This document discusses the expanded roles of nurses. It outlines 9 roles nurses play as caregivers, communicators, teachers, counselors, decision makers, leaders/managers, comforters, rehabilitators, and protectors/advocates. It also describes 7 career roles for nurses including clinical nurse specialists, nurse practitioners, nurse midwives, nurse anesthetists, nurse administrators, nurse educators, and nurse researchers. Finally, it lists 10 qualities needed for nursing in the future, such as participating in organizations, giving expert care, working for national welfare, and having dedication to service.

1. EXPANDED THE ROLE OF
NURSES
PREPARED BY:
USHA RANI KANDULA,
ASSISTANT PROFESSOR,
DEPARTMENT OF ADULT HEALTH NURSING,
ARSI UNIVERSITY,ASELLA,ETHIOPIA,
SOUTH EAST AFRICA.

2. 1. Care giver:
 Care giving role is the primary
role of nurses.
 The care should meet the
physical, emotional, socio-
cultural, intellectual and spiritual
needs of the client.

3.  Nurse‘s addresses holistic health
care needs of the client.
 Quality care provides d with
minimum cost of time and energy.

4.  Care should be provided to
promote wellness, prevent illness,
restore health, and facilitate
coping with disability or death.

5. 2. Communicator:
 Without clear communication
effective nursing care is
impossible.

6.  The use of effective interpersonal
and therapeutic communication to
establish and maintain helping
relationship with clients.

7. 3. Teacher:
 As a teacher nurse explains the
concepts and facts about health,
demonstrates the procedures such
as self care activities, reinforces
client‘s behavior, and evaluates
progress in learning, teaching may
be unplanned and informal or

8. 4. Counselor:
 The use of therapeutic interpersonal
communication skills to provide
information, make appropriate
referrals, and facilitate the client‘s
problem solving and decision
making skills.

9. 5. Decision maker:
 To provide effective care nurse uses
decision making skills, throughout
the nursing process.
 The nurse plans the action by
deciding the best approach for each
client, by using decision making
skills.

10. 6. Leader/ manager:
 Nurses manage the time and
resources of the practice setting
when providing care.
 As manager/ leader, nurses
coordinate and delegate care
responsibilities and supervise other
health care workers.

11. 7. Comforter:
 Nurses should care for the whole
person rather than simply the body
comfort and emotional support often
help give the client strength to
recover, while carrying out nursing
activities.

12.  Provide comfort by demonstrating
care of the client as an individual
with unique feelings and needs.

13. 8. Rehabilitator:
 Rehabilitation program will help the
client to adapt as fully as possible,
by using her or his own knowledge
and skill.

14. 9. Protector and asdvocator:
 As a protector the nurse helps to
maintain the safe environment to
the client and take steps to
prevent injury and protect the
client from possible adverse
effects.

15.  As an advocate, the nurse
protects client‘s human and legal
rights and provides assistance in
asserting those rights.

16. CAREER ROLES:

17. 1. Clinical nurse specialist:
 The nurse with advanced degree,
education, experience who is
considered to be an expert in a
specialized area of nursing, carries a
direct client care, consultation,
teaching clients, families and staff
and conduct research.

18. 2. Nurse practitioner:
 Nurse with advanced degree, work
in a variety of health cares settings
or in independent practice to make
health assessment and deliver
primary care.

19. 3. Nurse midwife:
 Nurse who completes a performance
in midwifery provides prenatal, intra-
natal and post natal care.

20. 4. Nurse anethetist:
 A nurse, who completes a course of
studying anestheology, carries out
pre operative visits and
assessments administer and monitor
anesthesia during surgery, and
evaluate post operative status of the
clients.

21. 5. Nurse administrator:
 A nurse who functions at various
levels of management in health care
setting is responsible for
management and administration of
resources and personnel involved in
giving client care.

22. 6. Nurse educator:
 Nurse with advanced degree
teaches in educational or clinical
setting, teaches theoretical
knowledge and clinical skills and
conducts research.

23. 7. Nurse researcher:
 Nurse conducts research for
improvement of nursing practice,
education, administration.

24. 8. Nurse entrepreneur:
 Nurse with advanced degree who
may manage a clinic or health
related business, conduct research,
provide education or serve as an
adviser, consultant to institution or
political agencies.

25. NURSING OF THE FUTURE:

26.  History of nursing revealed us how
some learned people have worked
hard to bring and develop nursing as
it is today.
 Every age we need nurses who are
able to share the work for the
progress. They have to:-

27.  1. Participate in professional
organizations.
 2. Giving expert nursing care where
it is necessary.
 3. Working for welfare of the nation.

28.  4. Having selfless devotion to the
service of mankind with sympathy
and empathy.
 5. Being loyal to chosen profession.
 6. Showing courage to face any
situation.

29.  7.Being aware of present trend.
 8. Having dedication to service.
 9. Acquiring inspiration to attain the
goal.
 10. Nursing in 1960, was patient
centered. Quality care became the
concern after 1970.

30. THANKING YOU