Part 1 Background and trends: Introduction, The Reformation of Health Care and Implications for Advanced Practice Nursing, Education for Advanced Practice Nursing, Professional Development: Socialization into Advanced Practice Nursing, The Preceptorship in Primary Care, Redefining Primary Care: An Opportunity for Nursing. Part 2 Changing environments and patient diversity in health care delivery: Introduction, The Changing Environments of Health Care Delivery, Cultural and Ethnic Diversity: Cultural Competence, Case Management and the Advanced Practice Nurse, The Advanced Practice Nurse in a Managed Care Environment, Collaboration and Advanced Practice Nursing. Part 3 Issues related to advances practice nursing: Introduction, Accountability: The Covenant Between Patient and Provider, Licensure, Certification, and Credentialing, Economics and Health Care Financing, Empowerment: Activism in Professional Practice, Utilisation of Research in Advanced Practice Nursing, Cost Containment Initiatives: Analysis of Clinical Resource Utilization. Part 4 The advanced practice nurse: innovative models for caring: Primary Care: Improving Health Promotion and Disease Prevention, Management of High Risk and Vulnerable Populations: Children, Women and the Elderly, Managing Acute and Chronic Illness Across Settings, The Future of Advanced Practice Nursing: Moving into the 21st Century in Practice, Education and Research.