The document discusses the extended and expanded roles of nurses. It outlines various nursing roles such as health promoter, counselor, teacher, advocate, and manager. Extended roles involve tasks traditionally done by doctors that nurses can perform after additional training. Expanded roles enlarge the nursing scope to better meet patient needs. The conclusion states that technological and health changes require nurses to adapt and be prepared to handle various responsibilities.

1. SEMINAR ON
EXTENDED & EXPANDED
ROLE
OF
NURSE
PRESENTED BY
MR. ABHIJIT BHOYAR

2. INTRODUCTION
During the past five decades nursing practice
changes in response to consumer demands and
accessibility and involvement in decision
making, new technology changes in health
care delivery systems and policy.

3. NURSING ROLES
• Health Promoter and Care Giver
• Counselor
• Learner and Teacher
• Protector and Client Advocate
• Change Agent
• Communicator
• Leader and Manager
• Case Manager
• Research Consumer
• Rehabilitator
• Clinical Decision Maker
• Political Advocate
• Colleague and Collaborator

4. EXTENDED ROLES
Extended roles are the one not included in
basic nurse training and comprises tasks,
normally undertaken by doctor, which may be
delegated to a nurse who has received
appropriate training and has been assessed as
being competent.

5. EXTENDED ROLES OF THE NURSE
CARE GIVER:- A nurse, who assists in the identification,
prevention, or treatment of an illness or disability.
Nurse helps client to regain health through healing process.
• Healing is more than just curing a specific disease , although
treatment skills that promote physical health are important to
caregiver.
• Nurse adds the holistic health care needs of the client , including
measures to restore emotional, spiritual and social well being.

6. MANAGER
A nurse manager coordinates and manages a
nursing staff. She ensures the staff under her
runs effectively. The nurse manager is efficient
around the clock, following all administrative
and clinical procedures and polices according
to a set of medical guidelines. In a manner of
superb professionalism, the nurse manger
maintains an effective work environment
supportive to all nurses and staff.

7. PROTECTOR AND ADVOCATE
• The nurse who provides safe environment,
prevent injury and protect from possible
adverse effect of diagnostic or treatment
measures.
• She also confirm client do not have any
allergy.

8. ADVOCATE
Nurse advocate is the person who protects
clients human and legal rights, acts as a
supporter and source of information.
Example:- Nurse may provide information for
a client who is trying to decide whether or not
to accept a treatment.

9. COUNSELOR
• Explore feelings and attitude about wellness
and illness with patients and their families.
• Provide emotional, intellectual and
psychological support.
• Counseling requires therapeutic
communication skills.

10. NURSE EDUCATOR
A nurse educator is a nurse who teaches and
prepares licensed practical nurses (LPN)
and registered nurses (RN) for entry into practice
positions.
• They can also teach in various patient care settings to
provide continuing education to licensed nursing staff.
Nurse Educators teach in graduate programs
at Master’s and doctoral level which prepare advanced
practice nurses, nurse educators, nurse
administrators, nurse researchers, and leaders in
complex healthcare and educational organizations.

11. • Nurse educator usually has a bachelor degree.
• Faculty members in school prepares student’s
to function as a nurse and are responsible for
teaching current practices, theory and
necessary skills in laboratories and clinical
settings.
• In client education department she/he teaches
ill or disabled client and families to provide
care in home.

12. COMMUNICATOR
Communication in nursing is the imparting
or exchange of information in such a way
that the receiver can understand and act
on that information and provide feed back
that the message received is the message
intended.

13. • The nurse communicates with other health care
personnel’s, the nursing interventions planned
and implement for each client and should be
document them on client record.
• Protect client from threats to well being,
coordinate and manage client care

14. REHABILITATOR
Rehabilitation nursing is a specialty
practice area within the scope of
professional nursing. It involves the
diagnosis and treatment of human
responses of individuals and groups to
actual or potential health problems
resulting from altered functional ability and
altered lifestyle

15. • Rehabilitator nurse helps client to adapt as
fully as possible by using her knowledge and
skills.
• Rehabilitator activities range from teaching
client to walk with crutches to help client to
cope with lifestyle changes often associated
with chronic illness.

16. COLLABORATOR
• Nurse collaborator is a person who work
together toward a common end with health
care team members.
• Many professions make up the team involved
in the care of client. Besides nurse, they also
can be physical therapists, occupational
therapists, medical social workers, home
health aids, recreational therapists, nutritionist.

17. SCHOOL HEALTH NURSE:-A specialized
professional nursing that advances the well-
being, academic success, and life long
achievement of students.
• A school nurse develops programmes that fosters
children’s growth , positive life skills for
successful coping and acquisition of knowledge
and skills for self care and thereby reinforce
positive health attitudes.

18. OCCUPATIONAL HEALTH
SERVICES
• Occupational and
environmental health
nursing is the special
practice that provides
and delivers health and
safety progammes and
services to workers
and community
groups.

19. • The practice focuses on promotion and
restoration of health, prevention of illness and
injury and protection from work related and
environmental hazards

20. PARISH NURSE
Parish nursing is a unique, specialized practice
of professional nursing which focuses on the
promotion of health within context of values,
beliefs and practice of a faith of community,
such as church, its mission and ministry to its
members and the community it serves.

21. • Health is viewed as not only the absence of
disease but a sense of physical, social,
psychological and spiritual well being and
being in harmony with self, others and
environment and with GOD.
• Parish nurse in church is referred to as
congregational health minister an emergency
church nurse, a faith community nurse.

22. PUBLIC HEALTH NURSE
• PHN is a registered nurse with special training
in community health, helps the client and the
family with health concerns and parenting
issues.

23. HOME CARE NURSE
• Home care nurse is who provides periodic care
to patients with in their home environment as
ordered by physician. She acts as a referral
agent .

24. HOSPICE NURSE
• Nurse who provides family centered care and
allows client to live and remain at home with
comfort, independence and dignity , while
alleviating the strains caused by terminal
phase.

25. REHABILITATION NURSE
• Nurse who specializes in assisting persons
with disabilities and chronic illness to attain
optimal function, health and adapt to an altered
life style.

26. OFFICE NURSE
Office nurse is defined as a nurse who provides
care along with physician in settings such as,
physician offices and medical office buildings.
• Main focus is on diagnosis and treatment of
specific illness rather than health promotion.

27. NURSE EPIDEMIOLOGIST
• Nurse epidemiologist is a nurse who has
special education and experience in the control
of infections in the health care facility and
community and who searches for new diseases
and its reporting and taking part in health
programs.

28. CRITICAL CARE NURSE
Critical care nursing is the specialized field of
nursing that deals specifically with human
responses to life threatening problems.
• A critical care nurse is a nurse who is licensed
nurse who is responsible for ensuring that acutely
and critically ill patients and their families receive
optimal care.
• Critical care has progressed from a “do the best
you can ˝ approach into a specialty based of
scientific knowledge and skills.

29. NURSE ADMINISTRATOR:- A nurse
administrator is a person who is charged with the
financial decision making, staff administration
and policy making as concerns nurses in an
establishment.
• Functions include supervising nursing staff,
establishes work schedule, maintains medical
inventories, budgeting, planning programs,
manages client care, including the delivery of
nursing services.

30. NURSE PRACTITIONER:-A nurse with
graduate degree in advanced practice nursing.
• They usually deals with non emergency, acute
or chronic illness. They work in health care
agencies or community based settings.
• Taking patient’s history, performing physical
examination and ordering laboratory tests.
• Diagnosis, treating and managing diseases.

31. NURSE MIDWIFE
COMMUNITY HEALTH NURSE
PSYCHIATRIC NURSE
MEDICAL-SURGICAL NURSE

32. EXPANDED ROLES
Expanded roles implies any enlargement of the
nurse’s role within the boundaries of nursing
education, theory, practice, thereby expanding
their role around the needs of the patient rather
than simply taking on delegated medical tasks.

33. ADVANCED NURSE
PRACTITIONER
• Nurse practitioner who is employees in health
care agencies or in community settings and
deals with non emergency acute or chronic
illness and provide primary ambulatory care

34. CLINICAL NURSE SPECIALIST
• The nurse has a master’s degree in nursing and
expertise in a specialized are of practice.
• CNS function as client care provider , educator
and consultant and manager to plan and
improve the quality of care provided to the
client and family.

35. NURSE ANESTHETST
• A nurse anesthetist is an RN who received
advanced training in an accelerated program of
anesthesiology.

36. NURSE RESEARCHER:-
• An advanced practice nurse who is doctoral
prepared and directs and participates in clinical
research.
• Minimum educational qualification is Doctorate ,
with at least a master’s degree in nursing.
• The nurse researcher investigates problems to
improve nursing care and to further define and
expand the scope of nursing.

37. ADVANCED NURSE EDUCATOR:-A
registered nurse who has acquired the expert
knowledge base, complex decision making
skills and clinical competencies.
• The nurse educator is usually a bachelor
degree holder or more advanced and frequently
an expert in a particular area of practice.

38. NURSE ENTREPRENEUR
• An entrepreneur is an individual who organize,
operates and assumes the risk for business
ventures. Such business includes independent
nursing practice, consultant services.

39. OPERATING ROOM NURSE:-
The operating room nurse monitors the
patient’s progress before and after surgery,
from the time he/she enters the operating room
until he/she is dismissed to the attending staff
nurse.

40. TRAVEL NURSING:-
• Travel nursing and travel nursing industry
developed in response to the nursing shortage in
which nurses are relocated for short- term nursing
positions.
• Most nurses enjoy travel nursing for 3 reasons:-
1. Visiting many different locations.
2. Free benefits.
3. Higher salary with bonuses.

41. NURSE ONCOLOGIST
• Oncology nurse is defined as the nurse who
provide treatment, support and advice to
cancer patients and their families coping with
this life threatening disease.
• The practice of expert competency and
leadership in the provisional care to
individuals with diagnosis to cancer.

42. NURSE INFORMATICS/NURSING
ANALYST
• It is the science and practice that integrates
nursing, its information and knowledge, with
management of information and communication
technologies to promote the health of people,
families, and communities worldwide.
• Ensure high quality performance, compliance and
technical support to both management and
nursing staff.
• Nurse informatics should have strong statistical
background and be able to interpret data in logical
and organized manner.

43. SPORT NURSING
• Some nurses are involved in sports medicine
on a full-time basis while others work on a
part-time, contract basis for sports teams.
• For example, some nurses work for
professional football teams each summer,
evaluating the health and fitness of players
who are either preparing for another season or
trying to make the team for the first time.

44. PALLIATIVE NURSE/HOSPICE
NURSE
• Nurse who provides a comprehensive physical,
psychosocial, emotional and spiritual care to
terminally ill persons and their families.

45. NURSE LIAISON
Nurse liaison is a nurse specialist with a master’s
degree who provides psychiatric nursing services
in nonpsychiatric settings, such as in aged care,
pediatric care and home care.
• The major role in liaison nursing is enhancement
of delivery of psychological nursing care and
effective management.
• She/he must have three or more years of diverse
clinical experience, sound clinical judgment, and
excellent assessment skills.

46. SPACE NURSING
• Space nurses are the nurses who provide the
ground monitoring and full range of health
services to astronauts, who are screened to
determine if they meet the NASA health
requirements.
• Space nurse society members meet yearly at
conferences to exchange ideas, share research
findings.
• Skills are excellent communication skills, interest,
knowledge of aerospace industry .

47. TELE NURSING
• Tele nursing refers to the nursing field in
which there is use of telecommunication and
information technology for providing care at
large physical distance that exists between
patient and nurse.

48. DISASTER NURSE:-
• The nurse who works in disaster areas that are
the result of bioterrorist attack or in situations
caused by natural disaster
• She takes care of patient,
promotes and prevent
them from infectious
hazard of disaster.

49. NURSE AS AUTHORS
• An RN works in any area of writing ,this
written material may be used in research
education, training.
• It’s the responsibility of nurse to attempt to
publish any new knowledge they gain.

50. EPIDEMIOLOGY NURSE
• A nurse epidemiologist is one who investigates
trends in groups and studies the occurrence of
diseases and injuries.
• Identify population at risk, monitor progress of
disease, specify areas of health care need,
determine scope of programs and evaluate
their impact.

51. RESEARCH INPUT
The Royal College of Nursing and the Chief Nursing
Officers for England, Scotland, Wales and Northern Ireland
are delighted to present the findings from largest study to
date of nurses working in advanced and specialist nursing
roles across the UK.
Over recent years a wide range of new and extended roles of
nursing have developed. The 758 nurses were asked about
what their role entails, what gives them most satisfaction
and how their job fits in with other nursing roles. Nearly
70% returned completed questionnaires. The response rate
demonstrates just how passionate these nurses are about
their work, and how keen they are to let others know more
about what they are doing.

52. CONT…
Key findings from the survey reveals:-
• A nursing background is essential to undertake
these roles, they are maxi nurses not mini doctors.
• Nurses are very positive about these new roles
and are keen for further role expansion.
• Roles are having a positive impact on patient
care, and levels of job satisfaction are high among
post holders.
• The roles create important career development
opportunities that allow nurses to retain
significant patient contact.

53. CONCLUSION
There are more roles of nurses and nursing avenues,
some explored and some unexplored. To achieve
positive patient outcomes, institutions are standing to
provide care in a timely cost effective manner. The
future of nursing is brighter than ever because of the
never ending changes and the broadening of new
avenues more health care jobs will result.
• According to the advancement the technologies and
increased health problems nurses has to be prepared to
deal with all these technologies and health problems.

54. SUMMARIZATION
• Introduction.
• Nursing roles.
• Extended roles.
• Expanded roles.
• Research input.
• Conclusion.
• Bibliography.

55. BIBLIOGRAPHY
• Sr. Nancy˝, Principles and Practice of Nursing”
6th edition page no-31-32.
• TNAI ˝,Fundamentals of Nursing a procedure
Manual ̋ page no-11-12.
• Basheer.P.Shebeer , Khan S. Yaseen ̋ A
Concise Text Book of Advanced Nursing
Practice ̋ page no-675-689.
• www.scribd.com