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Health Policy and Advanced Practice Nursing

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Health Policy and Advanced Practice Nursing

SKU# 9780826169426

Impact and Implications


  • Kelly A. Goudreau PhD, RN, ACNS-BC, FAAN
  • Mary C. Smolenski EdD, MS, FNP, FAANP

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There are many policy books, but none are written by APRNs or focus just on APRN practice. This topic is critical in today's healthcare reform movement. APRNs are at the core, or can be, if they use their practice knowledge and education to shape policy...[The] editors eloquently make the case that policy formation is a critical nursing skill."--Doody's Medical Reviews

"Gaining a better understanding of the political landscape and its impact on nursing and the APRN practice environment, by learning through textbooks such as this, and then through active involvement at any level in the political process itself, can only strengthen nursing and its influence on health policy ."

-Loretta C. Ford, RN, EdD, PNP, FAAN, FAANP From the Foreword

This view of health policy from the perspective of APRN practice is a call to action for advanced practice nurses to learn about the impact and implications of current initiatives in health policy. This knowledge will assist them in determining how they define and create positive change for their patients and have an impact on community, national, and world health. This is the only text that satisfies the need for policy discussions for all APNs , it is designed to meet the requirements of both the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum. The text encompasses evolving health care policy and reform in the U.S., Canada, and internationally, addressing its impact on advanced practice nursing, APRN roles, care for special populations, health care quality, and patient safety .

The book brings together a wealth of information written by luminaries in the field. Dr. Goudreau is a Past President, and Board Member of the National Association of Clinical Nurse Specialists (NACNS), and Dr. Smolenski was Director of Certification Services at the ANCC for 11 years, directing certification for 150,000 nurses in over 30 specialties.

The text discusses issues surrounding the regulation of APRNs, how the local regulatory environment shapes their practice and how they can shape their local regulatory environment. Additionally, the text brings in international perspectives on how APRNs can and are impacting patient care globally. In order to provide content relevant to a universal APRN readership, each section of the text endeavors to present information from all four APRN perspectives: NPs, CNSs, CRNAs , and CNMs. For all of these roles, the book covers the implications of current and future health policy changes for APRN practice.

Key Features:

  • Addresses the role-specific policy informational needs of all APRN roles including NPs, CNSs, CRNAs , and CNMs
  • Brings together in one volume all of the requisite information about health care policy and reform and its impact on advanced practice nursing
  • Meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum
  • Offers guidance on how APRNs can influence policy development
  • Covers impact and implications of health care policy and reform in the U.S., Canada, and internationally

Product Details 

  • Publication Date December 11, 2013
  • Page Count 470
  • Product Form Paperback / softback
  • ISBN 13 9780826169426
  • EISBN 9780826169433

About The Author(s) 

Kelly A. Goudreau PhD, RN, ACNS-BC, FAAN, is Associate Director for Patient Care Services and Nurse Executive, Kansas City VA Medical Center, Kansas City, MO., and Associate Editor for Clinical Nurse Specialist: The Journal of Advanced Nursing Practice. She is also past President of the National Association of Clinical Nurse Specialists (NACNS). She is licensed as a CNS in Oregon and is certified by the ANCC as a CNS in Adult Health. Dr. Goudreau has received honors from the Oregon Nurses Association, is a recipient of the Brenda Lyon Leadership Award and the President’s Award from NACNS, and is a Fellow of the American Academy of Nursing. She has published more than 30 journal articles and is co-editor for two books.

Mary Smolenski, EdD, MS, FNP, FAANP, is a consultant, registered nurse, and family nurse practitioner with varied experience including graduate education, consulting, the military, primary care, independent practice, and association work with an emphasis on certification and accreditation. She is a Fellow of the American Association of Nurse Practitioners. Dr. Smolenski served as Director of Certification Services at the American Nurse Credentialing Center (ANCC) for 11 years, directing the certification and certification renewal processes for over 150,000 nurses. She has served on several non-profit boards: URAC, the Accreditation Council of the American Board of Nursing Specialties (now the American Board of Specialty Nursing Certification) and the National Organization of Competency Assurance (now the Institute for Credentialing Excellence-ICE). Dr. Smolenski has written numerous articles and given presentations on certification, competency, advanced practice nursing, and portfolios.

Table of Contents 



Foreword by Loretta C. Ford


Unit I - Introduction to Health Policy from an Advanced Practice Perspective

1.Prolific Policies: Implications for Advanced Practice Registered Nurses

Melissa Stewart

2.Turning Health Policy Into Practice: Implications for Advance Practice Registered Nurses

James L. Harris

3.The Johnson & Johnson Campaign for Nursing's Future: An impetus for change

Mary Smolenski

4. Policy Implications for Optimizing Advanced Practice Registered Nurse Use Nationally

Robin P. Newhouse , Jonathan P. Weiner , Julie Stanik-Hutt , Kathleen M. White , Meg Johantgen , Don Steinwachs , George Zangaro , Jillian Aldebron , Eric B. Bass

5.The IOM Report-The Future of Nursing

Liana Orsolini

6. Implications for Practice: The Consensus Model for APRN Regulation

Kelly A. Goudreau

7.Coalition for Patients Rights: A coalition that advocates for scope of practice issues

Melinda Ray and Maureen Shekleton

8.The Future of Nursing: Campaign for Action

Susan Hassmiller, Susan Reinhard, and Andrea Brassard

Unit II-Implications of Health Care Reform and Finance on APRN Practice

9.The Patient Protection Affordable Care Act (PPACA)

Jan Towers

10. The AARP Initiatives

Andrea Brassard and Susan Reinhard

11. A Million Hearts Initiative

Liana Orsolini and Mary Smolenski

12. Joining Force: Taking Action to Serve America’s Military Families - A White House Initiative

Cathy Rick

13. Effective State-Level Advanced Practice Registered Nursing (APRN) Leadership in Health Policy

Christine Filipovich

14. Funding of APRN education and residency programs

Suzanne Miyamoto

Unit III- Health Policy and Special Populations

15. Interface of Policy and Practice in Psychiatric Mental Health Nursing: Anticipating challenges and opportunities in health care reform

Kathleen R. Delaney and Andrea N. Kwasky

16. The Aging Population

Pat Kappas-Larsen

17. The Certified Nurse Midwife in Advanced Nursing Practice

Janelle Komorowski

18. Health Policy Implications for APRNS related to End of Life Care

Judy Lentz

19. Health Policy Implication for APRNS Related to Oncology Care

Cynthia Abarado, Kelly Brassil, Garry Brydges, and Joyce E. Dains

Unit IV-Health Policy and its Impact on APRN Driven Quality

20.Policy implications for Advanced Practice Registered Nurses: Quality and safety

Mary Jean Schuman

21. Moving Toward Accountable Care: A Policy Framework to Transform Health Care

Susan M. Kendig

22. A Systemic Approach to Containing Health Care Spending

Ezekiel Emanuel, Neera Tanden, Stuart Altman, Scott Armstrong, Donald Berwick, François de Brantes, Maura Calsyn, Michael Chernew, John Colmers, David Cutler, Tom Daschle, Paul Egerman, Bob Kocher, Arnold Milstein, Emily Oshima Lee, John D. Podesta, Uwe Reinhardt, Meredith Rosenthal, Joshua Sharfstein, Stephen Shortell, Andrew Stern, Peter R. Orszag, and Topher Spiro

23. The Effects of Shifting Sands of Health Policy on Advanced Practice Nursing Organizations

Anita Finkelman

24. The American Nurses Association

Cindy Balkstra and Andrea Brassard

25. State Implementation of the APRN Consensus Model

Tracy Klein

26. Advanced Practice Registered Nursing: the Global Perspective

Judith Shamian, D.Sci, and Moriah Ellen

27. Credentialing Across the Globe: Approaches and applications

Frances Hughes and Catherine Coates

Unit VI-What does the future hold for APRN Practice and Health Care Policy

28. Health Policy for Advanced Practice Registered Nurses: An international perspective

Madrean M. Schober

29.The Future for Nurse Practitioners

Jan Towers

30. What the Future Holds for Clinical Nurse Specialist (CNS) Practice and Health Policy

Rachel Moody

31. Health Policy and Special Needs Populations: Advanced Nursing Practice in Low-Income Countries

Patricia L. Riley, Jessica M. Gross, Carey F McCarthy, Andre R Verani, and Alexandra Zuber

32.Health Care Policy and Certified Registered Nurse Anesthetists: Past, present and future

Christine S. Zambricki