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). Nursing’s 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 Association’s 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 ANA’s Specialization and Credentialing in Nursing Revisited:: Understanding the Issues, Advancing the Profession published in 2008—which 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. Nursing’s Leading Edges will guide you through the APRN Consensus Model and help you effectively implement it. The nation’s 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 Today’s World Today’s 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 ANA’s 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
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