The only policy text written specifically for APRN students, this preeminent resource delivers a sweeping examination of policy impact on the full implementation of the APRN role across all environments, including its effectiveness on specific patient populations. The expanded third edition-containing six new chapters-includes expanded information on policy analysis, nursing roles, and the impact of technology. It provides practical knowledge on developing policy to advocate for vulnerable populations-bolstered by case examples-and discusses how interprofessional education has changed and will continue to alter health policy in the United States and internationally. Additionally, the text discusses the evolving influence of the Patient Protection Affordable Care Act (PPACA) and the implications of current and future health policy changes as they affect APRN practice. New doctoral-level content adds to the books relevance for DNP students.

The text addresses the initiative within nursing for Full Practice Authority for all APRNs, which enables them to practice to the full extent of their educational preparation. Edited by experienced APRN leaders who have been closely involved with health policy development, the text meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for the inclusion of health policy and advocacy in the curriculum. This "call to action" for APRNs is specifically designed for courses serving a variety of APRN trajectories and includes content from all APRN role perspectives in every section.

New to the Third Edition:

• Encompasses six completely new chapters covering Health Policy Effects on Health Systems, Telehealth, Pediatrics, Quality Initiatives, Patient Protection, and more!
• Expanded to include developing roles, environments, and populations pertinent to APRNs and DNP students
• Includes new information on policy development advocating for vulnerable populations
• Updated to reflect the latest national nursing policy initiatives
• Incorporates 2020 revised AACN Essentials and Future of Nursing Report 2030
• Includes new case studies and more practical application of content

Key Features:

• Chapters include Discussion Questions; Analysis, Synthesis, and Clinical Application; Exercises/Considerations; and Ethical Considerations
• Explains how and why APRNs can and should influence policy development

Discusses implications of not participating in health policy decisions

Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN, is the associate director for patient care services and nurse executive, Kansas City VA Medical Center, Kansas City, MO. Mary C. 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 retired Air Force reserve colonel and a fellow of the American Association of Nurse Practitioners. Dr. Smolenski served as director of certification services at the ANCC for 11 years.

UNIT I: HEALTH POLICY FROM AN ADVANCED PRACTICE PERSPECTIVE

1. Turning Health Policy Into Practice: Implications for Advanced Practice Registered Nurses
2. Health Policy Effects on Health Systems
3. Johnson & Johnson Campaign for Nursings Future: The Gift That Keeps on Giving
4. Policy Implications for Optimizing Use of APRNs
5. The National Academy of Medicine: Steering Science and Medicine
6. Future of Nursing Report 2030
7. Updates on the Implications for Practice: The Consensus Model for APRN Regulation
8. Effective State-Level APRN Leadership in Health Policy
9. State Implementation of the APRN Consensus Model: Progress to Date

UNIT II: IMPLICATIONS OF HEALTH CARE REFORM
AND FINANCE ON APRN PRACTICE

1. The Patient Protection Affordable Care Act (PPACA)
2. AARP Initiatives
3. Value-Based Purchasing and Its Impact on Advanced Practice Nursing
4. APRN Education: A Chronological and Contextual Overview

14.Implications of Health Care Reform on Independent Practice

1. The Impact of the Doctor of Nursing Practice on Primary Care
2. Telehealth, Distance-driven Modalities of Care and Interstate Policy Implications

UNIT III: HEALTH POLICY AND SPECIAL POPULATIONS:
IMPLICATIONS

1. Interface of Practice and Policy in Mental Health Care: Implications for Psychiatric Mental Health Nurses
2. The Aging Population
3. Pediatrics
4. Health Policy Implications for Advanced Practice Registered Nurses Related to End-of-Life Care
5. Health Policy Implications of Genetics and Genomics on Advanced Practice Nursing
6. Oncology

UNIT IV: HEALTH POLICY AND ITS IMPACT ON
APRN-DRIVEN QUALITY ANd Safety Initiatives

1. Moving Toward Accountable Care Policy Framework to Transform Health Care Delivery and Reimbursement
2. Containing Health Care Costs
3. Connecting Research Priorities, the Research Agenda, and Health Policy
4. Medicare Policy Development: Quality Measures to Reduce Admissions to Hospitals
5. Competency Issues- Interprofessional Education Models

UNIT V: EFFECTS OF CHANGES IN HEALTH POLICY
28. Implications for Practice: the APRN Compact

1. The Coalition for Patients Rights--A Coalition That Advocates for Scope-of-Practice Issues
2. The American Nurses Association Enterprise
3. Policy and the Integration of Advanced Practice Nursing Roles in Canada: Are We Making Progress?
4. The Future of Nursing: Campaign for Action

UNIT VI: THE FUTURE OF APRN PRACTICE AND HEALTH
CARE POLICY NATIONALLY AND INTERNATIONALLY

33. Health Policy for Advanced Practice Registered Nurses: An International Perspective

1. Credentialing Across the Globe: Current Approaches, Future Directions
2. Advanced Practice Nursing: The Global Perspective
3. The Future for Nurse Practitioners
4. What the Future Holds for Clinical Nurse Specialist Practice and Health Policy
5. The Certified Nurse-Midwife in Advanced Nursing Practice
6. Health Care Policy and Certified Registered Nurse Anesthetists: Past, Present, and Future

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