Trends and issues in the society keep changing and so is the nursing practice and nursing

roles

EXTENDED AND EXTENDED AND EXPANDED ROLE EXPANDED ROLE

OF NURSINGOF NURSING

EXTENDED AND EXTENDED AND EXPANDED ROLE EXPANDED ROLE

OF NURSINGOF NURSING

EXPANDED ROLE OF NURSING:

Expanded role of nursing means enlargement of nurse role within the boundaries of nurse

Expanded role of nursing is the responsibility assumed by a nurse within field of practice autonomy

EXTENDED ROLE OF NURSING:

Extended role of a nurse is the responsibility assumed by a nurse beyond the traditional role.

It is the scope of nursing services outside the hospital.

Expanded roles

• 1. CARE GIVER• 2. MANAGER:• 3. PROTECTOR AND

ADVOCATE:

• 4. COUNSELLOR:

CommunicatorEducator

RehabilitatorCollaborator

EXTENDED ROLE OF NURSING

Jpaul

SCHOOL HEALTH NURSE:Goal - Supporting educational

success by enhancing health Functions• Direct caregiver• Case finder• Consultant:• Counselor• Health Educator• ResearcherQualification • BSC ( Nursing) + certification

in school nursing

OCCUPATIONAL HEALTH NURSE:

Specialty practice that provides services to workers, worker populations and community groups.

• Delivers health and safety programmes

OCCUPATIONAL HEALTH NURSE:

Function • promotion and restoration of

health,• prevention of illness and

injury• protection from work related

and environmental hazards.

PARISH NURSE

• The role that gathers in churches, cathedrals, temples, or mosques and acknowledge common faith traditions.

Functions • Provider of spiritual care• Health Counselor• Health Advocate• Health Educator• Facilitator Of Support Groups

PARISH NURSE

PUBLIC HEALTH NURSE

A registered nurse with special training community health

PUBLIC HEALTH NURSE

Function:• Health Advocate• Care Manger• Referral Resource• Health Educator• Direct Primary Caregivers• Communicable Disease Control• Disaster Preparedness

PRIVATE DUTY NURSE

• Private duty nurse is a registered nurse or a licensed practical nurse who provide nursing services to patients at home or any other setting in accordance with physician orders

HOME CARE NURSE:• Home care nurse

is a nurse who provides periodic care to patients with in their home environment as ordered by the physician

.

HOME CARE NURSE:

Function:• Health Maintenance, • Education, • Illness prevention, • Diagnosis and treatment of disease. • Palliation and rehabilitation

HOSPICE NURSE:• Hospice nurse is one

who provides a family centered care and allows clients to live and remain at homes with comfort, independence and dignity, while alleviating the strains caused by terminal phase i.e at the time of death

HOSPICE NURSE:Function:• Pain & symptoms control• Spiritual Care• Home Care and impatient Care• Family Conferences• Co-ordination of care• Bereavement Care:

REHABILITATION NURSE:

• Rehabilitation nurse is a nurse who specializes in assisting persons with disabilities and chronic illness to attain optimal function, health and adapt to an altered life style.

NURSE EPIDEMIOLOGIST(Infection

control nurse)• Monitors standards

and procedures for the control and prevention of infectious diseases and other conditions of public health significance including nosocomial infections.

MILITARY NURSE:• Military nurse is one who

provides care to military personnel and their families

AEROSPACE NURSE( flight nurse. )

Flight nurse is a nurse who provides comprehensive nursing care for all types patients during aero medical evacuation and airlift flight.

TELE NURSE:

• Tele nurse is one who carries out telephonic communication with the patient,

DISASTER NURSING:• Disaster nursing can be defined as

the adaptation of professional nursing skills in recognizing and meeting the nursing, physical, emotional and social needs resulting from a disaster.

FORENSIC NURSE:

• Forensic nurse is one who is expected to be acquainted with the basics of forensic medicine so as to handle and preserve the evidentiary materials.

NURSE ANESTHETIST

NURSE ENTREPRENEUR

ONCOLOGY NURSE

INFUSION NURSE

RADIOLOGIC NURSE

PRISON NURSE

PRISON NURSE:

• Prison nurse is a registered nurse who works in a prison.

5/1/2011

PEACE NURSE CORPS:

• Peace corps nurse is a nurse who performs variety of nursing activities in remote areas of the world..

EXPANDED ROLE OF NURSING

Advanced practice nurse –– Advanced practice nurse is generally the

most independent functioning nurse.

– An advanced practice nurse (APN) has a master’s degree in nursing, advanced education in pharmacology and physical assessment, and certification and expertise in specialized are of practice

Clinical Nurse•Nurse Generalist•Nurse Anesthetists •Nurse Midwife•Nurse Practitioner- The role of the nurse

practitioner is an extension of the nurses basic care giving role.

» Acute Care Practitioner» Adult Nurse Practitioner» Pediatric Nurse Practitioner » Family Nurse Practitioner» Women’s Health Nurse practitioner» Geriatric Nurse practitioner

NURSE EDUCATORHealthier nurses for

tomorrow

NURSE MIDWIFE

NURSE ADMINISTRATOR

NURSING ADMINISTRATOR

• Nurse administrator manages client care and the delivery of specific nursing services within a health care agency.

• Eg; charge nurse, nurse manager

NURSE RESEARCHER

NURSE RESEARCHER• The nurse researcher investigates

problems to improve nursing care and to further define and expand the scope of nursing practice.

• The nurse researcher may be employed in an academic setting, hospital, or independent professional or community service agency.

NURSE INFORMATIST

• Role extension or expansion: a qualitative investigation of the perceptions of senior medical and nursing staff in an adult intensive care unit

• RGN, BSc(Hons), ENB 100 Susan Bowler (Sister), RGN, BSc(Hons), M.Phil Maggie Mallik (Cert.Ed. Lecturer in Adult Nursing (Acute/Critical))

•  

5/11/2011

• To investigate issues surrounding role extension or expansion in intensive care nursing, a small qualitative study was conducted centred on one intensive care unit (ICU) within a large teaching hospital.

• Data were collected by semi-structured interviews from a purposive sample of five senior intensive care nurses and three consultant anaesthetists. Four major categories emerged, identified as: interpretation confusion; education for change; struggles for power and task versus autonomy.

5/11/2011 Rajeshwari S (CHN)

• The findings revealed that the senior critical care nurses identified themselves as independent, autonomous practitioners involved in clinical decision-making. However, there was evidence of a reluctance to empower more junior staff to perform extended or expanded roles. Medical respondents viewed extended or expanded roles as taking on mechanical tasks for which anyone could be trained to perform.

5/11/2011 Rajeshwari S (CHN)

•  

• In conclusion, it is argued that although nursing is maturing in its growth towards professionalization, broader issues such as the legal quagmire, failure to adopt the philosophy of role expansion and the existence of sacred boundaries intra- and inter- professionally need to be addressed.

•  

5/11/2011 Rajeshwari S (CHN)

U!!! UR DREAMS….

Thank u