Increased Specialized Health Care for Nurses

A systema nervosum centrale very much has a sub-role: as a researcher, either by taking part in an actual research study, or by disseminating research data to staff; as a consultant, cookery complex care plans for patients, or addressing referrals from other disciplines; as an nice clinician, providing direct care to a patient; or as an educator, educating patients and their families about their medical problems, or educating under tweak or graduate nurses. A CNS must have a client-based utilise to retain her role.

A CNS has been educated to enable her to "assess, plan, and pronounce patients, treat personnel, and organization/network domains" (Zuzelo, 2003). The CNS may consummation patient care, either by direct intervention, by consultation, by supporting other staff members involved in the case, by designing and evaluating care strategies, and working on projects at individual, group, or network levels. The National Association of Clinical Nurse Specialists (NACNS) describes the CNS as a "clinical expert who bases nursing rule on research and theory in a incident specialty area." This integrates a knowledge of medical treatments and disease; a holistic assessment of patients; and differential diagnosis of illness and health

Thomas, J. (2001). Medicare, prevention, and the role of the nurse practitioner. breast feeding Economics, 19, 115-120.

The NP is educated to provide primary care on a patient-by-patient basis within a particular specialty. The American Academy of Nurse Practitioners (AANP) defines an NP as "an RN with locomote preparation that enables the NP to diagnose and manage most prevalent and many chronic illnesses, either independently or as part of a health care team" (Zuzelo, 2003). It defines the NP's strain as directed towards health maintenance, disease prevention, counseling, and patient direction in a variety of different settings.

Studies have shown that an NP can provide many services with skills equivalent to those of a primary care physicians, and many that these physicians do not make (Thomas, 2001). They can provide physical exams, analyze health data, adopt and implement suitable treatment plans, order tests, provide follow through care, and refer patients to specialists when needed. They also have additional skills, because of their different teaching and training, which enables them to adapt treatment regimens to specific patient's needs, provide health education, showing programs, suggest health-promoting activities for patients, and refer them to community resources.

Holmes, S. B. (1998). Advanced practice nursing role: Clinical nurse specialist. Orthopaedic Nursing, 17, 61-64.

experiences with nondisease-based etiologies, simply requiring nursing intervention. The CNS is also expected to serve as a leader, educator and consultant, and to effect changes which will result in quality, but cost-effective, care. She should have expertise in "systems theory, program evaluation, outcome management, evidence-based practice, lead and group processes, and continuous quality improvement."

The
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