2.50
Hdl Handle:
http://hdl.handle.net/10755/182418
Category:
Abstract
Type:
Presentation
Title:
Development of an Advanced Practice Nurse Case Management Reflective Practice Framework
Author(s):
Brubakken, Karen
Author Details:
Karen Brubakken, MS, APRN, BC, Aurora Health Care, Milwaukee, Wisconsin, USA, email: karen.brubakken@aurora.org
Abstract:
Advanced Practice Nurses (APNs) strive to learn from their clinical practice to improve expertise. Although models are available to guide the development of registered nurses, a framework for APN case managers in a community setting has been lacking. APNs, providing community case management in a large metropolitan area, sought to develop a reflective practice framework based on narratives that described their encounters with clients and demonstrated the evolution of advanced practice. Benner's "Novice to Expert" model provided the foundation for this framework. Twenty-four narratives were examined to identify characteristics of advanced practice and these elements were labeled with statements describing nursing behaviors. Behaviors were analyzed for similarities and grouped as descriptors with related themes. Further study of these statements led to the creation of domains and stages of practice. Five additional APN case manager narratives were reviewed to verify consistent interpretation of coding. A reflective practice framework with three stages of practice (APN competent, APN proficient, and APN expert) was created for APN case management. Three domains of practice were identified and include: "Role/Relationship/Partnership, Coordination/Collaboration, and Clinical Knowledge and Decision Making". The framework is being used for monthly formal case review presentations. The case review process provides opportunities for APN professional development and group learning that focuses on improving nursing practice. The framework is also being used in orientation as new case managers acclimate to the role. The framework may be applicable to the practice of APN case managers in other non-traditional settings.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDevelopment of an Advanced Practice Nurse Case Management Reflective Practice Frameworken_GB
dc.contributor.authorBrubakken, Karenen_US
dc.author.detailsKaren Brubakken, MS, APRN, BC, Aurora Health Care, Milwaukee, Wisconsin, USA, email: karen.brubakken@aurora.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182418-
dc.description.abstractAdvanced Practice Nurses (APNs) strive to learn from their clinical practice to improve expertise. Although models are available to guide the development of registered nurses, a framework for APN case managers in a community setting has been lacking. APNs, providing community case management in a large metropolitan area, sought to develop a reflective practice framework based on narratives that described their encounters with clients and demonstrated the evolution of advanced practice. Benner's "Novice to Expert" model provided the foundation for this framework. Twenty-four narratives were examined to identify characteristics of advanced practice and these elements were labeled with statements describing nursing behaviors. Behaviors were analyzed for similarities and grouped as descriptors with related themes. Further study of these statements led to the creation of domains and stages of practice. Five additional APN case manager narratives were reviewed to verify consistent interpretation of coding. A reflective practice framework with three stages of practice (APN competent, APN proficient, and APN expert) was created for APN case management. Three domains of practice were identified and include: "Role/Relationship/Partnership, Coordination/Collaboration, and Clinical Knowledge and Decision Making". The framework is being used for monthly formal case review presentations. The case review process provides opportunities for APN professional development and group learning that focuses on improving nursing practice. The framework is also being used in orientation as new case managers acclimate to the role. The framework may be applicable to the practice of APN case managers in other non-traditional settings.en_GB
dc.date.available2011-10-28T15:23:21Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:23:21Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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