Part I: Historical and Developmental Aspects of Advanced Practice Nursing 1. Highlights from the History of Advanced Practice Nursing in the United States 2. Conceptualizations of Advanced Practice Nursing 3. A Definition of Advanced Practice Nursing 4. Role Development of the Advanced Practice Nurse 5. Evolving and Innovative Opportunities for Advanced Practice Nursing 6. International Development of Advanced Practice Nursing NEW more global focus

Part II: Competencies of Advanced Practice Nursing 7. Direct Clinical Practice 8. Coaching and Guidance 9. Consultation 10. Evidence-Based Practice and Research 11. Leadership 12. Collaboration NEW emphasis on interprofessional collaborative practice 13. Ethical Decision Making

Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing 14. The Clinical Nurse Specialist 15. The Primary Care Nurse Practitioner 16. The Acute Care Nurse Practitioner 17. The Certified Nurse-Midwife 18. The Certified Registered Nurse Anesthetist

Part IV: Critical Elements in Managing Advanced Nursing Practice Environments 19. Business Planning and Reimbursement Mechanisms 20. Marketing and Negotiation 21. Understanding Regulatory, Legal, and Credentialing Requirements 22. Health Policy Issues in Changing Environments 23. An Integrative Review of APRN Outcomes and Performance Improvement 24. Using Outcomes and Performance Improvement Data to Evaluate and Improve Practice