Advanced Practice Nursing

4th Edition

An Integrative Approach


  • Ann Hamric
  • Judith Spross
  • Charlene Hanson
  • Key Features

    • The development of all major competencies of advanced practice nursing is discussed: direct clinical practice, consultation, coaching/guidance, research, leadership, collaboration, and ethical decision-making.
    • Advanced practice competencies are discussed in relation to all advanced practice nursing and blended CNS-NP roles (case manager, acute care nurse practitioner), highlighting the shared aims and distinctions of each role.
    • In-depth discussions on educational strategies explain how competencies develop as the nurses’ practice progresses.
    • A chapter on research competencies demonstrates how to use evidence-based research in practice, and how to promote these research competencies to other APNs.
    • A conceptual framework shows the clear relationship between the competencies, roles, and challenges in today’s health care environment.
    • Practical strategies are provided for business management, contracting, and marketing.

    Table of Contents

    Part I: Historical and Developmental Aspects of Advanced Practice Nursing

    1. A Brief History of Advanced Practice Nursing in the United States

    2. Conceptualizations of Advanced Practice Nursing

    3. A Definition of Advanced Practice Nursing

    4. Role Development of the Advanced Practice Nurse

    Part II: Competencies of Advanced Practice Nursing

    5. Direct Clinical Practice

    6. Expert Coaching and Guidance

    7. Consultation

    8. Research

    9. Clinical, Professional, and Systems Leadership

    10. Collaboration

    11. Ethical Decision Making

    Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing

    12. The Clinical Nurse Specialist

    13. The Primary Care Nurse Practitioner

    14. The Acute Care Nurse Practitioner

    15. The Blended Role of the Clinical Nurse Specialist and the Nurse Practitioner

    16. The Certified Nurse-Midwife

    17. The Certified Registered Nurse Anesthetist

    18. Evolving and Innovative Opportunities for Advanced Practice Nursing

    Part IV: Critical Elements in Managing Advanced Nursing Practice Environments

    19. Business Planning and Reimbursement Mechanisms

    20. Marketing and Contracting Considerations

    21. Understanding Regulatory, Legal, and Credentialing Requirements

    22. Health Policy Issues in Changing Environments

    23. Strengthening Advanced Nursing Practice in Organizational Structures: Administrative Considerations

    24. Outcome Evaluation and Performance Improvement: An Integrative Review of Research on Advanced Practice Nursing

    25. NEW! Outcomes Evaluation and Performance Improvement: Using Data and Information Technology to Improve Practice


    No. of pages:
    © 2009
    Print ISBN:
    Electronic ISBN: