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can a dnp practice independently: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. |
can a dnp practice independently: Assessing Progress on the Institute of Medicine Report The Future of Nursing National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, 2016-03-22 Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals. |
can a dnp practice independently: Patients at Risk Niran Al-Agba, Rebekah Bernard, 2020-11-01 Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans. With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision. Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. WORDS OF PRAISE and REVIEWS Al-Agba and Bernard tell a frightening story that insiders know all too well. As mega corporations push for efficiency and tout consumer focused retail services, American healthcare is being dumbed down to the point of no return. It's a story that many media outlets are missing and one that puts you and your family's health at real risk. --John Irvine, Deductible Media Laced with actual patient cases, the book’s data and patterns of large corporations replacing physicians with non-physician practitioners, despite the vast difference in training is enlightening and astounding. The authors' extensively researched book methodically lays out the problems of our changing medical care landscape and solutions to ensure quality care. --Marilyn M. Singleton, MD, JD A masterful job of bringing to light a rapidly growing issue of what should be great concern to all of us: the proliferation of non-physician practitioners that work predominantly inside algorithms rather than applying years of training, clinical knowledge, and experience. Instead of a patient-first mentality, we are increasingly met with the sad statement of Profits Over Patients, echoed by hospitals and health insurance companies. --John M. Chamberlain, MHA, LFACHE, Board Chairman, Citizen Health A must read for patients attempting to navigate today’s healthcare marketplace. --Brian Wilhelmi MD, JD, FASA |
can a dnp practice independently: Role Development for Doctoral Advanced Nursing Practice H. Michael Dreher, PhD, RN, FAAN, ANEF, Mary Ellen Smith Glasgow, PhD, RN, ACNS-BC, ANEF, FAAN, 2010-12-15 2011 AJN Book of the Year Winner in Advanced Practice Nursing! This is a unique book that will be valuable to both graduate students and professional advanced practice nurses. Since the role of the DNP graduate is evolving, this is an important contribution to the field. It focuses on the developing discussion of practice and graduate degrees in the field of nursing and provides up-to-date information about the evolving and expanding roles of DNP graduate nurses. Score: 100, 5 Stars.--Doody's Medical Reviews (2013) This outstanding and thought provoking book...provides the knowledge to not only understand the issues and role related challenges of doctoral advanced nursing practice but the inspiration to embrace the role and become a transformer of healthcare...the use of reflective responses throughout the chapters by national DNP scholars, practitioners, and experts is a gift to the field. --From the Foreword by Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN Dean and Distinguished Foundation Professor Arizona State University College of Nursing & Health Innovation Functioning as both a graduate and professional textbook, Role Development for Doctoral Advanced Nursing Practice explores the historical and evolving role of the new doctoral advanced practice registered nurse. This innovative text presents a distinctive two-part chapter organization that provides content followed by one or more Reflective Responses, which consist of commentaries that may counter or support the opinions of each chapter author. Written by well-known DNP leaders representing the diverse roles and experience of academics, administrators, and practitioners from different DNP programs, these Reflective Responses initiate thought-provoking classroom discussion. This stimulating and provocative text presents issues germane to DNP education, core competencies, and unfolding role development. It is an essential resource in DNP role development courses and courses covering contemporary DNP degree issues. Key Features: Provides background information on the evolution of the DNP degree, essential content on role theory, and what nursing roles are and how they are evolving Discusses how master's versus doctoral-level advanced nursing practice roles differ Focuses on the basic roles of the DNP graduate that currently predominate: practitioner, clinical executive, educator, clinical scientist, and the role of the clinical scholar Highlights how the DNP can use his or her new competencies to function at a higher level Covers the diverse skills that comprise the doctoral APRN and doctoral APN role, including leadership content, negotiation skills, leveraging technology to support doctoral advanced level practice, and more |
can a dnp practice independently: The Doctor of Nursing Practice Lisa Astalos Chism, 2010-10-22 The Doctor of Nursing Practice provides information regarding the DNP degree and related role and professional topics. This unique reference includes chapters on the discussion of the evolution of doctoral education in nursing and the development of the DNP, rationale for the development of the DNP degree including relevant discussion of the American Association of Colleges of Nurse's (AACN) Essentials of Doctoral Education for Advanced Practice Nursing, the AACN's Position Paper on the DNP, and the Institute of Medicine's Report calling for higher education among health care professionals. This book also discusses the various roles of the DNP prepared advanced practice nurse including researcher, health policy advocate and nurse leader. |
can a dnp practice independently: The Future of Nursing 2020-2030 National Academies of Sciences Engineering and Medicine, Committee on the Future of Nursing 2020-2030, 2021-09-30 The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report. |
can a dnp practice independently: The Future of the Nursing Workforce in the United States Peter Buerhaus, Douglas Staiger, David Auerbach, 2009-10-06 The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession. |
can a dnp practice independently: Adult-Gerontology Primary Care Nurse Practitioner Certification Review JoAnn Zerwekh, 2018-01-04 - NEW! Expert exam prep matching the latest AANP and ANCC exam blueprints and item formats, including multiple-choice questions in print and ordered-response and image-based questions online. - NEW! More than 1,400 practice questions with answers and detailed rationales for correct answers - NEW! Questions mirroring the Primary Care AGPCNP certification exams cover the latest information on assessment, diagnosis, patient education, planning and intervention, evaluation of response to health care, health promotion strategies, scope of practice, and ethics. - NEW! Up-to-date clinical content reflects the very latest evidence-based clinical practice and national treatment guidelines and protocols. - NEW! Randomly generated practice exams online deliver an unlimited number of practice exams with automated grading and feedback. - NEW! Chapter on Test-Taking Strategies guides you through techniques to increase clinical reasoning skills, improve testing skills, learn strategies for decreasing anxiety, and employ tips to improve study habits. - NEW! QSEN-focused questions highlight the graduate-level safety competency of the Quality & Safety Education for Nurses (QSEN) initiative. - NEW! Clinical chapters are divided into three areas to make it easy to locate specific information within each body system. |
can a dnp practice independently: Formulating a Differential Diagnosis for the Advanced Practice Provider Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP, Julie C. Penick, PhD, DNP, MSN, FNP, 2017-11-17 Praise for the First Edition: “Developing a comprehensive differential diagnosis for a specific complaint is a daunting task even for experienced advanced practice nurses. This user-friendly clinical guide provides a strategy and standard format for working through this complex task. It is a wonderful tool for both students and new advanced practice nurses...” -- 5 stars, Doody’s This easy-access clinical guide to over 70 commonly seen symptoms, written for advanced practice provider (APP) students and new practitioners, describes a step-by-step process for obtaining a reliable patient history, choosing the appropriate physical exam, and using the patient history and physical exam findings to form a differential diagnosis. The second edition continues to include the case study approach, and is updated to incorporate 22 new symptoms along with contributions by a new editor, who is a leader in holistic health. The guide is distinguished by several unique features including focused patient history questions and responses, Physical Exam Findings, a Differential Diagnosis Table (clearly comparing potential diagnostic choices based on symptoms), a Diagnostic Examination table (including estimated costs and codes), and a Case Study Summary highlighting the critical thinking process. Symptoms are presented alphabetically in a systematic, unfolding case study approach and include chief complaint, presenting history, past history, and explicit methodology for determining correct diagnosis. Key Features: Describes over 70 (22 new to the second edition) commonly presented symptoms with unfolding case scenarios Offers a step-by-step approach to building clinical decision-making skills Provides quick access to differential diagnosis, requisite diagnostic tests, and clinical-decision making Guides APP students and novice practitioners in conducting a problem-focused history and examination Includes unique Differential Diagnosis tables and Diagnostic Examinations tables that help clarify strategies for diagnostic decision making |
can a dnp practice independently: DNP Capstone Projects Barbara A. Anderson, Joyce M. Knestrick, Rebeca Barroso, 2014-09-22 Print+CourseSmart |
can a dnp practice independently: How to Start an Independent Practice Carolyn R. Zaumeyer, 2003 Teach your students how to do it. This practical, user-friendly, easy-to-read resource manual takes the mystery out of setting up a practice -- from planning through start up, to daily operation. It contains an array of practical topics and basic how to's, and includes forms for completing a self-assessment of personal skills, strengths and weaknesses, and understanding the basics of research. Appendices at the end of chapters include real examples of applications, resumes, CVs, protocols, charts, forms, consents, patient information sheets, and more |
can a dnp practice independently: The Doctor of Nursing Practice Essentials Zaccagnini, Kathryn Waud White, 2015-12-14 The newly revised Third Edition of The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing is the first text of its kind and is modeled after the eight DNP Essentials as outlined by the American Association of Colleges of Nursing (AACN). Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition. |
can a dnp practice independently: How to Be a Rock Star Doctor Rebekah Bernard, 2015-06-25 This is well-written, accessible and useful, not only for students, residents and new docs but also for seasoned docs struggling with the complexities of today's health care system. -- Jay W. Lee, MD, MPH, FAAFP, President of the California Academy of Family Physicians I want to give this book to all of my physician patients, especially those who struggle with time management. A must read for any novice practitioner as well as the seasoned physician who needs to reboot their practice. -Steven Cohen, PsyD, The Center for Psychology How to be a Rock Star Doctor shows doctors how to get on-stage to achieve clinical and professional success, while avoiding burnout. The key is to follow the Rebekah Bernard's Rock Star rules for running a successful practice that delights patients and delivers financial and emotional rewards to the physician. The Rock Star rules teach the physician to: Convey the qualities that are the most important to patients, leading to clinical success Organize and control the office visit to maximize the patient and physician agendas Optimize time management by the use of clinical tools such as the Problem List and Evidence-Based-Medicine (EBM) Focus on physician-patient face-to-face time to maximize profitability Overcome the challenges of the Electronic Health Record (EHR) on the physician-patient relationship with time-saving methods such as customizable forms Cope with emotionally challenging patients by learning to show empathy, even when you don't feel it Use psychology to maintain your mental health and find work-life balance |
can a dnp practice independently: Clinical Case Studies for the Family Nurse Practitioner Leslie Neal-Boylan, 2011-11-28 Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use. |
can a dnp practice independently: More Than Medicine LaTonya J. Trotter, 2020-04-15 In More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing difficult people for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs. |
can a dnp practice independently: Nursing Interventions Classification (NIC) Gloria M. Bulechek, PhD, RN, FAAN, Howard K. Butcher, Joanne M. McCloskey Dochterman, PhD, RN, FAAN, Cheryl Wagner, 2012-11-01 Covering the full range of nursing interventions, Nursing Interventions Classification (NIC), 6th Edition provides a research-based clinical tool to help in selecting appropriate interventions. It standardizes and defines the knowledge base for nursing practice while effectively communicating the nature of nursing. More than 550 nursing interventions are provided - including 23 NEW labels. As the only comprehensive taxonomy of nursing-sensitive interventions available, this book is ideal for practicing nurses, nursing students, nursing administrators, and faculty seeking to enhance nursing curricula and improve nursing care. More than 550 research-based nursing intervention labels with nearly 13,000 specific activities Definition, list of activities, publication facts line, and background readings provided for each intervention. NIC Interventions Linked to 2012-2014 NANDA-I Diagnoses promotes clinical decision-making. New! Two-color design provides easy readability. 554 research-based nursing intervention labels with nearly 13,000 specific activities. NEW! 23 additional interventions include: Central Venous Access Device Management, Commendation, Healing Touch, Dementia Management: Wandering, Life Skills Enhancement, Diet Staging: Weight Loss Surgery, Stem Cell Infusion and many more. NEW! 133 revised interventions are provided for 49 specialties, including five new specialty core interventions. NEW! Updated list of estimated time and educational level has been expanded to cover every intervention included in the text. |
can a dnp practice independently: Pediatric Acute Care Beth Nachtsheim Bolick, Karin Reuter-Rice, Maureen A. Madden, Paul N. Severin, 2020-06-20 **Selected for Doody's Core Titles® 2024 in Critical Care** Stay up-to-date on the latest evidence and clinical practice in pediatric acute care with the definitive textbook in the field. Now in its second edition, Pediatric Acute Care: A Guide for Interprofessional Practice takes an evidence-based, interprofessional approach to pediatric acute care as it exemplifies the depth and diversity that's needed for the dynamic healthcare environments in which acutely ill children receive care. Coverage includes how to work with the pediatric patient and family, major acute care disorders and their management, emergency preparedness, common acute care procedures, and much more. With contributions from more than 200 practicing clinicians and academic experts, it represents a wide variety of disciplines including medicine, nursing, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology, among others. The second edition also features the addition of new physician and nurse practitioner co-editors as well as extensive content updates including updated evidence-based content throughout the text, the integration of the 2016 IPEC Core Competencies for Interprofessional Collaborative Practice, a new full-color design, and new vivid illustrations throughout. - UNIQUE! Interprofessional collaborative approach includes contributions from more than 200 practicing clinicians and academic experts from the U.S. and Canada, including nursing, medicine, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology. - Consistent organization within disorder chapters begins with a section on Physiology and continues with sections on Pathophysiology, Epidemiology and Etiology, Presentation, Differential Diagnosis, Diagnostic Studies, and a Plan of Care that include Therapeutic Management, Consultation, Patient and Family Education and Disposition and Discharge Planning. - Comprehensive content spanning five units divides coverage into introductory information, the approach to the pediatric patient and family, major acute care disorders and their management, emergency preparedness, and common acute care procedures. - NEW! Updated evidence-based content has been added throughout to ensure that you're up-to-date on all topics needed to provide care for pediatric patients in acute, inpatient, emergency, transport, and critical care settings. - NEW! Full-color design and illustrations enhance learning and make content easier to navigate and digest. - NEW! Integration of the 2016 IPEC Core Competencies ensure that you're learning the professional skills and protocols required for effective, contemporary interprofessional collaborative practice. - UPDATED! Streamlined procedures unit focuses more sharply on need-to-know content. |
can a dnp practice independently: Foundations and Adult Health Nursing Barbara Lauritsen Christensen, Patricia Ann Castaldi, Elaine Oden Kockrow, 2005-09 This all-in-one study guide, structured around Objectives and the Activities specific to each objective, is designed to assist students in understanding and applying the content presented in the fifth edition of Foundations and Adult Health Nursing! Together with the textbook, this study guide will help students gain a solid understanding of the key principles, concepts, and skills they will need to succeed in their nursing education and career. Activities may include any or all of the following: Labeling and Tracing Matching (Definitions) Completion Identification NCLEX(R)-style Multiple-Choice Review Questions with textbook page numbers where the content is located for easy reference Critical Thinking Questions. A complete Answer Key for the Study Guide is provided in the Instructor's Resource Manual. |
can a dnp practice independently: Advanced Practice Nursing Michaelene P. Jansen, PhD, RN-C, GNP-BC, NP-C, Mary Zwygart-Stauffacher, PhD, RN, GNP/GC, 2009-10-26 Designated a Doody's Core Title! This is a valuable resourceÖto help prepare advanced practice nurses with the skills necessary to navigate the healthcare arena. The editors and contributors are experienced advanced practice nurses with valuable information to share with novice practitioners. Score: 100, 5 stars.óDoodyís Medical Reviews Now in its fourth edition, this highly acclaimed book remains the key title serving graduate-level advanced practice nurses (APNs) and recent graduates about to launch their careers. The book outlines what is required of the APN, with guidelines for professional practice for each of the four APN roles: the nurse practitioner, clinical nurse specialist, certified nurse midwife, and certified registered nurse anesthetist. Advanced Practice Nursing focuses not only on the care and management of patients, but also on how to meet the many challenges of the rapidly changing health care arena. Obtaining certification, navigating reimbursement, and translating research into practice are just a few of the challenges discussed. Key Features: Essential information on educational requirements and certification Advice on how to make the transition into professional practice Guidelines for ethical and clinical decision making Discussions on the DNP and CNL roles in AP nursing Updated and revised content on leadership development, regulation, informatics, health care organization, and health care policy |
can a dnp practice independently: Housecalls 101 Dr. Scharmaine L. Baker, 2015-10-30 The information in these pages will either excite you into beginning that house-call practice right away or scare you into keeping your day job. Either way, I'm glad you've chosen to learn about my happiness with beginning a house-call practice and to learn from my struggles to maintain a business in the nation's current health-care state. Are you looking for a step-by-step guide on how to start a house-call practice? Are you looking for a few examples from an expert in the fi eld of house calls to help guide your decision making? If you've answered yes to these questions, this is the book for you. Making medical house calls is an extremely rewarding and profi table niche practice that can be started with little or no overhead. If you already love or think you will love going into the home setting to provide primary care when health care is often scarce or unavailable, this is the fi eld for you. This book is written with nuances and scenarios of a house-call practice for an advanced practice nurse, but if you are a physician assistant, physician, or any other practitioner looking to begin a housecall practice, there is plenty of information here for you too! |
can a dnp practice independently: The Nurse Practitioner in Urology Michelle Lajiness, Susanne Quallich, 2016-05-02 This book is designed to meet the needs of nurse practitioners, advanced practice nurses and also physician assistants, working in urology. The full range of domains of practice is covered, including assessment and diagnosis, clinical management, nurse practitioner and patient relationships, consultation, health promotion and disease prevention, and practice management and research. Some background knowledge is assumed regarding the normal anatomy and physiology of the genitourinary system and the pathophysiology underlying specific urologic health-related problems. The Nurse Practitioner in Urology will be invaluable in ensuring that the nurse practitioner is able to maintain exemplary management of patients with acute and chronic urologic conditions in a wide variety of settings, including independent practices, hospitals, and academic urologic practices. It explains fully the role of the nurse practitioner as a skilled clinician in urology, blending nursing and medical management and capable of managing many chronic nonoperative urologic conditions while recognizing those conditions which may benefit from surgical management. As populations continue to age worldwide, there is no doubt that the provision of advanced urologic care by nurse practitioners is an area that will continue to expand, benefiting from additional training and expertise. |
can a dnp practice independently: Clinical Research for the Doctor of Nursing Practice Allison J. Terry, 2011-05-27 Clinical Research for the Doctor of Nursing Practice is a user-friendly guide that offers DNP students a step-by-step method to implement clinically-based research. Designed specifically for DNP courses, it introduces a new, streamlined approach to research. It guides graduate students through the steps needed to complete a clinical research project by emphasizing crucial information and eliminating extraneous material. The book includes: *Learning objectives at the beginning of each chapter to highlight critical information in each chapter *Learning enhancement tools that encourage readers to think critically about the information presented and draw connections to their own research *Resources for further study throughout the book to aid students with their research *Glossaries to define new terms for the reader |
can a dnp practice independently: DNP Role Development for Doctoral Advanced Nursing Practice H. Michael Dreher, PhD, RN, FAAN, ANEF, Mary Ellen Smith Glasgow, PhD, RN, ACNS-BC, ANEF, FAAN, Michael D. Dahnke, PhD, Valerie T. Cotter, DNP, AGPCNP-BC, FAANP, FAAN, 2024-04-26 Provides important new content on specific ethical, leadership, and advocacy capabilities that advance the DNP role in nursing practice This core text for the DNP curriculum encompasses all facets of the evolving advanced practice role including diverse professional opportunities and options for career advancement. With ten completely new chapters, the third edition conveys the latest developments in doctoral-level capabilities, including the specific ethical, leadership, and advocacy components that advance these roles. New content addresses health equity, role negotiation, ethical and leadership dilemmas for the clinician, and the preceptor role in relation to doctoral-level advanced practice. Considering the predominance of students seeking the Nurse Practitioner role, the book emphasizes the clinical context for the DNP along with the new AACN Domain of Professionalism. There also are contributions from Nurse Midwives, Nurse Anesthetists, Clinical Nurse Specialists, and DNPs in the Nurse Educator role. The text is distinguished by distinctive Reflective Responses to the authors of all chapters. These may be characterized as a Point-Counterpoint feature—consisting of commentaries by scholars of varying points of view—that stimulates substantive critical dialogue. It examines the role of evidence—both practice-based evidence and evidence-based practice—in the context of clinical problems and policy formation and focuses on how the doctoral advanced prepared nurse can discriminate, translate, and sometimes generate new nursing evidence. The text addresses the need for both forms of evidence and underscores the importance of innovative healthcare intervention models. Included is practical information illustrated with examples geared for both BSN-DNP students and MSN-DNP students. Content on the DNP/PhD double doctorate and the impact of DNP leadership on organizations further examines the relationship between nursing practice, education, and science. New to the Third Edition: Ten new chapters, including coverage of: COVID-19; BSN-DNP Trajectories; Practice-Based Evidence and Evidence-Based Practice; Health Equity; Role Negotiation, Ethical, Leadership, and Advocacy Roles; and 2021 AACN Essentials Expanded roles and content for students of varying experience levels Emphasis on the new AACN Domain of Professionalism throughout Key Features: Focuses on DNP role development with extensive contributions by leading DNP scholars and clinicians Delivers Reflective Responses in a Point-Counterpoint format to stimulate vigorous class discussion Provides critical thinking questions throughout including Reflective Response |
can a dnp practice independently: The Doctor of Nursing Practice Essentials Mary Zaccagnini, Kathryn White, 2015-12-14 The newly revised Third Edition of The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing is the first text of its kind and is modeled after the eight DNP Essentials as outlined by the American Association of Colleges of Nursing (AACN). Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition. |
can a dnp practice independently: Crossing the Quality Chasm Institute of Medicine, Committee on Quality of Health Care in America, 2001-07-19 Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change. |
can a dnp practice independently: The DNP Professional Linda Benson, 2024-06-01 The DNP Professional: Translating Value from Classroom to Practice is a collection of exemplars from DNP (Doctor of Nursing Practice) -prepared experts across various advanced practice nursing roles and settings. The content illustrates the application of the American Association of Colleges of Nursing’s “Essentials,” quantifies successful DNP-prepared practitioner outcomes, and describes the overall impact of the nursing practice doctorate. Each chapter is written by a different expert and focuses on how the Essentials relate to that author’s role, including business planning, evidence-driven decision making, data analytics, and interprofessional collaboration. These leaders demonstrate how to implement lessons learned in a DNP program and translate them into everyday practice in every nursing domain, with plenty of pearls to pass along. Editor Linda A. Benson has divided the book into sections based on roles and settings: • Nurse Practitioner • Clinical Nurse Specialist • Certified Registered Nurse Anesthetists • Nurse Midwife • Nurse Executive • Academia • Population Health • Informatics • Legislative Activity When performing at their peak, DNPs can affect clinical, satisfaction, and cost outcomes, as well as provide preceptorship and mentoring. With exemplars from across the continuum of practice sites and roles, The DNP Professional: Translating Value from Classroom to Practice enables both students and DNP graduates to optimize the curricular Essentials in the practice setting. |
can a dnp practice independently: Family Nurse Practitioner Certification Intensive Review Maria T. Codina Leik, 2013-08-12 Print+CourseSmart |
can a dnp practice independently: Birth Settings in America National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Division of Behavioral and Social Sciences and Education, Board on Children, Youth, and Families, Committee on Assessing Health Outcomes by Birth Settings, 2020-05-01 The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings. |
can a dnp practice independently: Advanced Public and Community Health Nursing Practice Naomi E. Ervin, PhD, RN, PHCNS-BC, FNAP, FAAN, Pamela Kulbok, DNSc, RN, APHN-BC, FAAN, 2018-03-28 Written by advanced practice public/community health nurse experts, this comprehensive resource for advanced practice nursing students and clinicians builds upon the core foundations of practice: social justice, interdisciplinary practice, community involvement, disease prevention, and health promotion. Interweaving theory, practice, and contemporary issues, Advanced Public and Community Health Nursing Practice, Second Edition, provides essential knowledge needed to successfully assess communities, diagnose community situations, plan programs and budgets, and evaluate programs in public and community health. This revised edition has been thoroughly updated to encompass the evolution of public/community health nursing practice during the past 15 years. With several examples of community assessments, community health program plans, and evidence-based and best-practice interventions, the content in this publication addresses the core processes of advanced public/community health nursing practice. Chapters integrate new material about the physical environment and cover key changes in nursing education and practice and healthcare financing and delivery. This new edition includes additional content on culture and diversity, in-depth theory and conceptual frameworks, doctoral preparation, and policy. New to the Second Edition: Completely new information reflecting changes in nursing education and practice and healthcare financing and delivery Abundant examples of community assessments and community health program plans Evidence-based/best-practice interventions, programs, and services Clinical/practicum activities to help learners apply content in varied settings Suggested readings and references to support more in-depth study Additional information about the physical environment, culture and diversity, doctoral preparation, and policy Interprofessional/interdisciplinary practice In-depth information regarding theories and conceptual frameworks New references, examples, case studies, problems, and discussion questions Key Features: Provides comprehensive, in-depth information regarding community assessment, program planning, program implementation, evaluation, and program revision Delivers timely knowledge about using evidence, practice standards, public health ethics, Healthy People 2020, and competent practice in varied settings Includes realistic case studies of program and evaluation plans Presents examples of programs and projects conducted by advanced practice public/community health nurses |
can a dnp practice independently: NP Notes ruth McCaffrey, 2017-10-23 Put this handy guide to work in class, in clinical, and in practice. From screening and assessment tools and differential diagnosis through the most commonly ordered drugs and billing and coding, this volume in the Davis Notes Series presents the information you need every day in a pocket-sized resource. |
can a dnp practice independently: Financial and Business Management for the Doctor of Nursing Practice KT Waxman, 2013 Print+CourseSmart |
can a dnp practice independently: Geriatric Rehabilitation Manual Timothy L. Kauffman, John O. Barr, Michael L. Moran, 2007-01-01 This manual gives step-by-step guidance on the evaluation and treatment of geriatric diseases and disorders. It covers incidence of disorders, diagnostic tests, associated diagnoses, clinical implications for mobility, and rehabilitation techniques. It offers a broad overview of the effects of aging on all body systems. Special geriatric considerations for laboratory assessment, thermoregulations, and pharmacology are also discussed. This manual is a resource for all training clinicians in geriatric care and is a quick-reference guide for students and practitioners in this field. |
can a dnp practice independently: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. |
can a dnp practice independently: The Doctor of Nursing Practice Lisa Astalos Chism, 2016 The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues, Third Edition is a comprehensive guidebook for role development of the DNP student. This text covers potential roles of the DNP graduate, including leader, clinician, educator, ethical consultant, and health policy advocate. The Third Edition also addresses professional issues, such as the title of doctor, educating others about the degree, making the decision to pursue the DNP degree and marketing oneself as a DNP. The future of the DNP degree is also discussed. New Features: -New Chapter on the DNP graduate as information specialist -New Chapter on issues pertaining to the BSN to DNP track -Updated interviews with a focus on leadership |
can a dnp practice independently: The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues Lisa Astalos Chism, 2021-09-15 The Doctor of Nursing Practice A Guidebook for Role Development and Professional Issues, Fifth Edition remains the most comprehensive guide for both role and career development for the DNP student and professional |
can a dnp practice independently: 2022 Hospital Compliance Assessment Workbook Joint Commission Resources, 2021-12-30 |
can a dnp practice independently: Advanced Practice Nursing: Essential Knowledge for the Profession Susan M. DeNisco, 2023-02-07 Advanced Practice Nursing: Essential Knowledge for the Profession, Fifth Edition is a core advanced practice text used in both Master's Level and DNP programs. Along with original chapters, this bestselling text is a thoughtfully crafted compilation of existing chapters from a variety of advanced practice nursing textbooks from Jones & Bartlett Learning. The strength of this approach is that each chapter was written by experts in each of the content areas, creating a comprehensive and well-rounded resource for the advanced practice nursing student. The Fifth Edition is framed around the new Domains from the AACN Essentials for advanced practice education as well as the Essentials for Doctoral Education featuring the most up-to-date content on each set of Essentials. Thoroughly updated, the authors address current and emerging trends, including emergency preparedness, financing health care, the impact of big data on healthcare outcomes, ethical leadership, and more timely topics. |
can a dnp practice independently: Evidence-Based Practice in Nursing Thomas L. Christenbery, PhD, RN, CNE, 2017-12-28 A fundamental, reader-friendly guide to evidence-based practice (EBP) for BSN, MSN, and DNP nursing students, Evidence-Based Practice in Nursing explains the conceptual underpinnings of EBP and demonstrates how nurses can put EBP concepts into practice. Replete with critical knowledge, skills, tools, and scholarly development to enable nurses to fully and confidently deliver the highest-quality EBP care, this book eschews a one-size-fits-all approach unique systematic guidelines for understanding and applying EBP. Building blocks of information grow progressively more complex to apply to any point along nursing’s academic trajectory. Thoughtfully organized to fit a variety of EBP-related course objectives, Evidence Based Practice in Nursing easily adapts for standalone EBP courses at any level as well as advanced practice specialty courses that integrate EBP content. This book addresses the needs of all nursing instructors, including those who teach at multiple levels simultaneously. Key content discusses requisite conceptual knowledge of EBP for building clinical decision-making skills; conceptualizing, implementing, and evaluating EBP projects; conducting translational research and quality improvement for implementation and evaluation of EBP; developing leadership and structural empowerment strategies; and analyzing how students at each degree/level work with EBP independently, inter-professionally, and intraprofessionally. Chapters align with AACN essentials. Key Features: Follows a methodical systematic trajectory building from simple to complex concepts Includes abundant examples demonstrating both negative and positive EBP applications Enables instructors to adopt one textbook for BSN, MSN, and DNP students Includes practical design templates for developing EBP information plans with critical guideposts Provides a quality improvement toolkit, key words and concepts, illustrative tables, and figures |
can a dnp practice independently: Nurse Practitioner's Business Practice and Legal Guide Carolyn Buppert, 2004 Every NP should own a copy of this book! - The Nurse Practitioner Journal Written by a nurse practitioner who is also a practicing attorney, Nurse Practitioner's Business Practice and Legal Guide, Second Edition provides the unique point of view of an author who knows what legal and business problems arise on a daily basis. The second edition to this best seller will teach you: --How to write an effective business plan using the most up-to-date information and planning strategies-How to avoid malpractice and other lawsuits-What rights an employed NP has-What to do if rejected for payment-How to effectively negotiate managed care contracts-How to get the highest marks on performance report cards-What must take place for NPs to become primary care providers-What decisions need to be made before starting a practice-How to handle patient flow-And more!Nurse practitioners and NP students who read this book will have a solid foundation of knowledge with which they may continue their practice confidently and effectively, whether it be in developing an employment relationship, undertaking a business venture, giving testimony before the state legislature, composing a letter to an insurance company about an unpaid bill, teaching at a school of nursing, or serving as president of a state or national organization. |
can a dnp practice independently: Nurse Practitioner Certification Exam Prep Margaret A. Fitzgerald, 2020-12-04 Start preparing for your future…today! Develop the test-taking skills you need to prepare for your certification examination and build the knowledge base you need to successfully enter practice. Begin with high-yield content reviews of must-know disorders; then quiz yourself with questions reflecting those found on the ANCC and AANP certification examinations. More than 2,500 questions with detailed rationales for both correct and incorrect responses to help you hone your diagnostic and treatment reasoning skills. Looking for more NP certification resources? Boost your chances for success with Family Practice and Adult-Gerontology Primary Care Nurse Practitioner Certification Examination. Purchase both books together for a discounted price. A must have for FNP study!! “My most valuable asset for FNP study! I used this throughout my FNP program and highly recommend it! Fitzgerald uses easy to learn concepts and helps you to remember key concepts necessary to practice! Passed my AANP on my first attempt!”—Brandee, Online Reviewer This book is amazing. Not only did it help me pass my... “certification on the first try, but has also become my trustworthy resource in practice.”—Rob, Online Reviewer Great material not just to review for certification boards “Great material not just to review for certification boards, but also FNP students looking for short summaries of key information.” —James D., Online Reviewer |
AB 890 IMPLEMENTATION: FREQUENTLY ASKED QUESTIONS
No, the requirement to practice as a 103 NP in good standing for 3 full-time equivalent years or 4,600 hours, unless the NP has a DNP, prior to seeking certification as 104 NP and practicing …
State Law Chart: Nurse Practitioner Practice Authority
Certified nurse practitioners are members of the health care delivery system practicing in areas including, but not limited to: family practice, pediatrics, adult health care, geriatrics, and …
AB 890 Frequently Asked Questions - Advanced Practice at …
o 2. Who can apply for 103NP and what are the requirements? NPs who wish to progress to a 103NP can only do so only if they received their national certification in any one of these NP …
State-by-State Guide to Laws Regarding Nurse Practitioner
APRN must practice in a formal, writen collaborative agreement with a physician for three years and 2000 hours; APRN may then elect to practice independently or remain in collaboraion with …
CNS Scope of Practice and Prescriptive Authority as of 7.31.2020
A review of state laws and regulations reveals that since 2010, eight states have granted clinical nurse specialists (CNSs) the authority to practice without a physician's supervision and six …
Can A Nurse Practitioner Practice Independently (2024)
Can A Nurse Practitioner Practice Independently: Business and Legal Essentials for Nurse Practitioners Sally J. Reel,Ivo Luc Abraham,2007-01-01 Business and Legal Essentials for …
Can A Dnp Practice Independently .pdf
Can A Dnp Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
A State-by-State Scope of Practice Guide for Nurse Practitioners
Practice Authority: Nurse practitioners in New Jersey can independently diagnose and treat patients without physician involvement. However, a nurse practitioner must have a …
Nurse Practitioner Transition to Practice, 2022 Fact Sheet
In 2022, California Senate pro Tempore Toni Atkins introduced SB 1375, which clarifies the TTP requirement by specifying that an NP with at least three full-time equivalent years or 4,600 …
AB 890 - canpweb.org
erview AB 890 will create two new categories of nurse practitioners (NPs) to function independently within a defined scope of practice without standardized proc.
GENERAL INFORMATION: NURSE PRACTITIONER PRACTICE
The department shall permit a (nationally) certified nurse practitioner to bill Medi-Cal independently for his or her services. If a certified (nationally) nurse practitioner chooses to bill …
Can A Nurse Practitioner Practice Independently (PDF)
Can A Nurse Practitioner Practice Independently: Business and Legal Essentials for Nurse Practitioners Sally J. Reel,Ivo Luc Abraham,2007-01-01 Business and Legal Essentials for …
Statutes Relating to Nurse Practitioner Practice Act
An applicant for licensure under the Advanced Practice Registered Nurse Practice Act to practice as a nurse practitioner shall have: A license as a registered nurse in the State of Nebraska or …
STATE LAW FACT SHEET: A SUMMARY OF STATE NURSE …
Nurse practitioners’ authority to treat patients is regulated through state scope of practice (SOP) acts, state medical and nursing board regulations, professional licensing and other laws. State …
Advanced Practice Registered Nurse FAQ Guide - Oregon.gov
Jun 12, 2024 · of Oregon’s Nurse Practice Act (NPA). Independent Practitioner Status Licensure: Oregon-licensed Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), and Certified . …
Can A Np Practice Independently (book) - old.icapgen.org
Can A Np Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
Frequently Asked Questions Regarding Nurse Practitioner …
The department shall permit a certified nurse practitioner to bill Medi-Cal independently for his or her services; the department shall make payments directly to the certified nurse practitioner.
Can A Dnp Practice Independently Full PDF - old.icapgen.org
Can A Dnp Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
State law chart: Nurse Practitioner Prescriptive Authority
For controlled substances, NPs will be required to have demonstrated safe practice for 12 months prior to application for a controlled substance certificate. If authorized by the collaborative …
Can A Dnp Practice Independently - old.icapgen.org
Can A Dnp Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
AB 890 IMPLEMENTATION: FREQUENTLY ASKED QUESTIONS
No, the requirement to practice as a 103 NP in good standing for 3 full-time equivalent years or 4,600 hours, unless the NP has a DNP, prior to seeking certification as 104 NP and practicing …
State Law Chart: Nurse Practitioner Practice Authority
Certified nurse practitioners are members of the health care delivery system practicing in areas including, but not limited to: family practice, pediatrics, adult health care, geriatrics, and …
AB 890 Frequently Asked Questions - Advanced Practice at …
o 2. Who can apply for 103NP and what are the requirements? NPs who wish to progress to a 103NP can only do so only if they received their national certification in any one of these NP …
State-by-State Guide to Laws Regarding Nurse Practitioner
APRN must practice in a formal, writen collaborative agreement with a physician for three years and 2000 hours; APRN may then elect to practice independently or remain in collaboraion with …
CNS Scope of Practice and Prescriptive Authority as of …
A review of state laws and regulations reveals that since 2010, eight states have granted clinical nurse specialists (CNSs) the authority to practice without a physician's supervision and six …
Can A Nurse Practitioner Practice Independently (2024)
Can A Nurse Practitioner Practice Independently: Business and Legal Essentials for Nurse Practitioners Sally J. Reel,Ivo Luc Abraham,2007-01-01 Business and Legal Essentials for …
Can A Dnp Practice Independently .pdf
Can A Dnp Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
A State-by-State Scope of Practice Guide for Nurse …
Practice Authority: Nurse practitioners in New Jersey can independently diagnose and treat patients without physician involvement. However, a nurse practitioner must have a …
Nurse Practitioner Transition to Practice, 2022 Fact Sheet
In 2022, California Senate pro Tempore Toni Atkins introduced SB 1375, which clarifies the TTP requirement by specifying that an NP with at least three full-time equivalent years or 4,600 …
AB 890 - canpweb.org
erview AB 890 will create two new categories of nurse practitioners (NPs) to function independently within a defined scope of practice without standardized proc.
GENERAL INFORMATION: NURSE PRACTITIONER PRACTICE
The department shall permit a (nationally) certified nurse practitioner to bill Medi-Cal independently for his or her services. If a certified (nationally) nurse practitioner chooses to bill …
Can A Nurse Practitioner Practice Independently (PDF)
Can A Nurse Practitioner Practice Independently: Business and Legal Essentials for Nurse Practitioners Sally J. Reel,Ivo Luc Abraham,2007-01-01 Business and Legal Essentials for …
Statutes Relating to Nurse Practitioner Practice Act
An applicant for licensure under the Advanced Practice Registered Nurse Practice Act to practice as a nurse practitioner shall have: A license as a registered nurse in the State of Nebraska or …
STATE LAW FACT SHEET: A SUMMARY OF STATE NURSE …
Nurse practitioners’ authority to treat patients is regulated through state scope of practice (SOP) acts, state medical and nursing board regulations, professional licensing and other laws. State …
Advanced Practice Registered Nurse FAQ Guide - Oregon.gov
Jun 12, 2024 · of Oregon’s Nurse Practice Act (NPA). Independent Practitioner Status Licensure: Oregon-licensed Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), and Certified . …
Can A Np Practice Independently (book) - old.icapgen.org
Can A Np Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
Frequently Asked Questions Regarding Nurse Practitioner …
The department shall permit a certified nurse practitioner to bill Medi-Cal independently for his or her services; the department shall make payments directly to the certified nurse practitioner.
Can A Dnp Practice Independently Full PDF - old.icapgen.org
Can A Dnp Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …
State law chart: Nurse Practitioner Prescriptive Authority
For controlled substances, NPs will be required to have demonstrated safe practice for 12 months prior to application for a controlled substance certificate. If authorized by the collaborative …
Can A Dnp Practice Independently - old.icapgen.org
Can A Dnp Practice Independently: The Future of Nursing Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of …