Extended and

Expanded roles of
Nurse
 Introduction
External conditions, societal changes,
and unmet health needs are requiring
different types of health care services
than those needed three decades ago.
Currently disease prevention and
health maintenance are emphasized
more than the care and cure of illness.
 Providing a preventive type of
service that encompasses health
education and advice on alteration of
lifestyles is one of societys pressing
needs.
Changes in the roles of health
professionals provide an excellent
opportunity for nursing to exert
leadership in meeting societal needs.
 Expanded roles of nurse
Nurse practitioners:
American Nurses Association(ANA)
defined the nurse practitioner(NP) as a
registered nurse having received
additional preparation in a specialized
educational program.
Nurse practitioners are functioning
within the profession of nursing and are
not dependent upon physicians.
 According to ICN,A Nurse
Practitioner/Advanced Practice Nurse is a
registered nurse who has acquired the
expert knowledge base, complex
decision-making skills and clinical
competencies for expanded practice, the
characteristics of which are shaped by
the context and/or country in which
she/he is credentialed to practice. A
masters degree is recommended for
entry level.
 Clinical Nurse Specialists:
According to ANA (American Nurses
Association),Clinical Nurse Specialist is a
nurse who, through study and
supervised practice at the graduate
level(masters or doctorate),has become
expert in a defined area of knowledge
and practice in a selected clinical area of
nursing.
 Roles: ability to observe,
conceptualize, diagnosis, and analyze
complex clinical or nonclinical
problems related to health, ability to
consider a wider range of theory
relevant to understanding those
problems, and ability to select and
justify applications of theory deemed
to be most useful in understanding the
problems and determining the range of
possible treatment options.
 Hospice and palliative care nurse:

Treat the symptoms of the patient with

the terminal diseases.

This nurse work holistically with the

client and family to maximize the quality
of the life rather than focus on the
quantity of the life remaining.
 Occupational heath nurse:

Within the occupational setting the

nurse designs and implements a
program of health promotion and
disease prevention for employees and
assist with immediate needs as
necessary.
She is responsible for the assessment
of the work environment to ensure the
safety of the employees.
 Flight nurse:

Takes care of the health of passengers

in the flight and act in case of
emergency. Critical care experience with
certification in advanced cardiac life
support is necessary.
 Forensic nurse:

Forensic nurse applies nursing science

to public or legal proceedings in the
investigation and treatment of trauma
or death of victims of
violence,abuse,criminal activity and
traumatic activities.
 School nurse: Functions s school
health manager or coordinator.
Parish nurse: Focus on health
promotion within the beliefs,values
and practices of the various faith
communities. She functions as
counsellor,teacher,referral agent,
volunteer, coordinator and integrator
of spiritual care and health.
 Nurse informatics:
According to ANA(2001)Nursing Informatics
is a speciality that integrates nursing science,
computer science, and information science to
manage and communicate data, information,
and knowledge in nursing practice.
Nursing informatics facilitates the integration
of data, information and knowledge to support
patients, nurses and other providers in their
decision-making in all roles and settings. This
support is accomplished through the use of
information structures, information processes,
and information technology.
 Nurse Anesthetist
Nurse Midwife
Nurse researcher
Nurse administrator
Nurse educator
Nurse entrepreneur
 Extended Roles of Nurse
Educator and counsellor
Client advocate
Change agent
Leader and manager
Researcher
Coordinator of the transdisciplinary
health care team
Infection control
Quality management
Specific client services
Thank You