2. Expanded Role
• Enlargement of nurse role within the boundaries
of nurse
• Responsibility assumed by a nurse within field of
practice
3. Extended Role
• Responsibility assumed by a nurse beyond the
traditional role.
• Scope of nursing services outside the hospital.
4. 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.
5. • 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(master’s or doctorate),has become
expert in a defined area of knowledge and practice
in a selected clinical area of nursing.
6. • 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.
7. • 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.
8. • 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.
9. • 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.
10. • 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.
11. • 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.
12. • 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.
14. 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
15. References
16
• Marriner TA, Raile AM. Nursing theorists and their work.
5th ed. Sakraida T.Nola J. Pender. The Health Promotion
Model. St Louis: Mosby; 2005
• Polit DF, Beck CT. Nursing research:Principles and
methods. 7th ed. Philadelphia: Lippincott Williams &
Wilkins; 2007
• Black JM, Hawks JH, Keene AM. Medical surgical
nursing. 6th ed. Philadelphia: Elsevier Mosby; 2006.
• Potter PA, Perry AG. Fundamentals of nursing. 6th ed.
St.Louis: Elsevier Mosby; 2006.
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.”