The Role of the Advanced Practice Nurse NSG 6006 Week 2 (5) using clinical reasoning and judgment; (6) providing information; and (7) developing a management plan. b. The foundation for the development of these APN consultation skills begins in graduate education. (Hamric 228) 4. Evidence-based practice (EBP) is defined as the conscientious, explicit, and judicious use of current best research-based evidence when making decisions about the care of individual patients (Sackett et al., 1996). It has evolved into a dominant approach for clinical decision making and a core competency for advanced practice nursing (see Chapter 3). a. Although components tend to overlap, three levels of this core competency can be identified: (1) interpretation and use of EBP principles in individual clinical decision making; (2) interpretation and use of EBP principles to determine policies for patient care; and (3) use of EBP to evaluate clinical practice. b. Evidence-based practice is based on a four-step process: (1) formulation of a clinical question; (2) identification and retrieval of pertinent research findings based on literature review; (3) extraction and critical appraisal of data from pertinent studies; and (4) clinical decision making based on results of this process. (Hamric 237) 5. Leadership is a core competency of advanced practice nursing. a. Our conceptualization of APN leadership involves three distinct defining characteristics—mentoring, innovation, and activism (Hamric 266) b. Contemporary definitions of leadership generally fit into one of two categories, transformational (Vance & Larson, 2002) or situational (Grohar-Murray & DiCroce, 1992). i. Barker (1994) has defined the term transformational leadership as a process whereby “the purposes of the leader and follower become fused, creating unity, wholeness and a collective purpose” (p. 83). Transformational leadership can lead to changes in values, attitudes, perceptions, and/or behaviors on the part of the leader and the follower and lays the groundwork for further positive change. Thus, transformational leadership occurs when people interact in ways that inspire higher levels of motivation and morality among participants (Hamric 272) Successful transformational leadership is relational, driven by a common goal or purpose, and satisfies the needs of leader and follower. It is the leadership style often associated with effective change agents. (Hamric 272) Page 9 of 2 NSG 6006 Pre-Specialty Evaluation ©2017 South University
The Role of the Advanced Practice Nurse NSG 6006 Week 2 ii. The term situational leadership is defined as the interaction between an individual's leadership style and the features of the environment or situation in which he or she is operating. Leadership styles are not fixed and may vary based on the environment. Situational leadership depends on particular circumstances, with leaders and followers assuming interchangeable roles according to (Hamric 272) 6. Collaboration competency is important in that it is fundamental to successful APN practice. The presence or absence of collaborative relationships affects patient care, including the cost and quality of care.
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- Nursing, Advanced practice nurse, advanced practice nursing, Advanced Practice, Advanced Practice Nurse NSG, Practice Nurse NSG