Nursing Roles Graphic Organizer Template NUR 513
Nursing Roles Graphic Organizer Template NUR 513
The profession was developed to promote safe and quality care by implementing excellence in nursing practice (King et al., 2016). Since the CNLs handle a host of nursing duties, they are expected to possess strong work ethics in addition to their competencies in patient care. In the course of their practice, the clinical nurse leaders are required to uphold ethics and inspire followers to emulate the same in the health setting. Besides, the CNLs are expected to use certain principles especially those related to ethical-decision making when implementing an evidence-based practice in the facility. Specifically, the CNLs are required to demonstrate transparency and reciprocity as they engage with followers in a care setting. However, they should avoid coercive and restrictive means to assert authority as these infringes on the rights of the subjects (Yoder-Wise, 2014). Moreover, they ensure that the ethical codes of conduct are implemented across the entire health spectrum in a bid to optimize patient care.
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These are the most senior nurses in a health organization. ENLs handle administrative side of healthcare to enable smooth operations of a health facility. The professionals are required to articulate the application of the ethical principles in a care facility to guide decision on implementation among
followers (Stuesse, 2014). The other major role of ENL is to integrate ethical standards with core values of an organization to provide a platform for everyday work activities. In essence, as leaders, they ensure that an organization implements the outlined ethics as per the clinical standards of operations. Moreover the ENL establishes an environment that provides a reputation for high ethical standards (King et al., 2016). This foundation allows professional and personal growth among workers as they promote ethical practice within an organization (I Roussel, Harris, & Thomas, 2016). In overall, the ethical codes of practice embraced by the ENL is crucial for the growth of an organization as it ensures that the facility does not violate a code of practice. Nursing Roles Graphic Organizer Template NUR 513
In both of these areas, application of ethics is indispensable to promote professional practice. Besides, these areas of nursing practice must conform to the requirements of the standard codes of operations as defined by the regulatory bodies for each specific state (DeNisco & Barker, 2016). However, as opposed to clinical nurse leaders, the executive nurse leaders articulate the application of the ethical principles in an organization. In other words, the ENL set the regulations to be implemented by the clinical nurse leaders. As such, the conduct of the executive nurse leaders must reflect the ethical standards and the core values that might require their followers to emulate.
With regard to education, a nurse must successful complete a master’s degree program (MSN) to earn the credential for the CNL. Nonetheless, nursing students are also required to pass the certification examinations from the American Association of the Colleges of Nursing (AACN). In order to acquire these, nurses with bachelor’s degree can enroll for advanced studies in the fields such as lifespan pathophysiology, management and organizational theory as well as applied statistics for evidence-based practice in nursing (Yoder-Wise, 2014). In addition, a nurse practitioner with a Bachelor of Science in Nursing can study advanced pharmacology, economic and finance intended for healthcare leaders.
For one to qualify as an executive nurse leader, a nurse practitioner must have at least a master’s degree in nursing administration, hospital administration or business with a concentration in healthcare management. However, some ENLs have doctoral degree qualifications in the above fields (DeNisco & Barker, 2016). Before acquiring the credentials as an executive nurse leader, a nurse should pass a certification examination provided by the American Organization of Nurse Executives (AONE). Alternatively, nurses can opt for the examinations offered by the American Nurses Credentialing Center and if they pass these tests, then they qualify for a consideration for the position of ENL. However, a nurse may also decide to pursue several courses to receive the credentials of an executive nurse leader. These include the public health principles, leadership and communication as well as health informatics. Besides, a nurse can consider enrolling for programs in public policy and research foundations to build their career as an ENL. Nursing Roles Graphic Organizer Template NUR 513
Both of these specialties require nurses to at least have a master’s degree for a consideration. In addition, the two specialties require nurses to pass examinations offered by different nursing bodies (King et al., 2016). Contrary to CNL, the ENL require competencies in administration to enable the professionals offer guidance to subjects. This is also because most of the ENLs serve on the academic advisory councils which require competency in hospital, business or nursing administration.
As a clinical nurse leader, one undertakes tasks that influence the operations of followers. The CNL use their leadership roles to design operations in a clinical setting. The clinical nurse leaders acts as role model for the advanced registered nurses and general nurse practitioners under their supervision. The CNL also guide decision on the implementation of the EBP in a health facility (DeNisco & Barker, 2016). In this context, they explain the concepts and purpose of the proposed EBP. They also train other nurses on how the evidence is to be implemented to build confidence among the staff so as to achieve success. Often, the CNLs requires leadership competencies due to the nature of their roles. As such, CNL need to exhibit strong leadership and good communication skills. The CNLs also require substantial research and analysis skills to enable them implement changes in the care facility. The leaders also undertake supervisory duties. This include instructing other nurses about their responsibilities, researching and providing training to nurses during the continuing education course. They also monitor patient treatment plans and assess the entire facility to evaluate quality outcomes.
The executive nurse leaders envision and take actions that inspire follows in an organization (Yoder-Wise, 2014). They are required to have necessary foundational thinking skills to address the serious concerns that affect an organization. In order to promote nurse leadership, the ENL need to maintain curiosity and demonstrate eagerness to explore new ideas. Nevertheless, the executive nurse leader is expected to demonstrate reflective leadership by understanding that leadership emanates from within. In addition, the ENL should provide visionary thinking regarding issues on healthcare organization in order to promote nursing leadership in an organization ( Roussel, Harris & Thomas, 2016 2016). The ENL need to emulate a personal journey discipline to enable follows understand the value of lifelong learning especially by following the examples of their leader. This enables the leaders to learn from past setbacks and failures which provides a momentum for future success. The ENL also need to understand the aspect of succession planning. With this, the leader serve a professional role of mentoring future nursing leaders. The ENL should establish a mechanism for early identification, support and mentoring of staff perceived to have leadership abilities to ensure smooth transition of authority. In other approaches, ENL is expected to utilize change theory as a way to plan for the implementation of organizational changes based on an identified evidence-based practice model. The ENL should also identify their reaction to change and should adopt leadership styles that responds to the situational needs in an organization.
Both the leaderships are significant in healthcare as they require professionals with good communication skills. Besides, the two leaderships require professionals with multi-tasking abilities to shape the future of an organization. While the CNL provide leadership directly related to patient care in a health facility, ENL play significant roles in developing policies and procedures for the daily operation of a healthcare organization. In other words, ENL is a managerial position that takes place behind the scenes as opposed to CNL which mainly faces patient functions (King et al., 2016). This means that the ENL advocate for policies that enhances staff collaboration to improve quality outcomes for patients.
The CNLs play integral roles in public health. They work as part of the multidisciplinary team to deliver care for patients with different conditions. The leaders formulate and deliver public health interventions to mitigate different illnesses for patients seeking healthcare services (DeNisco & Barker, 2016). Besides, the CNLs act as change agents to help in the implementation of a given EBP that aims to provide an intervention for a given illness or condition that affects the quality of life for patients. The CNLs also work hand-in-hand with public health professionals to develop and support the implementation of a clinical practice (King et al., 2016). They also provide a framework for the analysis of public health emergencies before the implementation of a given evidence.
The ENL formulate policies to be implemented in public health for the benefit of patients. This includes formulation of policies to address obesity, diabetes and infectious diseases that affects a given population. The leaders also manage the public health programs. These include analysis of public health programs such as nutrition projects, communicable disease surveillance and promotion of activities related to infant, children and maternal health. The ENL also take part in the treating of communicable diseases as they develop treatment modalities that guarantee patient safety. Nonetheless, the ENL advocates for policies that aim to improve the lives of populations in a given locale.
In both leaderships, nurses play integral roles in promoting public health. They help in the implementation of the EBP that optimize quality outcomes to the public. However, as opposed to the CNLs who are subordinates in public health policy formulations, the ENLs play actual roles in the development of therapy protocols for the management of a given illnesses. Moreover, the ENLs manage the developed EBP that is aimed at addressing a given condition in the society ( Roussel, Harris & Thomas, 2016).
Health Care Administration
The roles of CNLs in health administration are limited. Their role is to implement the EBP and to deploy several initiatives that supports the operations of the already developed health system. The CNLs as serve in administrative committees as subordinates to handle institutional policies and other matters that optimizes patient care.
The ENLs play significant role in healthcare administration. They design and manage patient care as per the standards of a state. ENLs manage the operations of health programs in a care setting. They create budgets for the entire healthcare system (Yoder-Wise, 2014).
For the two leaderships in health setting, administrative duties are limited to management. Besides, in both cases, healthcare administration is defined by the institutional policies which influence the behavior of the leaders. However, in contrast with CNLs, the ENLs are important in providing financial oversight to the organization. As such, the ENLs must have experience in health or business administration to ensure financial sustainability of the organization. Nursing Roles Graphic Organizer Template NUR 513
CNLs use informatics to communicate information on patient care. Besides, the analytical science informatics provide the CNLs with information on the systematic management of data on patient care. Moreover, CNLs play significant roles in the implementation of informatics especially during the application of evidence-based practice in nursing care.
The ENLs requires informatics before developing health policies. In other words, they require the latest technologies to gather evidence on the best practices that can be implemented in the health settings to optimize care to patients. Informatics also enable ENLs to undertake research required in clinical practice (Stuesse, 2014).
The two leaderships require informatics to optimize quality care to patients. Specifically, informatics is used by both CNLs and ENLs to guide decision on the implementation of evidence-based practice in a care setting.
The CNLs require business and financial competencies to enable them make decisions. Since the CNLs are involved in the implementation of EBP, they must be well conversant with the financial operations to ensure that they do not encounter cost-overruns in the course of the project. Besides, the CNLs need information on how to plan operations and organize budgets to meet the expected outcomes of the project. All these require skills in business management.
Other than the management component, the ENLs should understand the healthcare organization in the context of a business standpoint (Roussel, Harris & Thomas, 2016). The leaders need to understand how to manage financial resources of the prospect. The ENLs are also required to learn concepts on how to hire, train and manage staff. They must also be in a position to conduct the SWOT analyses as well as be abreast with technological changes in the health industry.
In both types of leadership, business and financial competencies are required. These are leaders who influence the operations of the health organizations and must be well-versed with the financial net-flows as this affects the outcome of the EBP projects in a health setting. However, ENLs require advanced knowledge in business and finance (King et al., 2016). This is because they play crucial roles in the hiring, training, promotion and dismissal of staff.
Specialty (e.g., Family, Acute Care)
The CNLs can specialize in Neonatal, Pediatrics, Women’s Health, Family or Individual Care and Adult/Gerontology (Roussel, Harris & Thomas, 2016).
ENLs may focus on Psychiatric-Mental Health, Public/Community Health, Rehabilitation and Pain Management.
All the specialties for the two types of leaderships relate to nursing.
Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice
The CNL require ACEN and CCNE accreditation. Nurse leaders also receive CNL certifications before conducting their duties.
Accreditation bodies are ACEN and CCNE. The ENLs receive certification from CNML, NE-BC, CENP and NEA-BC (Stuesse, 2014).
In both leaderships, ACEN and CCNE are the accreditation bodies that regulate the operations of the professionals. While CNL relies on one certification, the ENL can be based on multiple certifications (Yoder-Wise, 2014).
DeNisco, S., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge of the profession. Burlington, MA: Jones & Bartlett Learning.
King, C. R., & Sally Gerard, D. N. P. (Eds.). (2016). Clinical nurse leader certification review. New York, NY: Springer Publishing Company.
Roussel, L., Harris, J. L., & Thomas, P. L. (2016). Management and leadership for nurse administrators. Burlington, MA: Jones & Bartlett Learning.
Stuesse, E. (2014). Clinical nurse leaders and clinical nurse specialists: harmonious partners. Am Nurse Today, 9(4), 1-5.
Yoder-Wise, P. S. (2014). Leading and managing in nursing-E-Book. Elsevier Health Sciences.
NUR 513 Assignment: Nursing Roles Graphic Organizer
Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of one’s own practice, it is essential to understand the role and scope of other nurse specialties to ensure effective collaboration among nurses, the organization, and other professionals with whom advanced registered nurses regularly interact.
Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practi tioner; graduate nurse with an emphasis/special ty in public health, health ca.re administration , business, or informatics ; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you ai-e comparing.
Make sure to compare the following areas of practice in your graphic organizer:
4. Public Health
5. Health Care Administration
8. Specialty (e.g., Family, Acute Ca.re)
Include any regu lato1y bodies or ce1tificatio11 agencies that provide guidance or parameters on how these roles incorporate concepts into practice.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assig nment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidel ines, which can be found in the APA Style Guide , located in the Student Success Center.
This assignment uses a rubric . Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
1. Identify regulatory bodies and industry regulations that specify certification and licensure requirements and scope of practice for advanced registered nurses.
2. Relate ethical guidelines to the scope of practice of the advanced registered nurse.
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 11, 26, and 27 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Leadership in Nursing Practice: Changing the Landscape of Health Care
Review Chapter 2 in Leadership in Nursing Practice: Changing the Landscape of Health Care.
American Nurses Association – Advanced Practice Nurses
Explore the Advanced Practice Nurses page of the American Nurses Association (ANA) website.
American Association of Colleges of Nursing – Students
Explore the Students page of the American Association of Colleges of Nursing website.
American Nurses Association
Explore the American Nurses Association (ANA) website.
Explore the Nursing Overview links on the Explore Health Careers website.
Nursing Roles Graphic Organizer Template
Use the “Nursing Roles Graphic Organizer Template” to complete the Topic 2 assignment.
Initial Course Survey
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Each state has an agency that is responsible for the nurses in their state and how they practice, these are called nursing regulatory bodies. The point of these nursing regulatory bodies Is to protect the public’s health by practicing safe nursing (National Council of State Boards of Nursing [NCSBN], 2022a). Each state has its own Nurse Practice Act that is enforced (NCSBN,2022a). Each states act has rules and regulations such as qualifications for licensure and scope of practice. Two nursing regulatory bodies are the Arizona State Board of Nursing and the American Nurses Association. Within the Arizona State Board of Nursing is the Advanced Practice Advisory Committee who provides recommendations to the Board on issues involving advanced practice (Arizona State Board of Nursing, 2018).
The Arizona State Board of Nursing has a plethora of information as they regulate licensure requirements, specify certification, and scope of practice for your specialty. Within the Arizona State Board of Nursing is the Advanced Practice Advisory Committee who provides recommendations to the Board on issues involving advanced practice (Arizona State Board of Nursing, 2018). Some of the goals of this committee are to clarify regulatory sufficiency of the four Advanced Practice roles and develop recommendations for change related to Advanced Practice (Arizona State Board of Nursing, 2018). For example, Certified Registered Nurse Anesthetists in Arizona have their scope of practice laid out on Arizona State Board of Nursing and the Arizona State Legislature. CRNA’s in Arizona are able to administer anesthetics under the direction of a physician or surgeon before, during, or after a surgery/procedure in certain settings that are clearly listed (Arizona State Board of Nursing, 2018).
I actually really enjoyed reading through the APRN Conesus Model as it gave really good insight into the roles, licensure, accreditation, certification and education. As we discussed last week in this course the number of APRN’s are growing exponentially to try and keep up with forever changing healthcare needs in our growing country. The consensus discusses that as nursing practice evolves and health care needs of the population change, new APRN roles or population focus may change over time (NCBSN, 2022b). Every APRN role uses a significantly differentiated set of competencies and there is a plan in place to help the role evolve.
Arizona State Board of Nursing. (2018). About the organization. Arizona State Board of Nursing. https://www.azbn.gov/
National Council of State Boards of Nursing. (2022a). About U.S. nursing regulatory bodies. NCSBN. https://www.ncsbn.org/about-nursing-regulatory-bodies.htm
National Council of State Boards of Nursing. (2022b). APRN consensus model. NCBSN. https://www.ncsbn.org/aprn-consensus.htm