QUESTION
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.
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. Ensure that the country in the source is relevant to your paper. Sources cited should be generalizable to the population being studied or discussed.
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.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
ANSWER
Nursing Roles Graphic Organizer Template
| Pediatric Clinical Nurse Specialist | Family Nurse Practitioner | Observations (Similarities/Differences) | |
| Ethics | – Fostering autonomy and telling of truth. CNS inquires from the parents and their children and encourages them to tell the truth for effective care provision at the same time, the CNS allows them to make a decision without forcing them in any way- autonomy.
– Advocating for patients, their families and other nurses (Matsumori, 2020). It is every nurse duty to advocate for their patients. Through their capabilities, a pediatric CNS advocates for their patients by requesting for help with resources they cannot provide to their patients themselves. – Mentorship to other nurses and professionals for the delivery of equitable and safe care. Influencing other nurses through mentorship contributes to effective, safe, and equitable care to the patients as clients. – Helping patients and their families address issues in end-of-life with dignity and respect. – The Nurse has a deep understanding of the parents because they have to interact with their patients’ parents to get information about their patients (National Association of Clinical Nurse Specialists (2004). Normally, the patients are children, who under the law have their parents as their representatives. |
– The nurse puts compassion in their practice, dignity and worth of every patient. Compassion characterizes nursing care, and the FNP, while working with all populations can be understanding and compassionate when inquiring and providing care to patients.
– The nurse is primarily committed to the patients, their families, and their caretakers. As a general rule, healthcare should be patient-centered. Therefore, FNPs should show commitment to providing care to their patient populations as part of the ethical codes. – Advocates, promotes, and protects the patients’ rights, health and safety. – Maintain integrity and competence in their role as FNPs. – Nurse collaborates with other professionals to protect the health and rights of their patients. Collaboration is responsible for improvement of the general patient outcomes. Moreover, collaboration reduces medical errors and other medical problems that arise from non-collaborative behavior. |
Since nursing practice is guided by the code of ethics, most of the ethical considerations for a CNS and FNP are similar. However, the difference lies in their specific commitment, where ethical practice in relation to practice for a FNP is around patients of all ages, while a pediatric CNS is committed to provide safe and holistic care of children and their families. Nonetheless, both pediatric CNS and FNP need to have an understanding of their respective categories of patients. |
| Education | – Primarily, a Bachelor’s Degree in Nursing is required for any nurse. Next, certification as a Registered Nurse in a US state or territory is needed to serve as a license. Certification is acquired by passing the NCLEX examination.
– After licensure as an RN, one must acquire accredited education through accredited programs from the Commission on Collegiate Nursing Education or the Accreditation Commission for Education in Nursing. It case, the accredited program must be a Master’s, Postgraduate, or doctoral program. – The nurse must have completed 500 faculty-supervised clinical hours related to the CNS role and population (children and their parents) they will serve. – The nurse should earn CNS certification by taking a pediatrics exams administered by the ANCC. |
– A Bachelor’s Degree in Nursing is
– The student should take and pass the NCLEX-RN to become a licensed Registered Nurse (RN). – After the first BSc and licensure as an RN, the nurse should pursue a Master’s degree (MSN) specifically designed for a FNP taking a period of 1-3 years to complete. – Must have experience as an RN. – The Nurse should possess knowledge on specialized equipment like nebulizers etc. |
– Both require at least a Bachelor’s and Master’s Degree in Nursing
– Both require APRN licensure. – Further education in pediatric CNS varies from FNP as both go on to study their specialties and get certified on the same. – Pediatric CNS and FNP take different certifications and examinations to be fully certified. (Accreditation varies for the two APRN roles.) – They both require recertification after five years because they are advanced practice nurses. – A pediatric CNS often seeks certification in pediatrics. |
| Leadership | The Nurse;
-Provides a reliable care process to the team involved in care of pediatric patients. – Practices transparency in the processes and procedures – Constantly seeking improvement and measurement of progress in providing quality care – Ready and continuously learning – Practices teamwork and communicates properly to other healthcare practitioners within the organization. At the same time, communicates effectively with the parents of their children. – Negotiates with the parents on their care of their children. – Practices accountability in relevant matters within pediatric care. – Is a chronic care coordinator when children are involved.
|
The Nurse;
– Inspires other nursing professionals and the healthcare team to provide the highest quality of care. – Monitors emerging trends in the healthcare scene and implements them into the care process through consultation and collaboration with the rest of the healthcare team. – Envisions and integrate improvement of current practice and guide other nursing professionals to embrace them. – Is a team player in patient care – Communicates with other nursing professionals and patients to improve the overall health outcomes. – Understands their patients and participates in decision-making with the patients by advising on the best option among a list. – Practices transparency in the care process |
– Both FNP and Pediatric CNS inspire other nursing professions while embracing team work and communication.
– Both practice transparency to their respective patients and caregivers. – Pediatric CNS have to showcase their leadership skills when negotiating with their patients’ parents while FNPs deal with patients directly unless when required to communicate to their caregivers and families. – Both are leaders in their respective fields with a team working under them. |
| Public Health | Although their connection with public health arises from them belonging to the nursing community, which advocates for the improvement of community health, they ensure the wellbeing of their patients through;
– Helping their patients change their behaviors, i.e., if a parent’s feeding habits are affecting their child, the pediatric CNS can advise against these sets of behaviors for better outcomes in their patients. – Receiving support from the institutions they work with/for with regard to a service they cannot provide themselves to avail care to their patients. – Their clients are connected to community programs. Therefore, pediatric CNS contribute to public health by caring for part of the community’s population (children). |
– FNPs work with all populations. Therefore, they participate directly in public health by providing counselling and advise to their patients regarding healthy behaviors.
– Support community-clinical linkages to advise on individual health like dietary and healthy behaviors to reduce common non-communicable diseases like obesity and diabetes. – They educate various groups about self-care, e.g., advising and educating on falls, especially among the elderly population. The resources on this education are provided by the National Council for Aging, one of the public health networks. |
– The linkage community-clinical linkage in Pediatric CNS is weak and indirect, while FNP has a clear linkage considering the wide population they work with.
– Both have a major goal of improving public health in their respective patient population. In other words, both CNS and FNP has a similar perspective on public health despite the difference in their patient population. |
| Health Care Administration | Pediatric CNS’s primary role is to provide patient care and consolation for children, adolescents, and infants and their parents. They P-CNS can work with patients in assessing their wellness along with gynecological or mental health exams. However, these wellness assessments must lie within the CNS specialty and population.
The P- CNS can also supervise other nurses, offer mentorship, and work with the facility’s management.
|
FNPs offer primary care to their patients as their roots are in primary care positions. Most families see an FNP first when they feel unwell or want to get checked up. For most Americans, FNPs are family doctors where they visit for checkups and tests.
However, FNPs can choose where to work in different settings because they receive flexible training. They can be in hospital emergency rooms, outpatient surgery centers, or primary care clinics. Still, most FNPS prefer working with the doctors and in clinics. A description of FNP roles includes diagnosing, monitoring, and treating patients of all ages and various characteristics. |
Pediatric CNS may not require a flexible setting as they work best in hospitals, clinics, and medical offices whereas FNPs can be flexible in their care environment.
Pediatric CNS works with children, adolescents, and infants while FNP works with all groups regardless of ages, shapes and sizes.
|
| Informatics | Pediatric CNS uses the children’s electronic medical record with a specific format that allows exchange of data including that collected from schools, primary and in-patient care (Ivey, 2021).
They have understanding of genetics through proper training to help patients with genetic predisposition understand the risk and seek care or immediate action. As the heads of pediatric clinics, pediatric CNS use simulations to prioritize their patients |
They use electronic health records to understand their patients’ needs through their previous data recorded and transmitted through the system.
According to Koukourikos et al. (2021), simulations are used in clinical care for supervision of patient care and training of student nurses under the FNP. |
Informatics has not been fairly explored in nursing. However, given the little attention even from publications, nursing informatics continues to thrive in nurse practice as Electronic medical records, genetics, and simulation become integral to almost all advance practice nursing roles. |
| Business/Finance | CNS salaries depend on location, experience, concentration and education. According to Nurse.org (2022), CNS get an average of $99, 850 p.a.
|
According to Gaines (2022), Family Nurse Practitioners received a salary of $114,710 as of February 2022. However, their salary range lies between $106,450-$124,620 p.a. | FNPs are paid more than the CNS due to the difference in pay per hour. |
| Specialty (e.g., Family, Acute Care) | Provides care to children and adolescents and their families. Context is within family, community and healthcare system. | Emphasizes care to newborns, infants, adolescents and the list goes on within the context of family-centered care. | FNP attends to all types of patients regardless of their ages and categories while Pediatric CNS cares for children and adolescents. |
| Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice | – National Association of Clinical Nurse Specialists (NACNS)- standards of practice.
– The National Council of State Boards of Nursing (NCLEX)- the compulsory examinations for one to become an RN – American Association of Colleges of Nursing (AACN)- essentials of Masters Education for Advanced Practice – American Nurses Credentialing Center (ANCC). |
– American Academy of Nurse Practitioners Certification Program
– American Nurses Credentialing Center – NCLEX |
– Both CNS and FNP are regulated by The National Council of State Boards of Nursing whose exams they have to pass for licensure as an RN.
– Both are regulated depending on the state they work in and the population they work with.
|
References
Gaines. K. (2022). Family Nurse Practitioner Salary Guide. Nurse.org. https://nurse.org/resources/family-nurse-practitioner-salary/
Ivey, J. (2021). Nursing Informatics Research. Pediatric Nursing, 47(1), 45-46. https://www.proquest.com/openview/ac65782f77560bdf0b6877fc3ab7077c/1?cbl=47659&pq-origsite=gscholar
Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I. V., Iliadis, C., Fratzana, A., & Panagiotou, A. (2021). Simulation in Clinical Nursing Education. Acta Informatica mMedica : AIM :Jjournal of the Society for Medical Informatics of Bosnia & Herzegovina: Casopis Drustva Za Medicinsku Informatiku BiH, 29(1), 15–20. https://doi.org/10.5455/aim.2021.29.15-20
Matsumori, N. (2020). An Ethical Practice Intervention Program for Pediatric Nurses with Varied Nursing Experience. Open Journal of Nursing, 10(4), 411-428. http://www.scirp.org/journal/Paperabs.aspx?PaperID=99830
n.a. (2022). Clinical Nurse Specialist Salary Guide. Nurse.org. https://nursejournal.org/clinical-nurse-specialist/salary/
National Association of Clinical Nurse Specialists. (2004). Statement on Clinical Nurse Specialist Practice and Education. NACNS. http://nacns.org/wp-content/uploads/2016/11/NACNS-Statement.pdf
Nursing Roles Graphic Organizer Answered Template
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