hamric core competencies

National Center for Biotechnology Information These competencies are the following: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making.1 This article chronicles a typical patient's journey through a post hospital discharge nursing research study involving APNs as intervention nurses and discusses the various aspects of the APN core competencies throughout the process. Janice really connects and appreciates the time to focus on her. Disclaimer: Services provided by StudyCorgi are to be used for research purposes only. "components": { A short course of antidepressants is also not unusual. HHS Vulnerability Disclosure, Help 2008. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf. Exploring conceptual and theoretical frameworks for nurse practitioner education: a scoping review protocol. He finds his mind wandering to the things in life he has learned to appreciate, such as his family and close friends. He remembers Mary's instructions to call the MD for certain symptoms, and how to call off hours and on non-clinic days. Their leadership competencies make it easier for them to promote the best practices. Look up additional information online by highlighting a word or phrase. Exploring the ethics of healthcare: the CNS as moral agent. Sitemap. Therefore, there is need to regulate it. A specialized home care intervention improves survival among older post-surgical cancer patients. This model has been refined several times. 2012 May;25(2):101-7. doi: 10.1016/j.apnr.2010.02.003. Gemmill R, Williams AC, Cooke L, Grant M. Appl Nurs Res. Hamric Integrative model was synthesized in 1996 by Ann Hamric. WebHamric's Model of Advanced Nursing Practice identifies several core competencies: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and Thomas and his wife meet with the social worker and find the session very helpful. Bookmarks, highlights and notes sync across all your devices. Her expertise can become a lifeline for her patients. Psychological issues of stem cell transplant. 2011 Dec;15(5):500-7. doi: 10.1016/j.ejon.2011.01.007. Janice meets with Mary yearly for lunch for connection and to help with the closure. Advanced practice nurses scope of According to Hamric et al (2005), it is vivid that Hamric model has borrowed some ideas from other models and theories. For instance, upon careful analysis of the model, it is possible to discern that the model is structured in manner similar to Maslows hierarchy of needs (Rounds et al., 2013). As usual, Mary seems to be one step ahead of him. Some error has occurred while processing your request. Thoroughly revised and updated, the 7th edition of this bestselling text covers topics ranging from the evolution of advanced practice nursing to evidence-based practice, leadership, ethical decision-making, and health policy. The impact of posthospital home care on patients with cancer. Thoroughly revised and updated, the 7th edition of this bestselling text covers topics ranging from the evolution of advanced practice nursing to evidence-based practice, leadership, ethical decision-making, and health policy. However, the remaining features are directly related to the central competencies. The model stipulates that contextual and environmental factors usually influence the performance of APNs. This paper was written and submitted to our database by a student to assist your with your own studies. The impact of bone marrow transplant on quality of life. Search and navigate content across your entire Bookshelf library. CAS Liz Cooke attended Mount St. Mary's College for her BSN degree in 1984, UCLA for her Master's degree in 1991, and CSULB for her NP certificate in 1993. Clinical Nurse Specialist22(5):218-225, September-October 2008. It also explains academic curricular for APNs as well as the overall development in each specialty (Hamric et al., 2005). National Library of Medicine The site is secure. Clinical Nurse Specialist and Nurse Practitioner. 2008 Sep-Oct; 22(5): 218225. Marcia Grant, RN, DNSc,FAAN, is Director and Professor of Nursing Research and Education at the City of Hope. Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: one-year outcomes and lessons learned. Elsevier, St. Louis, MO, pp 2560, Baldwin KM, Lyon BL, Clark AP, Fulton JS, Davidson S, Dayhoff N (2007) Developing clinical nurse specialist practice competencies. Professional Moral Compass and Spirituality, The purpose of the model in providing a coherent structure. Mary also teaches him about fatigue, how to conserve his energy and how to restore his energy. He was diagnosed one year ago and received standard induction treatment, followed by consolidation therapy. }. The MD agrees with Mary and they both stress that Thomas' main job is to focus on getting well, and to let his wife drive for now. You are free to use it to write your own assignment, however you must reference it properly. These include evidence-based practice, guidance, leadership and coaching. The way these concepts are structured depicts coherence in the structure of Hamric model. Further review of literature has shown that the seven competences determine the overall state of patient wellness. Grant M. Assessment of quality of life following hematopoietic cell transplantation. Key Features Coverage of all APRN core competencies defines and describes all competencies, including direct clinical practice, guidance and coaching, MeSH Consultation is demonstrated by utilizing the specialties of other disciplines such as psychology, social work, physical therapy and medicine to enrich and design a comprehensive teaching intervention. Retrieved from https://studycorgi.com/hamric-integrative-model-purpose-and-structure/, StudyCorgi. In addition, each of the 6 core competencies of the APN role identified by Hamric are outlined and applied using a patient case study. Hamric Integrative Model: Purpose and Structure Research Skills: are demonstrated by the ability to be the intervention nurse in a research study. Hamric also identified a criterion for defining the characteristics of APNs (Rounds, Zych & Mallary, 2013). Mary goes to the house for Session 4 and meets all the kids and the family. J Prof Nurs 14(3):157164, CrossRef From the peer review literature, it is possible to attest that this model has positioned nursing practice as an independent profession (Oberle & Allen, 2001). Therefore, the competencies must be managed in order to enhance advance nursing practice. 2022. With her nursing perspective she offers the patient and family complex information specific to their needs involving not only medical aspects of care, but psychological, social and existential support. These include collaboration, direct practice, evidence-based practice, consultation, ethical decision-making, guidance and coaching as well as professional leadership. These practitioners use critical thinking and decision-making in order to offer the best care (Hamric et al., 2014, p. 19). If you decide to participate, a new browser tab will open so you can complete the survey after you have completed your visit to this website. In: Fulton JS, Lyon BL, Goudreau KA (eds) Foundations of clinical nurse specialist practice. He begins to feel hopeless, and wonders if he will really ever return to who he was before transplant. Wilson R, Godfrey CM, Sears K, Medves J, Ross-White A, Lambert N. JBI Database System Rev Implement Rep. 2015 Oct;13(10):146-55. doi: 10.11124/jbisrir-2015-2150. McCorkle R, Benoliel JQ, Donaldson G, Georgiadou F, Moinpour C, Goodell B. Mary meets Thomas in clinic for Session 5. In this role, often the APN carries the knowledge of the wishes and hopes of the patients and families going through a traumatic event. His white count has fluctuated some, going from 4.0 to 2.5 and his platelets have also dropped from 110K to 80K. Clinical and professional leadership. The ability of an APN to value other disciplines presents a win-win solution for all involved and enhances communication and decreases territorialism. While he is an inpatient, Mary teaches him the next session which oddly enough focuses on graft-versus-host (GVH) reaction (sometimes called graft-versus-hot disease), and fatigue. "Hamric Integrative Model: Purpose and Structure." Oberle and Allen (2001) emphasize that the resiliency in Hamric model has been exemplified by its progressive influence on advanced nursing practice. Clin Nurse Spec 33(2):6162, Fulton JS, Mayo A, Walker J, Urden L (2015) Core practice outcomes for clinical nurse specialists: a revalidation study. He finds it hard to sleep and withdraws from his wife and the kids trying to sort out his feelings. Spross J, Larson MT. Accessibility Advanced Practice Nurses Core Competencies - LWW He is relieved that he does not need to be readmitted. Conceptual Models for Clinical Nurse Specialist Role and Practice. A comprehensive review of the literature. Identified core competencies in the health policy domain were the guiding and initiating of leadership in policy-related activities, to practice influence in health care and the articulation of the value of nursing to key stakeholders and policymakers on the (inter)national level. All counts are good. Numerous studies have shown the value of using advanced practice nurses in the clinical setting yielding significant contributions and examples of outcome measures for APNs.2 Cunningham (2004) listed many studies of diverse populations submitting undeniable recent evidence that APNs are effective in improving the outcomes such as patient satisfaction, readmissions, cost, health status, and complications.3 Mundinger and colleagues have done two studies with clear evidence that nurse practitioners have equal or better clinical outcomes in the primary care setting as compared to physicians.4, 5 Tujhuis and colleagues conducted a randomized controlled trial of a clinical nurse specialist intervention and found that clinical outcomes were comparable to inpatient and day teams.6 Burns, et al (2003) used four advanced practice nurses to manage, enhance protocol adherence and monitor a process of implementation for an institutional program to improve clinical and financial outcomes of mechanically ventilated patients.7 Gawlinski and colleagues (2001) discussed the role of the APN in affecting cardiovascular outcomes in a study comparing two groups of patients: one on a nurse-implemented diuretic protocol therapy and the other group on a nonprotocol diuretic therapy arm. Evolution of the clinical nurse specialist role and practice in the United States. WebThe purpose of this paper was to describe evidenced-based interventions as implemented by advanced practice nurses (APNs) conducting intervention research with a vulnerable population of blood and marrow transplant patients. Clin Nurse Spec 21(6):297302, CrossRef The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). StudyCorgi. Advanced Practice Nursing: An Integrative Approach This book used to be known as the Hamric and Spross text; however, new editors have updated the title over time. Advanced practice nurses' scope of practice: a qualitative study of advanced clinical competencies. may email you for journal alerts and information, but is committed The model provides a conceptual framework for advanced nursing practice. In: Funk S, Tornquist E, Champagne M, Archer Copp L, Wise R, editors. Operationalizes and applies the APRN core competencies to the major APRN roles: the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Patients undergoing allogeneic HCT are at high risk for multiple complications post discharge, and are prime candidates for care and follow-up by the APN. Would you like email updates of new search results? Tom is married to Janice. His remission after therapy lasted six months. In the structure, important competencies such as collaboration and consultation are instrumental for aiding further research. Hamric Wolters Kluwer Health, Inc. and/or its subsidiaries. The outcomes of this program focus on improving QOL and decreasing morbidity. She continues to cover new content about diet asking his wife about the food preparation issues specific to the home and offering suggestions that fit their food preferences. A randomized clinical trial of home nursing care for lung cancer patients. WebIn addition, each of the 6 core competencies of the APN role identified by Hamric are outlined and applied using a patient case study. After the meeting she emails the social worker (sends a copy to the MD) for the Hills and asks her to follow-up with the disability questions before discharge. The MD elects to place a PICC line in the antecubital area instead of another right atrial catheter. Thomas relapses at 9 months. Bingle JM. Most competencies fitted in one single domain the health policy domain contained the The next day Thomas comes in and his rash is better. Access online or offline, on mobile or desktop devices. The complexity of this shift is especially evident in the population of hematopoietic cell transplantation (HCT) patients who have life-threatening disease and treatment, and are acutely ill for weeks to months after hospital discharge. J Prof Nurs 32(4):271282, Fulton JS, Mayo A, Walker J, Urden LD (2019) Description of work processes used by clinical nurse specialists to improve patient outcomes. Conceptual Models for Clinical Nurse Specialist Role and DePalma J, McQuire D. Research. StudyCorgi, 14 Aug. 2022, studycorgi.com/hamric-integrative-model-purpose-and-structure/. WebIn addition, each of the 6 core competencies of the APN role identified by Hamric are outlined and applied using a patient case study. Conceptualizations of advanced practice nursing. WebMany Family Nurse Practitioners (FNPs) possess unique competencies in order to achieve the best medical outcomes. The competency to highlight at this stage is clinical and professional leadership which according to Hanson and Spross (2005) involves roles such as advocate, change agent and group leader.31 Mary's presence and participation in tandem with the MD visit demonstrates her clear role as advocate for her patient. "component": "Magento_Customer/js/view/customer" The title change did not change the direction or relevance of the updated content, and this Mundinger MO, Kane RL, Lenz ER, et al. Sign in to view your account details and order history. Adams S. Integration of the mental health services withi OB/GYN private practice: a collaborative model. Semin Oncol Nurs. https://www.cna-aiic.ca/en/nursing-practice/the-practice-of-nursing/advanced-nursing-practice/clinical-nurse-specialists. In: Fulton, J.S., Holly, V.W. leadership competencies He continues to struggle with the fatigue and still at times thinks about recurrence. The second thematic question related to the core competencies inherent to working as an expert on an advanced level. The nature of advanced practice nursing. With titles available across a variety of media, we are able to supply the information you need in the most convenient format. W.B. The intervention nurse, Mary who is a Clinical Nurse Specialist calls him within 2 hours and sets up an appointment for his first teaching session the next day. your express consent. Colella J, Douglas C, VanBuitenen N, Galesi J, Aroh D. J Nurs Meas. In 1840 there was 1 Hamric family living in Georgia. 2023 Elsevier Inc. All rights reserved. He is readmitted and is found to have gram positive bacteremia, with the probable source being the right atrial catheter. hamric Mary Fran Tracy & Eileen T. O'Grady & Susanne J. Phillips, Edited and written by a "Who's Who" of internationally known thought leaders in advanced practice nursing, Hamric and Hanson's Advanced Practice Nursing: An Integrative Approach, 7th Edition provides a clear, comprehensive, and contemporary introduct, Share to receive a discount off your next order, Only registered users can write reviews. In: Hamric A, Spross J, Hanson C, editors. He also discusses specific core competencies which include coaching, ethical decision making, consultation, collaboration, guidance, and other related aspects. This article was supported in part by National Cancer Institute research study: R01 CA107446, Standardized Nursing Intervention Protocol. He understands that it is a common reaction, and oddly enough a little bit of it is a good thing since patients with GVH have less relapse. In: Fulton JS, Lyon BL, Goudreau KA (eds) Foundations of clinical nurse specialist practice. Oenema A, Brug J, Lechner L. Web-based tailored nutrition education: results of a randomized controlled trial. Her clinical excellence, knowledge of evidence-based research for transplant patients, and research acumen is the reason for her being hired for the position as intervention nurse in this study. These include application of knowledge in practice, analytical and critical thinking as well as clinical inquiry and professional leadership (Hamric et al., 2005). This conceptual model plays a vital role in guiding nursing practice. As a matter of fact, there is a direct relationship between nurses and patients bearing in mind that each one of them depends on one another. Thomas Hill is excited to go home and glad to meet Mary, who he sees as a coach both he and his wife could use. She talks about caregiver strain and the need for Janice to really take care of herself. Clinical Journal: A Tool to Foster Critical Thinking for Advanced Levels of Competence, Ethical Dilemmas in the Care of Premature Infants, Application of the Case Study Design: Nursing Interventions for Discharge Readiness, Privacy Policy (Updated December 15, 2022). Gaston-Johansson F, Foxall M. Psychological correlates of quality of life across the autologous bone marrow transplant experience. When you read an eBook on VitalSource Bookshelf, enjoy such features as: The University of North Carolina at Chap and Frank H. Netter. Hamric Integrative Model: Purpose and Structure. Thereafter, the model focuses on experiences that are built on core competencies in the delivery of nursing care. In: Tracy MF, OGrady ET (eds) Advanced practice nursing: an integrative approach. The site is secure. Following the numerous revisions that have been done on the model, most of the crucial characteristics of APN are clearly depicted. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. Hamric model recognizes numerous core competencies which include research skills, direct clinical practice, professional leadership, ethical decision-making, collaboration and coaching (Oberle & Allen, 2001). Lenz ER, Mundinger MO, Kane RL, Hopkins SC, Lin SX. You may search for similar articles that contain these same keywords or you may The core competencies are meant to assist practicing nurses to advance their knowledge through continuous consultation, guidance, research, coaching, leadership and collaboration (Rounds et al., 2013). He also begins to think about whether or not he wants to return to his previous job, or look for a new career. "Hamric Integrative Model: Purpose and Structure." Collaboration. FOIA She refers him to some literature and opens the door for him and his wife to discuss new values that might have formed out of this intense family experience. Hamric Integrative Model: Purpose and Structure. Thomas and Janice discuss the issues with the kids and the adjustments that that their middle child, Susan has had to Thomas's illness. Research studies have documented that potential transformations in the advanced practice nursing are inevitable (Oberle & Allen, 2001). COOKE, LIZ MN, RN, AOCN, ANP; GEMMILL, ROBIN MSN, RN, CNS, CWOCN; GRANT, MARCIA DNS, RN, FAAN. PMC Unauthorized use of these marks is strictly prohibited. For more information, please refer to our Privacy Policy. Right atrial catheter care, medications), 2) monitor and respond to the occurrence of complications, 3) carry out a recommended exercise and nutrition program, and 4) adapt to post transplant status implementing a variety of resources depending on the problem or need identified. Associate Professor, Assistant Dean for the PhD Program and Director of Graduate Studies, School of Nursing, University of Minnesota; Nurse Scientist, University of Minnesota Medical Center, Minneapolis, Minnesota, Certified Nurse Practitioner and Wellness Coach; Founder, The School of Wellness, McLean, Virginia, Associate Dean - Clinical Affairs, University of California Irvine, Irvine, California, Hamric & Hanson's Advanced Practice Nursing, Authors: Mary Fran Tracy, Eileen T. O'Grady, Susanne J. Phillips, Part I Historical and Developmental Aspects of Advanced Practice Nursing, Chapter 1 History and Evolution of Advanced Practice Nursing, Chapter 2 Conceptualizations of Advanced Practice Nursing, NATURE, PURPOSES, AND COMPONENTS OF CONCEPTUAL MODELS, CONCEPTUALIZATIONS OF ADVANCED PRACTICE NURSING: PROBLEMS AND IMPERATIVES, CONCEPTUALIZATIONS OF ADVANCED PRACTICE NURSING ROLES: ORGANIZATIONAL PERSPECTIVES, CONCEPTUALIZATIONS OF THE NATURE OF ADVANCED PRACTICE NURSING, MODELS USEFUL FOR ADVANCED PRACTICE NURSES IN THEIR PRACTICE, Chapter 3 A Definition of Advanced Practice Nursing, DISTINGUISHING BETWEEN SPECIALIZATION AND ADVANCED PRACTICE NURSING, DISTINGUISHING BETWEEN ADVANCED NURSING PRACTICE AND ADVANCED PRACTICE NURSING, CORE DEFINITION OF ADVANCED PRACTICE NURSING, SIX CORE COMPETENCIES OF ADVANCED PRACTICE NURSING, DIFFERENTIATING ADVANCED PRACTICE ROLES: OPERATIONAL DEFINITIONS OF ADVANCED PRACTICE NURSING, CRITICAL ELEMENTS IN MANAGING ADVANCED PRACTICE NURSING ENVIRONMENTS, IMPLICATIONS OF THE DEFINITION OF ADVANCED PRACTICE NURSING, Chapter 4 Role Development of the Advanced Practice Nurse, PERSPECTIVES ON ADVANCED PRACTICE NURSE ROLE DEVELOPMENT, ROLE CONCEPTS AND ROLE DEVELOPMENT ISSUES, Chapter 5 International Development of Advanced Practice Nursing, ADVANCED PRACTICE NURSING ROLES WITHIN A GLOBAL HEALTHCARE CONTEXT, FACILITATING THE INTRODUCTION AND INTEGRATION OF ADVANCED PRACTICE NURSING ROLES, NEXT STEPS IN THE GLOBAL EVOLUTION OF ADVANCED PRACTICE NURSING ROLES, Part II Competencies of Advanced Practice Nursing, DIRECT CARE VERSUS INDIRECT CARE ACTIVITIES, SIX CHARACTERISTICS OF DIRECT CLINICAL CARE PROVIDED BY ADVANCED PRACTICE NURSES, FORMATION OF THERAPEUTIC PARTNERSHIPS WITH PATIENTS, DIVERSE APPROACHES TO HEALTH AND ILLNESS MANAGEMENT, HELPING PATIENTS MANAGE CHRONIC ILLNESSES, THEORIES AND RESEARCH SUPPORTING APRN GUIDANCE AND COACHING, BUILDING RELATIONSHIPS FOR APRN GUIDANCE AND COACHING, APRN PRACTICE PRINCIPLES FOR SUCCESSFUL GUIDANCE AND COACHING, GENERATING EVIDENCE: HISTORICAL PERSPECTIVE, FROM POLICY TO PRACTICE: TIPS FOR ACHIEVING MEANINGFUL CHANGES IN PRACTICE BASED ON CURRENT BEST EVIDENCE, LEADERSHIP: DEFINITIONS, MODELS, AND CONCEPTS, CHARACTERISTICS OF APRN LEADERSHIP COMPETENCY, DEVELOPING LEADERSHIP IN THE HEALTH POLICY ARENA, OBSTACLES TO LEADERSHIP DEVELOPMENT AND EFFECTIVE LEADERSHIP, STRATEGIES FOR IMPLEMENTING THE LEADERSHIP COMPETENCY, CHARACTERISTICS OF EFFECTIVE COLLABORATION, IMPACT OF COLLABORATION ON PATIENTS AND CLINICIANS, CONTEXT OF COLLABORATION IN CONTEMPORARY HEALTH CARE, PROCESSES ASSOCIATED WITH EFFECTIVE COLLABORATION, OVERVIEW OF ETHICAL APPROACHES TO RESOLVING ETHICAL CONFLICTS, GOALS OF CARE: A CLINICAL-ETHICAL FRAMEWORK TO ENHANCE APRN PRACTICE, NAVIGATING BARRIERS TO ETHICAL PRACTICE AND STRATEGIES TO OVERCOME THEM, Part III Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing, CLINICAL NURSE SPECIALIST PRACTICE: COMPETENCIES WITHIN THE SPHERES OF IMPACT, Chapter 13 The Primary Care Nurse Practitioner, CURRENT AND HISTORICAL PERSPECTIVES ON PRIMARY CARE AND THE NURSE PRACTITIONER ROLE, EMERGENCE OF POSTGRADUATE TRAINING IN PRIMARY CARE, PRIMARY CARE WORKFORCE AND THE CONTEXT OF PCNP PRACTICE TODAY, Chapter 14 The Acute Care Nurse Practitioner, ACNP SCOPE OF PRACTICE: LEVELS OF INFLUENCE, PROFILES OF THE ACNP ROLE AND PRACTICE MODELS, SPECIALIZATION OPPORTUNITIES WITHIN THE ACNP ROLE, THE NURSE-MIDWIFERY PROFESSION IN THE UNITED STATES TODAY, IMPLEMENTING ADVANCED PRACTICE NURSING COMPETENCIES, Chapter 16 The Certified Registered Nurse Anesthetist, BRIEF HISTORY OF CRNA EDUCATION AND PRACTICE, ROLE DEVELOPMENT AND MEASURES OF CLINICAL COMPETENCE, Part IV Critical Elements in Managing Advanced Practice Nursing Environments, Chapter 17 Maximizing APRN Power and Influencing Policy, POLICY: HISTORIC CORE FUNCTION IN NURSING, UNITED STATES FUNDAMENTALLY DIFFERS FROM THE INTERNATIONAL COMMUNITY, CURRENT ADVANCED PRACTICE NURSING POLICY ISSUES, APRN POLITICAL COMPETENCE IN THE POLICY ARENA, EMERGING ADVANCED PRACTICE NURSING POLICY ISSUES, Chapter 18 Marketing Yourself as an APRN: Contracting and Negotiation, CHOOSING BETWEEN ENTREPRENEURSHIP/INTRAPRENEURSHIP, Chapter 19 Reimbursement and Payment for APRN Services, BILLING FOR APRN SERVICES: UNDERSTANDING THE PROCESS, Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements, THE CONSENSUS MODEL FOR APRN REGULATION: LICENSURE, ACCREDITATION, CERTIFICATION, AND EDUCATION, ADVANCED PRACTICE REGISTERED NURSE MASTERS AND DOCTORAL EDUCATION, BENCHMARKS OF ADVANCED PRACTICE NURSING AND EDUCATION, ADVANCED PRACTICE REGISTERED NURSE COMPETENCIES, ELEMENTS OF APRN REGULATION AND CREDENTIALING, LANGUAGE ASSOCIATED WITH THE CREDENTIALING OF APRNS, STANDARDS OF PRACTICE AND STANDARDS OF CARE FOR APRNS, ISSUES AFFECTING APRN CREDENTIALING AND REGULATION, Chapter 21 APRN Outcomes and Performance Improvement Research, CONCEPTUAL MODELS OF CARE DELIVERY IMPACT, PERFORMANCE (PROCESS) IMPROVEMENT ACTIVITIES, FUTURE DIRECTIONS FOR USING OUTCOMES IN APRN PRACTICE, Chapter 22 Future Technologies Influencing APRN PracticeDebora SimmonsPamela Salyer, MAKING SENSE OF COMPLEXITY IN HEALTH INFORMATION TECHNOLOGY, DIAGNOSTIC, THERAPEUTIC, AND PROCEDURAL DEVICES AND APPS, DATA, CLINICAL DECISION SUPPORT, AND ADVANCED ANALYTICS, FUTURE IMPLICATIONS OF TECHNOLOGY-ENABLED ADVANCED PRACTICE REGULATION AND GROWTH: A CALL TO PARTICIPATE, Chapter 23 Using Healthcare Information Technology to Evaluate and Improve Performance and Patient Outcomes, INFORMATICS AND INFORMATION TECHNOLOGY SUPPORTING IMPROVED PERFORMANCE AND OUTCOMES, REGULATORY REPORTING INITIATIVES THAT DRIVE PERFORMANCE IMPROVEMENT, RELEVANCE OF REGULATORY REPORTING TO ADVANCED PRACTICE NURSING OUTCOMES, FOUNDATIONAL COMPETENCIES IN MANAGING HEALTH INFORMATION TECHNOLOGY, FOUNDATIONAL COMPETENCIES IN QUALITY IMPROVEMENT, STRATEGIES FOR DESIGNING QUALITY IMPROVEMENT AND OUTCOME EVALUATION PLANS FOR ADVANCED PRACTICE NURSING. HHS Vulnerability Disclosure, Help WebWhat are two roles under the Advance Practice Nursing Roles. Accessibility official website and that any information you provide is encrypted Hamric model recognizes numerous core competencies which include research skills, direct clinical practice, professional leadership, ethical decision-making, collaboration and coaching (Oberle & Allen, 2001). This model has been refined several times. Hence, it entails the primary criteria for APNs and seven key competencies (Rounds et al., 2013).