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Roles: APN Models & Frameworks

Terms in this set (11)

Define Advance Practice Nursing
Concept, rather than a title to describe clinical practice, education, research, professional development, and organizational leadership.
What does Advance Practice Nursing NOT include
The nurses play of education, research and administration roles
What are two roles under the Advance Practice Nursing Roles
Clinical Nurse Specialist and Nurse Practitioner
Characteristic of Hamric's Integrative Model of APN
Proposed conceptual definition of APN and defining characteristics and a set of core competencies. 7 AP competencies with direct care as a core competency on which other competencies depend
Characteristics of Fenten & Brykczynski Expert Practice Domains of CNS and NP
Difference between CNS and NPs, nurses in APN were experts but more than experts by experience. Describes ways in which two advance nursing roles CNS and NP's may be different with regard to practice and competencies
Characteristics of Calkin's Model of Advance Nursing Practice
1st to distinguish practice of experts by experience from APN as practiced by CNS and NPs. Help nurse administrators differentiate APN from other levels of clinical practice in personal policies and proposed that this could be accomplished by matching patient responses to health problems with skill & knowledge level. Explained how APN perform under different sets of circumstances. Principle advantage to the model is that the skills education & knowledge of nurses are considered based on patients needs
Characteristics of Brown's framework for APN
Entire field of APN including environments that surround and impact upon practices
Characteristics of Strong Memorial Hospital's Model of APN
Evolved from delineation of domains and competencies of acute NP role "combines clinical skills of NP with the systems acumen, educational commitment and leadership ability of CNS. Includes 5 domains: direct comprehensive pt care, support of systems, education, research, publication and professional leadership. Consistent with competencies in Hamric however direct care are mutually exclusive of eachother and exhaustive of practice behavior
Characteristics of Oberele & Allen: The Nature of APN
First proposed conceptualization of nursing practice. Refers to practice by the term praxis, captures values oriented, reflected, creative nature of work of nurses. Conceive of nursing as a dialectis back and forth process between nurses knowledge, and their experience and relationships with patients. Limitation not including the environment.
Characteristics of Shuler's Model of NP Practice
Early NP Model, nursing and medical knowledge skills into NP role led to the development of a conceptual model that would make unique contributions of NP's addressing the need for a model that reflects the acquisition of expertise by the NP in two disciplines; nursing and medicine. Impact on the NP domain at 4 levels; theroetical, clinical, educational, research
What do all the framework and models of APN have in common?
All in the agreement direct care of patients is central to APN practice
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