Advance Practice Nursing Chapters 1-6

ADVANCE PRACTICE NURSING
CHAPTERS 1-6


Advancedrhpracticerhregisteredrhnurserh(APRN)rh-
rhanswersmastersrhpreparedrhnurserhwhorhprovidesrhdirectrhclinicalrhcare



typesrhofrhAPRNrh-rhanswersNP,rhCNM,rhCRNA,rhCNS



APRNrhrolesrhthatrhrequirerhadditionalrhlicensurerh-rhanswersNP,rhCNM,rhCRNA



Advancerhpracticerhnursingrh(APN)rh-
rhanswersanyrhformrhofrhnursingrhinterventionrhthatrhinfluencesrhhealthrhcarerhoutcom
esrhforrhindividualsrhorrhpopulations,rhincludingrhdirectrhcarerhofrhindividualrhpatients,r
hmanagementrhcarerhforrhindividualsrhandrhpopulations,rhadministrationrhofrhnursingrh
andrhhealthrhcarerhorganizations,rhandrhtherhdevelopmentrhandrhimplementationrhofrh
healthrhpolicy.



ConsensusrhModelrhforrhAPRNrhREgulationrh-
rhanswers*donerhbyrhAPRNrhconsensusrhworkrhgrouprhandrhNationalrhCouncilrhofrhSta
terhBoardsrhofrhNursingrhAPRNrhadvisoryrhCommittee



*addressrhtherhirregularitiesrhinrhregulationrhofrhAPRNrhacrossrhstates



APNrhexamplesrh-rhanswers*rhCNL,rhCNS,rhNurserhEducatorsrh(directrhptrhcare)

,*rhNurserhAdministrators,rhPublicrhHealthrhNurses,rhPolicyrhMakersrh(norhdirectrhptrhc
are)



ClinicalrhNurserhSpecialistrh-
rhanswers*conductsrharhcomprehensiverhhealthrhassessment

*leadsrhandrhparticipatesrhinrhtherhprocessrhofrhselecting,rhintegrating,rhmanaging,rhan
drhevaluationrhtechnology

*leadsrhandrhfacilitatesrhcoordinatedrhcarerhandrhtransitionsrhinrhcollaborationrhwrhptr
handrhteam

*providesrheducationrhandrhcoachingrhtorhptrhwithrhcomplexrhneeds

*consultsrhwithrhhealthcarerhteamsrhtorhintegraterhneeds,rhpreferences,rhstrengthsrhofr
harhpopulationrhintorhtherhhealthcarerhplanrhtorhoptimizerhoutcomesrhandrhptrhexperi
ence

*analyzesrhtherhethicalrhimpactrhofrhscientificrhadvances,rhcost,rhclinicalrheffectivenessr
honrhptrhfamilyrhvalues,rhpreferences



ClinicalrhNurserhLeaderrh-
rhanswers*conductsrharhholisticrhassessmentrhandrhcomprehensiverhphysicalrhexamrhof
rhindividualsrhacrossrhtherhlifespan

*usesrhit,rhanalyticrhandrhevaluationrhmethods

*facilitatesrhcollaboraterhapproachesrhinrhtherhdesign,rhcoordinationrhandrhevaluationrh
ofrhpatient-centeredrhcare

*demonstratesrhcoachingrhskillsrhtorhsupportrhnewrhidtrhmembersrhinrhexploringrhopp
ortunitiesrhforrhimprovingrhcarerhprocessesrhandrhoutcomes

*engagesrhinrhpartnershipsrhatrhmultiplerhlevelsrhofrhtherhhealthrhsystemsrhtorhensure
rheffectiverhcoordination,rhdelivery,rhandrhevaluationrhofrhclinicalrhpreventionrhandrhhe
althrhpromotionrhinterventionsrhandrhservicesrhacrossrhcarerhenvironments

*usesrhevidencerhtorhdesignrhandrhdirectrhsystemrhimprovementsrhthatrhaddressrhtren
dsrhinrhsafetyrhandrhquality

*advocatesrhforrhpoliciesrhthatrhleveragerhsocialrhchanged,rhpromoterhwellness,rhimpro
verhcarerhoutcomes,rhandrhreducerhcost



NurserhEducatorrh-rhanswersrequiresrhspecializedrhpreparation

, mustrhberhcompetentrhclinician

expertiserhinrhtherh3rhps-phatho,rhpharm,rhphysrhassessment



NurserhPractionerrh-
rhanswers*startedrhinrh1960srhduerhtorhshortagerhofrhpcp'srhforrhtherhpediatricrhpopu
lation

*1990srhmastersrhlevelrheducation

*2004rhAACNrhrecognizedrhDNPrhforrhentry-level

*prescriptiverhauthorityrhinrhallrh50rhstatesrhandrhDC



Nurse-Midwiferh-
rhanswers*firstrhschoolrhinrh1925rhbyrhMaryrhBreckenridgerh(foundedrhFrontierrhNursin
grhSerice)

*FAmilyrhhealthrhservicesrhasrhwellrhasrhchildbirth/women'srhhealth

*prescriptiverhauthrhinrh50rhstates,rhDC,rhAmericanrhSamoa,rhGuamrhandrhPuertorhRic
o



NurserhAnesthetistrh-
rhanswersArhnurserhwhorhcompletesrharhcourserhofrhstudyrhinrhanrhanesthesiarhschool
;rhcarriesrhoutrhpreoperativerhvisitsrhandrhassessments;rhadministersrhandrhmonitorsrha
nesthesiarhduringrhsurgery;rhandrhevaluatesrhpostoperativerhstatusrhofrhpatients



NurserhAdministratorrh-
rhanswersNurserhwhorhsupervisesrhtherhorganizationrhofrhnursingrhcarerhtorhensurerho
verallrhsafetyrhandrhquality

Norhmastersrhdegreerhneededrhforrhbasicrhcertification

Master'srhorrhhigherrhforrhAdvancedrhCert.



HistoryrhofrhNPrh-
rhanswers*LilianrhWald'srhnursesrhprovidedrhprimaryrhcarerhforrhcommonrhillnessrhand
rhemergenciesrhthatrhdidn'trhrequirerharhreferral

*1965-NPrhformallyrhdevelopedrhbyrhLorettarhFordrhandrhHenryrhSiler