Strategic Planning for Advanced Nursing Practice

von: Madrean Schober

Springer-Verlag, 2017

ISBN: 9783319485263

Sprache: Englisch

133 Seiten, Download: 4452 KB

Format: PDF, auch als Online-Lesen

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Strategic Planning for Advanced Nursing Practice

	Preface	6
	Contents	8
	1: Introduction	11
	1.1 Defining Strategy and Strategic Planning	11
	1.2 Policy and Policy Theory Defined	13
	1.3 Significance of a Strategic Approach	14
	1.3.1 Benefits to a Strategic Approach	15
	1.3.2 Limitations to a Strategic Approach	15
	References	16
	2: Strategic Planning for Advanced Nursing Practice	18
	2.1 Key Factors to Consider in Exploring the Possibilities for an Advanced Nursing Practice Initiative	18
	2.2 Defining the Policy Process	19
	2.2.1 Agenda Setting	20
	2.2.2 Policymakers and Their Networks	21
	2.2.3 Influencing Policy Decisions	22
	2.2.4 Nurses’ Participation in the Policy Process	22
	2.3 Frameworks for Implementation of Advanced Nursing Practice	24
	2.3.1 PEPPA Framework	24
	2.3.1.1 PEPPA Framework Steps	25
	2.3.2 Schober Conceptual Policy Framework for Advanced Practice Nursing	27
	2.3.2.1 Literature Review Leading to Framework Development	27
	2.3.2.2 Framework Development	29
	2.3.2.3 Intended Use of the Conceptual Policy Framework	30
	2.3.2.4 Critical Points of the Conceptual Policy Framework	30
	2.3.2.5 Discussion of Critical Points	31
	2.3.2.6 Strategic Planning and the Conceptual Policy Framework	34
	2.3.3 Conceptual Policy Framework: Singapore Exemplar	35
	2.3.3.1 Cornerstone One: Singapore Context (Legitimacy, Feasibility, Support, and Motivation for Advanced Nursing Practice Concept)	36
	2.3.3.2 Cornerstone Two: Singapore Context (Definition of APN and Function in Healthcare Settings)	36
	2.3.3.3 Strategic Planning and Coordination: Singapore Context	37
	2.3.4 Additional Models/Frameworks for Advanced Nursing Practice	37
	2.3.4.1 Scotland: An Advanced Practice Toolkit	38
	2.3.4.2 Ireland: Advanced Nurse Practitioner and Advanced Midwife Practitioner	39
	References	40
	3: Theories of Social and Healthcare Policy	43
	3.1 Hall, Land, Parker, and Webb Agenda-Setting Framework	43
	3.1.1 Legitimacy	44
	3.1.2 Feasibility	44
	3.1.3 Support	44
	3.2 Kingdon’s “Windows of Opportunity”	45
	3.3 Lindblom’s Incrementalism and Disjointed Incrementalism	46
	3.3.1 Disjointed Incrementalism	47
	3.3.2 Strengths and Limitations of Incrementalism	48
	3.3.2.1 Strengths of Incrementalism	48
	3.3.2.2 Limitations of Incrementalism	48
	3.4 Walt’s Framework for Policy Implementation	49
	3.4.1 Principles of the Walt Framework	49
	3.4.2 The Policy Process According to Walt	50
	3.4.3 Implementation: Do Those Who Implement Policy Decide Policy Formulation?	51
	3.4.4 Walt’s Strategy for Policy Implementation	52
	3.5 A Comparison of Theories of the Policy Process	52
	3.6 Commentary on the Relevance of Policy Theory for Nursing	53
	References	55
	4: Evidence-Based Policy Decisions	56
	4.1 Reality: Is Evidence Used to Make Policy Decisions?	56
	4.2 Policy Agenda Setting and Policy Decisions: Frameworks and Models	58
	4.2.1 Key Decision-Makers: Power and Authority	60
	4.2.2 Participation in the Policy Process: Direct and Indirect	61
	4.2.2.1 Direct Participation	61
	4.2.2.2 Indirect Participation	62
	References	63
	5: Politics: The Art of Diplomacy and Negotiation	64
	5.1 Nurses’ Stages of Political Engagement	64
	5.2 Acquiring the Necessary Skills	66
	5.2.1 Leadership Competencies	66
	5.2.1.1 Communication and Collaboration: A Beneficiary Policy Approach	67
	References	69
	6: Effective Change: A Strategic Approach	71
	6.1 Assessment of the Healthcare Environment	71
	6.1.1 Scanning the Environment	72
	6.1.2 SWOT (Strengths, Weaknesses, Opportunities, Threats) Analysis	73
	6.1.3 Stakeholder Analysis	74
	6.2 Regulation	75
	6.2.1 SSPP Model (Scope, Standards, Policies, and Procedures)	76
	6.2.2 Non-medical Prescribing in the United Kingdom (UK): Policy and Legal Strategy	77
	6.2.2.1 Non-medical Prescribing in the United Kingdom: The Origins	78
	6.2.2.2 Toward Independent Prescribing	78
	6.2.2.3 Nurse Prescribers’ Extended Formulary	79
	6.2.2.4 Regulation	79
	6.2.2.5 Supervision in Practice as Part of Education	80
	6.2.2.6 Regulatory Standards	81
	6.2.2.7 Prescribing Accountability	82
	6.2.2.8 Prescribing Within the Area of Competence	82
	6.2.2.9 Consent	82
	6.2.2.10 Record Keeping	83
	6.2.2.11 Professional Indemnity	83
	6.2.2.12 Maintaining Competence in Practice and CPD	83
	6.2.2.13 Competency Framework for All Prescribers	84
	6.2.2.14 Impact of Prescribing on Clinical Practice in the United Kingdom	85
	6.2.2.15 Conclusion	85
	6.2.3 Nurse Prescribing: A Global Role Analysis	86
	6.2.3.1 Advanced Practice Nursing, Advanced Nursing, and Task Shifting/Sharing	87
	6.2.3.2 Global Nurse Prescribing by Role Descriptor	88
	6.2.3.3 Conclusion	89
	6.3 Introducing Advanced Practice Nurses: A Process	90
	6.3.1 The Nurse Practitioner in New Zealand: Legislation and Process	90
	6.3.1.1 Nurse Practitioner Registration, Legislation, and Processes	91
	6.3.1.2 Nurse Practitioner Prescribing Legislation	92
	6.3.1.3 Nurse Practitioner Education	93
	6.3.1.4 Conclusion	94
	6.3.2 Transition Experiences of Nurse Practitioners in Australia	94
	6.3.2.1 Nurse Practitioner Implementation in Australia	94
	6.3.2.2 The Importance of Intraprofessional Support	95
	6.3.2.3 The Importance of Interprofessional Support	96
	6.3.3 Advanced Nursing Practice Strategy and Policy in Germany	97
	6.3.4 The Netherlands: Process, Legislation, and Evaluation	98
	6.3.4.1 Introduction	98
	6.3.4.2 Motivation	99
	6.3.4.3 Educational Program	100
	6.3.4.4 Legislation	101
	6.3.4.5 Opportunities	102
	6.3.4.6 Evaluation	102
	6.4 Influencing the Process: Beneficial Debate and Discussion	103
	6.5 Research and Evaluation	104
	6.5.1 Dissemination of Empirical Findings and Information	105
	Appendix 6.1: SWOT Analysis Matrix Template (Schober 2016)	107
	Appendix 6.2: SWOT Analysis Matrix Illustration (Schober 2016)	108
	Appendix 6.3: Global Nurse Prescribing by Role Descriptor	109
	References	110
	7: Policy Analysis	115
	7.1 Process and Models	115
	7.1.1 Policy Analysis Models	117
	7.1.1.1 Process Model	117
	7.1.1.2 Substantive Model	117
	7.1.1.3 Eightfold Path	117
	7.1.1.4 Logical-Positivist Model	118
	7.1.1.5 Participatory Policy Analysis (PPA)	118
	7.2 Indicators and Outcomes	118
	7.3 Evaluation and Adaptation: Population Indicators	119
	7.4 Determining the Correct Path to Follow	119
	References	121
	8: Rational Policy Decision-Making: Idealism Versus Realism	122
	8.1 Policy-Making: A Rational Process	122
	8.2 Incrementalism and Policy Decisions	124
	8.3 A Debate: Rational Change Versus Disjointed Incrementalism	125
	8.3.1 Assumptions of the Rational Decision-Making Model	125
	8.3.2 Incrementalism and Disjointed Incrementalism	126
	References	128
	Index	129

Strategic Planning for Advanced Nursing Practice

von: Madrean Schober

Strategic Planning for Advanced Nursing Practice

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