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.
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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.
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. Womens 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
