Feb 23, 2024 Assignment: Nursing Roles Graphic -Organizer
Assignment: Nursing Roles Graphic -Organizer
There are many avenues available for Registered Nurses within different types of Masters Programs. Advanced Nursing Practice Roles uniquely identify within different specialties. The two types of APN roles I have decided to compare includes Nurse Educator and Nurse Practitioner (Liaison International , 2022).
The Nurse Educator, whether it be college instruction or hospital bedside guidance, has a very important responsibility. Teaching and guiding nursing students, new grads and experienced nurses through gentle but firm instruction is an important balance (American Nurses Association, 2022). Ethical considerations can include providing constructive communication techniques for all facets of learning styles, maintaining confidentiality and anonymity, and recognizing potential of harm so the issue can be swiftly revised and improved. The nurse educator is an important resource for all areas of nursing, and performing this role with compassion and confidence directly influences healthy growth and success within all levels of nursing practices (DeNisco & Barker, 2019).
The Nurse Practitioner involves direct patient care and can span all types of specialties in medicine. Diagnosis and treatment as well as counseling in preventative care helps to create a healthy balance between the actual management of care and strategies needed for long term success. (American Nurses Association, 2022). Nurse Practitioners do not just treat the present problem but also the patient’s future health and happiness. Ethical considerations include voluntary participation of the patient, confidentiality, and informed consent (DeNisco & Barker, 2019).
There are many ethical differences within these two APN roles. The scope of practice highly differs between the two, which directly influences the associated ethical guidelines. One huge difference is the population served. Nurse Educators directly serve the nurses and institutions, while Nurse Practitioners directly serve the patients and institutions. Both roles utilize evidence-based practice and definitive ethical standards. The response to an ethical situation differs in the fact that the educator may identify and correct situations by improving knowledge gaps and training while the Nurse Practitioner may have to adjust the plan of care accordingly and follow up with different treatment modalities.
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For example: A Jehovah witness patient is diagnosed with sickle cell crisis who is dangerously anemic and needs a blood transfusion. Ethical guidelines remain in place for respecting spirituality and religion. The hospital educator may consider addressing this situation with cultivating awareness by teaching the institutions employees, which leads to building understanding and acceptance for this patient population. The Nurse Practitioner will need to adapt the plan of care to this specific situation but also directly educate the patient on the high level risks associated with the denial of the blood transfusion. The NP can help the patient define personal limits and wishes associated with the plan of care without encroaching on the validity of the religious belief.
American Nurses Association. (2022). Advanced Practice Registered Nurse (APRN). https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn
DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124
Liaison International (2022). Explore Health Careers. https://explorehealthcareers.org/field/nursing/
Assignment: Nursing Roles Graphic -Organizer
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Nursing Roles Graphic Organizer Template NUR 513 Week 2Nursing Roles Graphic Organizer Template – Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of one’s own practice, it is essential to understand the role and scope of other nurse specialties to ensure effective collaboration among nurses, the organization, and other professionals with whom advanced registered nurses regularly interact.Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practitioner; graduate nurse with an emphasis/specialty in public health, health care administration, business, or informatics; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you are comparing.
Nursing Roles Graphic Organizer Template
Clinical Nurse Specialist
Nurse Practitioner
Observations (Similarities/Differences)
Ethics
Clinical nurse specialist are required to observe ethical principles when dealing with patients. Indeed, they are required to act as advocates of patients and protect them even as they offer their services (DeNisco & Baker, 2016).
The ethical perspective of nurse practitioners is one that can be described as unique due to the expanded practice of these professionals. They act in many ways that are indicative of tough decisions. Thus, their ethical decision-making balances the principles of legalities and morals in analysis and in most cases need moral courage. Thus, while making decisions, nurse practitioners strive to preserve moral courage and prevent moral distress normally correlated with controversial situations.
The ethical comparison of the two areas reveal certain similarities and differences. Both nurses are faced with untenable situations when presented with an ethical decision. However, whereas nurse practitioners strive to reduce moral distress, clinical nurse specialists are expected to protect the patient in those decisions.
Education
The educational requirement for nurse specialists is a minimum of MSN.
Concerning nurse practitioners, the educational requirement entails a Master of Science in Nursing (MSN) as a minimum qualification. In future, a doctor of nursing practice (DNP) may become necessary
Thus, the MSN degree requirement is common to the two areas. Nevertheless, nurse practitioners may be required to advance their education.
Leadership
The Institute of Medicine report recommended that clinical nurse specialists should assume leadership roles and guide personnel and the entire health care system so as to improve patient outcomes (Porter-O’Grady, & Malloch, 2016). The reason for this is that they work in systems, influence them, collaborate with personnel and thus have the capacity to reach relatively more patients so as to introduce improvement approaches.
Nurse practitioners, by virtue of their educational background, play an important leadership role in the execution of evidence-based practice (DeNisco & Baker, 2016). They fundamentally lead the reform process of the health care system by influencing them to adopt recommendations from PhDs. Thus, their role extends to the creation of health care policy reforms and their subsequent implementation.
It is safe to say that both nurse practitioners and clinical nurse specialists play important leadership roles in terms of improving the quality of patient care. However, whereas the former primarily do this at the policy level, the latter do this at the clinical setting level via directing staff to implement certain changes.
Public Health
Clinical nurse specialists use their experience, education, and perspectives to spearhead advocacy and then policy setting at among others community level. They adopt a leadership style that is based on empowerment and have a broad influence within such communities (Porter-O’Grady, & Malloch, 2016). The essentially specialize as public/community health nurses.
Nurse practitioners also utilize their education to influence policy at the community level. According to Fooladi (2015), they address the public health needs of communities via home visits, wellness clinics, and establishing associations that can stop severe health situations before they unfold.
In all these roles, the common trend is the role of these nurses in improving the wellness of their communities. They both have influence over their communities and use this influence plus established relationships to prevent outbreak of diseases.
Health Care Administration
The role of clinical nurse specialists in health care administration is limited. However, they work in collaboration with administrators in order to improve patient care especially when they are strategically positioned. The closest clinical nurse specialists have come to administrators is when they are assigned to supervise their fellow nurses (DeNisco & Baker, 2016).
Nurse practitioners also play limited role in health care administration. Owing to their education level, they can help in the formulation of hospital policy for purposes of improving patient care. However, they can also design policies related to human resources within an organization.
Hence, both clinical nurse specialists and nurse practitioners have limited roles in health care administration. The only way that they can participate in the management of hospitals is through collaboration with administrators to improve the quality of care and their own positioning to achieve that.
Informatics
Clinical nurse specialists use informatics to improve the work environment and practice through application of informatics (Murphy, Goossen, & Weber, 2017). These nurses are significant as they influence nurses to adopt information technology in practice thus improving care.
When it comes to nurse practitioners, they use informatics to access best evidence-based information as well as informational tools (Murphy, Goossen, & Weber, 2017). Further, nursing informatics also helps nurse practitioners to easily relay information and also protect themselves and patients through the use of aspects such as telemedicine, e-prescribing, and internal messaging system among others.
Again, the two nursing areas use informatics to improve patient care. Whereas clinical nurse specialists ensure that information technology aspects related to patient care are adopted by nurses to improve patient care, nurse practitioners actually use informatics to undertake their duties.
Business/Finance
Clinical nurse specialists engage in the management of patients and not human resources. Thus, they do not need to have any business or financial competencies and their curriculum do not cater for this.
On the other hand, nurse practitioners may require to have business/finance competencies. This allows them to be prepared to manage resources involving employees. By taking part in workforce planning, business/finance acumen will enable them to plan properly so as to enhance employee satisfaction.
While clinical nurse specialists do not require any finance/business knowledge, these skills become indispensable to nurse practitioners due to the fact that they may use them in administrative roles. .
Specialty (e.g., Family, Acute Care)
Clinical specialist nurses are specialized in the following areas of care: Community-public health, Pediatric critical care, Home health, Adult gerontology, Adult-gerontological health, and Adult-gerontological critical care,
On the other hand, nurse practitioner are specialized in the following areas: Women’s health, Neonatal, Pediatric primary, Gerontology primary, Pediatric acute, Family primary, Adult-gerontology primary, Adult primary, Adult psychiatric-mental health, and Adult-gerontology acute.
Both nurses work specialize in adult gerontology care and pediatric critical care. However, clinical specialist nurses work with home health, and community public health cases whereas nurse practitioners do not.
Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice
Certification in this area of nursing occurs via the American Nurses Credentialing Center depending on the specialty. Nevertheless, not all of the CNS specialties have their certification exam.
For NPs, certification occurs through either the American Academy of Nurse Practitioners or the American Nurses Credentialing Center (ANCC).
Thus, American Academy of Nurse Practitioners certifies both nurses. However, NPs can also be certified by American Academy of Nurse Practitioners, something that CNS do not enjoy.
References
DeNisco, S. M., & Baker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3 ed.). Burlington, MA: Jones & Bartlett Learning.
Fooladi M. M. (2015). The Role of Nurses in Community Awareness and Preventive Health. International journal of community based nursing and midwifery, 3(4), 328-9.
Murphy, J., Goossen, W., & Weber, P. (2017). Forecasting Informatics Competencies for Nurses in the Future of Connected Health: Proceedings of the Nursing Informatics Post Conference 2016. Amsterdam: IOS Press, Incorporated
Porter-O’Grady, T. & Malloch, K. (2016). Becoming a professional nurse. ( 2nd ed.), Leadership in nursing practice: Changing the lanscape of healthcare Burlington, MA: Jones and Bartlett Learning.
Week 1 Announcement
Hi everyone,
This week we are going to dive right into NUR-513. This first week, we discuss the history of advanced registered nursing (ARN) scope and how it has evolved in its scope and expectations. We will also be researching what the National Academy of Medicine (previously called the Institute of Medicine) recommends for nursing education and how the ARN can impact the health system. You will be completing two discussion questions and responding to your peers’ discussion questions. Finally, your Topic 1 assignment is to complete an online learning environment scavenger hunt. This scavenger hunt can be critical to your success at GCU, so please take the time to read and complete this well.
I look forward to rich discussions with all of you.
Requirements for this week:
1. Topic 1 DQ 1 by 8/6/22 at 11:59 pm
2. Topic 1 DQ 2 by 8/8/22 at 11:59 pm
3. Participation – respond to your peer’s post at least 3 different days this week
4. Assignment – “Navigating the Online Environment Scavenger Hunt”. This is due by 8/10/22 and is worth 50 points.
For full Discussion Question (DQ) points Topics 1-3, you are required to:
Post your response of at least 150 words.
Reference at least one source within five years for one of your DQs using APA format.
When referencing, cite the reference inside your DQ and at the end to support your statements.
For full Participation points, you are required to:
Post a response to your peers of at least 100 words on 3 different days during the week. Notice this doesn’t just say 3 responses; it must be 3 different days. This is a GCU requirement.
I mark your response as either “substantial or not substantial” as I read them; watch for those markings throughout the week. If one of your responses was marked as “not substantial,” you will know to add another to receive full participation points that week. However, if you have waited until the last three days to reply to their responses, you will not be able to add another response to receive full participation credit. So I encourage you to respond early in the week and watch for those “substantial” or nonsubstantial” response markings.
As always please reach out if you have questions. However, let’s do this!!!!
Make sure to compare the following areas of practice in your graphic organizer:
EthicsEducationLeadershipPublic HealthHealth Care AdministrationInformaticsBusiness/FinanceSpecialty (e.g., Family, Acute Care)Include any regulatory bodies or certification agencies that provide guidance or parameters on how these roles incorporate concepts into practice.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Click ‘New Attempt’ to start assignment or attach documents
According to the National Association of Clinical Nurse Specialists (2023), a Clinical Nurse Specialist is an APRN with a master’s or doctoral degree who diagnoses, prescribes, and treats patients and specialty populations across the continuum of care. This profession improves outcomes by providing direct patient care, leading evidence-based practice, optimizing organizational systems, and advancing nursing practice. This role is governed by the American Nurses Association Code of Ethics in order to ensure that nurses within this role are practicing to their fullest potential while maintaining ethical standards. To practice competently with integrity, nurses, like all healthcare professionals, must have regulation and guidance within the profession (Haddad & Geiger, 2023). According to Haddad and Geiger (2023), the ANA code of ethics is broken down into nine provisions for the nurse to follow. Some examples include that nurses practice with compassion and respect for the inherent dignity, worth, and unique attributes of every person, and they must have a high level of respect for all individuals in regard to dealings in care and communication. Also, the nurse has a primary commitment to the patient and must recognize the need for the patient to include their individual thought into care practices.
The Clinical Nurse Leader (CNL) is a clinician who brings the focus of control for safe and quality care from the administrative areas straight to the unit’s providers who deliver the services (Reid & Dennison, 2011). As a nurse with both advanced, master’s level preparation and specialized, health system clinical leadership competencies, the CNL is prepared for direct clinical leadership at the point of care (microsystem) to ensure that care delivery is safe, evidence-based, and targeted towards optimal quality outcomes for the cohort of clients served by the CNL (Reid & Dennison, 2011). This position is also governed by the ANA Code of Ethics in order to ensure that nurses working in this specialty are following the ethical standards for all aspects of patient care.
A situation causing a Clinical Nurse Specialist (CNS) and Clinical Nurse Leader (CNL) to respond differently would be in the sense of end-of-life care. The CNL role in this situation is to ensure that all ethical and departmental standards are followed and ensure that the standard of care is being followed by every member of the interdisciplinary team when caring for a particular patient since they are not able to provide direct care in their role. The CNS would have a direct patient care role in this situation and would be able to order commonly used medications during the care of a comfort care patient including Ativan and Morphine to promote comfort while following the ethical standards associated with the care of this patient type.
Haddad, L., Geiger, R. (2023). Nursing Ethical Considerations. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK526054/
National Association of Clinical Nurse Specialists (2023). What is a CNS? https://nacns.org/about-us/what-is-a-cns/
Reid, K., & Dennison, P. (2011). The Clinical Nurse Leader (CNL): Point-of-Care Safety Clinician. Online Journal of Issues in Nursing. https://doi.org/10.3912/OJIN.Vol16No03Man04
sing Roles Graphic Organizer
1
Unsatisfactory
0.00%
2
Less than Satisfactory
80.00%
3
Satisfactory
88.00%
4
Good
92.00%
5
Excellent
100.00%
100.0 %Nursing Roles Graphic Organizer Criteria
10.0 %Comparison of Roles in Relation to Ethics
A comparison of roles in relation to ethics is not included.
A comparison of roles in relation to ethics is present, but it lacks detail or is incomplete.
A comparison of roles in relation to ethics is present.
A comparison of roles in relation to ethics is clearly provided and well developed.
A comprehensive comparison of roles in relation to ethics is thoroughly developed with supporting details.
10.0 %Comparison of Roles in Relation to Education
A comparison of roles in relation to education is not included.
A comparison of roles in relation to education is present, but it lacks detail or is incomplete.
A comparison of roles in relation to education is present.
A comparison of roles in relation to education is clearly provided and well developed.
A comprehensive comparison of roles in relation to education is thoroughly developed with supporting details.
10.0 %Comparison of Roles in Relation to Leadership
A comparison of roles in relation to leadership is not included.
A comparison of roles in relation to leadership is present, but it lacks detail or is incomplete.
A comparison of roles in relation to leadership is present.
A comparison of roles in relation to leadership is clearly provided and well developed.
A comprehensive comparison of roles in relation to leadership is thoroughly developed with supporting details.
10.0 %Comparison of Roles in Relation to Public Health
A comparison of roles in relation to public health is not included.
A comparison of roles in relation to public health is present, but it lacks detail or is incomplete.
A comparison of roles in relation to public health is present.
A comparison of roles in relation to public health is clearly provided and well developed.
A comprehensive comparison of roles in relation to public health is thoroughly developed with supporting details.
10.0 %Comparison Roles in Relation to Health Care Administration
A comparison of roles in relation to health care administration is not included.
A comparison of roles in relation to health care administration is present, but it lacks detail or is incomplete.
A comparison of roles in relation to health care administration is present.
A comparison of roles in relation to health care administration is clearly provided and well developed.
A comprehensive comparison of roles in relation to health care administration is thoroughly developed with supporting details.
10.0 %Comparison of Roles in Relation to Informatics
A comparison of roles in relation to informatics is not included.
A comparison of roles in relation to informatics is present, but it lacks detail or is incomplete.
A comparison of roles in relation to informatics is present.
A comparison of roles in relation to informatics is clearly provided and well developed.
A comprehensive comparison of roles in relation to informatics is thoroughly developed with supporting details.
10.0 %Comparison of Roles in Relation to Business or Finance
A comparison of roles in relation to business or finance is not included.
A comparison of roles in relation to business or finance is present, but it lacks detail or is incomplete.
A comparison of roles in relation to business or finance is present.
A comparison of roles in relation to business or finance is clearly provided and well developed.
A comprehensive comparison of roles in relation to business or finance is thoroughly developed with supporting details.
5.0 %Comparison of Roles in Relation to Specialty
A comparison of roles in relation to specialty is not included.
A comparison of roles in relation to specialty is present, but it lacks detail or is incomplete.
A comparison of roles in relation to specialty is present.
A comparison of roles in relation to specialty is clearly provided and well developed.
A comprehensive comparison of roles in relation to specialty is thoroughly developed with supporting details.
5.0 %Required Sources
Sources are not included.
Number of required sources is only partially met.
Number of required sources is met, but sources are outdated or inappropriate.
Number of required sources is met. Sources are current, but not all
sources are appropriate for the assignment criteria and nursing content.
Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
5.0 %Visual Appeal
There are few or no graphic elements. No variation in layout or typography is evident.
Color is garish or typographic variations are overused and
legibility suffers. Background interferes with readability.
Understanding of concepts, ideas, and relationships is limited.
Minimal use of graphic elements is evident. Elements do not
consistently contribute to the understanding of concepts, ideas, and
relationships. There is some variation in type size, color, and layout.
Thematic graphic elements are used but not always in context. Visual
connections mostly contribute to the understanding of concepts, ideas,
and relationships. Differences in type size and color are used well and
consistently.
Appropriate and thematic graphic elements are used to make visual
connections that contribute to the understanding of concepts, ideas, and
relationships. Differences in type size and color are used well and
consistently.
5.0 %Presentation
The piece is not neat or organized, and it does not include all required elements.
The work is not neat and includes minor flaws or omissions of required elements.
The overall appearance is general, and major elements are missing.
The overall appearance is generally neat, with a few minor flaws or missing elements.
The work is well presented and includes all required elements. The overall appearance is neat and professional.
5.0 %Mechanics
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