Indirect and Direct Advance Practice Roles

Indirect and Direct Advance Practice Roles

The practice of nursing is advancing in various facets at an alarming pace. As the demand for nurse’s increases, various nursing roles have been implemented to compensate for the necessity of the profession in the field of healthcare. “Advanced practice nursing (APN) represents the future frontier for nursing practice and professional development “(Bryant-Lukosius, DiCenso, Browne & Pinelli, 2004). The diversity of nursing creates a unique didactic construct for the career roles that are built on the core principles of the nursing profession.

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At one time in history, the definition of a nurse was limited to direct care, beside manners, and or simply assisting a physician. Today the definition of a nurse is broad which includes direct care clinical nurses, nurse informacist to that of autonomous practitioners. This paper will compare and contrast direct and indirect advanced practice nursing roles and discuss the criticality of each sect in the evolution and future of nursing profession.

Indirect Care Advanced Practice Nursing Roles

The indirect advanced practice nursing role has been pivotal in putting nurses on the forefront of the evolution of healthcare. Indirect care advanced practice roles can exist in a wide range of environments including both in and out of the clinical setting, however, indirect care practitioners do not directly engage in hands on patient care.

Rather, indirect advanced practice roles are instrumental in allowing nurses to contribute to the healthcare constructs through” application, integration, engagement, and teaching” (Emanuele & O’Dell, 2011). Presently, there are three roles that are considered indirect care roles in the nursing practice which are the nurse administrator, the nurse informatics and the nurse educator. The aforementioned roles are all indirect advance practice roles but are executed very different in practice. It is important to
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INDIRECT AND DIRECT ADVANCED PRACTICE ROLES 3

understand the roles and how they differ but yet work together simultaneously to advance the nursing role. The nurse administrator is a nurse with an advanced degree which can be in the field of nursing (MSN) but can also include and is not limited to an MBA in health administration, accounting, or simply a BSN that has matriculated to a leadership role. “ Nurse administrators are often responsible for large-scale policy planning, staff management, financial resource management, and business management, in addition to their core responsibilities of coordinating and supervising the delivery of health care” (Graduatenursingedu.org, 2015) The nurse informaticist role is the ” science and practice (that) integrates nursing, its information and knowledge, with management of information and communication………………………………..Direct Advance Practice Roles