Using Hamrics Model some contributors to this text have further elaborated on

Using hamrics model some contributors to this text

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provided the structure for each edition of the book. Using Hamric's Model, some contributors to this text have further elaborated on the specific competencies proposed (see Chapter 3) by describing and graphically depicting concepts relevant to the specific competency. These include guidance and coaching (Spross, 2009; see Chapter 8), consultation (see Chapter 9), and ethical decision making (see Chapter 13). In addition, as noted, it has informed the development of the DNP Essentials and the revised CNS competencies and is widely cited in the advanced practice literature, evidence of its contribution to conceptualizing advanced practice nursing. Integrative reviews of the literature provide further support for Hamric's integrative conceptualization of advanced practice nursing. The purpose of the Page 14 of 2 NSG 6006 Pre-Specialty Evaluation ©2017 South University
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The Role of the Advanced Practice Nurse NSG 6006 Week 2 review by Mantzoukas and Watkinson (2007) was to identify “generic features” of advanced nursing practice. They identified seven generic features: (1) use of knowledge in practice; (2) critical thinking and analytic skills; (3) clinical judgment and decision making; (4) professional leadership and clinical inquiry; (5) coaching and mentoring; (6) research skills; and (7) changing practice. The first three generic features are consistent with the direct care competency in Hamric's Model; three of the seven characteristics seem directly related to clinical practice, which supports the notion that direct care is a central competency. The remaining four features are consistent with the three competencies of leadership, guidance and coaching, and evidence-based practice competency in Hamric's Model. An integrative review of the literature on CNS practice (Lewandowski & Adamle, 2009) similarly affirmed direct care, collaboration, consultation, systems leadership, and coaching (patient and staff education) competencies in the Hamric Model. Ten countries were represented in their review, which included 753 anecdotal articles, 277 research articles, and 62 dissertations or theses. Their findings were organized using NACNS's three spheres of influence. Within the first sphere, management of complex or vulnerable populations, they found three essential characteristics—expert direct care, coordination of care, and collaboration. In the sphere of educating and supporting interdisciplinary staff, substantive areas of CNS practice were education, consultation, and collaboration. Within the system sphere of influence, CNSs facilitate innovation and change. These findings lend support for the integration of the Hamric Model with the NACNS model in the CNS core competencies (2008). (Hamric 44-45) d. Practice Models for APNs i. AACN Synergy Model 1. The American Association of Critical-Care Nurses created the Synergy Model (2003; Fig. 2-11) to link nursing practice with patient outcomes (Curley, 1998). Components of the model are patient's characteristics, nurse's competencies, and patient, nurse, and system level outcomes.
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  • Fall '17
  • Nursing, Advanced practice nurse, advanced practice nursing, Advanced Practice, Advanced Practice Nurse NSG, Practice Nurse NSG

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