Advanced Nursing Practice in the United States of America: managing, negotiating and monitoring the healthcare system
This chapter will enable you to critically discuss and explore the role of the advanced practice nurse (APN) in healthcare delivery in the United States of America (USA), the different specialties of advanced practice nursing, and the various organisations that influence/control it. Advanced nursing education is included, as is practice with all the issues the nurse must consider and attend to as he/she negotiates a fraught professional landscape. To negotiate the system, nurses need to be cognisant of major issues that relate to licensure, accreditation, certification and education (LACE) for advanced practice because they influence where nurses will practice and how they will practice. Barriers to practice that relate to advanced nursing practice satisfaction are also discussed.