Ebook KDM : Strategic Planning for Advanced Nursing Practice
Enthusiasm for the concept of advanced nursing practice worldwide represents a
paradigm shift in thinking not only for nursing but also in planning for the provision
and coordination of healthcare services. Volume 1 of the Springer monograph series
on advanced practice in nursing introduced the concept of advanced nursing prac-
tice from an international perspective. This volume demonstrates the diversity in
trying to capture this emerging field of healthcare professionals.
The complexities of launching and refining an initiative focused on the advance-
ment of nursing are increasingly revealed through research, narratives, and growth
in the number and variety of publications. Too often the facts and accounts confirm
that legislation and implementation strategies are missing in national schemes,
resulting in negative consequences. Practice environments are not always prepared
to welcome advanced practice nurses. Healthcare stakeholders and decision-makers
do not understand the advanced nursing concept. This knowledge suggests that stra-
tegic planning, including an understanding of policy and the policy process, could
be beneficial not only in promoting the advancement of nursing but also in support-
ing the sustainability of the concept. This volume presents a range of topics and
themes to bear in mind when identifying strategies for policy development and role
implementation.
Built on content from Vol. 1, this volume is intended to be a resource for health-
care professionals, decision-makers, key stakeholders, and others interested in the
advancement of nursing. The focus is on strategic planning and development of
policy supportive of advanced nursing practice. Chapter 1 defines strategy, strategic
planning, policy, and the significance of considering a strategic approach. In addi-
tion, this chapter presents not only the significance of identifying strategies but also
the complexities involved in formulating a strategic plan. Key factors to explore in
developing or refining an advanced nursing practice initiative are identified in Chap.
2. This chapter introduces the reader to the topic of policymakers and their policy
networks and spheres of influence that impact the policymaking process. In addi-
tion, implementation and policy frameworks are provided to offer guidance in plan-
ning. Theories of social healthcare policy are discussed in Chap. 3 together with
commentary on how these theories relate to nursing. Chapter 4 describes the reali-
ties and effectiveness of evidence-based policy decision-making followed by a dis-
cussion in Chap. 5 of the need for nurses to acquire diplomacy, negotiation, and
leadership skills to participate and be actively engaged in politics and the policy
vi
process. Chapter 6 reviews options for the assessment of healthcare environments in
order to promote effective reform that includes advanced nursing capacity.
Indicators, outcomes, and policy analysis processes are the focus of Chap. 7.
Dialogue from different perspectives challenges the notion that strategic planning
and policymaking are rational or logical processes. This theme emerges throughout
this volume but is the specific focus for debate and discussion in Chap. 8.
The author draws on extensive personal international experience with a variety
of country initiatives and assimilation of literature (nursing and non-nursing). Based
on empirical evidence from research conducted in Singapore, a Conceptual Policy
Framework for Advanced Practice Nursing is proposed. Informants, selected from
countries in different phases of advanced nursing practice development, have gener-
ously offered examples of their country experiences and challenges. In bringing all
these details together, the hope is to provide the reader with a menu of options from
which to have a productive conversation about “real” and common interests result-
ing in a convergence of views for promoting and implementing a level of advanced
practice in nursing.
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