2. INTRODUCTION
• Nursing is an art and a science involving many activities, concepts and skills
related to basic social sciences, physical sciences, ethics, contemporary issues and
other areas. Nursing is a unique profession because it addresses the response of
individuals and families to health promotion, health maintenance and health
problems. Nursing practice is undergoing changes that are both exciting and
controversial. Published evidence shows that nurses can be as effective as doctors
with in their expanded roles.
• The roles of doctors and nurses should complement each other and all
practitioners should work for the benefit of patients in their care, rather than
defending traditional roles and hierarchy.
3. EXTENDED ROLE
• Nurses role in extended care facilities is one that a nurse assumes by virtue of
education, type of institution in which she is employed and experienced.
• The concept of extended role is to reach out. The role of nurse cannot remain
static. The knowledge and skills of the nurse need to be broadened.
4. EXPANDED ROLE
• Expanded roles on the other hand are specific roles in employment positions. An
expanded role is one that a nurse assumes by virtue of education and experience.
• An expanded role in nursing is one in which a nurse assumes expanded or
increased responsibilities in a practice area and in most cases practice with greater
autonomy.
• Expanded role denotes functioning in specially area with advance education and
skills.
6. EXTENDED ROLE
• 2. HEALTHCARE COORDINATOR:
• In this role, the nurse arranges for the necessary diagnostic testing, therapies,
counseling and patient teaching sessions, and treatments.
7. EXTENDED ROLE
3. ADVOCATE:
• As medical knowledge and technology have advanced, the healthcare system has become more complex. In
this environment of tubes, alarms and caregivers clad in gowns, masks and gloves, the advocacy role of the
nurse is more critical than ever.
• The nurse is responsible for defining defending and promoting the rights of patients. As an advocate, the
nurse is compelled to work on behalf of the patient.
8. EXTENDED ROLE
4. EDUCATOR:
• As an educator the nurse explains to client’s concepts and facts about health, demonstrates procedures such as
self-care activities, determines that the client fully understands, reinforces learning or client progress in
learning.
9. EXTENDED ROLE
5. COMMUNICATOR:
• The role of communicator is central to all nursing roles and activities. Nurses communicate with the client,
support persons other health professionals, and people in the community.
• Nurses identify client problems and then communicate these verbally and / or in writing to other members of
the health team. The nurses must be able to communicate clearly and accurately in order for a client’s
healthcare needs to be met.
10. EXTENDED ROLE
6. MANAGER:
Delivering quality care in today’s complex
healthcare system required managerial knowledge
and skill. The nurse manager must know how to
assess the overall patient care needs, organize
patient assignments, delegate work appropriately,
and evaluate the effectiveness.
