As the Advanced Practice Registered Nurse (APRN) role continues to expand in today's health care environment, APRNs are more frequently tasked with quantifying, evaluating, and improving their individual care processes, as well as demonstrating the impact of their care. Revised to provide APRN students and educators, practicing APRNs, and nursing administrators with the most up-to-date information on outcome assessment, the fourth edition of this award-winning text is still the only nursing resource to exclusively focus on outcome assessment. Written by expert practitioners, educators and researchers, this fourth edition continues to analyze the foundations of outcome assessment, provide guidelines for selecting assessment instruments and measuring results, discuss design and implementation challenges in outcomes assessment, and provide an unequaled wellspring of information that will help APRNs to increase their skill level and enhance their professional practice role. New to this edition, additional sections focus on practice specific quality metrics for demonstrating APRN impact, and provide information on a national collaborative launched specifically to showcase outcomes of APRN-led initiatives as part of the Choosing Wisely Campaign. New to the Fourth Edition: Expanded coverage of DNP impact on outcomes Complete updates on practice specific outcomes for all clinical areas of APRN practice including nurse practitioner, clinical nurse specialist, certified registered nurse anesthetists, and certified nurse midwife. Instructor Manual including algorithms and teaching tools Key Features:Examines in depth the foundations of outcome assessment Addresses specialty areas of APRN practice and specialty-specific considerations for outcome evaluation Provides guidelines for selecting assessment instruments and measuring the results Describes design and implementation pitfalls Helps APRNs to increase skill level regarding evaluation of outcomes