Advanced Nursing Practice Book

Chapter 1: Introduction.

Advanced Nursing Practice: A Growing Presence.

Advanced Nursing Practice: Patterns of Development.

Definition of Advanced Practice Nurse.

Conclusion.

References.

Chapter 2: Nature of Practice.

Introduction.

Advanced Practice Nursing (APN) Characteristics.

- ICN Official Position on APN Characteristics.

- Country Illustrations.

Labelling the Role.

- Titling.

- Title Protection.

Scope of Practice.

- What is Scope of Practice?.

- What Influences Scope of Practice?.

- Points to Consider When Defining Scope of Practice?.

Core Competencies.

Competency: The Basis for Education and Practice.

- Creating a Competency Map.

- Formulating Competency Statements.

Advanced Tasks versus Advanced Roles.

Controversial Practice Topics.

- Prescriptive Authority.

- Approaching APN Prescribing.

- The Diagnosis Debate.

- Approaching APN Diagnosing.

- Hospital Privileges.

- Approaching APN Hospital Privileges.

Domains of Practice.

Practice Settings.

Conclusion.

References.

Chapter 3: Role and Practice Development.

Introduction.

Striving for the Ideal: Transitional Processes.

Assessing the Opportunity and Need for Advanced Nursing Practice.

Scanning the Environment.

- Stakeholder Analysis.

- SWOT Analysis.

Introducing and Supporting Advanced Nursing Practice.

Interfacing with Nurses, Physicians, Organisations and the Public.

- Interface with Nursing.

- Collegial Respect and Encouragement.

- Strategies for Promoting Positive Nursing Interface.

- Interface with Medicine.

- Collaboration.

- Strategies for Promoting Positive Medicine Interface.

- Interface withOrganisational Structures.

- Strategies for Interfacing with Organisational Structures.

- Interface with the Public.

- Strategies for Interfacing with the Public.

Socialisation: Role Support.

- Strategies to Support New APNs.

Ethical Dimensions of the Advanced Nursing Practice Role.

Conclusion.

References.

Chapter 4: Regulation.

Introduction.

The Regulatory/Legislative Framework.

Factors Influencing the Regulatory/Legislative Systems.

Credentialing Advanced Nursing Practice.

Components of the Credentialing Framework.

- The Credentialee.

- Credentialing mechanisms.

- Credentialing the Advanced Practice Nurse.

- Accrediting Educational institutions and Programmes.

- Credentialer.

- Purpose.

- Powers.

- Standards.

- Processes.

- Term or Duration.

- Costs.

- Effectiveness.

- Mutual Recognition Agreements.

Model for a Regulatory System for Advanced Nursing Practice.

Exploring Your Regulatory Environment.

- Preparation.

- Forming an Overview of the Legislative/Regulatory Systems.

- Understanding Regulatory and Legal Frameworks for Advanced Nursing Practice Advocating For Regulatory/legislative Change.

- Document Analysis.

- Advocacy Strategies.

Conclusion.

References.

Chapter 5: Education for Advance Nursing Practice.

Introduction.

Characteristics of Advanced Nursing Practice Education.

- The Case for Masters Level Education.

- Debate Around Masters Level Education.

- Country Variation in Education Philosophy, Approach and Development.

Paths of Entry Into Programmes.

Vignettes of Advanced Nursing Practice Educational Development.

Assessment of Prior Experience and Bridging Mechanisms.

Curriculum Development.

- A Curriculum Framework to Promote Flexibility.

- Curriculum: Course Distribution.

Advanced Practice Clinical Experience.

- Settings for Clinical Experience.

- Preceptors and Quality of Clinical Placements.

- Planning for the Precepting Experience.

- Examples of APN Student Practicum in New Settings.

Faculty Background and Preparation.

Professional Development and Continuing Education.

Educational Standards and Programme Accreditation.

Conclusion.

References.

Chapter 6: Research.

Theoretical Perspective of Advanced Nursing Practice.

Exploring the Research Perspective.

- Promoting Diverse and Analytical Research.

- Research for Advocacy.

Enhancing Knowledge and Skills in Research.

- The Research Culture.

- Research Competence.

- Writing for Publication.

- Starting to Write.

- Writing.

- Manuscript Preparation.

Searching for Research Funding.

International Classification for Nursing Practice ® (ICNP): A Tool for Collaborative Nursing Research.

An International Research Agenda for Advanced Nursing Practice.

Conclusion.

References.

Chapter 7: Future Prospects and Critical Challenges for Advanced Nursing Practice.

Introduction.

Future Prospects.

- Preparing a Health Care Workforce for the 21st Century.

- Primary Health Care Services.

- Chronic Conditions and Home Care.

- Technology and Telehealth.

- Nurse Entrepreneurs.

Critical Challenges.

- Critical Challenge 1: Integrating Advanced Practice Nurses Into Workforce Planning.

- Critical Challenge 2: International Consensus Building Around Definitions, Scope of Practice, Core Competencies and Education.

- Critical Challenge 3: Capacity Building to Strengthen Advanced Nursing Practice in Health Systems Internationally.

- Critical Challenge 4: Defining the Gaps and Finding the Evidence.

Conclusion.

References.

Appendix 1 Key Informant Survey on Advanced Nursing Practice (ANP) Self-Administered Questionnaire.

Appendix 2 Scope of Practice Examples.

Appendix 3 Strengthens, Weaknesses, Opportunities, Threats SWOT).

Appendix 4 Principles to Guide Standards Development.

Appendix 5 Samples of Course Descriptions in an Advanced Nursing Practice Curriculum.

Appendix 6 Preceptor Guidelines, Student and Preceptor Evaluation Form.

Appendix 7 Checklist for authors preparing to submit an article for publication.

Appendix 8 Example of statements in an ICNP® Catalogue on Adherence to Treatment.

Resources.

Bibliography from Key Informants.

Glossary