Perspectives in Ambulatory Care Nursing / Edition 1

by Caroline Coburn, Deena Gilland, Beth Ann Swan

Overview

Selected as a Doody's Core Title for 2022!

Reflecting the expert insight of leading names in the field, Perspectives in Ambulatory Care Nursing helps students confidently meet the challenges of a changing healthcare landscape and embrace their role in nursing outside of the hospital setting. Ambulatory care authorities Caroline Varner Coburn, Deena Gilland and Beth Ann Swan guide students through the evolution of nursing in ambulatory care settings — including the social and political forces driving an increased need for nurses in primary care — and detail how nurses can use research and data to change practice, demonstrate the impact of nursing and meet standards of excellence in ambulatory care.   
 
An ideal primer both for nursing students and practicing nurses switching from acute care positions to ambulatory care settings, Perspectives in Ambulatory Care Nursing clarifies the distinctions between the two care settings, familiarizes students with the variety of parts played by members of the healthcare team and identifies key topics in today’s ambulatory nursing practice, including telehealth, care coordination/transition management and the involvement of clients and families in health management. Accompanying resources encourage students to think critically about ambulatory care concepts and consider real-world applications as they prepare for success in practice.     

• Key Points summarize essential takeaways at a glance. 
• Clear, concise chapters demonstrate key differences between acute and ambulatory nursing approaches. 
• Case Studies with accompanying critical thinking questions challenge students to apply concepts to real-world ambulatory care scenarios. 
• Discussion Questions encourage students to think critically and improve test-taking confidence.

Product Details

ISBN-13:	9781975104641
Publisher:	LWW
Publication date:	04/03/2021
Edition description:	First, North American Edition
Pages:	324
Product dimensions:	7.00(w) x 10.00(h) x (d)

Table of Contents

About the Authors iv

Contributors vi

Reviewers ix

Preface xi

Acknowledgments xv

Unit 1 Changing Landscape of Healthcare in the United States 1

1 Ambulatory Nursing: An Overview 3

History 3

Defining Ambulatory Care 5

Social, Economic, and Policy Influences 7

Ambulatory Nursing Roles: An Overview 8

Comparison: Ambulatory and Acute Care Nursing 12

Summary 15

2 Healthcare Delivery 18

The 19th Century 18

The 20th Century 19

The 21st Century 20

Care Delivery Models 26

Registered Nurse Roles in Ambulatory Care 32

Future of Ambulatory Care Nursing 36

3 Social, Economic, and Policy Influences on Ambulatory Care 40

Social Determinants of Health 41

Public Health and Social Determinants of Health 41

Public Health Efforts for Populations in the 21st Century 42

Ambulatory Care for Specific Vulnerable Populations: Applications of Population Health 44

Implications of Social Determinants of Health on Ambulatory Care Nursing Practice 46

Summary 47

Unit 2 Measuring Impact 51

4 Nursing Practice: Regulation and Advocacy 53

Regulation of Nursing 53

Scope of Practice 56

Regulatory Agencies 61

Professional Organizations 62

Shared Responsibility 63

Advocacy 64

Summary 66

5 Measurement and Value 68

Introduction 68

History of Evaluating Quality in Healthcare and Nursing 70

Centers for Medicare and Medicaid Services Leadership of Measurement and Value 74

Individual Satisfaction Measurement 78

Nursing Measurement and Benchmarking in Ambulatory Care 78

Summary 82

6 Research, Evidence-Based Practice, and Quality Improvement 87

Introduction 87

Comparison: Research, EBP, and QI 88

Ambulatory Care Principles Applied to Research, EBP, QI 94

Ambulatory Care Personnel and Roles 95

Research and EBP Competencies for Nurses and Nurse Leaders 96

QI Competencies for RNs and Nurse Leaders 98

Research/QI/EBP Application 98

Use of Data to Facilitate Research, EBP, and QI 100

Summary 104

Unit 3 Fundamentals for Ambulatory Care Nursing 109

7 Engaging Individuals and Families in Health 111

Introduction 112

Quality Context for Engaging individuals and Families 112

Why Engaging Individuals and Families Is Nursing's Priority 114

Defining individual and Family Engagement 117

Framework for Individual and Family Engagement 117

Person- and Family-Centered Care 121

National Alliance for Quality Care (NAQC) Guiding Principles for Consumer Engagement 129

Health Literacy 133

8 Care Coordination 146

Care Coordination in U.S. Healthcare 147

Care Continuum, Care Coordination, and Proliferation of Terms 148

Transitional Care 149

Scope and Standards of Practice for Care Coordination and Transition Management 151

Roles of Registered Nurses in Care Coordination 152

Roles of Registered Nurses During Care Transitions 154

Care Coordination and Care Transition Tools 156

The Role of Health Information Technology in Care Coordination 158

Summary 159

9 Telehealth and Virtual Care Nursing 163

Overview and Origins of Telehealth Nursing 163

Current Issues 166

Telehealth Nursing Practice 168

Nursing Process in Telehealth 169

Decision Support Tools 172

Telehealth Skills, Competencies, and Certification 174

Telehealth Nursing Practice Models 175

Remote Care Management 179

Future Challenges and Opportunities 180

Summary 181

Unit 4 Ambulatory Settings: Roles and Competencies 185

10 Primary Care 187

History and Definitions 187

Workforce 189

Patient-Centered Medical Home and High-Functioning Primary Care 189

Team-Based Care 191

Registered Nurse Roles in Primary Care 195

Primary Care Registered Nurse Competencies 196

Behavioral Health in Primary Care 200

Population Health 201

Complex Care Management 202

Pediatric Primary Care 203

Insurance and Economic Issues 204

Health Information Technology, Data Tracking, and Clinical Decision Support Systems 205

Economic Impact of the Primary Care Registered Nurse Role 207

Summary 209

11 Episodic Care 212

Introduction 212

Professional Nursing Practice in Episodic Care Settings 218

Considerations in Select Episodic Care Settings 220

Episodic Home-Based Services 230

Summary 232

12 Medical Specialty Clinics 236

Overview and Context 236

Nursing Role in Specialty Practice 238

Specialty Clinics for Noncommunicable Chronic Diseases: Four Examples 240

Chronic Infectious Diseases 243

Mental Health and Substance Misuse in Specialty Care 244

Virtual Care in Specialty Clinics 247

Referrals to Primary Care 248

Diagnostic Testing 249

Summary 249

13 Population Health: Ambulatory Care Focus 252

Overview 252

Population-Focused Practice in Ambulatory Care 253

Emerging Policies and Healthcare Agencies 254

Specialty Populations 255

Roles of the Registered Nurse in Population-Focused Clinics 255

Population-Specific Settings 257

School-Based Healthcare 260

Summary 265

14 Underserved Populations and Cultural Considerations 269

History and Overview 269

Health Equity and Disparities 271

Assessment of Health Risks 272

Diversity in Research 274

Rural Communities 274

Individuals Seeking Refuge and Immigrants 275

Individuals Experiencing Homelessness 278

Native Americans and Alaska Natives 279

Cultural Humility 281

Diversity Within the Nursing Workforce 283

Summary 283

Unit 5 Advancing Ambulatory Care Nursing 287

15 Ambulatory Care: Educating the Next Generation 289

Preparing Nursing Students for Ambulatory Roles of the Future 289

Current Practice Patterns 290

New Roles 291

Ambulatory Care Practice Arenas 293

Educational Curricula and Practicums to Support Ambulatory Nursing Prepare Educational Innovations 298

Measuring Critical Thinking and Decision-Making in Ambulatory Care 299

Transition to Practice in Ambulatory Settings 300

Summary 300

16 Infrastructures That Support Ambulatory Professional Nursing Practice 304

Nursing as a Profession 305

The Context of the Care of Individuals 306

Reinforcing Ambulatory Nursing Practice Through the Ambulatory Medical Record 309

Professional Development in Ambulatory Nursing 314

Quality and Safety Education for Nurses and Interprofessional Collaboration 318

Transition to Practice Nurse Residency Programs 319

Summary 323

Index 327

Editorial Reviews

Reviewer: Kristin Malek, DNP (Rush University Medical Center)
Description: This book provides an in-depth review of ambulatory care nursing, including the history, current practice, and future for ambulatory care nursing. In order to accomplish this task, the authors divide the book into units, which are then further categorized into chapters. Within each chapter, the authors present learning objectives, key terms, an introduction, content, a summary, and a case study. Tables and boxes are utilized to provide additional and sometimes anecdotal information. The website resources are divided into student and instructor resources and include additional case studies, journal articles, and PowerPoints.
Purpose: The purpose of book is to fill a learning gap related to ambulatory care nursing that has been identified at academic institutions. Students are often taught population health, but there is less of a focus on the individual. Thus, the authors set out to provide pertinent, general information surrounding ambulatory care. The book is helpful in introducing ambulatory care to nurses and new graduate nurses. While the print version is the most helpful, the electronic resources provide supplemental information that can be easily accessed by students and instructors.
Audience: The book is written for both academic and non-academic purposes. The authors state the book can be used for students or new graduates entering ambulatory care. It can also be used as a reference for advanced practice providers or nurse leaders. Because the book provides a general overview, it is not geared toward a specific specialty within ambulatory nursing. The authors are doctorate prepared, published nurses with extensive experience in ambulatory care nursing. They are considered experts in their field.
Features: The book presents a broad overview of ambulatory care nursing. It starts with the history of ambulatory care nursing and finishes with the future of nursing in this specialty. It provides a great description of research and advocacy in the field. It also touches on the specialties within ambulatory care nursing including primary care, episodic care, medical specialty clinics, population health, and the underserved population. The material is organized well and uses case studies to summarize and engage readers. The table, boxes, and graphs provide in-depth information, as well as comparisons.
Assessment: This is a useful textbook for introducing this specific field to nursing students and new graduate nurses. It provides a general overview of the field and its contribution to nursing and thoroughly reviews telehealth, care coordination/transition management, and the involvement of clients and families in health management. It is a great addition to the nursing curriculum.

Doody's Review Service