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.
Make sure to compare the following areas of practice in your graphic organizer:
- Ethics
- Education
- Leadership
- Public Health
- Health Care Administration
- Informatics
- Business/Finance
- Specialty (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.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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Nursing Roles Graphic Organizer Template
Nursing Roles Graphic Organizer Template
| <Type Future Role Here> | <Type Comparison Role of Choice Here> | Observations (Similarities/Differences) | |
| Ethics | |||
| Education | |||
| Leadership | |||
| Public Health | |||
| Health Care Administration | |||
| Informatics | |||
| Business/Finance | |||
| Specialty (e.g., Family, Acute Care) | |||
| Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice |
Solution
Nursing Roles Graphic Organizer Solution
| Clinical Nurse Specialist | Nursing Practitioner | Observations (Similarities/Differences) | |
| Ethics | Has to ensure the ethical treatment of patients. Has to work collaboratively with staff in identifying and resolving ethical dilemmas (AMSN, 2012) as guided by Code for Ethics for Nurses with Interpretive Statements (ANA, 2010b). Besides, CNSs foster autonomy and truth-telling and advocate for clients and nurses (Cooper, McDowell, Raeside, & ANP–CNS Group, 2019). | Guided by the Code for Ethics for Nurses with Interpretive Statements (ANA, 2010b), NPs follow ethical guidelines to safeguard patients from harm (Olson, & Stokes, 2016). Addresses the ethical issues that arise on a day to day basis within the scope of work. | Both roles are guided by the Code for Ethics for Nurses with Interpretive Statements (ANA, 2010b), which advocates for safe, quality care for all patients and communities. However, CNS offers expert consultation on identifying and addressing ethical dilemmas while NPs work directly with patients in resolving ethical issues. |
| Education | Requires MSN or DNP. Trained to become clinical experts in their field and base their practice on research and theory. Education focuses more on case management, educational teaching skills, and inter-dependencies involving clinical practice (Haney, Sharp, Nesbitt, & Poston, 2017). | Requires MSN or DNP. Primarily focused on providing medical care to a diverse population in a variety of primary care, long-term, and acute care settings (Haney, Sharp, Nesbitt, & Poston, 2017). | Both roles require graduate studies. However, CNS education focuses on clinical practice for specific fields and populations, while NPs provide primary care in care settings. |
| Leadership | Can take up clinical leadership as one is equipped to provide guidance in nursing practice. | Has the skills and knowledge necessary to serve as a clinical leader | Share similar leadership capabilities with the clinical settings. |
| Public HealthHave expertise in assessing the health of the community and in planning, implementing, and evaluating population programs that are critical in Public Health (Sharp, 2018). Maybe more focuses on research, Could serve as a community CNS | Address the health needs of their communities through wellness clinics, home visits, and developing relationships. Mainly facilitate case by case of patient care. | While CNS focuses on community health frameworks and programs, Public health NPs work closely with patients and communities offering wellness training, drop-in clinics, educational seminars, immunizations, and other services in a variety of settings (Sharp, 2018). | |
| Health Care Administration | Serve in supervisory roles, and in implementing clinical practice innovations, increasing caseloads in CNS led clinics (Norman, Meléndez, Adams, & Kreiss, 2012). CNSs also work with nursing personnel and organizations/systems in a wide variety of ways. Research, develop, maintain, and train others in departmental policies, procedures, and patient care standards | Facilitates the delivery of comprehensive continuous care and managing nursing teams in clinical settings. | Both can serve as health administrators. Possesses skills that facilitate implementing policy, designing schedules, and collaborating with various departments to ensure that a facility runs smoothly, effectively, and safely |
| Informatics | Facilitate the design, development, and implementation of information technology in the clinical setting. Apply information to enhance health delivery and effectiveness. | Apply evidence-based information and educational tools to deliver personalized, safe, and highly effective care. | In informatics, CNSs and NPs serve a similar role as they utilize information and technological tools to improve the delivery, quality, safety, and effectiveness of care (Sharp, 2018). However, CNSs use informatics in design, development, and implementation while NPs apply informatics in delivery of care. |
| Business/Finance | Limited expertise in finance and business aspects. | Lack of comprehensive expertise in finance and business aspects of healthcare | Both have limited knowledge of finance and business aspects of healthcare. |
| Specialty (e.g., Family, Acute Care) | Adult Health, Adult Psychiatric, and Mental Health, Child/Adolescent Psychological and Mental Health, Diabetes Management, Gerontology, Home Health, Pediatrics, and Public and Community Health | Works in a specialized area of nursing practice. Specialty areas such as Adult primary, Adult-gerontology acute, Adult-gerontology primary, Adult psychiatric-mental health, Family primary, Gerontology primary, Neonatal, Pediatric acute, Pediatric primary, and Women’s health | Focuses on the individual at the direct care level while CNS focuses on both individual and macro level, incorporating nursing diagnosis and management as well as systems assessment and synthesis of improved approaches to nursing care (Dreher, & Glasgow, 2016) |
| Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice | American Nurses Credentialing Center (ANCC) requires certification renewal every five years. 1,000 clinical hours during the five-year certification and completion of 150 CEU hours including 25 pharmacology CEU hours, are required. | American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP). ANCC requires certification renewal every two years. 1,000 clinical hours during the two-year certification and completion of 75 CEU hours, including 25 of pharmacology CEU hours are required. | Both CNS and CRNPs are certified by ANCC. However, certification is renewed after five years and 150 CUE hours for CNS compared to 2 years and 75 CUE hours for NP. |
References
Cooper, M. A., McDowell, J., Raeside, L., & ANP–CNS Group. (2019). The similarities and differences between advanced nurse practitioners and clinical nurse specialists. British Journal of Nursing, 28(20), 1308-1314.
Dreher, H. M., & Glasgow, M. E. S. (2016). DNP Role Development for Doctoral Advanced Nursing Practice. Springer Publishing Company.
Haney, T. S., Sharp, P. B., Nesbitt, C., & Poston, R. D. (2017). Innovative intraprofessional clinical training for clinical nurse specialists and nurse practitioner students. Journal of Nursing Education, 56(12), 748-751.
Norman, B., Meléndez, A., HTCP, C., Adams, L. T., USN, N., & Kreiss, A. (2012). Scope and Standards of Medical-Surgical Clinical Nurse Specialist Practice.
Olson, L. L., & Stokes, F. (2016). The ANA code of ethics for nurses with interpretive statements: Resource for nursing regulation. Journal of Nursing Regulation, 7(2), 9-20.
Sharp, P. (2018, May). CNS/NP Collaborative Practicum Experience: An Innovative Educational Approach. In Clinical Nurse Specialist (Vol. 32, No. 3, pp. E3-E3). Two Commerce Sq, 2001 Market St, Philadelphia, Pa 19103 USA: Lippincott Williams & Wilkins.
