Imagine having a reference resource that gives you all the things you need to know as a practicing registered nurse (RN) or an advanced practice registered nurse (APRN). Nursings Leading Edges will help you understand the definitions, standards, rules, and regulations involved with specialization, credentialing, and certification in the field of nursing.
This book leverages American Nurses Associations long history of leading the profession in the areas of specialization and credentialing, as well as in the creation and ongoing implementation of the Consensus Model for APRN Regulation.
Updating and building on ANAs Specialization and Credentialing in Nursing Revisited: Understanding the Issues, Advancing the Profession published in 2008which presented a unity model for the specialization and credentialing of nurses, with a focus on APRNs - this ANA publication will examine the constant changes in educational expectations and certification requirements.
Nursings Leading Edges will guide you through the APRN Consensus Model and help you effectively implement it. The nations 3.6 million RNs who work in every sector of our health care system have been called the glue that holds that system together for the patients who must navigate its services. Take this key and unlock the doors of the nursing profession today!
Chapter 1: An Overview of Nursing Practice in Todays World
Todays Nursing Practice Environment
The Nursing Workforce
Recent Evolution of Nursing Education
Doctoral Education in Nursing
Development of the DNP
Other AACN and NLN Contributions to Nursing Education
Regulation and Licensure
Key Stakeholders in the Practice Environment
Professional Associations
Certifying Bodies
Accrediting Organizations
Identification of Recommended Competencies
Associated with Nursing Education and Practice
The Growth of Specialization in Nursing
Documents Essential for All Nursing Practice
Nursing-External Forces and Initiatives
Health System Reform
The Institute of Medicine: Five Key Reports
Information Technology
Quality Agenda
A Model for Defining Practice and Acceptable
Competence
References
Chapter
2. Specialization and Credentialing: Concepts and Definitions
Definitions of Key Terms
Purposes of Credentialing
Elements of Credentialing
Respective Roles and Mutual Recognition: Diagrams of Credentialing
Credentialing of Individuals
Accreditation and Recognition of Organizational
Programs
References
Chapter
3. Specialization and Certification for RNs: Growth and Recognition
Formal Recognition of Nursing Specialties
Recognition of Specialty Nursing Competence and Expertise
Growth of Certification in Nursing
State of the Science: Research on Certification in Nursing References
Chapter
4. Specialization and Certification for APRNs: The Consensus Model
The Four APRN Roles
The Consensus Model for APRN Regulation
What Drove the Development of the Model?
Lack of Common Definitions for APRN Roles
Lack of Standardization in APRN Education Programs
Proliferation of Specialties and Subspecialties
Lack of Common Recognition Across Jurisdictions
Development of the Consensus Model
Multiyear Process
Key Stakeholders Committed to Consensus
Basic Assumptions About the Consensus Model
ANAs Role in the Consensus Model
Key APRN Aspects of the Consensus Model
Definition of an APRN
LACE: The Four Essential Elements
Relevance of Specialties
APRNs as Independent Practitioners
APRN Education
Emergence of New APRN Roles and Population-Foci
Implementation: Strategies, Challenges, and Progress to Date
References
Chapter
5. Specialization and Certification:
Issues, Trends, Moving Forward
The Impact of Occupational Licensing Reform
Building the Business Case for Certification
Building a Stronger Research Base
The Potential Role of Electronic Health Records
Expanded Use of the National Provider Identifier (NPI)
Proliferation of Specialties and New Models of Certification
Proliferation of Specialties and New Specialties
Interprofessional Certification
Certification of Teams
Impact of Globalization
Public Understanding
Continuing Competence
Lifting Barriers to APRN Practice
References
Glossary
Index
Lisa Summers, MSN, DrPH, FACNM, practiced clinically as a nurse and then a nurse-midwife for over 20 years before shifting to policy work. Lisa joined the staff at American College of Nurse-Midwives in 1997, and in 11 years of service there, ultimately serving as Director of Professional Services, she provided consultation on a number of issues, from policy and strategy for malpractice insurance and reimbursement to clinical topics and scope of practice. At American Nurses Association (ANA), she focused on health system reform and the role of advanced practice nursing, interpreting the Consensus Model for APRN Regulation for a wide variety of stakeholders. She currently serves on the faculty at Yale School of Nursing, where she teaches health policy in the PhD and DrPH programs.
Carol J. Bickford, PhD, RN-BC, CPHIMS, FHIMSS, FAAN, a Senior Policy Advisor at American Nurses Association Department of Nursing Practice and Work Environment, continues to coordinate ANAs nursing specialty recognition, scope and standards of practice, and select nursing informatics initiatives. Dr. Bickford has published and presented both nationally and internationally, and regularly serves as a health care consumer advocate and, an ANA and nursing representative to numerous governmental and organizational groups and events.
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