The APN whose training is now in advanced theoretical concepts with added elements of practice and the use of the nursing framework is imminently qualified to assure this process takes place (Kohr, 1998). The APN is now a leader in developing nursing practice through provision of leadership and maintenance of a commitment to developing nursing practice, using her authority and power to influence clinical and policy decisions and providing clinical development.
The goal that is chosen affects much of the communities need. In strengthening community prevention it is meant through education, community based programs and interventions and the reduction in violence and abusive behavior, all of which the APN is innately trained to handle through her collaborative and communicative style and abilities (Stanhope and Lancaster, 2008). She is also well able to handle these issues based on her strong clinical nursing background on which she has built the knowledge that she presently has.
The values that have grounded the practice of an APN are advocacy, holism, nursing experience, integration or theory into practice and added medical functions in a nursing framework. Each of these parts of her practice that have come from grounded nursing theory are the strengths that will help guide her through the changes in practices and processes that will need to occur in the community to meet the new goal.
The APN has at her disposal the deliberate, purposeful, and integrated use of expanded nursing knowledge which she has expanded from her original clinical ability. She uses knowledge , research, and that expertise in clinical practice to know what has to be done to advance the concept while at the same time she uses her collaborative skills to work with the rest of the team toward change (Ingersoll, 2000). The use of evidence based practice to help in the change of the processes that are needed to protect the public health falls