General medicine expanded role nurse: role description

In an effort to cope with the changing health care environment, University Hospital, London, Canada provided the opportunity for two nurses to develop expanded nursing roles in general internal medicine. Direct care functions centre on the expert practitioner role. Whereas, indirect care functions include educator, consultant/resource person and researcher. Although the expanded roles are in the beginning stages of development, these nurses have articulated their activities and responsibilities as expanded role nurses in the medicine service.