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5/11/2011 Rajeshwari S (CHN)

TRENDS AND ISSUES IN THE SOCIETY KEEP CHANGING


AND SO IS THE NURSING PRACTICE AND NURSING
ROLES

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Rajeshwari S (CHN)
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EXTENDED AND

Rajeshwari S (CHN)
EXPANDED ROLE OF
NURSING
EXTENDED ROLE OF NURSING:

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Extended role of a nurse is the responsibility
assumed by a nurse beyond the traditional
role.

Rajeshwari S (CHN)
It is the scope of nursing services outside the
hospital.
EXPANDED ROLE OF NURSING:

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Expanded role of nursing means enlargement of
nurse role within the boundaries of nurse

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Expanded role of nursing is the responsibility
assumed by a nurse within field of practice
autonomy
EXPANDED ROLES

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 1. CARE GIVER
 2. MANAGER:

Rajeshwari S (CHN)
 3. PROTECTOR AND ADVOCATE:

 4. COUNSELLOR:
Rehabilitator
Communicator
Collaborator
Educator

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SCHOOL HEALTH NURSE:
Goal - Supporting educational

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success by enhancing health
Functions

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 Direct caregiver

 Case finder

 Consultant:

 Counselor

 Health Educator

 Researcher

Qualification
 BSC ( Nursing) + certification in
school nursing
OCCUPATIONAL HEALTH NURSE:

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Specialty practice that provides for and delivers
health and safety programmes and services to
workers, worker populations and community

Rajeshwari S (CHN)
groups.
Function
 promotion and restoration of health,

 prevention of illness and injury and

 protection from work related and environmental


hazards.
Qualification
 BSc ( N) + certification in occupational health
nursing, industrial hygiene, occupation medicine
and safety.
PARISH NURSE
Functions

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 The role that gathers in
 Provider of spiritual care
churches, cathedrals,
temples, or mosques and  Health Counselor

Rajeshwari S (CHN)
acknowledge common faith  Health Advocate
traditions.  Health Educator
 Parish nurse respond to  Facilitator Of Support Groups
health and wellness needs  Trainer Of Volunteers
within the context of
 Liaison to community resources
populations of faith
communities and referral agent
Qualification
 BSc (Nursing ) + 3 – 5 yrs
experience + evidence of a
mature faith
PUBLIC HEALTH NURSE
A registered nurse with special training community
health

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Function:
 Health Advocate

Rajeshwari S (CHN)
 Care Manger

 Referral Resource

 Health Educator

 Direct Primary Caregivers

 Communicable Disease Control

 Disaster Preparedness

Qualification – BSc Nursing + social and behavioral


sciences, epidemiology, environmental health, current
treatment modalities, and health care delivery options.
PRIVATE DUTY NURSE

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 Private duty nurse is
a registered nurse or a
licensed practical

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nurse who provide
nursing services to
patients at home or
any other setting in
accordance with
physician orders
HOME CARE NURSE:

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 Home care nurse is a nurse who provides periodic
care to patients with in their home
environment as ordered by the physician

Rajeshwari S (CHN)
Function:
 Health Maintenance,

 Education,

 Illness prevention,

 Diagnosis and treatment of disease.

 Palliation and rehabilitation.

Qualification- BSc Nursing + professional practice in


any community health setting.
HOSPICE NURSE:
 Hospice nurse is one who provides a family centered care

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and allows clients to live and remain at homes with
comfort, independence and dignity, while alleviating
the strains caused by terminal phase i.e at the time of

Rajeshwari S (CHN)
death
Function:
 Pain & symptoms control

 Spiritual Care

 Home Care and impatient

Care
 Family Conferences

 Co-ordination of care

 Bereavement Care:
REHABILITATION NURSE:

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 Rehabilitation nurse is a nurse who specializes in
assisting persons with disabilities and chronic
illness to attain optimal function, health and

Rajeshwari S (CHN)
adapt to an altered life style.

 Qualification – BSc (N) +Certification in


rehabilitation nursing
NURSE EPIDEMIOLOGIST(INFECTION
CONTROL NURSE)

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 Monitors standards and procedures for the control and
prevention of infectious diseases and other conditions of
public health significance including nosocomial infections.

Rajeshwari S (CHN)
 Function:

 Conducts epidemiologic investigations

 Provides education (communicable diseases).

 Provides ongoing in-service training

 Recommendations on isolated infection

 Conducts study to determine risk factors leading to infections

 conducts surveillance of infection outbreaks

 Qualification –BSN, MS + supervisory experience


MILITARY NURSE:

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 Military nurse is one who provides care to
military personnel and their families

Rajeshwari S (CHN)
 Qualification: GNM / BSc Nursing + qualifying
examination conducted by armed services.
AEROSPACE NURSE( FLIGHT NURSE. )

Flight nurse is a nurse who provides


comprehensive nursing care for all types patients

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during aero medical evacuation and airlift
flight.

Rajeshwari S (CHN)
Qualification:
 GNM /BSC (N) + minimum of 12 months of
assignment is mandatory to an aeromedical
evacuation unit and at
least 100 hours of flying
time logged as a flight
nurse.
TELE NURSE:

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Tele nurse is one who carries out telephonic
communication with the patient,

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Function:
Patient’s questions regarding his or her family
member’s medical care or treatment.
Qualification: BSc + special certification course
or training in telenursing
DISASTER NURSING:

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Disaster nursing can be defined as the
adaptation of professional nursing skills in
recognizing and meeting the nursing, physical,

Rajeshwari S (CHN)
emotional and social needs resulting from a
disaster.
Qualification- A registered nurse with special
training program on disaster.
FORENSIC NURSE:

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 Forensic nurse is one who is expected to be

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acquainted with the basics of forensic medicine so
as to handle and preserve the evidentiary
materials.

Qualification: Registered nurse with certification


in forensic nursing or special training program in
the field of forensic science.
PRISON NURSE:

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 Prison nurse is a Functions:
registered nurse who  Delivers high quality
works in a prison.

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treatment and care within
 Prison nurses can a custodial setting, while
either be employed maintaining a secure and
directly by prison safe environment.
service or can work in  Improves health behavior
the other areas and mental health of prisoners,
spend part of their which have a significant
working week in impact on preventing re-
prison health care. offending,
PEACE NURSE CORPS:

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 Peace corps nurse is a nurse who performs
variety of nursing activities in remote areas of
the world..

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Functions
 Prevention and health education

 Plan, coordinate and provide health education to


Volunteers,.
 Provide preventive health services, including
immunizations, periodic health evaluations and
preventive treatments.
EXPANDED ROLE OF NURSING
:Advanced practice nurse –

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 Advanced practice nurse is generally the most
independent functioning nurse.

Rajeshwari S (CHN)
 An advanced practice nurse (APN) has a
master’s degree in nursing, advanced
education in pharmacology and physical
assessment, and certification and expertise in
specialized are of practice
Clinical Nurse Specialist-Nursing expertise in a
specialized area of practice.(medical-surgical nursing,
psychiatric and mental health nursing, pediatric nursing,
community health nursing, gerontogic nursing)

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Nurse Generalist
Nurse Anesthetists

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Nurse Midwife

Nurse Practitioner- The role of the nurse


practitioner is an extension of the nurses basic care giving
role.
 Acute Care Practitioner
 Adult Nurse Practitioner
 Pediatric Nurse Practitioner
 Family Nurse Practitioner
 Women’s Health Nurse practitioner
 Geriatric Nurse practitioner
NURSING ADMINISTRATOR

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Nurse administrator manages client care and the
delivery of specific nursing services within a
health care agency.

Rajeshwari S (CHN)
 Nursing administrator begins with positions
such as the charge nurse or assistant nurse
manager, then nurse manager of a specific
patient care area
NURSE RESEARCHER

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The nurse researcher investigates problems to
improve nursing care and to further define and
expand the scope of nursing practice.

Rajeshwari S (CHN)
 The nurse researcher may be employed in an
academic setting, hospital, or independent
professional or community service agency.
5/11/2011 Rajeshwari S (CHN)
5/11/2011 Rajeshwari S (CHN)
5/11/2011 Rajeshwari S (CHN)
THANK
U