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Advanced Practice

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xx ContentsEthics and Spiritual and Cultural Responsivity in a Global Environment 334The APRN Role Outside the United States 334Globalization of <strong>Advanced</strong> <strong>Practice</strong> Registered Nursing 336APRN Impacts on Global Nursing <strong>Practice</strong> and Education 338Preparing APRNs With a Global Perspective 344CHAPTER 13 <strong>Advanced</strong> <strong>Practice</strong> Nursing and Health Policy 351Eileen T. O’Grady, PhD, RN, NPTensions Among Healthcare Costs, Quality, and Access 353The American Health Policy Process 355The APRN Health Policy Agenda 360APRN Workforce: A Dearth of Data 363APRN Political Competence 364Important Health Policy Web Sites 369CHAPTER 14 The <strong>Advanced</strong> <strong>Practice</strong> Registered Nurse as Educator 379Margaret McAllister, PhD, RN, CNS, FNPThe APRN Role in Teaching Patients, Families, and Professional Colleagues 380Role of the APRN in Continuing Education 381Patient Education and Learning Theories 385Patient Literacy and Readability Formulas 389Patient Counseling 392The APRN as Preceptor 392CHAPTER 15 Clinical Microsystem Thinking and Resources for <strong>Advanced</strong> 401<strong>Practice</strong> NursingGene Harkless, DNSC, FNP-C, CNLClinical Microsystem Thinking 402Methods and Measurements in Improving the Work of Clinical Microsystems 403Clinical Micro-, Meso-, and Macrosystems: Implications for APRN <strong>Practice</strong> 409and EducationCHAPTER 16The Future of APRN <strong>Practice</strong> and the Impact of CurrentHealthcare Trends 417Jean Johnson, PhD, RN, FAANJoan Stanley, PhD, RN, CRNP, FAANEmphasis on Cost Containment 418Increased Need for Primary Care Services 420Growing Numbers of Uninsured and Underinsured 420Implementation of the APRN Regulatory Model 421Index 425

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