- To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions. 31. After thoroughly researching the topic of interest, what is the next step an APN should ask in selecting a theory/model for use in practice or research?\ - Have several different theories/models been examined? 32. Utilizing Johnson's Behavioral systems model (JBSM), the APN discovers that a patient is not sure who he can depend on because his wife is emotionally distant. This data would be characteristic of which subsystem of the JBSM. - Dependency subsystem 33. which agency’s initiative establishes national health promotion and prevention efforts and establishes benchmarks for monitoring the progress of health among Americans over a 10-year timeframe? - Centers for Disease Control and Prevention (CDC) 34. . Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? - Henry Silver, MD , Loretta ford Ball and Cox: A Theory of Legitimate Influence 35. Subjects (N = 36) from the United States, Canada, United Kingdom, and Australia participated; they were required to be master's-prepared or graduate students preparing for an advanced practice role. The investigators conducted interviews and made observations of the participants over a 3-year period. The theory emerged from this study; work suggests that the activities of APNs, in this case NPs and CNSs, are strategic and focused and that some activities involve direct service to patients, whereas others are aimed at communication and system issues
Oberle and Allen 36. They refer to practice by the term praxis, which captures the values-oriented, reflective, and creative nature of the work of nurses. They conceive of nursing as a dialectic (back and forth) process between the nurse's knowledge and his or her experiences and relationships with patients; As nurses accumulate experience, this dialectic process that occurs in relationships with patients contributes to developing expertise Shuler's Model of Nurse Practitioner Practice 37. a complex systems model that is holistic and wellness-oriented. It is definitive and detailed in terms of how the NP-patient interaction, patient assessment, intervention, and evaluation should occur; It is complex and its value for understanding NP practice may not become clear until one is in practice; is intended to describe the NP's combined functions (i.e., nursing and medicine), benefits for practitioner and patient, and a framework whereby NP services can be evaluated Fenton's and Brykczynski's Expert Practice Domains of the Clinical Nurse Specialist and Nurse Practitioner 38. Their findings further illuminate why Benner's work has influenced descriptions of advanced practice. By examining the extent to which APNs demonstrate the seven domains found in experts by experience and uncovering differences, the findings offer a possible explanation of the differences between expert and advanced practice. In addition, they also describe ways in which two advanced practice nursing roles, CNSs and NPs, may be different with regard to practice domains and competencies AACN Synergy Model 39. The synergy model describes patient-nurse relationships that are based on the needs of patients and their families. The fundamental premise of the synergy model is that patient's
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- Winter '17
- Nursing, Advanced practice nurse, Herpes simplex, APNs