There is an urgent need for evidence of impact and demonstration of how Nurse Consultants contribute to health care outcomes. These focus groups also aim to explore any tensions highlighted in the Nurse Consultant focus groups in terms of role application and identify and contextual, institutional and professional influences on role application and effectiveness in different health care delivery structures. 2012, 20: 847-857. Dean E: Indistinct nurse consultant role is disappearing from view. This article is published under license to BioMed Central Ltd. NP graduate training focuses on direct patient care, diagnosis, and treatment. Both the American Nurses Credentialing Center and the American Association of Critical-Care Nurses administer CNS certification exams. 2005, 49 (2): 191-209. Certifications require passing exams in specialty areas after graduate training. Arizona, with its large retiree population, projects a 50.9% increase in NP positions between 2018 and 2028. 2008, 15: 77-82. 10.1016/j.ijnurstu.2012.09.013. RN vs. Nurse Practitioner (NP): Note These 5 Key Differences Other practice requirements vary per state. Nursing fellowship (e.g. Jokiniemi et al. Survey respondents and focus group participants will be provided with details of the purpose prior to their participation, ensuring informed consent. However, specific duties depend on certification specialty. The demand for advanced practice registered nurses (APRNs) has never been greater. Both careers offer expanding employment opportunities and higher-than-average nursing salaries. Our measures use reflectively measured constructs, and we will assess whether indicators are all over .70 as they show that the construct explains more than 50% of the indicators variance. The focus group questions will further explore preliminary findings from the online survey where further in-depth information is needed to clarify findings. 10.1111/j.1442-2018.2012.00704.x. J Clin Nurs. Without evidence of value and fit for purpose the role remains invisible [12], undervalued by managers [31] and at risk of misappropriation and erosion [25, 32]. NPs provide direct patient care, practicing autonomously in place of primary care physicians, or under the supervision of other healthcare providers. The development of a framework by which to articulate and analyze roles that will inform processes for role application, implementation and evaluation as well as how the role is best integrated and supported in context. APRN vs NP - What's the Difference? - CORP-MSN0 (NLM) Pawson R, Tilley N: Realistic Evaluation. Successful NP and CNSs both must possess the "hard" skills acquired through their training, and "soft" skills like good communication and problem-solving. The results of this study will inform the development and strengthening of advanced practice career pathways for nurses and the education that underpins them. Job Description A clinical nurse consultant typically specializes in either patient care, management of nurses or administration. The use of a previously developed and validated survey [18] which incorporates all the constructs identified in the literature related to exploring the nature and function of the role will further strengthen data reliability. [11] in a systematic review identified consistencies in non-NP APN roles across countries when examining the Nurse Consultant in the UK, the Clinical Nurse Specialist (CNS) in the US and the Australian Nurse Consultant role. Nurse Practitioners (NPs) have a broad and vital scope of practice that encompasses primary and specialty care across diverse patient populations. The significance of this study can be considered from several perspectives. Higgins A: The developing role of the consultant nurse. This can only be achieved with close examination of existing Nurse Consultant roles and strategic alignment with service and professional goals. This is summed up by Pawson et al. This lack of clarity has been identified as one of the most important factors hindering the Nurse Consultants effectiveness in practice [79, 16, 24, 25] the progression of APN roles internationally and the ability to articulate role value [12] Lack of clarity has also contributed to inconsistency in the way the role of Nurse Consultant has been implemented both within Australia and internationally [5, 6, 10, 11]. Comparisons will be made between metropolitan and rural based respondents. To investigate individual hypotheses we will also use ordinary least squares regression analysis which will allow the generation of confidence intervals to assist in the interpretation of hypothesised direct and indirect effects and investigation of regions of significance for proposed moderators. J Clin Nurs. Michelle Giles. statement and 10.1111/j.1365-2648.2004.03234.x. Careers. The sequential approach to data collection design will identify key issues in the survey that will direct and refine the focus of the Nurse Consultant qualitative data collection component. 10.1001/jama.299.10.1182. Duties include administrative, consulting, and research roles. In general, Australian studies have been relatively small and focused predominantly in metropolitan based or acute care context, focusing on roles with direct patient care in narrow specialty areas and making no distinction between role grades [21, 39, 40]. Nurs Manag. Primary duties The work duties and responsibilities of an APRN may vary significantly depending on their specialization. The advanced practice role of the Nurse Consultant is unique in its capacity to provide clinical leadership across a range of contexts. The https:// ensures that you are connecting to the For the measurement model, PLS SEM generates factor loadings. Springer Nature. Herzing University is accredited by the Higher Learning Commission - www.hlcommission.org, Update your Zip code, preferred campus, and preferred program, Hi, how can I assist you?Questions?Chat Now, By selecting this button you agree to receive updates and alerts from Herzing University. APRNs, including NPs and CNS, can expect a promising job outlook and high salaries throughout the next decade. These studies highlight the difficulties of attribution of impact on patient care to the Nurse Consultant role the importance of organisational support structures and networks. There is evidence highlighted of impact in service development and clinical leadership [19, 31], but the role tends to have an indirect impact on patient outcomes which is a challenge to evaluation [12]. The average salaries for both positions may vary depending on the state in which you work, the type of facility you work in and the level of experience you have prior to pursuing either position. Nursing credentials and certifications - Wikipedia Scope of practice varies by state. The site is secure. Employment prospects for these nurses continue to grow, primarily due to increasing emphasis on preventive care and heightened demand for healthcare services from the aging population. Nurse Practitioner Job Opening in Bronx, NY at Sian Consulting Group State licensure is active until retirement and otherwise only revoked in cases of serious professional misconduct. Our research called for an understanding of how the Nurse Consultant role is being operationalized within the reality of different clinical context and what impact the role has on practice, practitioners, organisations and patients. NPs work with patients directly to assess and treat chronic and acute conditions, either supervised or independently. First, if nurse consultant jobs are the top of the clinical career ladder, will clinical nurse specialists (CNSs) need to accept a lower rung on it? 10.1111/j.1365-2648.2011.05811.x. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. However, the Nurse Consultant role has been plagued with confusion due to lack of clarity over function and appropriateness for purpose within health organisations across contexts. From expert to advanced clinical practitioner and beyond 2003, 10 (1): 22-28. The significant need for primary healthcare services more in line with what physicians typically provide, particularly in rural and inner city areas, is responsible for the huge expected increase in coming years. Our hybrid online Nurse Practitioner Master of Science concentrations, empower you to apply evidence-based, culturally and linguistically competent, and ethical healthcare practices to a variety of patients in different care settings. 10.1111/j.1365-2834.2012.01353.x. We will also investigate internal consistency reliability by ensuring that composite reliability is over 60 and below 95 [58]. 10.1111/j.1547-5069.2009.01322.x. Provided by the Springer Nature SharedIt content-sharing initiative. NPs provide direct patient care, practicing autonomously in place of primary care physicians, or under the supervision of other healthcare providers. Multiple factors, including prior experience, age, geography market in which you want to work and degree field, will affect career outcomes and earnings. A CNS may also engage in research, teaching, and supervisory roles. 8600 Rockville Pike volume13, Articlenumber:30 (2014) The barriers and enablers will also be examined to identify differences. Partial least squares (PLS) structural equation modelling (SEM) will be used to investigate potential models, derived from constructs identified in the literature review, and assess their utility in predicting our dependent variable. The ICN stated that the APN "is fundamentally a nursing role, built on nursing principles" 1 (pg. In Australia, very few studies are specific to the Nurse Consultant, often combining the Nurse Consultant and the NP roles [24]. Career pathways in research: clinical practice. 10.1111/j.1365-2702.2006.01295.x. The positioning of the role in relation to current changing health service models and the current or potential function of the role in this context has not been considered in any previous Australian studies. Article An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. We are proud to offer our first doctoral degree, the Doctor of Nursing Practice (DNP), designed for nurses who hold an MSN. Historically, little attention has been paid to examination and evaluation of the long standing Nurse Consultant type role and the nature of its evolution with changing health care services, particularly across contexts [5, 26, 27]. To become a nurse practitioner, youll need to earn a Master of Science in Nursing (MSN) degree. Because causal mechanisms are embedded within particular contexts and social processes, realistic evaluation acknowledges the need to understand the complex relationship between these mechanisms and the effect that context has on their operationalization and outcome [52]. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. National Library of Medicine Coster S, Redfern S, Wilson-Barnett J, Evans A, Peccei R, Guest D: Impact of the role of nurse, midwife and health visitor consultant. Nurse Consultants are employed at Band 8b and 8c. * Bureau of Labor Statistics (BLS), U.S. Department of Labor, Occupational Outlook Handbook 2021. Nurses in CNS roles can expect widening employment opportunities as healthcare organizations seek out specialists. What is the Difference Between a Legal Nurse Consultant and an Expert Collegian. 2006, 55: 352-363. While they share a mission to improve patient care, each of these nursing roles requires specific kinds of skills to deliver the best possible healthcare outcomes. BMJ. Initially a workforce profile will be established from workforce databases and a comprehensive survey of the Nurse Consultant workforce will be completed. BMC Nurs 13, 30 (2014). An NP is an advanced practice registered nurse who works directly with patients, but functions more like a physician. O'Baugh J, Wilkes LM, Vaughan K, O'Donohue R. J Nurs Manag. RM contributed to developing design and methods and significantly critically revised and contributed to content in this manuscript. The research described in this protocol is designed to gain a clearer understanding of the role of Nurse Consultant across context, and in particular distinguishing between metropolitan and rural based Nurse Consultants. While both types of nurses require a master's or doctoral degree and specialty training for certification, their roles and responsibilities differ. December 1, 2021 Complete List of Common Nursing Certifications By: Nurse.org Staff Listing your RN certifications and credentials correctly on your resume is vital. Minor modifications were made to the survey in the activity and interaction sections. Once NPs receive state licensure, they must renew their certification, often every five years. The American Nurses Credentialing Center, among others, administers these exams. Article Realistic evaluation is underpinned by several broad principles [50]; The development and testing of context, mechanism and outcome gives explanation about what works for whom, how and in what circumstances.These principles have guided the studies approach to stakeholder involvement as well as provided a framework for data analysis and comparison (Figure2). CNSs focus on complex cases and vulnerable populations. This nationwide exam tests graduates on the application and analysis using the nursing knowledge they gained in school, to confirm that they are qualified to practice entry-level nursing. Thoun DS: Specialty and advanced practice nursing: discerning the differences. 2023 BioMed Central Ltd unless otherwise stated. Jokiniemi K, Pietila A, Kylma J, Haatainen K: Advanced nursing roles: a systematic review. 1999, London: The Stationary Office. A systematic review based on US studies examining APN outcomes across an 18year period to 2008 also recognized the difficulties in outcome attribution to the CNS role due to the complexity of the intervention, however they did find that the use of the role in acute care reduced length of stay and cost of care for hospitalized patients [38]. Google Scholar. J Adv Nurs. 15924030 DOI: 10.12968/bjon.2005.14.8.17932 Abstract With the introduction of nurse consultants, and regulation of the use of the designation 'specialist nurse', experienced practitioners such as clinical nurse specialists have seen their position eroded. 11) and identify Clinical Nurse Specialist (CNS) and NP as the two most common. Policy Directive. The economics of public health care reform in advanced and emerging economies. Aus 156, HWA (Health Workforce Australia): Health Workforce Australia Annual Report 2012-13. 2.8 Fredericksburg, VA 22408 Spotsylvania Pkwy & Spotsylvania Regional Medical Ctr Nurs Sci Q. This has certainly blurred the boundaries of role function leading to calls for role clarification as APN roles respond to current health service needs in what has been described as an adhoc manner [5, 79]. Employment for this group is expected to grow 52% through 2030, much faster than average. 2006, 15: 1106-1114. Nurse practitioner specialties include: Family practice. You will be responsible for conducting in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam with 15 in home visits per week. [1] The specialty is a relatively recent one, beginning in the mid-1980s. Findings will also provide insight into the tensions and conflicts role incumbents may experience as a consequence of health reform and provide a model for optimal implementation and sustainability of the role. 2008, 299 (10): 1182-1184. It will also identify essential attributes for future succession planning to plan capacity building strategies to strengthen the role and its contribution to health care and patient outcomes. Your privacy choices/Manage cookies we use in the preference centre. As well the triangulated approach to data collection will provide evidence from a wide range of sources to strengthen the accuracy and reliability of information [59]. Nurs Sci Q. 2011, 29 (5): 230-250. Registered Nurses (RN) vs. Nurse Practitioners (NP) - Indeed We offer several options for specialization, allowing you to discover the career path youve always wanted. A focus of this study is on gaining an understanding of the processes and mechanisms through which Nurse Consultants practice and function across both rural and metropolitan context, their networks and relationships and the supports or constraints that impact on the effectiveness of the role. An RN works directly with patients, managing assessments, daily activities, and scheduled procedures and operations. When comparing NP vs. CNS, the educational path for both nursing roles takes between 6-8 years. Earn an undergraduate degree. RNs work closely with a care team including doctors and specialists. This study is set in a very large Local Health District (LHD) in NSW that has a combination of metropolitan, rural and remote services within its boundaries. To encourage Nurse Consultants to participate in both parts of the data collection process a communication strategy will be established early and face-to-face information sessions will be given in order to address any concerns from potential participants.A purposive sample of other stakeholders will be sought for up to six focus groups and the stakeholder sampling strategy is outlined in Figure2. Interim analysis will determine representation across rural and metropolitan context. Many of the principles and processes involved in consultancy may be viewed by nurses as incongruent with nursing practice, including the relationship between the consultant and the consultee and the view that the consultant nurse should not have a direct care role. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. 10.1111/j.1365-2524.2004.00470.x. 10.1016/j.colegn.2008.02.004. Changing health service delivery models are driving the emergence of new . Like the NP, the CNS uses advanced nursing training to provide patient care. Herzing neither represents that its graduates will earn the average salaries calculated by BLS for a particular job nor guarantees that graduation from its program will result in a job, promotion, salary increase or other career growth. PubMed Central Lack of role clarity is highlighted extensively in international and Australian studies examining the role of the Nurse Consultant. In North America the term 'advanced practice nurse' is an umbrella term that includes nurse practitioners (NPs) and clinical nurse specialists (CNSs) ( Sheer and Wong, 2008; Donald et al, 2010 ). Woodward V, Webb C, Prowse M: Nurse consultants: Their characteristics and achievements. CNS training emphasizes evidence-based research, management, teaching, and policy analysis. However, this is often seen as a positive challenge, and the benefits of playing a larger role in patient lives is very rewarding and worth it. Correspondence to But while nurse practitioners are focused on the diagnosis and management of acute and chronic diseases, clinical nurse specialists are instead focused on the prevention of specific illnesses, considering things like risk factors and behaviors among individuals, families, groups, and communities. The expert nurse must have direct clinical experience in that field. PubMed A modified and previously validated survey will be used providing information related to role characteristics, patterns and differences across health context. Little is known about how the Nurse Consultant role function differs in metropolitan practice when compared to rural practice or when the role extends across both metropolitan and rural context. Mixed method approaches provide a mechanism for understanding and explaining complex organisational and social phenomena [45] and provides for a more comprehensive and deeper understanding ([4648]. Epub 2008 Feb 19. Previous Australian studies have tended to combine the two APN roles in studies [24] ignoring other stakeholder groups and focusing on the Nurse Consultant role in isolation and not as part of an integrated health service team. They spend much of their time collaborating with teams of healthcare professionals, improving outcomes for vulnerable patient populations or in complicated cases. By understanding the pros and cons of working in a hospital versus private practice, nurse practitioners can make an informed decision based on their career goals, values, and preferences. It will also focus more broadly on the impact of the role from a whole of service delivery perspective, incorporating the views and experiences of all key stakeholders including professionals across health disciplines, managers and Nurse Consultants. Ventatesh V, Brown S, Bala H: Bridging the qualitative quantitative divide: guidelines for conducting mixed method research in information systems. Participants will be stakeholders, recruited across a large Local Health District in NSW, comprising rural and metropolitan services. BMC Nursing BMC Health Serv Res. Hospitals and academic healthcare centers rank among the major CNS employers, followed by community health centers, mental health facilities, and educational institutions. Depending on the state, its possible you may not need to work as an RN first before becoming an NP. 2004, Canberra: Australian Government. 2011, 11: 200-10.1186/1472-6963-11-200. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. J Adv Nurs. Our goal is to help you reach yours. They might work with patients, families, and community partners to provide education and promote disease prevention. Appl Nurs Res. While CNSs have less autonomy, they collaborate with teams of healthcare professionals, focusing their efforts on education and support using evidence-based research. Organisational factors such as; structures, social supports, bridges and barriers and resources that support the role [24, 26] will also be explored as well as expectations and role clarity [33, 35, 57]. Can CNSs claim parity of pay using the 'Agenda for Change' framework? You can have an independent consulting practice, or you can simply offer your services from time to time. 2010, Ontario: Canadian Health Services Research Foundation (CHSRF). VP contributed to development of research design and methods and has significantly critically revised and contributed to content in this manuscript. This form of data analysis will provide a truly unique insight into moderating and mediating factors for role effectiveness that have not been presented in any previous studies of this nature. In particular, there has been no differentiation between the nature of the role in metropolitan and rural context. 2011, 67 (9): 2004-2014. By leaving this box unchecked you will not be opted in for SMS messages. Internationally there has been extensive work done on determining the key attributes of a Nurse Consultant role and despite the many titles applied across the globe and inconsistent role application [10] many of these roles are similar in scope of practice and function [5, 10, 11]. Quantitative analysis will include extensive descriptive summary to produce a demographic and geographic profile of the Nurse Consultant workforce and their roles. A nurse consultant is a registered nurse (RN) or nurse practitioner (NP) who works as a clinical consultant, an operations consultant, or a legal nurse consultant. This will extend the knowledge gained from the limited amount of previous work done on the Nurse Consultant by identifying the unique nature of the role and how it is applied and enacted. 2007, 15: 12-21. sharing sensitive information, make sure youre on a federal For this reason it is imperative that the Nurse Consultant role functions be well understood by APNs themselves as well as other health professionals so these roles can be appropriately deployment ensuring they reach their full potential [4, 79, 16] and best fit within health care organisations. Nurs Stand. Here well look at the similarities and differences between the two. Rural clinical practice requires greater diversity of skill and knowledge and is described as being more generalist in nature [43]. The U.S. Bureau of Labor Statistics (BLS) projects that jobs for all APRNs will grow by 45% from 2020 to 2030, much faster than average for all other occupations. What is a Nurse Consultant? | Goodwin University CAS Realistic evaluation is concerned with exploring what mechanisms work, under what conditions, why and to produce what outcome [52]. NurseJournal.org is committed to delivering content that is objective and actionable. Duffield C, Diers D, OBrien-Pallas L, Aisbett C, Roche M, King M, Aisbett K: Nursing staff, nursing workload, the work environment and patient outcomes.
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