Foundations of Professional Autonomy in
Advanced Nursing Practice: Roles, Models, and
Core Competencies
Advanced practice nursing is the patient-focused application of an expanded range of competencies to
improve health outcomes for patients and populations within a specialized clinical area of the larger
discipline of nursing" - ✔✔Hamric's definition of advanced practice nursing
What is the central competency of any advanced practice nursing regardless of role? - ✔✔direct clinical
practice
and have distinct definitions and
cannot be seen as interchangeable. - ✔✔Advanced practice nursing/advanced nursing practice
The term is characterized by the integration an application of a broad
range of theoretical and evidence-based knowledge that occurs as part of graduate nursing education -
✔✔Advanced nursing practice
Who started the first nurse practitioner program in 1965 at the University of Colorado? - ✔✔Henry
Silver and Loretta Ford
What has influenced the history of advanced practice nursing? - ✔✔Societal forces including wars, the
economic climate, and health care policy
The APN movement consists of? - ✔✔Society
War
Economicclimate
Healthcare Policy
What is the oldest recognized role of the APN? - ✔✔CRNA
,What are the 4 recognized roles of the APN? - ✔✔NP
CRNA
CNS
CNM
List the core competencies of practice. - ✔✔Direct care, guidance & coaching, consultation, evidence-
based practice, leadership, collaboration, and ethical-decision making
The consensus model for the APN regulation addresses what 4 areas? - ✔✔Specialty areas
Roles and titles
Population Foci
Preparation for APN roles
Which group of nurse specialist was the first to receive direct reimbursement for services rendered? -
✔✔CRNA
scope of practice - ✔✔- Describes practice limits and sets parameters within which nurses in various
APRN specialties may practice- Differs from state to state; based on state statues promulgated by
various state nurse practice acts and rules and regulations for APRN practice
Scope of practice - ✔✔Must practice and be certified in the specific specialty Graduate education
ANA definition of scope of practice - ✔✔"The description of the who, what, where, when, why, and how
of nursing practice"
Nursing scope of practice acts are most closely tied to the of practice -
✔✔state
The Novice to Expert Theory is described by - ✔✔The Dreyfus Model
, Calkin's Model of Advanced Nursing Practice - ✔✔developed the model to help nurse administrators
differentiate advanced practice nursing from other levels of clinical practice in personnel policies, and
proposed that this could be accomplished by matching patient responses to health problems with the
skill and knowledge levels of nursing personnel; three curves were overlaid on a normal distribution
chart. Calkin depicted the skills and knowledge of novices, experts by experience, and APNs in relation
to knowledge required to care for patients whose responses to health care problems (i.e., health care
needs) ranged from simple and common to complex and complicated
unclear expectations, diffuse responsibilities, uncertainties about sub-roles Role ambiguity - ✔✔role
ambiguity
incompatibility between skills and abilities, personal values, self concept, and obligations - ✔✔role
incongruity
when role expectations are perceived to be mutually exclusive or contradictory - ✔✔role conflict
Perceived economic threat of competition, lack of experience working together, and historical hierarchy
- ✔✔interprofessional role conflicts
a dynamic process of change over time as new roles are acquired - ✔✔role transition
a situation of increased role; performance demand - ✔✔role stress
master or doctoral prepared registered nurses who practice as full time or adjunct faculty in
college/universities, hospital based educational residency programs, and/or health care facilities.
Responsibilities for both classroom and practical setting include mentoring and preparing future
generations of nurses and current nurses in practice. They play a vital role in serving as role models,
while strengthening the nursing workforce, by assuring quality educational opportunities, guiding
employees and/or students through the learning process, as well as implementing evidenced based
research into practice; they also play a role in evaluating and documenting educational learning
experiences or outcomes. - ✔✔nurse educator
a set of relatively abstract and general concepts that address the phenomena of central interest to a
discipline, the propositions that broadly describe those concepts, and the propositions that state
relatively abstract and general relations between two or more concepts. - ✔✔conceptual model
Advanced Nursing Practice: Roles, Models, and
Core Competencies
Advanced practice nursing is the patient-focused application of an expanded range of competencies to
improve health outcomes for patients and populations within a specialized clinical area of the larger
discipline of nursing" - ✔✔Hamric's definition of advanced practice nursing
What is the central competency of any advanced practice nursing regardless of role? - ✔✔direct clinical
practice
and have distinct definitions and
cannot be seen as interchangeable. - ✔✔Advanced practice nursing/advanced nursing practice
The term is characterized by the integration an application of a broad
range of theoretical and evidence-based knowledge that occurs as part of graduate nursing education -
✔✔Advanced nursing practice
Who started the first nurse practitioner program in 1965 at the University of Colorado? - ✔✔Henry
Silver and Loretta Ford
What has influenced the history of advanced practice nursing? - ✔✔Societal forces including wars, the
economic climate, and health care policy
The APN movement consists of? - ✔✔Society
War
Economicclimate
Healthcare Policy
What is the oldest recognized role of the APN? - ✔✔CRNA
,What are the 4 recognized roles of the APN? - ✔✔NP
CRNA
CNS
CNM
List the core competencies of practice. - ✔✔Direct care, guidance & coaching, consultation, evidence-
based practice, leadership, collaboration, and ethical-decision making
The consensus model for the APN regulation addresses what 4 areas? - ✔✔Specialty areas
Roles and titles
Population Foci
Preparation for APN roles
Which group of nurse specialist was the first to receive direct reimbursement for services rendered? -
✔✔CRNA
scope of practice - ✔✔- Describes practice limits and sets parameters within which nurses in various
APRN specialties may practice- Differs from state to state; based on state statues promulgated by
various state nurse practice acts and rules and regulations for APRN practice
Scope of practice - ✔✔Must practice and be certified in the specific specialty Graduate education
ANA definition of scope of practice - ✔✔"The description of the who, what, where, when, why, and how
of nursing practice"
Nursing scope of practice acts are most closely tied to the of practice -
✔✔state
The Novice to Expert Theory is described by - ✔✔The Dreyfus Model
, Calkin's Model of Advanced Nursing Practice - ✔✔developed the model to help nurse administrators
differentiate advanced practice nursing from other levels of clinical practice in personnel policies, and
proposed that this could be accomplished by matching patient responses to health problems with the
skill and knowledge levels of nursing personnel; three curves were overlaid on a normal distribution
chart. Calkin depicted the skills and knowledge of novices, experts by experience, and APNs in relation
to knowledge required to care for patients whose responses to health care problems (i.e., health care
needs) ranged from simple and common to complex and complicated
unclear expectations, diffuse responsibilities, uncertainties about sub-roles Role ambiguity - ✔✔role
ambiguity
incompatibility between skills and abilities, personal values, self concept, and obligations - ✔✔role
incongruity
when role expectations are perceived to be mutually exclusive or contradictory - ✔✔role conflict
Perceived economic threat of competition, lack of experience working together, and historical hierarchy
- ✔✔interprofessional role conflicts
a dynamic process of change over time as new roles are acquired - ✔✔role transition
a situation of increased role; performance demand - ✔✔role stress
master or doctoral prepared registered nurses who practice as full time or adjunct faculty in
college/universities, hospital based educational residency programs, and/or health care facilities.
Responsibilities for both classroom and practical setting include mentoring and preparing future
generations of nurses and current nurses in practice. They play a vital role in serving as role models,
while strengthening the nursing workforce, by assuring quality educational opportunities, guiding
employees and/or students through the learning process, as well as implementing evidenced based
research into practice; they also play a role in evaluating and documenting educational learning
experiences or outcomes. - ✔✔nurse educator
a set of relatively abstract and general concepts that address the phenomena of central interest to a
discipline, the propositions that broadly describe those concepts, and the propositions that state
relatively abstract and general relations between two or more concepts. - ✔✔conceptual model
