Discussion: Nursing-Roles Graphic Organizer

Nurses need to uphold ethical values and aspects in care delivery to offer quality care, make effective decisions when in dilemma situations and enhance patient trust (DeNisco, 2019). The two roles to be compared are clinical nurse leader (CNL) and clinical nurse specialist (CNS). These specialties are connected and may share certain similarities in terms of ethics like confidentiality, informed consent and autonomy as well as beneficence and non-maleficence. Both specialties are considered advance practice nurse roles. However, certified clinical nurse leaders are not technically APRNs but both require one to have a master’s degree.

Clinical nurse leader (CNL) focuses on microsystems within the healthcare environment that support patient care outcomes at the unit level. CNL roles include care coordination, outcomes measurement and evaluation, transitions of care, inter-professional communication and team leadership. It also entails risk management and execution of best practices linked to evidence, and quality improvement.

Clinical nurse specialists (CNS) have advanced training in the specialty and work across health and age continuum in different areas that include pediatrics, women, and geriatrics (DeNisco, 2019). They can also be in settings like critical care, disease subspecialty, in psychiatric and even based on types of issues like pain management. They also work in multidisciplinary care teams across the care system.

As nurses, they all must comply with the Code of ethics for nurses as developed by the American Nurses Association. The code establishes expectations of all members and defines personal and performance standards that reflects the best practices in the profession. The code spells out definite roles and responsibilities of nurses and their interactions with patients (Clavo-Hall et al., 2018). Imperatively, both roles must conform to the existing set standards that include consideration of patient issues like preferences, values and independence in decision making and having choices about the type of care that they need.

References

Clavo-Hall, J. A., Bender, M., & Harvath, T. A. (2018). Roles enacted by Clinical Nurse Leaders

across the healthcare spectrum: A systematic literature review. Journal of Professional Nursing, 34(4), 259-268. doi: 10.1016/j.profnurs.2017.11.007.

DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession:

Essential Knowledge for the Profession. Jones & Bartlett Learning.

Discussion: Nursing-Roles Graphic Organizer

Discussion: Nursing-Roles Graphic Organizer

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Nursing Roles Graphic Organizer Template NUR 513 Week 2
Nursing Roles Graphic Organizer Template – 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.

 

	Clinical Nurse Specialist	Nurse Practitioner	Observations (Similarities/Differences)
Ethics	Clinical nurse specialist are required to observe ethical principles when dealing with patients. Indeed, they are required to act as advocates of patients and protect them even as they offer their services (DeNisco & Baker, 2016).	The ethical perspective of nurse practitioners is one that can be described as unique due to the expanded practice of these professionals. They act in many ways that are indicative of tough decisions. Thus, their ethical decision-making balances the principles of legalities and morals in analysis and in most cases need moral courage. Thus, while making decisions, nurse practitioners strive to preserve moral courage and prevent moral distress normally correlated with controversial situations.	The ethical comparison of the two areas reveal certain similarities and differences. Both nurses are faced with untenable situations when presented with an ethical decision. However, whereas nurse practitioners strive to reduce moral distress, clinical nurse specialists are expected to protect the patient in those decisions.
Education	The educational requirement for nurse specialists is a minimum of MSN.	Concerning nurse practitioners, the educational requirement entails a Master of Science in Nursing (MSN) as a minimum qualification. In future, a doctor of nursing practice (DNP) may become necessary	Thus, the MSN degree requirement is common to the two areas. Nevertheless, nurse practitioners may be required to advance their education.
Leadership	The Institute of Medicine report recommended that clinical nurse specialists should assume leadership roles and guide personnel and the entire health care system so as to improve patient outcomes (Porter-O’Grady, & Malloch, 2016). The reason for this is that they work in systems, influence them, collaborate with personnel and thus have the capacity to reach relatively more patients so as to introduce improvement approaches.	Nurse practitioners, by virtue of their educational background, play an important leadership role in the execution of evidence-based practice (DeNisco & Baker, 2016). They fundamentally lead the reform process of the health care system by influencing them to adopt recommendations from PhDs. Thus, their role extends to the creation of health care policy reforms and their subsequent implementation.	It is safe to say that both nurse practitioners and clinical nurse specialists play important leadership roles in terms of improving the quality of patient care. However, whereas the former primarily do this at the policy level, the latter do this at the clinical setting level via directing staff to implement certain changes.
Public Health	Clinical nurse specialists use their experience, education, and perspectives to spearhead advocacy and then policy setting at among others community level. They adopt a leadership style that is based on empowerment and have a broad influence within such communities (Porter-O’Grady, & Malloch, 2016). The essentially specialize as public/community health nurses.	Nurse practitioners also utilize their education to influence policy at the community level. According to Fooladi (2015), they address the public health needs of communities via home visits, wellness clinics, and establishing associations that can stop severe health situations before they unfold.	In all these roles, the common trend is the role of these nurses in improving the wellness of their communities. They both have influence over their communities and use this influence plus established relationships to prevent outbreak of diseases.
Health Care Administration	The role of clinical nurse specialists in health care administration is limited. However, they work in collaboration with administrators in order to improve patient care especially when they are strategically positioned. The closest clinical nurse specialists have come to administrators is when they are assigned to supervise their fellow nurses (DeNisco & Baker, 2016).	Nurse practitioners also play limited role in health care administration. Owing to their education level, they can help in the formulation of hospital policy for purposes of improving patient care. However, they can also design policies related to human resources within an organization.	Hence, both clinical nurse specialists and nurse practitioners have limited roles in health care administration. The only way that they can participate in the management of hospitals is through collaboration with administrators to improve the quality of care and their own positioning to achieve that.
Informatics	Clinical nurse specialists use informatics to improve the work environment and practice through application of informatics (Murphy,  Goossen, & Weber, 2017). These nurses are significant as they influence nurses to adopt information technology in practice thus improving care.	When it comes to nurse practitioners, they use informatics to access best evidence-based information as well as informational tools (Murphy, Goossen, & Weber, 2017). Further, nursing informatics also helps nurse practitioners to easily relay information and also protect themselves and patients through the use of aspects such as telemedicine, e-prescribing, and internal messaging system among others.	Again, the two nursing areas use informatics to improve patient care. Whereas clinical nurse specialists ensure that information technology aspects related to patient care are adopted by nurses to improve patient care, nurse practitioners actually use informatics to undertake their duties.
Business/Finance	Clinical nurse specialists engage in the management of patients and not human resources. Thus, they do not need to have any business or financial competencies and their curriculum do not cater for this.	On the other hand, nurse practitioners may require to have business/finance competencies. This allows them to be prepared to manage resources involving employees. By taking part in workforce planning, business/finance acumen will enable them to plan properly so as to enhance employee satisfaction.	While clinical nurse specialists do not require any finance/business knowledge, these skills become indispensable to nurse practitioners due to the fact that they may use them in administrative roles. .
Specialty (e.g., Family, Acute Care)	Clinical specialist nurses are specialized in the following areas of care: Community-public health, Pediatric critical care, Home health, Adult gerontology, Adult-gerontological health, and Adult-gerontological critical care,	On the other hand, nurse practitioner are specialized in the following areas: Women’s health, Neonatal, Pediatric primary, Gerontology primary, Pediatric acute, Family primary, Adult-gerontology primary, Adult primary, Adult psychiatric-mental health, and Adult-gerontology acute.	Both nurses work specialize in adult gerontology care and pediatric critical care. However, clinical specialist nurses work with home health, and community public health cases whereas nurse practitioners do not.
Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice	Certification in this area of nursing occurs via the American Nurses Credentialing Center depending on the specialty. Nevertheless, not all of the CNS specialties have their certification exam.	For NPs, certification occurs through either the American Academy of Nurse Practitioners or the American Nurses Credentialing Center (ANCC).	Thus, American Academy of Nurse Practitioners certifies both nurses. However, NPs can also be certified by American Academy of Nurse Practitioners, something that CNS do not enjoy.

References

DeNisco, S. M., & Baker, A. M. (2016). Advanced practice nursing: Essential knowledge for the      profession (3 ed.). Burlington, MA: Jones & Bartlett Learning.

Fooladi M. M. (2015). The Role of Nurses in Community Awareness and Preventive Health. International journal of community based nursing and midwifery, 3(4), 328-9.

Murphy, J., Goossen, W., & Weber, P. (2017). Forecasting Informatics Competencies for Nurses in the Future of Connected Health: Proceedings of the Nursing Informatics Post Conference 2016. Amsterdam: IOS Press, Incorporated

Porter-O’Grady, T. & Malloch, K. (2016). Becoming a professional nurse. ( 2nd ed.), Leadership in nursing practice: Changing the lanscape of healthcare Burlington, MA: Jones and Bartlett Learning.

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.

Click ‘New Attempt’ to start assignment or attach documents

sing Roles Graphic Organizer

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Unsatisfactory

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2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

100.0 %Nursing Roles Graphic Organizer Criteria

10.0 %Comparison of Roles in Relation to Ethics

A comparison of roles in relation to ethics is not included.

A comparison of roles in relation to ethics is present, but it lacks detail or is incomplete.

A comparison of roles in relation to ethics is present.

A comparison of roles in relation to ethics is clearly provided and well developed.

A comprehensive comparison of roles in relation to ethics is thoroughly developed with supporting details.

10.0 %Comparison of Roles in Relation to Education

A comparison of roles in relation to education is not included.

A comparison of roles in relation to education is present, but it lacks detail or is incomplete.

A comparison of roles in relation to education is present.

A comparison of roles in relation to education is clearly provided and well developed.

A comprehensive comparison of roles in relation to education is thoroughly developed with supporting details.

10.0 %Comparison of Roles in Relation to Leadership

A comparison of roles in relation to leadership is not included.

A comparison of roles in relation to leadership is present, but it lacks detail or is incomplete.

A comparison of roles in relation to leadership is present.

A comparison of roles in relation to leadership is clearly provided and well developed.

A comprehensive comparison of roles in relation to leadership is thoroughly developed with supporting details.

10.0 %Comparison of Roles in Relation to Public Health

A comparison of roles in relation to public health is not included.

A comparison of roles in relation to public health is present, but it lacks detail or is incomplete.

A comparison of roles in relation to public health is present.

A comparison of roles in relation to public health is clearly provided and well developed.

A comprehensive comparison of roles in relation to public health is thoroughly developed with supporting details.

10.0 %Comparison Roles in Relation to Health Care Administration

A comparison of roles in relation to health care administration is not included.

A comparison of roles in relation to health care administration is present, but it lacks detail or is incomplete.

A comparison of roles in relation to health care administration is present.

A comparison of roles in relation to health care administration is clearly provided and well developed.

A comprehensive comparison of roles in relation to health care administration is thoroughly developed with supporting details.

10.0 %Comparison of Roles in Relation to Informatics

A comparison of roles in relation to informatics is not included.

A comparison of roles in relation to informatics is present, but it lacks detail or is incomplete.

A comparison of roles in relation to informatics is present.

A comparison of roles in relation to informatics is clearly provided and well developed.

A comprehensive comparison of roles in relation to informatics is thoroughly developed with supporting details.

10.0 %Comparison of Roles in Relation to Business or Finance

A comparison of roles in relation to business or finance is not included.

A comparison of roles in relation to business or finance is present, but it lacks detail or is incomplete.

A comparison of roles in relation to business or finance is present.

A comparison of roles in relation to business or finance is clearly provided and well developed.

A comprehensive comparison of roles in relation to business or finance is thoroughly developed with supporting details.

5.0 %Comparison of Roles in Relation to Specialty

A comparison of roles in relation to specialty is not included.

A comparison of roles in relation to specialty is present, but it lacks detail or is incomplete.

A comparison of roles in relation to specialty is present.

A comparison of roles in relation to specialty is clearly provided and well developed.

A comprehensive comparison of roles in relation to specialty is thoroughly developed with supporting details.

5.0 %Required Sources

Sources are not included.

Number of required sources is only partially met.

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all

sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Discussion: Nursing-Roles Graphic Organizer

Discussion: Nursing-Roles Graphic Organizer

5.0 %Visual Appeal

There are few or no graphic elements. No variation in layout or typography is evident.

Color is garish or typographic variations are overused and

legibility suffers. Background interferes with readability.

Understanding of concepts, ideas, and relationships is limited.

Minimal use of graphic elements is evident. Elements do not

consistently contribute to the understanding of concepts, ideas, and

relationships. There is some variation in type size, color, and layout.

Thematic graphic elements are used but not always in context. Visual

connections mostly contribute to the understanding of concepts, ideas,

and relationships. Differences in type size and color are used well and

consistently.

Appropriate and thematic graphic elements are used to make visual

connections that contribute to the understanding of concepts, ideas, and

relationships. Differences in type size and color are used well and

consistently.

5.0 %Presentation

The piece is not neat or organized, and it does not include all required elements.

The work is not neat and includes minor flaws or omissions of required elements.

The overall appearance is general, and major elements are missing.

The overall appearance is generally neat, with a few minor flaws or missing elements.

The work is well presented and includes all required elements. The overall appearance is neat and professional.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

Surface errors are pervasive enough that they impede communication

of meaning. Inappropriate word choice or sentence construction is

employed.

Frequent and repetitive mechanical errors distract the reader.

Inconsistencies in language choice (register) or word choice are

present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly

distracting to the reader. Correct and varied sentence structure and

audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be

present. The writer uses a variety of effective sentence structures and

figures of speech.

The writer is clearly in command of standard, written, academic English.

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %Total Weightage

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.