What is the purpose of conceptual models? - ANSWERTo articulate professional role
identity and function
- In practice, to conceptualize delivery of holistic, comprehensive, collaborative care.
To differentiate among levels of nursing practice.
-In research, to guide research and theory development.
-In education, to plan curricula
What are the two different types of role conflicts? - ANSWERRole conflict: role
expectations are perceived to be contradictory or mutually exclusive
Intraprofessional Role Conflict
• Communication difficulties at organizational level, in educational programs, in
literature, and in direct clinical practice
• Nurse-NP conflict can be minimized by (1) orienting staff nurses to APRN role and
providing guidelines regarding responsibility issues and (2) allowing new APRNs to
establish rapport with nurses by learning about new setting from them
Interprofessional Role Conflict
• Between physicians and APRN because of perceived threat of competition, lack of
experience working together, historical hierarchy
What types of actions by the advanced practice nurse (APN) shows public policy
advocacy? - ANSWERPublic policy focused Changes in the health‐care delivery
system. Build common ‒ground around scope of practice and other issues in policy
and practice; Expand efforts and opportunities for interprofessional collaboration and
leadership development for nurses; Promote involvement of nurses in redesign of
care delivery and payment systems
Public policy advocacy in the context of Advanced Practice Nurse (APN), is where
nurses use the opportunity they have to talk to people higher in the authority about
the problems faced by their patients. This thus makes them useful people in the
processes of making of policies. The channels include the ones discussed below.
The Goldmark Report in 1923 resulted in what recommendation? -
ANSWERRockefeller foundation supported formation of the committee for the study
of nursing education.
Increase educational standards in nursing schools.
Move educational programs to universities.
Focus student time on education vs. staffing hospitals.
Require nurse educators to have advanced education.
This report identified that hospital-based training programs were inadequate - putting
needs of the institution before the needs of the students.
, Concluded that nursing education should occur in the university setting and that the
learning needs of nursing students should have precedence over the hospital's need
for workers
What are quality indicators? What are some examples of government agencies that
have linked reimbursement to quality indicators? - ANSWERAPRNs that are
examining quality indicators to generate revenue know that outcome data has been
linked to reimbursement to quality indicators.
What model defines the APN role? - ANSWERThe Consensus Model
What is central competency for advanced practice nursing? - ANSWERDirect clinical
practice: first core competency, informs all of the others
- defines advanced practice nursing
- provides the foundation necessary for APNs to execute the other competencies,
such as consultation, guidance, and coaching, and leadership within organizations
- although clinical expertise is a central ingredient of an APN's practice, the direct
care practice of APNs is distinguished by 6 characteristics:
1. use of holistic perspective
2. formation of therapeutic partnership w/patients
3. expert clinical performance
4. use of reflective practice
5. use of evidence as a guide to practice
6. use of diverse approaches to health and illness management
- these characteristics distinguish the practice of the expert by experience from that
of the APN
Negotiation, compromise, and collaboration can minimize or resolve what? -
ANSWERconflict
The first specialty area of nursing in the United States was? - ANSWERNurse
anesthesia
The goals of professional APN organizations are to: establish clear characteristics of
advanced practice, provide for safe patient care, and - ANSWERto interpret
components of clear and competent levels of behavior
What are the types of quality outcomes related to the APN role? -
ANSWERtraditional
structural
process
The first recognized clinical specialty in nursing was? - ANSWERpsychiatric nursing
The steps in Lewin's Freezing Model include? - ANSWER(also called change theory)
(this 3 step model is designed to help leaders make a change in their organization
with minimal disruption to operations and with the intention of helping the change
remain permanent)
1. Unfreeze: helping people to unlearn bad habits & prepare to accept change