (1966) The nurse-clinician. The second thematic question related to the core competencies inherent to working as an expert on an advanced level. The model offers a coherent structure in which vital concepts in advanced practice nursing are identified and linked to each another. WebThe APN Leadership competency is conceptualized by Hamric et al. Advanced practice nurses scope of These include collaboration, direct practice, evidence-based practice, consultation, ethical decision-making, guidance and coaching as well as professional leadership. FOIA Associate Professor, Assistant Dean for the PhD Program and Director of Graduate Studies, School of Nursing, University of Minnesota; Nurse Scientist, University of Minnesota Medical Center, Minneapolis, Minnesota, Certified Nurse Practitioner and Wellness Coach; Founder, The School of Wellness, McLean, Virginia, Associate Dean - Clinical Affairs, University of California Irvine, Irvine, California, Hamric & Hanson's Advanced Practice Nursing, Authors: Mary Fran Tracy, Eileen T. O'Grady, Susanne J. Phillips, Part I Historical and Developmental Aspects of Advanced Practice Nursing, Chapter 1 History and Evolution of Advanced Practice Nursing, Chapter 2 Conceptualizations of Advanced Practice Nursing, NATURE, PURPOSES, AND COMPONENTS OF CONCEPTUAL MODELS, CONCEPTUALIZATIONS OF ADVANCED PRACTICE NURSING: PROBLEMS AND IMPERATIVES, CONCEPTUALIZATIONS OF ADVANCED PRACTICE NURSING ROLES: ORGANIZATIONAL PERSPECTIVES, CONCEPTUALIZATIONS OF THE NATURE OF ADVANCED PRACTICE NURSING, MODELS USEFUL FOR ADVANCED PRACTICE NURSES IN THEIR PRACTICE, Chapter 3 A Definition of Advanced Practice Nursing, DISTINGUISHING BETWEEN SPECIALIZATION AND ADVANCED PRACTICE NURSING, DISTINGUISHING BETWEEN ADVANCED NURSING PRACTICE AND ADVANCED PRACTICE NURSING, CORE DEFINITION OF ADVANCED PRACTICE NURSING, SIX CORE COMPETENCIES OF ADVANCED PRACTICE NURSING, DIFFERENTIATING ADVANCED PRACTICE ROLES: OPERATIONAL DEFINITIONS OF ADVANCED PRACTICE NURSING, CRITICAL ELEMENTS IN MANAGING ADVANCED PRACTICE NURSING ENVIRONMENTS, IMPLICATIONS OF THE DEFINITION OF ADVANCED PRACTICE NURSING, Chapter 4 Role Development of the Advanced Practice Nurse, PERSPECTIVES ON ADVANCED PRACTICE NURSE ROLE DEVELOPMENT, ROLE CONCEPTS AND ROLE DEVELOPMENT ISSUES, Chapter 5 International Development of Advanced Practice Nursing, ADVANCED PRACTICE NURSING ROLES WITHIN A GLOBAL HEALTHCARE CONTEXT, FACILITATING THE INTRODUCTION AND INTEGRATION OF ADVANCED PRACTICE NURSING ROLES, NEXT STEPS IN THE GLOBAL EVOLUTION OF ADVANCED PRACTICE NURSING ROLES, Part II Competencies of Advanced Practice Nursing, DIRECT CARE VERSUS INDIRECT CARE ACTIVITIES, SIX CHARACTERISTICS OF DIRECT CLINICAL CARE PROVIDED BY ADVANCED PRACTICE NURSES, FORMATION OF THERAPEUTIC PARTNERSHIPS WITH PATIENTS, DIVERSE APPROACHES TO HEALTH AND ILLNESS MANAGEMENT, HELPING PATIENTS MANAGE CHRONIC ILLNESSES, THEORIES AND RESEARCH SUPPORTING APRN GUIDANCE AND COACHING, BUILDING RELATIONSHIPS FOR APRN GUIDANCE AND COACHING, APRN PRACTICE PRINCIPLES FOR SUCCESSFUL GUIDANCE AND COACHING, GENERATING EVIDENCE: HISTORICAL PERSPECTIVE, FROM POLICY TO PRACTICE: TIPS FOR ACHIEVING MEANINGFUL CHANGES IN PRACTICE BASED ON CURRENT BEST EVIDENCE, LEADERSHIP: DEFINITIONS, MODELS, AND CONCEPTS, CHARACTERISTICS OF APRN LEADERSHIP COMPETENCY, DEVELOPING LEADERSHIP IN THE HEALTH POLICY ARENA, OBSTACLES TO LEADERSHIP DEVELOPMENT AND EFFECTIVE LEADERSHIP, STRATEGIES FOR IMPLEMENTING THE LEADERSHIP COMPETENCY, CHARACTERISTICS OF EFFECTIVE COLLABORATION, IMPACT OF COLLABORATION ON PATIENTS AND CLINICIANS, CONTEXT OF COLLABORATION IN CONTEMPORARY HEALTH CARE, PROCESSES ASSOCIATED WITH EFFECTIVE COLLABORATION, OVERVIEW OF ETHICAL APPROACHES TO RESOLVING ETHICAL CONFLICTS, GOALS OF CARE: A CLINICAL-ETHICAL FRAMEWORK TO ENHANCE APRN PRACTICE, NAVIGATING BARRIERS TO ETHICAL PRACTICE AND STRATEGIES TO OVERCOME THEM, Part III Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing, CLINICAL NURSE SPECIALIST PRACTICE: COMPETENCIES WITHIN THE SPHERES OF IMPACT, Chapter 13 The Primary Care Nurse Practitioner, CURRENT AND HISTORICAL PERSPECTIVES ON PRIMARY CARE AND THE NURSE PRACTITIONER ROLE, EMERGENCE OF POSTGRADUATE TRAINING IN PRIMARY CARE, PRIMARY CARE WORKFORCE AND THE CONTEXT OF PCNP PRACTICE TODAY, Chapter 14 The Acute Care Nurse Practitioner, ACNP SCOPE OF PRACTICE: LEVELS OF INFLUENCE, PROFILES OF THE ACNP ROLE AND PRACTICE MODELS, SPECIALIZATION OPPORTUNITIES WITHIN THE ACNP ROLE, THE NURSE-MIDWIFERY PROFESSION IN THE UNITED STATES TODAY, IMPLEMENTING ADVANCED PRACTICE NURSING COMPETENCIES, Chapter 16 The Certified Registered Nurse Anesthetist, BRIEF HISTORY OF CRNA EDUCATION AND PRACTICE, ROLE DEVELOPMENT AND MEASURES OF CLINICAL COMPETENCE, Part IV Critical Elements in Managing Advanced Practice Nursing Environments, Chapter 17 Maximizing APRN Power and Influencing Policy, POLICY: HISTORIC CORE FUNCTION IN NURSING, UNITED STATES FUNDAMENTALLY DIFFERS FROM THE INTERNATIONAL COMMUNITY, CURRENT ADVANCED PRACTICE NURSING POLICY ISSUES, APRN POLITICAL COMPETENCE IN THE POLICY ARENA, EMERGING ADVANCED PRACTICE NURSING POLICY ISSUES, Chapter 18 Marketing Yourself as an APRN: Contracting and Negotiation, CHOOSING BETWEEN ENTREPRENEURSHIP/INTRAPRENEURSHIP, Chapter 19 Reimbursement and Payment for APRN Services, BILLING FOR APRN SERVICES: UNDERSTANDING THE PROCESS, Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements, THE CONSENSUS MODEL FOR APRN REGULATION: LICENSURE, ACCREDITATION, CERTIFICATION, AND EDUCATION, ADVANCED PRACTICE REGISTERED NURSE MASTERS 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, STANDARDS OF PRACTICE AND STANDARDS OF CARE FOR APRNS, ISSUES AFFECTING APRN CREDENTIALING AND REGULATION, Chapter 21 APRN Outcomes and Performance Improvement Research, CONCEPTUAL MODELS OF CARE DELIVERY IMPACT, PERFORMANCE (PROCESS) IMPROVEMENT ACTIVITIES, FUTURE DIRECTIONS FOR USING OUTCOMES IN APRN PRACTICE, Chapter 22 Future Technologies Influencing APRN PracticeDebora SimmonsPamela Salyer, MAKING SENSE OF COMPLEXITY IN HEALTH INFORMATION TECHNOLOGY, DIAGNOSTIC, THERAPEUTIC, AND PROCEDURAL DEVICES AND APPS, DATA, CLINICAL DECISION SUPPORT, AND ADVANCED ANALYTICS, FUTURE IMPLICATIONS OF TECHNOLOGY-ENABLED ADVANCED PRACTICE REGULATION AND GROWTH: A CALL TO PARTICIPATE, Chapter 23 Using Healthcare 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.
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