NSG 6006 pre-specialty health
policy/theory/APN roles
___________________________ and ___________________________ have
distinct definitions and cannot be seen as interchangeable. - ANS Advanced
practice nursing/advanced nursing practice
___________________________ further delineates the focus of practice. With this
expanded knowledge and skill, there is potentially further advancement of
theoretical, evidence-based, and practical knowledge in caring for a specific patient
population base. - ANS Sub-specialization
- Defined by the profession nationally- Held to standard of practice by nsg profession
and by APRN specialty- Describes basic competency levels for safe and competent
practice- Closely match core competencies for APRNs - ANS standards of practice
-behavioral system model
-est equilibrium in person using 7 principle subsystems: attachment or affiliation,
dependency, ingestive, eliminative, sexual, aggressive, and achievement - ANS
Dorothy Johnson
-Conceptual systems and Theory of Goal Attainment-implementation involves the
actual activities to achieve goals-mutual goal setting and goal attainment - ANS
Imogene King
-Cultural care-Takes into account the cultural beliefs and values of individuals and
groups to provide satisfying and culturally congruent nursing care-fosters adaption
through negotiation with others to satisfy health outcomes - ANS Leininger's theory
of culture care
-Health as expanding conciseness-health is seen as a process of developing
awareness of self and the environment-humans cannot be divided into parts - ANS
betty newman
-Health Promotion model
-focuses on individual experience
behavior specific knowledge, and behavior outcomes
-key influencers for achieving health include: behavior motivated, a desire to
increase well-being, ones approach to health - ANS nola pender
,-Theory of Human Caring-Promote health and restore client to health and prevent
illness - ANS jean watson theory
3 stages of Policy Model - ANS 1. Implementation2. Monitoring3. Effectiveness
a complex systems model that is holistic and wellness-oriented. It is definitive and
detailed in terms of how the NP-patient interaction, patient assessment, intervention,
and evaluation should occur; It is complex and its value for understanding NP
practice may not become clear until one is in practice; is intended to describe the
NP's combined functions (i.e., nursing and medicine), benefits for practitioner and
patient, and a framework whereby NP services can be evaluated - ANS Shuler's
Model of Nurse Practitioner Practice
a core competency of advanced practice nursing, but the concept has some unique
characteristics in the APN context - involves three distinct defining
characteristics—mentoring, innovation, and activism. Their activities may range from
taking a stand on behalf of an individual patient to advocating for a change in
national health policy. - ANS leadership
a dynamic process of change over time as new roles are acquired - ANS role
transition
A formal process (usually an examination, but may be a portfolio) used by a
certifying agency to validate, based on predetermined standards, an individual's
knowledge, skills, and abilities; provides validation of the APRN's knowledge in a
particular specialty. It is used by most states as one component of second licensure
for APRN practice. - ANS certification
A metaparadigm must include which of the following 3 characteristics? - ANS
Encompass all phenomena of interest Be perspective—neutral
Be global in scope
A multi-dimensional concept that includes domains related to physical, functional,
mental, emotional, and social functioning
Health-related quality of life (HRQoL) - ANS health related quality of life
A novice nurse practitioner is experiencing feeling of inferiority toward more
experienced clinicians in the practice. She has identified that time constraints for
visits and expectations to increase productivity limits her ability to address these
non-adherent issues during client visits. Which barrier to ethical practice is
influencing practice? - ANS Organizational/Environmental
a plan of action begins to emerge that is required to change behavior ex: a plan is
formulated for smoking cessation - ANS preparation
, a purposeful, complex, dynamic, collaborative, and holistic interpersonal process
aimed at supporting and facilitating patients and families through health-related
experiences and transitions to achieve health-related goals, mutually determined,
whenever possible. These goals may include higher levels of wellness, risk
reduction, reduced morbidity and suffering from chronic illness, and improved quality
of life, including palliative care. This APN process can best be understood as an
intervention - ANS coach
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. - ANS conceptual model
a situation of increased role; performance demand - ANS role stress
A transformative model to foster a more active and visible nursing presence in the
health care system and to explain and promote medical-nursing collaboration. It is a
synthesized problem-solving approach to advanced practice nursing that builds on
nursing and medical models - ANS Dunphy and Winland-Brown Circle of caring
a unique cluster of personal characteristics that arise from these determinants and
exist along a continuum that parallels health and illness stating: stability, complexity,
predictability, resiliency, vulnerability, participation in decision making and care, and
resource availability. - ANS AACN synergy model for patient care
AANA - ANS american association of nurse anesthetists
abstract, broad theory consists of propositions that are less broad and abstract than
a conceptual model, but not as specific and concrete as middle range theory - ANS
grand theory
According to the WHO, health is a state of physical, social, and mental well
being.Factors that influence a population health and well being, including social,
economical, and environments factors. Some can be controlled by individuals. -
ANS determinants of health
ACNM - ANS american college of nurse midwives
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" - ANS Hamric's definition
of advanced practice nursing
policy/theory/APN roles
___________________________ and ___________________________ have
distinct definitions and cannot be seen as interchangeable. - ANS Advanced
practice nursing/advanced nursing practice
___________________________ further delineates the focus of practice. With this
expanded knowledge and skill, there is potentially further advancement of
theoretical, evidence-based, and practical knowledge in caring for a specific patient
population base. - ANS Sub-specialization
- Defined by the profession nationally- Held to standard of practice by nsg profession
and by APRN specialty- Describes basic competency levels for safe and competent
practice- Closely match core competencies for APRNs - ANS standards of practice
-behavioral system model
-est equilibrium in person using 7 principle subsystems: attachment or affiliation,
dependency, ingestive, eliminative, sexual, aggressive, and achievement - ANS
Dorothy Johnson
-Conceptual systems and Theory of Goal Attainment-implementation involves the
actual activities to achieve goals-mutual goal setting and goal attainment - ANS
Imogene King
-Cultural care-Takes into account the cultural beliefs and values of individuals and
groups to provide satisfying and culturally congruent nursing care-fosters adaption
through negotiation with others to satisfy health outcomes - ANS Leininger's theory
of culture care
-Health as expanding conciseness-health is seen as a process of developing
awareness of self and the environment-humans cannot be divided into parts - ANS
betty newman
-Health Promotion model
-focuses on individual experience
behavior specific knowledge, and behavior outcomes
-key influencers for achieving health include: behavior motivated, a desire to
increase well-being, ones approach to health - ANS nola pender
,-Theory of Human Caring-Promote health and restore client to health and prevent
illness - ANS jean watson theory
3 stages of Policy Model - ANS 1. Implementation2. Monitoring3. Effectiveness
a complex systems model that is holistic and wellness-oriented. It is definitive and
detailed in terms of how the NP-patient interaction, patient assessment, intervention,
and evaluation should occur; It is complex and its value for understanding NP
practice may not become clear until one is in practice; is intended to describe the
NP's combined functions (i.e., nursing and medicine), benefits for practitioner and
patient, and a framework whereby NP services can be evaluated - ANS Shuler's
Model of Nurse Practitioner Practice
a core competency of advanced practice nursing, but the concept has some unique
characteristics in the APN context - involves three distinct defining
characteristics—mentoring, innovation, and activism. Their activities may range from
taking a stand on behalf of an individual patient to advocating for a change in
national health policy. - ANS leadership
a dynamic process of change over time as new roles are acquired - ANS role
transition
A formal process (usually an examination, but may be a portfolio) used by a
certifying agency to validate, based on predetermined standards, an individual's
knowledge, skills, and abilities; provides validation of the APRN's knowledge in a
particular specialty. It is used by most states as one component of second licensure
for APRN practice. - ANS certification
A metaparadigm must include which of the following 3 characteristics? - ANS
Encompass all phenomena of interest Be perspective—neutral
Be global in scope
A multi-dimensional concept that includes domains related to physical, functional,
mental, emotional, and social functioning
Health-related quality of life (HRQoL) - ANS health related quality of life
A novice nurse practitioner is experiencing feeling of inferiority toward more
experienced clinicians in the practice. She has identified that time constraints for
visits and expectations to increase productivity limits her ability to address these
non-adherent issues during client visits. Which barrier to ethical practice is
influencing practice? - ANS Organizational/Environmental
a plan of action begins to emerge that is required to change behavior ex: a plan is
formulated for smoking cessation - ANS preparation
, a purposeful, complex, dynamic, collaborative, and holistic interpersonal process
aimed at supporting and facilitating patients and families through health-related
experiences and transitions to achieve health-related goals, mutually determined,
whenever possible. These goals may include higher levels of wellness, risk
reduction, reduced morbidity and suffering from chronic illness, and improved quality
of life, including palliative care. This APN process can best be understood as an
intervention - ANS coach
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. - ANS conceptual model
a situation of increased role; performance demand - ANS role stress
A transformative model to foster a more active and visible nursing presence in the
health care system and to explain and promote medical-nursing collaboration. It is a
synthesized problem-solving approach to advanced practice nursing that builds on
nursing and medical models - ANS Dunphy and Winland-Brown Circle of caring
a unique cluster of personal characteristics that arise from these determinants and
exist along a continuum that parallels health and illness stating: stability, complexity,
predictability, resiliency, vulnerability, participation in decision making and care, and
resource availability. - ANS AACN synergy model for patient care
AANA - ANS american association of nurse anesthetists
abstract, broad theory consists of propositions that are less broad and abstract than
a conceptual model, but not as specific and concrete as middle range theory - ANS
grand theory
According to the WHO, health is a state of physical, social, and mental well
being.Factors that influence a population health and well being, including social,
economical, and environments factors. Some can be controlled by individuals. -
ANS determinants of health
ACNM - ANS american college of nurse midwives
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" - ANS Hamric's definition
of advanced practice nursing