ADVANCED PRACTICE NURSING COMPLETE
PREPARATION GUIDE WITH EVIDENCE-BASED
PRACTICE AND CLINICAL LEADERSHIP REVIEW
◉ What significant reports prompted changes in the U.S. healthcare
system?
Answer: The Institute of Medicine reports 'To Err Is Human' (2000)
and 'The Future of Nursing: Leading Change, Advancing Health'
(2011).
◉ What is the vision of the Campaign for Action?
Answer: To ensure all Americans have access to high-quality,
patient-centered care with nurses as essential partners.
◉ What was Recommendation 7 from the IOM report?
Answer: To prepare and enable nurses to lead change to advance
health.
◉ What shift has the Campaign for Action made in its focus?
Answer: From building capacity in the nursing workforce to building
a culture of health.
,◉ What are the key objectives of the interprofessional committee
formed by the National Academy of Medicine in 2019?
Answer: To identify best evidence and models for nursing from 2020
to 2030, focusing on health improvement, workforce deployment,
diversity, community health system design, training, and nurse well-
being.
◉ What gap was identified by the New Jersey Collaborating Center
for Nursing (NJCCN)?
Answer: A gap in primary care access in 13 of the 21 counties in
New Jersey.
◉ What barriers to health-care access were identified?
Answer: Aging population, physician workforce aging, barriers to
APN practice, increased cost of APN contracts, potential out-
migration of APNs, and rising number of counties lacking sufficient
primary care providers.
◉ What legislative acts contributed to an uncertain healthcare
environment for APNs?
Answer: The American Recovery and Reinvestment Act of 2009
(ARRA) and the Patient Protection and Affordable Care Act of 2010
(ACA).
◉ What did ARRA define regarding health information technology?
,Answer: Meaningful-use regulations for advancing the use of
electronic health records (EHR).
◉ What was required by the regulations set in 2016 for healthcare
providers?
Answer: To focus on advancing the use of electronic health records
to support health information exchanges and interoperability.
◉ How can APNs act as change agents in healthcare?
Answer: By creating systems that bridge healthcare delivery and
social needs care in the community.
◉ What is the importance of nurse well-being in healthcare
delivery?
Answer: It ensures the delivery of high-quality care and improves
community health.
◉ What role do networking and mentoring play in advancing an
APN's career?
Answer: They help in building professional relationships and gaining
guidance for career development.
◉ What does the term 'disruptive innovation' refer to in healthcare
reform?
, Answer: Innovative approaches that significantly alter the way
healthcare is delivered, improving access and quality.
◉ What is the difference between APNs as entrepreneurs and
intrapreneurs?
Answer: Entrepreneurs create new ventures, while intrapreneurs
innovate within existing organizations.
◉ What is the significance of addressing social determinants of
health in nursing?
Answer: It helps improve health outcomes by considering factors
that affect health beyond clinical care.
◉ What are the expected outcomes of improving access to primary
care?
Answer: Reduced hospitalizations, improved health outcomes, and
better overall community health.
◉ What barriers continue to affect APN practice?
Answer: Requirements for collaborative agreements and increased
costs of APN contracts.
◉ What was a temporary change in regulations during the COVID-19
pandemic for APNs?
PREPARATION GUIDE WITH EVIDENCE-BASED
PRACTICE AND CLINICAL LEADERSHIP REVIEW
◉ What significant reports prompted changes in the U.S. healthcare
system?
Answer: The Institute of Medicine reports 'To Err Is Human' (2000)
and 'The Future of Nursing: Leading Change, Advancing Health'
(2011).
◉ What is the vision of the Campaign for Action?
Answer: To ensure all Americans have access to high-quality,
patient-centered care with nurses as essential partners.
◉ What was Recommendation 7 from the IOM report?
Answer: To prepare and enable nurses to lead change to advance
health.
◉ What shift has the Campaign for Action made in its focus?
Answer: From building capacity in the nursing workforce to building
a culture of health.
,◉ What are the key objectives of the interprofessional committee
formed by the National Academy of Medicine in 2019?
Answer: To identify best evidence and models for nursing from 2020
to 2030, focusing on health improvement, workforce deployment,
diversity, community health system design, training, and nurse well-
being.
◉ What gap was identified by the New Jersey Collaborating Center
for Nursing (NJCCN)?
Answer: A gap in primary care access in 13 of the 21 counties in
New Jersey.
◉ What barriers to health-care access were identified?
Answer: Aging population, physician workforce aging, barriers to
APN practice, increased cost of APN contracts, potential out-
migration of APNs, and rising number of counties lacking sufficient
primary care providers.
◉ What legislative acts contributed to an uncertain healthcare
environment for APNs?
Answer: The American Recovery and Reinvestment Act of 2009
(ARRA) and the Patient Protection and Affordable Care Act of 2010
(ACA).
◉ What did ARRA define regarding health information technology?
,Answer: Meaningful-use regulations for advancing the use of
electronic health records (EHR).
◉ What was required by the regulations set in 2016 for healthcare
providers?
Answer: To focus on advancing the use of electronic health records
to support health information exchanges and interoperability.
◉ How can APNs act as change agents in healthcare?
Answer: By creating systems that bridge healthcare delivery and
social needs care in the community.
◉ What is the importance of nurse well-being in healthcare
delivery?
Answer: It ensures the delivery of high-quality care and improves
community health.
◉ What role do networking and mentoring play in advancing an
APN's career?
Answer: They help in building professional relationships and gaining
guidance for career development.
◉ What does the term 'disruptive innovation' refer to in healthcare
reform?
, Answer: Innovative approaches that significantly alter the way
healthcare is delivered, improving access and quality.
◉ What is the difference between APNs as entrepreneurs and
intrapreneurs?
Answer: Entrepreneurs create new ventures, while intrapreneurs
innovate within existing organizations.
◉ What is the significance of addressing social determinants of
health in nursing?
Answer: It helps improve health outcomes by considering factors
that affect health beyond clinical care.
◉ What are the expected outcomes of improving access to primary
care?
Answer: Reduced hospitalizations, improved health outcomes, and
better overall community health.
◉ What barriers continue to affect APN practice?
Answer: Requirements for collaborative agreements and increased
costs of APN contracts.
◉ What was a temporary change in regulations during the COVID-19
pandemic for APNs?
