Advanced practice nurses (APNs) have extraordinary opportunities in acute and critical care settings. However, new obstacles accompany these opportunities and these obstacles can needlessly hamper APN practice and reduce the APN’s contributions to patient care. Contributions by APNs can be maximized by deliberately and thoughtfully creating a practice culture that is APN-friendly. This article analyzes eight characteristics important to creating the APN-friendly culture: clarity of vision and values, commitment, communication, collaboration, credibility, contributions, confidence, and complexity. Creating an APN-friendly culture is a worthwhile organizational investment in order to enhance optimal APN practice and to benefit patients and families.
Advanced Practice Nursing| January 01 2005
Creating an Advanced Practice Nurse-friendly Culture: A Marathon, Not a Sprint
Therese S. Richmond, PhD, CRNP, FAAN;
From the Biobehavioral and Health Systems Division (Dr Richmond) and the Adult Acute Care Nurse Practitioner Program (Ms Becker), School of Nursing, University of Pennsylvania, Philadelphia.
Reprint requests to Therese S. Richmond, University of Pennsylvania, School of Nursing, 420 Guardian Dr, Philadelphia, PA 19104 (firstname.lastname@example.org).
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Deborah Becker, MSN, CRNP, BC
AACN Adv Crit Care (2005) 16 (1): 58–66.
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Therese S. Richmond, Deborah Becker; Creating an Advanced Practice Nurse-friendly Culture: A Marathon, Not a Sprint. AACN Adv Crit Care 1 January 2005; 16 (1): 58–66. doi:
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