Equips APRNs with tools to influence policy, lead change, and translate theory into impact across local, national, and global systems

Ideal for advanced practice nurses in all tracks, this edition integrates policy literacy with leadership development and ethical decision-making.

Supports effective decision-making, policy advocacy, and collaborative leadership through case examples, concept summaries, and course-ready resources for faculty. Know, use and test your understanding of course content with CourseConnect—an interactive learning platform included with your print purchase.

What’s New:

Eight new chapters, addressing variety of topics: APRNs and the Political Process, Women’s Health Initiatives and Reproduction, Substance Abuse, and more
Updated content on global health, including post-pandemic policy responses and international regulatory shifts
Enhanced coverage of telehealth and licensure compacts, reflecting recent legislative and practice trends
Stronger integration of leadership frameworks, supporting APRNs in policy decision-making and systems-level change
All chapters revised for clarity and currency, aligned with the latest U.S. health policy and nursing guidelines

Key Features:

Covers U.S. and global policy, ethics, finance, telehealth, leadership, and advocacy, with real-world cases and applied learning tools
Empowers nurses to lead change, influence policy decisions, and advocate effectively for patients, communities, and the nursing profession
Includes real-world case studies, synthesis questions, and reflection tools to support critical thinking and practical policy application
Written by nationally recognized nurse leaders, blending academic expertise with real-world policy and advanced practice experience
Instructor Resources include Instructor’s Manual, PowerPoint slides, a Test Bank, and more

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Contents

Contributors

Foreword

Preface

Acknowledgments

Resources

UNIT I: INTRODUCTION TO HEALTH POLICY FROM AN ADVANCED PRACTICE PERSPECTIVE

Chapter 1. Role of Advanced Practice Nurses in the Legislative Process

Chapter 2. APRNs and the political process

Chapter 3. Turning Health Policy into Practice

Chapter 4. Health Policy Effects on Health Systems

Chapter 5. Policy Implications for Optimizing Use of APRNs

Chapter 6. Future of Nursing Report 2030: Where Are We Now?

Chapter 7. National Academy of Medicine

Chapter 8. Updates on the Implications for Practice: The Consensus Model for Advanced Practice Registered Nurse Regulation

Chapter 9. Effective State-Level APRN Leadership in Health Policy

Chapter 10. State-Level Implementation of the APRN Consensus Model: Progress to Date

UNIT II: IMPLICATIONS OF HEALTHCARE REFORM AND FINANCE ON APRN PRACTICE

Chapter 11. Patient Protection Affordable Care Act

Chapter 12. Value Based Purchasing and its impact on the APRN

Chapter 13. Funding of APRN Education and Residency Programs

Chapter 14. Implications of Health Care Reform on Independent Practice

Chapter 15. The Impact of the DNP on Primary Care

Chapter 16. Telehealth: Distance-Driven Modalities of Care and Interstate Policy Implications

Chapter 17. Impact of Current and Potential Legislation on Advanced Practice Nursing

UNIT III: HEALTH POLICY AND SPECIAL NEEDS POPULATION

Chapter 18. Interface of Policy and Practice in Mental Healthcare Reform: Implications for Psychiatric Mental Health Nurses

Chapter 19. Women's Health Initiatives and Reproductive Issues

Chapter 20. Substance Use Disordered Population and Policy Impact

Chapter 21. The Aging Population

Chapter 22. Health Policy Priorities for Children and Families

Chapter 23. Healthy Policy Implications for Advanced Practice Registered Nurses Related to End-of-Life Care

Chapter 24. Health Policy Implications of Genetics and Genomics in Nursing Practice

Chapter 25. Oncology

UNIT IV: HEALTH POLICY AND ITS IMPACT ON APRN DRIVEN QUALITY AND SAFETY INITIATIVES

Chapter 26. Educational Implications for APRNs related to Quality and Safety Policy

Chapter 27. Moving Toward Accountable Care: A Policy Framework to Transform Healthcare Delivery and Reimbursement

Chapter 28. A Systematic Approach to Containing Healthcare Spending

Chapter 29. Connecting Research Priorities, the Research Agenda, and Health Policy

Chapter 30. Quality Initiatives and Reducing Admissions to Hospitals

Chapter 31. Patient-Centered Medical Homes and Alternative Therapies

Chapter 32. Competency Issues: Interprofessional Education Models

UNIT V: THE SHIFTING SANDS OF POLICY IN NURSING ORGANIZATIONS

Chapter 33. Implications for Practice: The Advanced Practice Registered Nurse Compact

Chapter 34. American Nurses Association Enterprise

Chapter 35. Policy and Integration of Advanced Practice Nursing Roles in Canada: Are We Making Progress?

Chapter 36. Health Policy for Advanced Practice Registered Nurses: an International Perspective

Chapter 37. Credentialing Across the Globe: Current Approaches, Future Directions

Chapter 38. Advanced Practice Nursing: The Global Perspective

UNIT VI: WHAT DOES THE FUTURE HOLD FOR APRN PRACTICE AND HEALTHCARE POLICY?

Chapter 39. Impact of Advancing Technology on the Future of APRN Practice

Chapter 40. The Future of Nurse Practitioners

Chapter 41. What the Future Holds for Clinical Nurse Specialists and Health Policy

Chapter 42. Healthcare Policy and the Practice of Certified Nurse-Midwives and Certified Midwives

Chapter 43. Healthcare Policy and Certified Registered Nurse Anesthetists/Nurse Anesthesiologists: Past, Present, and Future

Chapter 44. Advocacy, Policy, and Politics in Action: A Case in Point—Full Scope of Practice Within the VA Health System

Health Policy Acronyms

Index

Authors

Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN, is a faculty member at North Island College and the University of Victoria in British Columbia. She is an associate editor for the Canadian Journal of Nursing Research and a past president of the National Association of Clinical Nurse Specialists (NACNS). She is licensed as a Clinical Nurse Specialist (CNS) in Oregon and is certified by the American Nurses Credentialing Center (ANCC) as a CNS in adult health. Dr. Goudreau is a recipient of the Brenda Lyon Leadership Award and the President’s Award from NACNS and is a Fellow of the Clinical Nurse Specialist Institute and the American Academy of Nursing. She has published more than 30 journal articles and is the coeditor of two books. Dr. Goudreau holds a Baccalaureate in Nursing from the University of British Columbia in Canada, a master’s in nursing from Washington State University, and a PhD in Nursing from the University of Alabama at Birmingham.

Mary C. Smolenski, EdD, MS, FNP, FAANP, is a consultant and family nurse practitioner with experience in the healthcare field in a variety of areas including primary care, independent practice, education, government contracting, the military, flight nursing, and association executive work. She is a Fellow of the American Association of Nurse Practitioners and a retired Colonel, USAFR-NC with 30 years of service. She served as Director of Certification Services at the American Nurse Credentialing Center (ANCC) for 11 years working with commissions, organizations, and volunteers around the United States and world and has held officer positions on several nonprofit boards. She has published numerous articles and book chapters on certification/credentialing and served as a consultant on advanced practice and certification exam development nationally and internationally. Dr. Smolenski holds a Baccalaureate in Nursing from the University of Pittsburgh, a master’s in nursing from the University of Colorado, and a Doctorate in Education from the University of Florida.

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