Use the “Nursing Roles Graphic Organizer Template” To Differentiate How Advanced Registered Nurse Roles
Use the “Nursing Roles Graphic Organizer Template” To Differentiate How Advanced Registered Nurse Roles
|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.|
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.
This week we are going to dive right into NUR-513. This first week, we discuss the history of advanced registered nursing (ARN) scope and how it has evolved in its scope and expectations. We will also be researching what the National Academy of Medicine (previously called the Institute of Medicine) recommends for nursing education and how the ARN can impact the health system. You will be completing two discussion questions and responding to your peers’ discussion questions. Finally, your Topic 1 assignment is to complete an online learning environment scavenger hunt. This scavenger hunt can be critical to your success at GCU, so please take the time to read and complete this well.
I look forward to rich discussions with all of you.
Requirements for this week:
1. Topic 1 DQ 1 by 8/6/22 at 11:59 pm
2. Topic 1 DQ 2 by 8/8/22 at 11:59 pm
3. Participation – respond to your peer’s post at least 3 different days this week
4. Assignment – “Navigating the Online Environment Scavenger Hunt”. This is due by 8/10/22 and is worth 50 points.
For full Discussion Question (DQ) points Topics 1-3, you are required to:
- Post your response of at least 150 words.
- Reference at least one source within five years for one of your DQs using APA format.
- When referencing, cite the reference inside your DQ and at the end to support your statements.
For full Participation points, you are required to:
- Post a response to your peers of at least 100 words on 3 different days during the week. Notice this doesn’t just say 3 responses; it must be 3 different days. This is a GCU requirement.
- I mark your response as either “substantial or not substantial” as I read them; watch for those markings throughout the week. If one of your responses was marked as “not substantial,” you will know to add another to receive full participation points that week. However, if you have waited until the last three days to reply to their responses, you will not be able to add another response to receive full participation credit. So I encourage you to respond early in the week and watch for those “substantial” or nonsubstantial” response markings.
As always please reach out if you have questions. However, let’s do this!!!!
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.
|< Public Health Nurse >||<Healthcare administration>||Observations (Similarities/Differences)|
|Ethics||Public Health Nurses often engage in the ethical decisions that aids in the protection of rights of the patient and quality healthcare delivery. Ethical leadership in nursing has moved to fulfill the universal ethical principles in nursing which include beneficence, autonomy, nonmaleficence, justice, as well as veracity. In most cases, it is the role of Public Health Nurses to ensure that the above ethical concerns are addressed to encourage an effective healthcare system. Public Health Nurses direct care with ethical considerations and ensure that every patient is treated in line with the requirements and standards set (Handbook of Research on Healthcare Administration and Management, 2016). In every profession leaders often ensure that every process of undertaken with serious ethical concerns. Public Health Nurses usually engage in the formulation and implementation of ethical policies that guide every healthcare process. They also ensure the basic ethical standards that ought to be followed by every practitioner and physician.
|Healthcare administrators enforce the ethical concerns and ensure that every practitioner, including nursing leadership, apply the set ethics within their practice. The healthcare administration ensures that every practitioner is persuaded to work in line with the set ethical standards.||Both the Public Health Nurse s and administrators are upholders of the ethical standards and codes in the nursing practice; they formulate and enforce ethical standards that ought to be followed by every practitioner.|
|Education||Public Health Nursing qualification is concerned with the skills and experiences that one acquires from the job. However, to become a Public Health Nurse, one needs to possess at least a degree in nursing or related field (Handbook of Research on Healthcare Administration and Management, 2016). Moreover, there is a need for public health nurses to qualify for the management and leadership training. Also, the accreditation commission for education in nursing is required. Public Health Nurse also need to have the latest licensing in the nursing practice to ensure that they comply with all the requirements in the nursing practice.||Healthcare administrators need to have an advanced qualification in organizational management and practices. A master’s degree in business administration or a degree in management or nursing with the qualification from other relevant field is required for one to become an administrator.||Both the Public Health Nurses and the healthcare administrators possess leadership management; moreover, relevant skills, and competencies are required.|
|Leadership||Public Health Nurses are role models, directors, or change, and they possess a high level of integrity. In most cases, they lead by example and ensure that work processes are done in line with the required standards. After the administrators, they lead in the decision-making processes and direct nurses towards the operational processes. Leaders provide leadership in every aspect to ensure that nurses perform their responsibilities as per the required standards.
|Healthcare administrators develop and evaluate healthcare professionals. They provide an effective environment for nurses to operate. They also negotiate on behalf of nurses to ensure that they are given an excellent working environment. In other words, they direct the operations of hospitals, healthcare systems and different health organizations.||Both Public Health Nurses and healthcare administrators act as role models to the entire nursing profession. They direct the activities undertaken by the nurses to ensure that there is compliance with the medical or ethical standards.|
|Public Health||Public Health Nurses often coordinate with the nurses and other medical professionals to ensure effective care outcomes and excellent health and well-being of the public. In other words, they usually encourage evidence-based practices that ensure efficiency in healthcare delivery to all the people. Being specialists in the healthcare system, Public Health Nurses work in collaboration with the administrators to ensure that the right treatment and medical attention are given to the patients.
|Healthcare administrators often take part in ensuring public health and well-being (Wilcox & Deerhake, 2020). They formulate policies and direct activities that ensure that the public healthcare system operates within the required standards. Through interprofessional participation, healthcare administrators can operate or work as change agents in society.||Both Public Health Nurses and healthcare administrators operate to ensure the general health and well-being of the public. In other words, they enhance public health. Also, they both operate to ensure efficient healthcare delivery through evidence-based practices.|
|Health Care Administration||Public Health Nurses are a link to the healthcare administration. They can participate in the administrative activities given the skills, leadership competency, and the ability to make decisions at the nursing levels. In the course of their operation, Public Health Nurses can identify the gaps in different medical practices and provide administrative support within their mandate.
|Healthcare administrators provide administrative services to nursing leaders and entire health organizations (Morrison, 2015). They provide leadership, management, and coordination when it comes to the administration of the public healthcare system.||Both the Public Health Nurses and healthcare administrators take part in the administrative activities, provide leadership, and coordinate the activities within the healthcare system to improve public health.|
|Informatics||Public Health Nurses often advocate for the improvement of the healthcare system through the application of technology that ensures accuracy in the diagnosis and surgical processes. They also advocate for the regular workshops and training to promote the application of technology in the healthcare settings (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine & Institute of Medicine, 2014). Public Health Nurses also participate in the management of the healthcare information system which includes the protection of patient’s data.
|Within the medical facilities, administrators promote the use of technology, both in the administrative and treatment processes. They promote partnerships with ICT companies to the effective management of databases in a bid to promote the security of the patient data.||Both Public Health Nurse and administrators promote the use of technology to ensure the achievement of evidenced-based practices and efficient patient outcomes.|
|Business/Finance||Public Health Nurses participate in the development and implementation of cost-effective medical services to improve access of patients to medical services. In most cases, they evaluate factors associated with efficiency, cost-effectiveness, as well as the availability of resources in the determination of costs.
|Health administrators organize financial activities for different clinical processes. They organizes the payment of the workforce and direct the financial flow to different departments within a healthcare system.||Both the Public Health Nurses and the administrators direct the flow of finances in various capacities. They also control the financial activities of each department.|
|Specialty (e.g., Family, Acute Care)||Public Health Nurses specialize in leadership. However, being nurses by profession, they may also take part in the treatment processes whenever there is a need. Further, they specialize in home health, critical care management, and related services.||Healthcare administrators specialize in administrative processes. In most cases, they are competent in management and leadership activities.||Both Public Health Nurses and health administrators are specialists in leadership and management. They mostly work with and coordinate people in various capacities.|
|Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice||The American nurses credentialing center (ANCC) offers certification to the Public Health Nurses after completing the required tests (King & Gerard, 2012). Also, there is the Clinical Public Health Nurse (CNL) Certification provided by the Commission on the Nurse Certification Body.
|Healthcare administrators obtain certification in Graduate Certificate in Health Care Leadership provided by Cornell University. Also, there is the Certification in Medical Manager Program provided by the Professional Association of Health Care Office Management||Both Public Health Nurses and healthcare administrators require certifications in the management services for effective control of the medical processes.|
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, & Institute of Medicine. (2014). The future of nursing: Leading change, advancing health.
Handbook of Research on Healthcare Administration and Management. (2016). Hershey: IGI Global.
King, C. R., & Gerard, S. (2012). Clinical Public Health Nurse Certification Review. New York: Springer Publishing Company.
Morrison, E. E. (2015). Ethics in health administration: A practical approach for decision makers.
Wilcox, J., & Deerhake, A. (2020). Fast facts for the clinical Public Health Nurse.
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.
Make sure to compare the following areas of practice in your graphic organizer:
Health Care Administration
Specialty (e.g., Family, Acute Care)
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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.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Ethics is an important component in the practice of acute nurse practitioners. Often, ACNPs work to address the needs of patients and families suffering from life threatening conditions. In doing this, they must observe the professional standards that guide their practice. They must also ensure that their behavior demonstrates the protection of the rights of their clients. They must also ensure that they adhere to the moral standards of their practice. In some cases, ACNPs might experience dilemmas in their practice that influence their decision-making (Hinds & Linder, 2020). As a result, it proves important for them to ensure that the decisions that they make are ethically and morally sound. Therefore, ethics is an important determinant of the decisions that ACNPs make in their practice.
Family nurse practitioners are a group of professionals who are trained to address the needs of families as a whole. They provide health education as well as healthcare to families. As they do this, they must adhere to the ethics and professional standards that guide their practice. This can be seen in their adoption of decisions that not only promote safety and quality of care offered to the families but also continuity and sustainability of the adopted interventions. Ethics are therefore important in ensuring that FNPs provide care that optimizes the health outcomes of the families that they serve. They abide by their professional standards and regulations for practice. They also ensure that the environment of care promotes safety, quality, and optimization of health outcomes (Reeves, 2020). FNPs also promote the professional growth and development of other professionals as well as the families they serve. Consequently, ethics is important for them to achieve these objectives.
It is evident that ethics is important for both ACNPs and FNPs. They must abide by the professional standards that guide their practice. They must also promote safety, quality, and efficiency in the care that they offer. The use of ethics in practice between these professions however differs. For instance, ACNPs are largely interested in utilizing ethics in addressing the health needs of patients with acute conditions. This is different in FNPs where the focus is placed on promoting the health and wellbeing of families. This is irrespective of whether they are suffering from acute or chronic illnesses. There is also a strong emphasis on health education as part of ethics for FNPs than in ACNPs.
One is considered an ACNP after completing a master’s degree or a doctoral degree in nursing. One must specialize as an acute nurse practitioner in these levels of study. It is also a mandatory requirement for one to have a bachelor’s degree in nursing. Additional requirements include accreditation and registration with the state’s professional and regulation bodies (Hinds & Linder, 2020).
One is considered a FNP after acquiring a master’s or doctoral degree in nursing. It is a mandatory requirement that one must specialize in family nurse practice. One must also have a bachelor’s degree in nursing. There is also the requirement to be certified to practice as a FNP.
Both specializations require one to have either a master’s or a doctoral degree in nursing. One must have also specialized in these areas of practice. There is also a similarity in the mandatory requirement of a bachelor’s degree in nursing. The only difference between the two is the area of specialization.
Leadership is an important component in the practice of ACNPs. ACNPs lead change programs in their settings. They champion the implementation of projects that will promote quality, safety, and efficiency of care. ACNPs can also lead professional teams in their settings. They lead the adoption of collaborative interventions that promote enhanced clinical outcomes. ACNPs also play the role of leadership in implementing evidence-based practice in their settings. They explore the best available clinical evidence that can be used to optimize the health outcomes of their patients.
Family nurse practitioners should also be effective leaders. They lead the implementation of family-focused interventions that will promote their health and wellbeing. They also lead the adoption of interventions that aim at addressing the identified health needs in at the community levels. Through it, they act as change agents in their communities (Reeves, 2020). FNPs also lead the implementation of change projects and evidence-based practice initiatives in their practice.
Leadership is an important skill in both specializations. Leadership is needed in initiating change programs in practice in both specializations. Leadership is also used to initiate change, implementing evidence-based practice, and enhance professional collaboration. However, there is a difference between the leadership skills in the two specializations. ACNPs utilize their leadership skills to address clinical problems affecting their acutely ill patients while FNPs are largely focused on using it to promote change in the families and communities they serve.
ACNPs engage in efforts that promote public health. They collaborate with other healthcare professionals in exploring solutions to the most critical issues affecting the health of the public. They also utilize public health data to determine the most critical public health issues affecting their practice. They also provide care to patients and families experiencing injuries and illnesses, hence, the promotion of public health. ACNPs also advocate the adoption of policies that promote the health and wellbeing of their publics at the local, state, and national levels (Hinds & Linder, 2020).
NPs also focus on the promotion of public health. They provide health education to the families they serve as a way of promoting their lifestyle and behavioral change. NPs also utilize public health data to determine the most pressing health issues affecting their communities. They use the data to come up with initiatives that promote public health. FNPs also provide nursing care to families experiencing illnesses and other health problems. Through it, they promote public health. FNPs also advocate the adoption of policies that promote public health at all levels of government.
Both specializations are interested in the promotion of public health. They utilize public health data to determine the most critical issues affecting their publics and the identification of the needed interventions. However, a difference exists in the focus of the two areas of specializations. FNPs focus more on promoting the health of families and communities while ACNPs are highly focused on addressing health issues affecting their patients and ways of addressing them for their recovery and wellbeing.
Health Care Administration
ACNPs have minimal roles to play in health care administration. They can use their leadership and management knowledge to engage in activities that address the needs of their organizations. However, they can lead their units in the implementation of the desired initiatives that promote the safety and quality of care offered to the diverse populations.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.