NURSING ROLE

Nursing Roles:

• NURSE GENERALIST - is a leader in the health care delivery system across all settings in which health care is delivered, not just the acute care setting. The nurse assumes accountability for client care outcomes through the assimilation and application of research-based information to design, implement, and evaluate client plans of care.
• NURSE PRACTITIONER - it is an extension of the nurse's basic caregiving role. It prepares nurses for an expanded role in the provision of primary care.
• NURSE SPECIALIST - is an advanced practice nurse, with graduate preparation (earned master's or doctorate) from a program that prepares CNSs. CNSs are clinical experts in the diagnosis and treatment of illness, and the delivery of evidence-based nursing interventions (ANA, 2004). The Nurse Specialist provides health coaching, disease management, and care coordination services for patients with chronic or complex illnesses. CNSs work with other nurses to advance their nursing practices and improve outcomes, and provide clinical expertise to effect system-wide changes to improve programs of care. The three domains of CNS practice, known as the three "spheres of influence" are the patient/family, nursing personnel and system/network organization. The three spheres are overlapping and interrelated, but each sphere possesses a distinctive focus. In each of the spheres of influence, the primary goal of the CNS is continuous improvement of patient outcomes and nursing care.
• NURSE CLINICIAN - it was first used by Frances Reiter in 1966. Nurse clinician provides bedside or direct care in a specialty area. The clinician is a provider and a manager of care at the point of care to individuals and cohorts or populations. The nurse designs, implements, and evaluates client care by coordinating, delegating and supervising the care provided by the health care team, including licensed nurses, technicians, and other health professionals.