2.5 Advance Nursing Practice

PERSONAL AND PROFESSIONAL
DEVELOPMENT

2.4 Advanced Practice In Nursing

Learning Outcome

Discuss advance Discuss advance
nursing practice practice in
in clinical setting
nursing education

Learning i. Advance practice in nursing
experience • Clinical practice
• Clinical nurse specialist
• Nurse manager
• Nurse supervisor

ii. Nursing education
• Nurse educator
• Subject specialist
• Nursing education management

Advance Practice In 1. Clinical Practice
Nursing 2. Clinical Nurse Specialist
3. Nurse Manager
4. Nurse Supervisor

Clinical • Evidence-Based Practice
Practice ØEvidence-based practice is a problem-
solving approach to clinical practice that
involves the conscientious use of current
best evidence, along with clinical expertise
and patient preferences and values in
making decisions about patient care

• MOH approve and set the clinical practice for
standardization from the best practice and
evidence-based practice.

Clinical Nurse 1. Mental Health Specialist Nurse
Specialist 2. Applied Epidemiology Nurse & Disease

Control (Infectious Diseases)
3. Midwife Nurse
4. Nursing Healthcare Management
5. Diabetes Specialist Nurse
6. Emergency Specialist Nurse
7. Oncology Specialist Nurse
8. Gerontological Specialist Nurse

Clinical Nurse 9. Gastrointestinal Endoscopy Nurse
Specialist 10. Hiv / Aids Counseling Nurse
11. Infection Control Nurse
12. Public Health Nurse
13. Dermatology Care Nurse
14. Primary Care Nursing
15. Wound Care Nurse
16. Nursing Rheumatology Nurse

Clinical Nurse 17. Nursing Nephrology Specialist Care
Specialist 18. Neonate Nurse
19. Occupational Specialist Nurse
20. Orthopedic Specialist Nurse
21. Perianesthesiology Specialist Nurse
22. Rehabilitation Specialist Nurse
23. Sports Medicine Nurse

Nurse • Nurse manager of a specific patient care area or
Manager house supervisor or to an upper-management
position such as assistant or associate director
or director of nursing services.

• Nurse manager positions
Ørequire at least a baccalaureate degree in
nursing

• The relationship between the nurse and nurse
manager contributes to job satisfaction and
retention.

Nurse
Manager

Nurse Supervisor

Nursing Supervisor responsibilities include:
• Schedule nurses’ shifts
• Assign nurses to patients
• Ensure nursing operational standards are met
• Provide reports on productivity, quality and customer service metrics
• Ensure all nurses follow policies and procedures
• Train new team members
• Evaluate nurses’ performance
• Inform family members about medical procedures and doctors’ instructions
• Handle complaints or other issues
• Establish a compassionate environment by providing psychological support to patients, family and

friends
• Keep records of nurses’ files, patients’ cases and procedures

Nursing Education 1. Nurse Educator

2. Subject Specialist

3. Nursing Education
Management

Nurse • Follow a routine that allows you to anticipate
Educator and prepare for every situation.

• Analyze data and discover new ways to help
patients.

• Take on different tasks, patients, and situations
every day.

• Earn more by having advanced skills and
responsibilities.

• Lead, guide and support other nurses so they
can provide the best care

Subject Subject in specialization is deeper compare to basic
Specialist nursing & it is related to all area as below but specific
to the related specialization:

• Anatomy and Physiology

• Microbiology & Parasitology

• Pharmacology

• Epidemiology

• Nutrition

• Environmental Health

• Psychology & Sociology

• Integrated Nursing Sciences

• Nursing Skills & Practice

Subject Example in Orthopaedic Nursing, Nurses will learn
Specialist about

• Anatomy and Physiology
– Musculoskeletal system, neurovascular, &
A&P related to orthopaedic

• Microbiology & Parasitology
– common infection microorganism that can
cause disease in orthopaedic

• Pharmacology
– medications given to patient related to
orthopaedic condition

Nursing • Nursing Education is committed to improving
Education the quality of care for the patient through
Management education of the professional nursing
community.

• Nurses are mastering the complexities of care
and advanced technology.

Nursing • Processes that are handled by an organization’s nurse
Education management team include staffing, organizing, delegating
Management tasks, directing others, and planning.
Ø Quality and Safety of Nursing Care
Ø Innovations in Nursing Education
Ø Use of it in Nursing Management
Ø Nursing Outcome Study
Ø Innovations and reforms in Nursing Management
Ø Student’s Clinical Reasoning
Ø Decision Making Competency Training
Ø Graduate Nursing Education reform
Ø Evidence-Based Teaching and Learning
Ø Professional Career Development of Clinical Nurses