Use the Nursing Roles Graphic Organizer Template to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice – Solved

Clinical Nurse Specialist

Nursing Practitioner

Observations (Similarities/Differences)

Ethics

Has to ensure the ethical treatment of patients. Has to work collaboratively with staff in identifying and resolving ethical dilemmas (AMSN, 2012) as guided by Code for Ethics for Nurses with Interpretive Statements (ANA, 2010b). Besides, CNSs foster autonomy and truth-telling and advocate for clients and nurses (Cooper, McDowell, Raeside, & ANP–CNS Group, 2019).

Guided by the Code for Ethics for Nurses with Interpretive Statements (ANA, 2010b), NPs follow ethical guidelines to safeguard patients from harm (Olson, & Stokes, 2016). Addresses the ethical issues that arise on a day to day basis within the scope of work.

Both roles are guided by the Code for Ethics for Nurses with Interpretive Statements (ANA, 2010b), which advocates for safe, quality care for all patients and communities. However, CNS offers expert consultation on identifying and addressing ethical dilemmas while NPs work directly with patients in resolving ethical issues.

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Education

Requires MSN or DNP. Trained to become clinical experts in their field and base their practice on research and theory. Education focuses more on case management, educational teaching skills, and inter-dependencies involving clinical practice (Haney, Sharp, Nesbitt, & Poston, 2017).

Requires MSN or DNP. Primarily focused on providing medical care to a diverse population in a variety of primary care, long-term, and acute care settings (Haney, Sharp, Nesbitt, & Poston, 2017).

Both roles require graduate studies. However, CNS education focuses on clinical practice for specific fields and populations, while NPs provide primary care in care settings.

Leadership

Can take up clinical leadership as one is equipped to provide guidance in nursing practice.

Has the skills and knowledge necessary to serve as a clinical leader

Share similar leadership capabilities with the clinical settings.

Public Health

Have expertise in assessing the health of the community and in planning, implementing, and evaluating population programs that are critical in Public Health (Sharp, 2018). Maybe more focuses on research, Could serve as a community CNS

Address the health needs of their communities through wellness clinics, home visits, and developing relationships. Mainly facilitate case by case of patient care.

While CNS focuses on community health frameworks and programs, Public health NPs work closely with patients and communities offering wellness training, drop-in clinics, educational seminars, immunizations, and other services in a variety of settings (Sharp, 2018).

Health Care Administration

Serve in supervisory roles, and in implementing clinical practice innovations, increasing caseloads in CNS led clinics (Norman, Meléndez, Adams, & Kreiss, 2012). CNSs also work with nursing personnel and organizations/systems in a wide variety of ways. Research, develop, maintain, and train others in departmental policies, procedures, and patient care standards

 Facilitates the delivery of comprehensive continuous care and managing nursing teams in clinical settings.

Both can serve as health administrators. Possesses skills that facilitate implementing policy, designing schedules, and collaborating with various departments to ensure that a facility runs smoothly, effectively, and safely

Informatics

Facilitate the design, development, and implementation of information technology in the clinical setting. Apply information to enhance health delivery and effectiveness.

Apply evidence-based information and educational tools to deliver personalized, safe, and highly effective care.

In informatics, CNSs and NPs serve a similar role as they utilize information and technological tools to improve the delivery, quality, safety, and effectiveness of care (Sharp, 2018).  However, CNSs use informatics in design, development, and implementation while NPs apply informatics in delivery of care.

Business/Finance

Limited expertise in finance and business aspects.

Lack of comprehensive expertise in finance and business aspects of healthcare

Both have limited knowledge of finance and business aspects of healthcare.

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Specialty (e.g., Family, Acute Care)

Adult Health, Adult Psychiatric, and Mental Health, Child/Adolescent Psychological and Mental Health, Diabetes Management, Gerontology, Home Health, Pediatrics, and Public and Community Health

Works in a specialized area of nursing practice. Specialty areas such as Adult primary, Adult-gerontology acute, Adult-gerontology primary, Adult psychiatric-mental health, Family primary, Gerontology primary, Neonatal, Pediatric acute, Pediatric primary, and Women’s health

Focuses on the individual at the direct care level while CNS focuses on both individual and macro level, incorporating nursing diagnosis and management as well as systems assessment and synthesis of improved approaches to nursing care (Dreher, & Glasgow, 2016)

Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice

American Nurses Credentialing Center (ANCC) requires certification renewal every five years. 1,000 clinical hours during the five-year certification and completion of 150 CEU hours including 25 pharmacology CEU hours, are required.

American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP). ANCC requires certification renewal every two years. 1,000 clinical hours during the two-year certification and completion of 75 CEU hours, including 25 of pharmacology CEU hours are required.

Both CNS and CRNPs are certified by ANCC. However, certification is renewed after five years and 150 CUE hours for CNS compared to 2 years and 75 CUE hours for NP.