This PPT includes the details regarding the Extended and Expanded Role of Nurse.

1. EXTENDED & EXPANDED ROLE OF
NURSE
Presented by:
Prof.Vijayreddy Vandali
PhD Scholar, MSc (N), PGDHA, PGCDE, MIPHA,.
Faculty
ESIC College of Nursing,.

2. Introduction
The subject of role extension has been much debated, in
recent years across the world by many nursing experts as a
result of changing healthcare policies, growing demands of
the patients by nurses and the public, and arguments about
the very nature of nursing itself. The recent media furore
over the theatre sister who performed an appendectomy is
but one example. This article will take account of recent
trends and look at the different concepts of role extension
and role expansion. How nursing can be the best adapt these
roles to meet patients' needs will be considered.

3. Extended role of nurse
 Extended role of nurses is the responsibility
assumed by a nurse beyond the traditional role.
 It is the scope of nursing services outside the
hospital.

6. Expanded role of nurse
Expanded role of nurses means enlargement of
nurses role within the boundaries of nurse/within
the field of practice of autonomy.

10. EXPENDED ROLE OF NURSE means engagement of
nurse role within the boundaries of nurse. It is the
responsibility assumed by a nurse within fiend of
practice autonomy.
1) ADVANCED PRACTICE NURSE (ANP): Generally the most independent functioning
nurse. • Nurse has a master degree in nursing, advanced education in pharmacology and
physical assessment, and certification and expertise in specialized area of practice.
2) CLINICAL NURSE SPECIALIST: • Nursing expertise in special area of practice
(medical surgical nursing, pediatric nursing, community health nursing, gerontogic nursing)
3) GENERALIST: A licensed practical nurse, or LPN, typically completes a one-year
training program to earn a nursing certificate and work in a generalist job. A generalist is
one who sees the whole unit and family practitioners, internists and pediatricians.
4) NURSE MIDWIFE: A midwife takes care of a pregnant woman during labour and
postpartum. They assist with things like breastfeeding and caring for the child.

11. Contd…
5) NURSE PRACTITIONER: Role of nurse practitioner is an extension of the nurse basic care giving role. •
Acute Care Practitioner. • Adult Nurse Practitioner. • Pediatric Nurse Practitioner. • Family Nurse Practitioner. •
Women's Nurse Practitioner. • Geriatric Nurse Practitioner.
6) NURSING ADMINISTRATOR: Manages client care and the delivery of specific nursing within a health care
agency and begins with position such as the charge nurse or assistant nurse manager, then nurse manager of a
specific patient care area.
7) NURSE RESEARCHER: Investigates problems to improve nursing care and to further define and expand the
scope of nursing practice. May be employed in an academic setting, hospital, or independent professional or
community service agency.
8) SCHOOL HEALTH NURSE: A specialized practice of professional nursing that advances the well-being,
academic success, and lifelong achievement of students. Goal : Supervise educational success by enhancing
health. Functions: • Direct caregiver. • Counselor. • Health educator. • Researcher • Case finder. • Consultant.

12. Contd..9) OCCUPATIONAL HEALTH NURSE: Specialty practice that provides for and
delivery of health and safety programmes and services to worker, worker population
and community groups. Functions: • Promotion and restoration of health. • Prevention
of illness and injury. • Protection from work related and environmental hazards.
10) PARISH NURSE: The role that gathers in churches, cathedrals, temples, mosques,
and acknowledge common faith tradition and respond to health and wellness needs
within the context of populations of faith community. Functions: • Provider of spiritual
care. • Health counselor. • Health advocate. • Health educator. • Facilitator of support
groups.
11) PUBLIC HEALTH NURSE: A registered nurse with special training community
health. Functions: • Health advocate Care Manager. • Referral Resource. • Health
educator. • Direct Primary Caregivers. Communicable Disease Control.
12) PRIVATE DUTY NURSE: A registered nurse or a licensed practical nurse who
provide nursing services to patients at home or any other setting in accordance with
physician orders.

13. Contd..
13) HOME CARE NURSE: A nurse who provides periodic care to patients within their home environments as
ordered by the physician. Functions: • Health Maintenance. • Education. • Illness Prevention. • Diagnosis and
Treatment of disease. • Palliation and rehabilitation.
14) HOSPICE NURSE: Is one who provides a family centered care and allows clients to live and remain at
homes with comfort, independence and dignity, while alleviating the strains caused by terminal phase i.e. at the
time of death. 15) REHABILITATION NURSE: A person who specializing in assisting persons with disabilities
and chronic illness to attain optimal function, health and adapt to an altered life style.
16) NURSE EPIDEMIOLOGIST (INFECTION CONTROL NURSE): Monitor standards and procedures for the
control and prevention of infectious diseases and other conditions of public health significance including
nosocomial infections. 17) MILITARY NURSE: One who provide care to military personnel and their families.
18) AEROSPACE NURSE: A nurse who provides comprehensive nursing care for all types patients during aero
medical evacuation and airlift flights.

14. Contd..
19) TELE NURSE: One who carries out telephonic communications with the patient.
20) DISASTER NURSING: Define as the adaptation of professional nursing skills in recognizing and meeting
the nursing, physical, emotional, and social needs resulting from disaster.
21) FORENSIC NURSING: One who suspected to be acquainted with the basics of forensic medicine so as to
handle and preserve the evidentiary materials.
22) PEACE NURSE CORPS: A nurse who performs variety of nursing activities including immunization,
periodic health evaluation and preventive treatments. 22 PRISON NURSE: Registered nurse who work in a
prison. Can either be employed directly by prison service or can work in the other area and spend part of their
working week in the prison health care.

15. References
1. https://pubmed.ncbi.nlm.nih.gov/
2. https://www.rcpjournals.org/
3. https://journals.rcni.com/
4. https://www.slideshare.net/

16. THANKING YOU
DEAR FRIENDS