Coburn 1e

xvii

Contents

Measuring Impact 51

UNIT 2

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

Fundamentals for Ambulatory Care Nursing 109

UNIT 3

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