ViewPoint is the official publication of the American Academy of Ambulatory Care Nursing (AAACN).

 

Manuscript Wish List

Diversity, Equity, & Inclusion

  • Disability sensitivity/ableism (inclusion)
  • Gender minorities in nursing (inclusion/diversity)
  • Racial and ethnic biases or implicit bias in medicine/behavioral (equity)
  • Strategic recruiting for diversity (diversity)
  • The new 'frontier' nursing: bringing care to the migrant fields (equity)
  • The impact of social policies (e.g., changes in abortion laws, transgender access to care) on equitable care (equity)
  • Patient portals and the limited English proficiency (LEP) population (equity)
  • Nurses with disabilities in the workplace (inclusion)
  • Nurses with history of substance use disorder reintegration into the workplace (inclusion)
  • Separating personal beliefs/preferences from nursing care and workplace dynamics (inclusion)
  • Maximizing patient potential for those with a pre-existing disability (equity)
  • Autism-sensitive care for pediatric or adult settings (inclusion/equity)
  • Creating an inclusive workplace (inclusion)
  • The limitations of standardized screenings with the LEP population: When direct translation doesn't suffice (equity)
  • Gender dysphoria and its impact on population health (equity)
  • Diverse staffing and its benefits for the workplace (diversity)

 

Quality and Safety

  • Medications: safety, errors at clinic or at patient's home, immunizations, education, programs, etc.
  • Documentation issues to support self-administered meds at home
  • Workplace violence prevention
  • Report cards (creation/utilization) – an opportunity for standard work and benchmarking, Ambulatory Harm Dashboards
  • Risk management/quality measures, incident reporting, good catches, stopping harm before it reaches the patient
  • Fall prevention in the clinical setting, possible NSI for adult and pediatrics
  • Evidence (research) demonstrating the quality outcomes for APRN versus other providers, role or ratio of RN and measures of outcomes

 

Finance

  • Reimbursement in ambulatory care, nurse visits in primary/specialty care
  • Cost containment associated with nursing interventions (such as case management)
  • Role of APRN in generating revenue (billing, reimbursement) and decreasing cost (through primary prevention strategies)
  • Optimizing role, working to maximum of licensure, and impact on both patient care and business outcomes
  • Magnet processes for ambulatory care, new requirements for ambulatory care exemplars
  • Interprofessional teams, working with medical assistants and other roles, including understanding scope of practice
  • Value of professional certification (ties in with Magnet changes)
  • Clinical differences in care and cost outcomes between certified and non-certified nurses
  • Expanded role for RN and full practice authority for APRN impact on patient care outcomes and business considerations (finance, legal, regulatory, compliance)
  • CURES Act and its impact on clinical notes and test results Professional Development/Education
  • Ambulatory care orientation and nurse residency programs, opportunities to incorporate the nurse residency program from AAACN
  • Strategic partnerships with schools of nursing or high schools, efforts to increase diversity and retention in the nursing workforce
  • Latest technology that augments care delivery, education, training, or self-management (for the clinician)
  • Mentorship programs, roles and responsibilities of mentors

 

Chronic Care/Transitions

  • Change/transition in ambulatory care (inpatient to outpatient, pediatrics to adult, acute care to long term care, etc.)
  • Any programs or advancements in shared governance, self-directed care, and caregiver support resources

 

Ambulatory Care Structure/Leadership

  • Administrative reporting structures in ambulatory care nursing leadership positions
  • Strategic planning in ambulatory care
  • Succession planning across the enterprise, from front-line to executive leadership roles
  • Managing change/motivating staff, management skills to address underperforming staff

 

Disaster Planning

  • Post-disaster deployment considerations for employment, personal, and professional life
  • Exemplars of role changes related or secondary to pandemic, particularly with respect to those practices that will remain after the pandemic has resolved

 

Triage/Telehealth

  • Telephone triage models, especially addressing challenges with triage across state lines
  • Documentation and standardization of tools used, preferably expanding evidence base
  • Telehealth issues - reimbursement, staff education, equipment (choices and optimal use)

 

Care Coordination

  • Care coordination - competencies and best practices, increase in multidisciplinary clinics for coordination, documentation, and billing
  • Evidence-based models of care coordination, current research, standardizing nurse sensitive indicators (NSI)

 

Miscellaneous Clinical Issues

  • Disease management/population health – possible NSIs and awareness in insurance changes with population health and prevention
  • Disruptive patient management/hostile work environment in ambulatory care, power dynamics
  • Electronic medical records, patient portals, social media, and technology - constant evolution of technology and cyber safety