title: Creating an advanced practice nurse-friendly culture: a marathon, not a sprint.
abstract: 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.
authors.affiliation: Biobehavioral and Health Systems Division, School of Nursing, University of Pennsylvania, Philadelphia 19104, USA. terryr@nursing.upenn.edu
authors.forename: Therese S
authors.initials: TS
authors.lastname: Richmond
authors.forename: Deborah
authors.initials: D
authors.lastname: Becker
mesh_terms: D000208:Acute Disease / Q000451:nursing*; D001291:Attitude of Health Personnel; D003142:Communication; D003299:Cooperative Behavior; D003422:Critical Care / Q000458:organization & administration*; D006040:Goals; D006801:Humans; D007400:Interprofessional Relations; D016294:Models, Nursing; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D009722:Nurse Practitioners / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D009937:Organizational Objectives; D010348:Patient Care Team / Q000458:organization & administration; D010558:Personnel Loyalty; D010687:Philosophy, Nursing; D020377:Self Efficacy; D013997:Time Factors