Related Experiment Video
Updated: Jul 19, 2025
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Differentiating Specialized and Advanced Nursing Roles: The Pathway to Role Optimization
Krista Jokiniemi1, Denise Bryant-Lukosius2, Josette Roussel3
1University Lecturer, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland, Canadian Centre for Advanced Practice Nursing Research, School of Nursing, McMaster University, Hamilton, ON.
Aim:
We aimed to differentiate the practice patterns of nurses in specialized and advanced roles in a cross-sectional study.
Method:
Canadian nurses completed a self-report questionnaire (June 2017-September 2017). Demographic data and time spent in five domains of advanced practice were compared across three nurse groups. Regression analysis examined factors associated with domain involvement.
Results:
Respondents (n = 1,107) represented all provinces/territories, including 396 specialized nurses (SNs), 211 clinical nurse specialists (CNSs) and 490 nurse practitioners (NPs). Nurses across all groups were the most involved in direct comprehensive care and the least involved in research. NPs were more involved in direct comprehensive care compared to CNSs (p < 0.001) and SNs (p < 0.001). CNSs were more involved than SNs and NPs in support of systems, education, research and professional leadership (p < 0.001). Role type, years as an advanced practice nurse and specialist certification were modest predictors of domain involvement.
Conclusion:
Distinguishing how specialized and advanced nursing roles contribute to healthcare can inform policies to support their optimal utilization in healthcare systems.
Related Concept Videos
01:22The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
01:28Current Trends in Nursing I
01:30Current Trends in Nursing II
01:30National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
01:29Aims Of Nursing