This book, written by the Dean Emeritus of Columbia School of Nursing, follows the evolution of Advanced Practice Nursing as a successful and well-respected model of independent nursing practice. It describes a dramatic period of 25 years during which the author rescued a failing school of nursing at Columbia University and led it through a period of struggle that, through strong and carefully constructed planning, led Advanced Practice Nursing to a new level of authority and education. It depicts Columbia's leadership in establishing CAPNA, a financially successful independent nursing practice, and uses the case study of Columbia School of Nursing to illustrate how nursing leadership used leverage and political acumen to bring together disparate and unusual partners to support its mission to restructure the APN model.

Divided into six sections, the book describes how the innovations transpired during five-year periods and provides, in the final section, an action plan for those who would like to develop the same level of practice in a school or individually. Chapters address why the seminal achievement occurred, exactly what took place, the cultural and practice environment in which change occurred, strategies used and resistance overcome, and solutions that emerged as a result of the final achievement. The text, with its professional and financial model, will be of value to nurse educators who wish to invigorate their programs, DNP graduates who seek to develop their practices, medical educators, business education professionals, and health reformers.
Key Features:
•Portrays a passionate 25-year struggle towards the achievement of advanced practice nursing authority and autonomy
•Shares a successful model of independent nursing practice
•Offers guidelines on how to train faculty for their role in providing necessary clinical education in NP and DNP programs
•Provides a blueprint for schools of nursing attempting to develop strong DNP programs and initiate an independent faculty nursing practice
•Written by the Dean Emeritus of Columbia School of Nursing



SECTION I: SURVIVAL - THE ULTIMATE CHALLENGE: 1985-1990

Chapter 1: Avoiding Failure

Chapter 2: Faculty Practice: The Essential Cornerstone of Our Future

Chapter 3: Developing the Dimensions of Professional Contributions

Chapter 4: Anchoring our Endeavor

SECTION II: THE MEDICAID EXPERIMENT: 1990-1995

Chapter 5: The Primary Care Shortage

Chapter 6: Luck Comes to Those Who Prepare For It

Chapter 7: Research and Centennial Celebrations

Chapter 8: The Perfect Storm

SECTION III: CAPNA: 1995-2000

Chapter 9: Changing Lanes

Chapter 10: Doing the Right Thing

Chapter 11: External Support Gives Stability

Chapter 12: Expanding Scope and Shifting Revenues

Section III Appendix: A Dean's Primer on Establishing a Clinical Doctoral Program

SECTION IV: CHASING EXCELLENCE: 2000 - 2005

Chapter 13: Turbulence and Confirmation

Chapter 14: The Birth of the DNP Degree

Chapter 15: Should We Keep the DNP Title?

Chapter 16: Back on the Home Front

SECTION V: CERTIFICATION AND COMPETENCE: 2005-2010

Chapter 17: Certification and Residency: Demonstrating DNP Clinical Practice Competency

Chapter 18: Searching for Balance

SECTION VI: REFLECTIONS: 1985-2010

Chapter 19: A Quarter Century of Columbia Nursing

Chapter 20: Personal Advice to the Reader

Section VI Appendix: Observations on the Laws of Leadership and Change
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