Skip to main content

Currently Skimming:

D APRN Consensus Model
Pages 323-368

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 323...
... D APRN Consensus Model1 1 Reprinted with permission from Kathy Apple, NCSBN, from https://www.ncsbn.org/Consensus_ Model_for_APRN_Regulation_July_2008.pdf (accessed December 9, 2010)
From page 324...
... 324 THE FUTURE OF NURSING Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education July 7, 2008 Completed through the work of the APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee The APRN Consensus Work Group and the APRN Joint Dialogue Group members would like to recognize the significant contribution to the development of this report made by Jean Johnson, PhD, RN-C, FAAN, Senior Associate Dean, Health Sciences, George Washington School of Medicine and Health Sciences. Consensus could not have been reached without her experienced and dedicated facilitation of these two national, multi-organizational groups.
From page 325...
... American Psychiatric Nurses Association (APNA) Arkansas State Board of Nursing Association of Faculties of Pediatric Nurse Practitioners (AFPNP)
From page 326...
... National Certification Corporation (NCC) National Council of State Boards of Nursing (NCSBN)
From page 327...
... Because of the importance of APRNs in caring for the current and future health needs of patients, the education, accreditation, certification and licensure of APRNs need to be effectively aligned in order to continue to ensure patient safety while expanding patient access to APRNs. APRNs include certified registered nurse anesthetists, certified nurse-midwives, clinical nurse specialists and certified nurse practitioners.
From page 328...
... , and the National Association of Nurse Practitioners in Women's Health Council on Accreditation. 4 The certification program should be nationally accredited by the American Board of Nursing Specialties (ABNS)
From page 329...
... were identified and several definitions of an APRN were considered, including the NCSBN and the American Nurses Association (ANA) definitions, as well as others.
From page 330...
... who has completed an accredited graduate-level education program preparing him/her for one of the four recognized APRN roles; 2. who has passed a national certification examination that measures APRN, role and population-focused competencies and who maintains continued competence as evidenced by recertification in the role and population through the national certification program; 3.
From page 331...
... The Certified Registered Nurse Anesthetist The Certified Registered Nurse Anesthetist is prepared to provide the full spectrum of patients' anesthesia care and anesthesia-related care for individuals across the lifespan, whose health status may range from healthy through all recognized levels of acuity, including persons with immediate, severe, or lifethreatening illnesses or injury. This care is provided in diverse settings, including hospital surgical suites and obstetrical delivery rooms; critical access hospitals; acute care; pain management centers; ambulatory surgical centers; and the offices of dentists, podiatrists, ophthalmologists, and plastic surgeons.
From page 332...
... Titling The title Advanced Practice Registered Nurse (APRN) is the licensing title to be used for the subset of nurses prepared with advanced, graduate-level nursing knowledge to provide direct patient care in four roles: certified registered nurse anesthetist, certified nurse-midwife, clinical nurse specialist, and certified nurse practitioner.5 This title, APRN, is a legally protected title.
From page 333...
... * lifespan related APRN ROLES Nurse Nurse- Clinical nurse Nurse anesthetist midwife specialist ++ practitioner + FIGURE D-1 APRN Regulatory Model Under this APRN Regulatory Model, there are four roles: certified registered nurse anes Fig D-1.eps thetist (CRNA)
From page 334...
... and/or the Council for Higher Education Accreditation (CHEA) ; • be awarded pre-approval, pre-accreditation, or accreditation status prior to admitting students; • be comprehensive and at the graduate level; • prepare the graduate to practice in one of the four identified APRN roles; • prepare the graduate with the core competencies for one of the APRN roles across at least one of the six population foci; • include at a minimum, three separate comprehensive graduate-level courses (the APRN Core)
From page 335...
... Clinical and didactic coursework must be comprehensive and sufficient to prepare the graduate to obtain certification for licensure in and to practice in the APRN role and population focus. As part of the accreditation process, all APRN education programs must undergo a pre-approval, pre-accreditation, or accreditation process prior to admitting students.
From page 336...
... Specialty competencies must be assessed separately. In summary, education programs preparing individuals with this additional knowledge in a specialty, if used for entry into advanced practice registered nursing and for regulatory purposes, must also prepare individuals in one of the four nationally recognized APRN roles and in one of the six population foci.
From page 337...
... ; and • professional nursing certification program that is psychometrically sound, legally defensible, and which meets nationally recognized ac creditation standards for certification programs.6 6 The professional certification program should be nationally accredited by the American Board of Nursing Specialties (ABNS) or the National Commission for Certifying Agencies (NCCA)
From page 338...
... Expectations for licensure, accreditation, certification, and education are listed below: Foundational Requirements for Licensure Boards of nursing will: 1. license APRNs in the categories of Certified Registered Nurse Anes thetist, Certified Nurse-Midwife, Clinical Nurse Specialist or Certified Nurse Practitioner within a specific population focus; 2.
From page 339...
... be responsible for evaluating APRN education programs including grad uate degree-granting and post-graduate certificate programs; 2. through their established accreditation standards and process, assess APRN education programs in light of the APRN core, role core, and population core competencies; 3.
From page 340...
... Foundational Requirements for Education APRN education programs/tracks leading to APRN licensure, including graduate degree-granting and post-graduate certificate programs will: 1. follow established educational standards and ensure attainment of the APRN core, role core and population core competencies;11,12 10 The certification program should be nationally accredited by the American Board of Nursing Specialties (ABNS)
From page 341...
... , Accreditation Commission for Midwifery Education (ACME) , and the National Association of Nurse Practitioners in Women's Health Council on Accreditation.
From page 342...
... During the 1993 NCSBN annual meeting, delegates adopted a position paper on the licensure of advanced nursing practice which included model legislation language and model administrative rules for advanced nursing practice. NCSBN core competencies for certified nurse practitioners were adopted the following year.
From page 343...
... The criteria represented required elements of certification programs that would result in a legally defensible examination suitable for the regulation of advanced practice nurses. Subsequently, the APRN Advisory Panel has worked with certification programs to improve the legal defensibility of APRN certification examinations and to promote communication with all APRN stakeholders regarding APRN regulatory issues such as with the establishment of the annual NCSBN APRN Roundtable in the mid 1990's.
From page 344...
... 17 Organizational members of the Alliance for APRN Credentialing : American Academy of Nurse Practitioners Certification Program, American Association of Colleges of Nursing, American Association of Critical-Care Nurses Certification Corporation, Council on Accreditation of Nurse Anesthesia Educational Programs, American College of Nurse-Midwives, American Nurses Credentialing Center, Association of Faculties of Pediatric Nurse Practitioners, Inc., Commission on Collegiate Nursing Education, National Association of Clinical Nurse Specialists, National Association of Nurse Practitioners in Women's Health, Council on Accreditation, Pediatric Nursing Certification Board, The National Certification Corporation for the Obstetric Gynecologic and Neonatal Nursing Specialties, National Council of State Boards of Nursing, National Organization of Nurse Practitioner Faculties 18 The term regulation refers to the four prongs of regulation: licensure, accreditation, certification and education.
From page 345...
... APRN Joint Dialogue Group In April, 2006, the APRN Advisory Panel met with the APRN Consensus Work Group to discuss APRN issues described in the NCSBN draft vision paper. The APRN Consensus Work Group requested and was provided with feedback from the APRN Advisory Panel regarding the APRN Consensus Group Report.
From page 346...
... In summary, this report includes: a definition of the APRN Regulatory Model, including a definition of the Advanced Practice Registered Nurse; a definition of broad-based APRN education; a model for regulation that ensures APRN education and certification as a valid and reliable process, that is based on nationally recognized and accepted standards; uniform recommendations for licensing bodies across states; a process and characteristics for recognizing a new APRN role; and a definition of an APRN specialty that allows for the profession to meet future patient and nursing needs. The work of the Joint Dialogue Group in conjunction with all organizations representing APRN licensure, accreditation, certification, and education to advance a regulatory model is an ongoing collaborative process that is fluid and dynamic.
From page 347...
... Washington, DC: Author. Association of Women's Health, Obstetric and Neonatal Nurses & National Association of Nurse Practitioners Women's Health (2002)
From page 348...
... . Regulation of Advanced Practice Nursing: 2002 National Council of State Boards of Nursing Position Paper.
From page 349...
... The advanced nursing practice category and standards of practice national in the scope of have been identified by national organizations. its credentialing.
From page 350...
... Education program offered by an accredited college or advanced practice university offers a graduate degree with a concentration in the specialty. advanced nursing practice specialty the individual is seeking 2)
From page 351...
... Knowledge, skills, and abilities, which are critical to public safety, of safe and effective are identified. advanced nursing care to D
From page 352...
... Procedures for notification of changes in certification programs the certification program, (qualifications, test plan or scope of practice) to Boards of including qualifications, Nursing test plan and scope of practice.
From page 353...
... 33 APPENDIX D Criteria Elaboration XV. An evaluation A
From page 354...
... A scope of practice statement must accompany the submission requesting recognition as a nursing specialty. Criteria for Recognition as a Nursing Specialty The following criteria are used by the Congress on Nursing Practice and Economics in the review and decision-making processes to recognize an area of practice as a nursing specialty: A nursing specialty: 1.
From page 355...
... 3 APPENDIX D APPENDIX C NCSBN APRN Committee Members, 2003 -2008 2003 • Katherine Thomas, Executive Director, Texas Board of Nurse Examiners • Patty Brown, Board Staff, Kansas State Board of Nursing • Kim Powell, Board President, Montana Board of Nursing • Charlene Hanson, Consultant • Georgia Manning, Arkansas State Board of Nursing • Deborah Bohannon-Johnson, Board President, North Dakota Board of Nursing • Jane Garvin, Board President, Maryland Board of Nursing • Janet Younger, Board President, Virginia Board of Nursing • Nancy Chornick, NCSBN 2004 • Katherine Thomas, Executive Director, Texas Board of Nurse Examiners • Patty Brown, Board Staff, Kansas State Board of Nursing • Kim Powell, Board President, Montana Board of Nursing • Charlene Hanson, Consultant • Janet Younger, Board President, Virginia Board of Nursing • Polly Johnson, Board Representative, North Carolina Board of Nursing • Laura Poe, Member, Utah State Board of Nursing • Georgia Manning, Arkansas State Board of Nursing • Jane Garvin RN, Board President, Maryland Board of Nursing • Ann Forbes, Board Staff, North Carolina Board of Nursing • Nancy Chornick, NCSBN 2005 • Katherine Thomas, Executive Director, Texas Board of Nurse Examiners • Patty Brown, Board Staff, Kansas State Board of Nursing • Charlene Hanson, Consultant • Janet Younger, Board President, Virginia Board of Nursing • Polly Johnson, Board Representative, North Carolina Board of Nursing • Laura Poe, Member, Utah State Board of Nursing • Marcia Hobbs, Board Member, Kentucky Board of Nursing • Randall Hudspeth, Board Member, Idaho Board of Nursing • Ann Forbes, Board Staff, North Carolina Board of Nursing
From page 356...
... O'Sullivan, Board Member, Pennsylvania Board of Nursing • Patty Brown, Board Staff, Kansas State Board of Nursing • Charlene Hanson, Consultant • Laura Poe, Member, Utah State Board of Nursing • John C Preston, Board Member, Tennessee Board of Nursing • Randall Hudspeth, Board Member, Idaho Board of Nursing • Cristiana Rosa, Board Member, Rhode Island Board of Nurse • James Luther Raper, Board Member, Alabama Board of Nursing • Linda Rice, Board Member, Vermont Board of Nursing • Cathy Williamson, Board Member, Mississippi Board of Nursing • Janet Younger, Board President, Virginia Board of Nursing • Marcia Hobbs, Board Member, Kentucky Board of Nursing • Nancy Chornick, NCSBN
From page 357...
... O'Sullivan, Board Member, Pennsylvania Board of Nursing • Patty Brown, Board Staff, Kansas State Board of Nursing • Charlene Hanson, Consultant • Laura Poe, Member, Utah State Board of Nursing • John C Preston, Board Member, Tennessee Board of Nursing • Randall Hudspeth, Board Member, Idaho Board of Nursing • Cristiana Rosa, Board Member, Rhode Island Board of Nurse • James Luther Raper, Board Member, Alabama Board of Nursing • Linda Rice, Board Member, Vermont Board of Nursing • Cathy Williamson, Board Member, Mississippi Board of Nursing • Tracy Klein, Member Staff, Oregon State Board of Nursing • Darlene Byrd, Board Member, Arkansas State Board of Nursing • Nancy Chornick, NCSBN
From page 358...
... 3 THE FUTURE OF NURSING APPENDIX D 2006 NCSBN APRN Roundtable Organization Attendance List Alabama Board of Nursing American Academy of Nurse Practitioners American Academy of Nurse Practitioners National Certification Program, Inc American Association of Colleges of Nursing American Association of Critical-Care Nurses American Association of Nurse Anesthetists American Association of Psychiatric Nurses American Board of Nursing Specialties American College of Nurse-Midwives American College of Nurse Practitioners American Holistic Nurses' Certification Corporation American Midwifery Certification Board American Nurses Association American Nurses Credentialing Center American Organization of Nurses Executives Association of Women's Health, Obstetric and Neonatal Nurses Board of Certification for Emergency Nursing Council on Accreditation of Nurse Anesthesia Educational Programs Emergency Nurses Association George Washington School of Medicine Idaho Board of Nursing Kansas Board of Nursing Kentucky Board of Nursing Massachusetts Board of Nursing Mississippi Board of Nursing National Association of Clinical Nurse Specialists National Association of Nurse Practitioners in Women's Health National Association of Pediatric Nurse Practitioners National Board for Certification of Hospice & Palliative Nurses National Certification Corporation for the Obstetric, Gynecologic and Neonatal Nursing Specialties National League for Nursing Accrediting Commission North Carolina Board of Nursing Oncology Nursing Certification Corporation Pediatric Nursing Certification Board Rhode Island Board of Nursing Texas Board of Nurse Examiners Utah Board of Nursing
From page 359...
... 3 APPENDIX D Vermont Board of Nursing Wound, Ostomy and Continence Nursing Certification Board 2007 APRN Roundtable Attendance List ABNS Accreditation Council Alabama Board of Nursing American Academy of Nurse Practitioners American Academy of Nurse Practitioners National Certification Program, Inc American Association of Colleges of Nursing American Association of Critical-Care Nurses American Association of Nurse Anesthetists American College of Nurse-Midwives American College of Nurse Practitioners American Midwifery Certification Board American Nurses Credentialing Center - Certification Services American Organization of Nurse Executives Arkansas State Board of Nursing Association of Women's Health, Obstetric and Neonatal Nurses Board of Certification for Emergency Nursing Colorado Board of Nursing Commission on Collegiate Nursing Education Council on Accreditation of Nurse Anesthesia Educational Programs Council on Certification of Nurse Anesthetists and Council on Recertification of Nurse Anesthetists Emergency Nurses Association Idaho Board of Nursing Illinois State Board of Nursing Kansas Board of Nursing Kentucky Board of Nursing Loyola University Chicago Niehoff School of Nursing Minnesota Board of Nursing Mississippi Board of Nursing National Association of Clinical Nurse Specialists National Association of Pediatric Nurse Practitioners National Certification Corporation for the Obstetric, Gynecologic and Neonatal Nursing Specialties National League for Nursing Accrediting Commission National Organization of Nurse Practitioner Faculties Oncology Nursing Certification Corporation Pediatric Nursing Certification Board Pennsylvania Board of Nursing
From page 360...
... 30 THE FUTURE OF NURSING Rhode Island Board of Nursing Rush University College of Nursing South Dakota Board of Nursing Tennessee Board of Nursing Texas Board of Nurse Examiners Vermont Board of Nursing
From page 361...
... 31 APPENDIX D APPENDIX E APRN Joint Dialogue Group Organizations represented at the Joint Dialogue Group Meetings American Academy of Nurse Practitioners Certification Program American Association of Colleges of Nursing American Association of Nurse Anesthetists American College of Nurse-Midwives American Nurses Association American Organization of Nurse Executives Compact Administrators National Association of Clinical Nurse Specialists National Council of State Boards of Nursing National League for Nursing Accrediting Commission National Organization of Nurse Practitioner Faculties NCSBN APRN Advisory Committee Representatives (5)
From page 362...
... 32 THE FUTURE OF NURSING APPENDIX F Organizations invited to APN Consensus Conference June 2004 Accreditation Commission for Midwifery Education American Academy of Nurse Practitioners American Academy of Nurse Practitioners Certification Program American Academy of Nursing American Association of Critical Care Nurses American Association of Critical Care Nurses Certification Program American Association of Nurse Anesthetists American Association of Occupational Health Nurses American Board of Nursing Specialties American College of Nurse-Midwives American College of Nurse Practitioners American Nurses Association American Nurses Credentialing Center American Organization of Nurse Executives American Psychiatric Nurses Association Association of Faculties of Pediatric Nurse Practitioners Association of Rehabilitation Nurses Association of Women's Health, Obstetric and Neonatal Nurses Certification Board Perioperative Nursing Commission on Collegiate Nursing Education Council on Accreditation of Nurse Anesthesia Educational Programs Division of Nursing, DHHS, HRSA Emergency Nurses Association Hospice and Palliative Nurses Association International Nurses Society on Addictions International Society of Psychiatric-Mental Health Nurses NANDA International National Association of Clinical Nurse Specialists National Association of Neonatal Nurses National Association of Nurse Practitioners in Women's Health National Association of Nurse Practitioners in Women's Health, Council on Accreditation National Association of Pediatric Nurse Practitioners National Association of School Nurses National Board for Certification of Hospice and Palliative Nurses National Certification Corporation for the Obstetric, Gynecologic and Neonatal Nursing Specialties National Conference of Gerontological Nurse Practitioners
From page 363...
... 33 APPENDIX D National Council of State Boards of Nursing National Gerontological Nursing Association National League for Nursing National League for Nursing Accrediting Commission National Organization of Nurse Practitioner Faculties Nurse Licensure Compact Administrators/State of Utah Department of Commerce/Division of Occupational & Professional Licensing Nurses Organization of Veterans Affairs Oncology Nursing Certification Corporation Oncology Nursing Society Pediatric Nursing Certification Board Sigma Theta Tau, International Society of Pediatric Nurses Wound Ostomy & Continence Nurses Society Wound Ostomy Continence Nursing Certification Board
From page 364...
... 34 THE FUTURE OF NURSING APPENDIX G Organizations participating in APRN consensus process Academy of Medical-Surgical Nurses Accreditation Commission for Midwifery Education American Academy of Nurse Practitioners American Academy of Nurse Practitioners Certification Program American Association of Colleges of Nursing American Association of Critical Care Nurses Certification American Association of Neuroscience Nurses American Association of Nurse Anesthetists American Association of Occupational Health Nurses American Board for Occupational Health Nurses American Board of Nursing Specialties American College of Nurse-Midwives American College of Nurse-Midwives Division of Accreditation American College of Nurse Practitioners American Holistic Nurses Association American Nephrology Nurses Association American Nurses Association American Nurses Credentialing Center American Organization of Nurse Executives American Psychiatric Nurses Association American Society for Pain Management Nursing American Society of PeriAnesthesia Nurses Association of Community Health Nursing Educators Association of Faculties of Pediatric Nurse Practitioners Association of Nurses in AIDS Care Association of PeriOperative Registered Nurses Association of Rehabilitation Nurses Association of State and Territorial Directors of nursing Association of Women's Health, Obstetric and Neonatal Nurses Board of Certification for Emergency Nursing Commission on Collegiate Nursing Education Commission on Graduates of Foreign Nursing Schools Council on Accreditation of Nurse Anesthesia Educational Programs Department of Health Dermatology Nurses Association District of Columbia Board of Nursing Division of Nursing, DHHS, HRSA Emergency Nurses Association George Washington University
From page 365...
... 3 APPENDIX D Health Resources and Services Administration Infusion Nurses Society International Nurses Society on Addictions International Society of Psychiatric-Mental Health Nurses Kentucky Board of Nursing National Association of Clinical Nurse Specialists National Association of Neonatal Nurses National Association of Nurse Practitioners in Women's Health, Council on Accreditation National Association of Orthopedic Nurses National Association of Pediatric Nurse Practitioners National Association of School of Nurses National Certification Corporation for the Obstetric, Gynecologic, and Neonatal Nursing Specialties National Conference of Gerontological Nurse Practitioners National Council of State Boards of Nursing National League for Nursing National League for Nursing Accrediting Commission National Organization of Nurse Practitioner Faculties Nephrology Nursing Certification Commission North American Nursing Diagnosis Association International Nurses Organization of Veterans Affairs Oncology Nursing Certification Corporation Oncology Nursing Society Pediatric Nursing Certification Board Pennsylvania State Board of Nursing Public Health Nursing Section of the American Public Health Association. Rehabilitation Nursing Certification Board Society for Vascular Nursing Texas Nurses Association Texas State Board of Nursing Utah State Board of Nursing Women's Health, Obstetric & Neonatal Nurses Wound, Ostomy, & Continence Nurses Society Wound, Ostomy, & Continence Nursing Certification
From page 366...
... 3 THE FUTURE OF NURSING APPENDIX H APRN Consensus Process Work Group Organizations Represented at the Work Group Meetings Jan Towers, American Academy of Nurse Practitioners Certification Program Joan Stanley, American Association of Colleges of Nursing Carol Hartigan, American Association of Critical Care Nurses Certification Corporation Leo LeBel, American Association of Nurse Anesthetists Bonnie Niebuhr, American Board of Nursing Specialties Peter Johnson & Elaine Germano, American College of Nurse-Midwives Mary Jean Schumann, American Nurses Association Mary Smolenski, American Nurses Credentialing Center M.T. Meadows, American Organization of Nurse Executives Edna Hamera & Sandra Talley, American Psychiatric Nurses Association Elizabeth Hawkins-Walsh, Association of Faculties of Pediatric Nurse Practitioners Jennifer Butlin, Commission on Collegiate Nursing Education Laura Poe, APRN Compact Administrators Betty Horton, Council on Accreditation of Nurse Anesthesia Educational Programs Kelly Goudreau, National Association of Clinical Nurse Specialists Fran Way, National Association of Nurse Practitioners in Women's Health, Council on Accreditation Mimi Bennett, National Certification Corporation for the Obstetric, Gynecologic, and Neonatal Nursing Specialties Kathy Apple, National Council of State Boards of Nursing Grace Newsome & Sharon Tanner, National League for Nursing Accrediting Commission Kitty Werner & Ann O'Sullivan, National Organization of Nurse Practitioner Faculties Cyndi Miller-Murphy, Oncology Nursing Certification Corporation Janet Wyatt, Pediatric Nursing Certification Board Carol Calianno, Wound, Ostomy and Continence Nursing Certification Board Irene Sandvold, DHHS, HRSA, Division of Nursing (observer)
From page 367...
... The process subsequently has been used and validated for the development of similar sets of competencies for other areas of nursing practice, including competencies for mass casualty education for all nurses and competencies for acute care nurse practitioners and psych/mental health nurse practitioners. This process for developing nationally recognized educational standards, nationally recognized role competencies and nationally recognized specialty competencies is an iterative, step-wise process.


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.