5/11/2011 Rajeshwari S (CHN)

5/11/2011
Rajeshwari S. MSc Nursing
Lecturer

Rajeshwari S (CHN)
Dept Of Community Health Nursing
Mythri College of Nursing
Shimoga

Seminar on Nurses day 2011

TRENDS AND ISSUES IN THE SOCIETY KEEP
CHANGING AND SO IS THE NURSING
PRACTICE AND NURSING ROLES

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Rajeshwari S (CHN)
 5/11/2011
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

Rajeshwari S (CHN)
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

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Educator

Rajeshwari S (CHN)
SCHOOL HEALTH NURSE:
Goal - Supporting educational success

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by enhancing health
Functions

Rajeshwari S (CHN)
 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,

Rajeshwari S (CHN)
worker populations and community 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
 The role that gathers in

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 Provider of spiritual care
churches, cathedrals, temples,
or mosques and acknowledge  Health Counselor

Rajeshwari S (CHN)
common faith traditions.  Health Advocate

 Parish nurse respond to  Health Educator

health and wellness needs  Facilitator Of Support Groups
within the context of  Trainer Of Volunteers
populations of faith
 Liaison to community resources
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
Function:

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 Health Advocate

 Care Manger

Rajeshwari S (CHN)
 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

5/11/2011
 Private duty nurse is a
registered nurse or a
licensed practical nurse

Rajeshwari S (CHN)
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

Rajeshwari S (CHN)
the physician
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 and allows

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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 death

Rajeshwari S (CHN)
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

Rajeshwari S (CHN)
function, health and 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

Rajeshwari S (CHN)
including nosocomial infections.
 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 during aero medical

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evacuation and airlift flight.
Qualification:

Rajeshwari S (CHN)
 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,

Rajeshwari S (CHN)
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, emotional and social needs

Rajeshwari S (CHN)
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 acquainted

Rajeshwari S (CHN)
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 treatment

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

Rajeshwari S (CHN)
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

Rajeshwari S (CHN)
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

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