The sixth edition of this time-tested text on advanced nursing role development is completely updated to encompass the full complement of current APRN practice roles. Reflecting the evolving spheres of the DNP and CNL, it illuminates in greater depth the transition into practice of APRN master's and doctoral students, and emphasizes the APRN's all-important role in influencing health policy, global health, and differentiated APRN practice and leadership roles within interprofessional teams. The sixth edition-the only text to address the APRN role globally- continues the conversation on educational requirements and differentiation from certification, and it includes expanded coverage of professional issues and research-based practice. Additionally, this text discusses the impact of the Patient Protection and Affordable Care Act (and any potential changes) on the current and future APRN role. Encompassing the diverse expertise of highly experienced contributors from a wide variety of practice settings, the book continues to deliver essential information on advanced clinical decision-making, reimbursement, ethical issues, technology, and employment strategies. It reflects the competencies identified by key stakeholder organizations such as the ANA, NONPF, NACNS, AANA, ACNM, and AACN. New to the Sixth Edition: Focuses on the pros and cons of international health care system models Reflects the evolving roles of the DNP and CNL Details the transition into practice for APRN master's and doctoral students, particularly NPs, CNSs, CNMs and CRNAs Focuses on the importance of APRN leadership in shaping health through political activism Discusses the impact of the Patient Protection and Affordable Care Act (and any potential changes) on the APRN role Emphasizes how APRNs can influence health policy, global health, and differentiated practice and leadership roles within interprofessional teams Updates information about educational requirements and differentiation from certification Expands coverage of professional issues and research-based practice Incorporates topics for discussion at the end of each chapter Key Features: Provides pithy yet comprehensive coverage of current APRN roles Addresses interprofessional, global health, leadership roles, and practice issues regarding credentialing, prescriptive authority, and liabilities Delivers conceptual and practical frameworks for teachers and students Serves as the only text to address the APRN role globally Includes case studies, instructors guide, and Power Points Print version includes free, searchable, digital access to entire contents of the book