Advanced Practice Nursing Contexts of Care

by Lynette Hamlin

Overview

Advanced Practice Nursing: Contexts of Care is a robust collection of practice focused case studies which address current issues in the evolving nursing profession, targeting concerns of the advanced practice nurse. Throughout the text actual cases are used for the illustration and analysis of practice contexts, which include organizational structure, managed care, inter- and intra-professional issues, politics, power, finance, planning, regulation, ethics, law, quality, and patient safety. Discussion around opportunities for nursing to extend practice into new forms and environments is also covered. The text is a very valuable tool for case-based teaching format around policy issues that directly impact practice and Master’s-prepared nurses. Each case is interspersed with discussion questions which guide case discussions in both specific and global issues within the case. In addition, each case has a list of references that can be used to guide the cases. Unlike other health policy texts, this text focuses on cases that bring application to those health policy issues. This text is also a solid resource for practitioners interested in keeping current on issues that guide clinical practice. Key Objectives: Appreciate the regulatory and legal environment that surrounds practice Analyze the influences of the working and regulatory contexts upon nursing practice Integrate an understanding of history and development of trends and issues into contemporary practice Provide a differential diagnosis among political, policy, regulatory, legal, and professional causes of contextual problems Propose solutions to contextual problems Value experience as data

Product Details

ISBN-13:	9781284047028
Publisher:	Jones & Bartlett Learning
Publication date:	09/12/2014
Edition description:	New Edition
Pages:	338
Product dimensions:	6.00(w) x 8.90(h) x 0.90(d)

About the Author

Lynette Hamlin, PhD, RN, CNM, FACNM received her BSN and MSN degrees from Loyola University of Chicago, her post-master’s certificate in nurse-midwifery from the University of Illinois and her doctorate in nursing, with a minor in public administration, from the University of Wisconsin-Milwaukee. Dr. Hamlin has held academic leadership positions at Yale University School of Nursing, the University of New Hampshire, and the University of South Carolina Upstate. She has extensive experience as both a nursing and midwifery educator and as a clinician. She is a Fellow in the American College of Nurse-Midwives, a participant in the DHHS 2003 Primary Health Care Policy Fellowship, and a recipient of the coveted Kitty Ernst Award.

Table of Contents

Dedication iii

Acknowledgments xi

Preface xiii

About the Authors xv

Reviewers xvii

Contributors xxi

Chapter 1 Contexts of Care Lynette Hamlin, PhD, RN, CNM, FACNM 1

How to Use This Text 3

Chapter 2 Advanced Practice Nursing and Governance Susan A. Reeves, EdD, RN 7

Part I Background 8

Part II Economic Realities of the 2000s Set In 10

Part III A Path Forward 11

Part IV Linking with the Nursing Division: One Step Forward, Two Steps Back? 13

Part V Anne Butler, Chief Nursing Officer 14

Part VI Meeting with Anne 16

Part VII Epilogue 17

Chapter 3 Advanced Practice and Prescriptive Authority Lynn Price, JD, MSN, MPH 21

Background 21

Supervision, Collaboration, and Independent Practice 25

Chapter 4 Credentialing and Privileging Lynette Hamlin, PhD, RN, CNM, FACNM 41

Part I Background 42

Part II Lisa 43

Part III Success 49

Part IV Establishing Credibility and Garnering Publicity 56

Chapter 5 Managed Care, Healthcare Financial Management, and Reimbursement Julie C. Jacobson Vann, PhD, MS, RN 59

Managed Care 60

The Uninsured and Access to Healthcare Services 63

Funding Strategies for Nurse-Managed Health Centers and Other Community-Based Services 79

Cost Analysis of Healthcare Programs and Services 85

Pay for Performance 92

Chapter 6 Quality Management Linda Searle Leach, PhD, RN, NEA-BC, CNL 109

The Healthcare Chasm 109

Quality Defined 112

Quality Management 113

Principles of Quality Improvement 114

Approaches to Monitor and Improve Healthcare Quality 122

National Committee for Quality Assurance 125

Institute for Healthcare Improvement 126

Leading Change, Advancing Health: The IOM Future of Nursing Report 127

National Healthcare Quality and Disparities Reports 128

Chapter 7 Health Policy and Advocacy: Practice to the Full Extent Mary Virden, RN, MSEd 135

Part I Background 136

Part II Practice Transformation: Where to Begin? 137

Part III Building Relationships 141

Part IV Changing Care Delivery 143

Part V Reducing Barriers 150

Conclusion 152

Chapter 8 Patient Safety: Congressional Action Angela S. Mattie, JD, MPH 159

Background 159

Analyzing Different Views 162

The Major Issues 165

Conclusion 176

Appendix A Public Law 109-41: The Patient Safety and Quality Improvement Act of 2005 178

Appendix B American Nurses Association Position Statement on Medical Errors 196

Chapter 9 The Ethical Practice of the Psychiatric Advanced Practice Nurse in Public Mental Health Care Barbara Jo Bockenhauer, RN, MSN, Kathleen Cummings, RN Lynette Hamlin, PhD, RN, CNM, FACNM 199

Part I Clinical Example 200

Part II Involuntary Admission 204

Part III Medication Administration 206

Part IV Decision Making 207

Part V Homelessness and Mental Illness 209

Chapter 10 Healthcare Informatics Robin Raiford, RN-BC, CPHIMS, FHIMSS Kathleen Kimmel RN, BSN, MHA/MBA CPHIMS, FHIMSS 215

Today's Informatics Landscape and Where We Are Headed 215

The Importance of Nurse Knowledge and Skills in the Five Areas of Informatics 223

The Benefits and Limitations of Information Technology Related to Patient Care Outcomes 228

Embracing the Impact of Meaningful Use of Electronic Healthcare Records 232

Executing Strategic Intent in the Era of Value-Based Care 238

Designing Business Intelligence Frameworks 239

Chapter 11 Interprofessional Healthcare Teams Christine Pintz, PhD, RN, FNP-BQ Jean Johnson, PhD, RN, FAAN 243

Interprofessional Teams in Health Care 244

Team Communication 255

Interprofessional Education 256

Conclusion 257

Chapter 12 The Clinical Nurse Leader Pamela Abraham, MSN, RN, CNL Catherine Edmonds, MSN, RN, CNL Jennifer Kareivis, MSN, RN CNL Marianne Sweeney, MSN, RN, CNL 261

A Day in the Life 263

CNL Framework 263

Conceptual Analysis of the CNL Role 281

Chapter 13 Disaster Preparedness Dottie Bringle, RN, BSN, MSHSA, COO/CNO Mercy-Joplin Hospital 283

Part I Joplin, Missouri 283

Part II Disaster Management 284

Part III May 22, 2011: Joplin Tornado 284

Part IV Mercy's Commitment 290

Part V Realistic Labor Allocation 290

Part VI Interacting with the Agencies: Pre/During/Post Disaster 293

Chapter 14 Power in the Healthcare Relationship Judith B. Krauss, RN, MSN, FAAN 299

Background 299

Nurse-Patient Relationships 303

Interprofessional Relationships 312

Student-Faculty Relationships 315

Systems Relationships 320

Index 327

Editorial Reviews

Reviewer: Kathleen M. Woodruff, DNP, RN, ANP-BC(USC School of Social Work)
Description: This book explores the impact of the regulatory and legal environments in clinical practice on healthcare.
Purpose: The purpose is to describe the history and development of trends and issues in the current healthcare arena. The book focuses on improving the understanding of the regulatory and legal environment in healthcare and analyzing its influence on nursing practice. The ultimate goal is to improve the understanding of political, policy, regulatory, legal, and professional causes within the contextual problems associated with healthcare.
Audience: The audience includes students and faculty interested in discussing and debating health policy. The authors have extensive experience in the field and are considered experts.
Features: The book covers a wide range of topics including advanced practice nursing and governance, issues related to prescriptive authority and credentialing, reimbursement, and quality management. Healthcare policy issues related to advocacy, patient safety, informatics, and ethics are discussed in depth. In addition, the book covers advanced practice roles and development of interprofessional teams. Many of these topics are examined by exploring and dissecting specific case studies.
Assessment: This unique resource is a wonderful addition to the field of nursing and healthcare. Exploring these challenging topics gives advanced practice nurses the background and knowledge they need to actively contribute thoughtful solutions to these complex healthcare issues.

Doody's Review Service