Incorporating value-informed advanced nursing practice into APRN education

Value-informed advanced practice nursing capitalizes on the high-value nursing model of care to meet population health needs and address rising healthcare costs. However, nurse practitioners (NPs) often lack knowledge about value-based care, which limits their ability to lead systems-based changes to improve outcomes and lower costs. Identifying the key domains for value-informed advanced nursing practice can support curricular alignment with competency-based education. A review of the peer-reviewed and gray literature identified an initial list of domains that impact the success of value-based NP care. These domains were then confirmed and validated through interviews with eight NP practice owners. The final seven key domains of value-informed advanced nursing practice – Leadership/High Value Culture, Quality and Analytics, Care Coordination, Collaboration and Community Connections, Financial Management, Care Redesign, and IT Infrastructure and Interoperability – align with the sub-competencies established by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculty. Learning activities are offered to facilitate NP understanding of value-informed nursing practice and meet selected sub-competencies. Incorporating the key domains for value-informed advanced nursing practice into NP and Doctor of Nursing Practice education prepares emerging and seasoned NPs to lead systems-level change and improve care delivery.