Trends and issues in the society

keep changing and so is the

nursing practice and nursing
roles
 EXTENDED AND
EXPANDED ROLE OF
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:
 Rehabilitator
Collaborator
Communicator
Educator
EXTENDED ROLE OF
NURSING

Jpaul
SCHOOL HEALTH NURSE:
Goal - Supporting educational
success by enhancing health
Functions
Direct caregiver
Case finder
Consultant:
Counselor
Health Educator
Researcher
Qualification
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.
 PARISH NURSE

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

masters 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
Womens Health Nurse practitioner
Geriatric Nurse practitioner
NURSE EDUCATOR
Healthier 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)

 UR DREAMS.
U!!!
Thank
u