Comparing APRN vs. NP Careers | GCU Blog - Grand Canyon University [11] in a systematic review identified consistencies in non-NP APN roles across countries when examining the Nurse Consultant in the UK, the Clinical Nurse Specialist (CNS) in the US and the Australian Nurse Consultant role. Nurs Econ. As advanced practice registered nurses, NPs are highly trained to diagnose and treat acute and chronic illnesses, order and interpret diagnostic tests, prescribe medications, and provide health . 2007, 15: 12-21. doi: 10.1046/j.1440-172x.2002.00391.x. This is the first Australian study to include extensive stakeholder perspectives in order to understand the relational and integrated nature and impact of the role across metropolitan and rural context. 1995, 311: 109-112. Msg & Data Rates May Apply. J Clin Nurs. Int J Nurs Pract. 2006, 17 (5): 563-567. Nurse Practitioner Job Opening in Bronx, NY at Sian Consulting Group CNSs can help to reduce costs, length of patient stays, and complications. All authors declare that they have no competing interests. Mixed method research, in providing a richer and more complete view of reality, fits perfectly with examination of the complexities and diversities of the Nurse Consultant role and the past difficulties highlighted by researchers in examining all aspects of this multidimensional role [49]. The similarities and differences between advanced nurse practitioners 2010, 18 (2): 61-69. Resources and articles written by professionals and other nurses like you. The Bureau of Labor Statistics projects employment of registered nurses will grow 9 percent through 2030, faster than the average for all occupations. Organisational factors such as; structures, social supports, bridges and barriers and resources that support the role [24, 26] will also be explored as well as expectations and role clarity [33, 35, 57]. Article A modified and previously validated survey will be used providing information related to role characteristics, patterns and differences across health context. OBaugh J, Wilkes L, Vaughan K, ODonohue R: The role and scope of the clinical nurse consultant in Wentworth area health service, New South Wales, Australia. 2004, Manchester: ESRC Research Methods Programme. Consultant nurse: an appropriate title for the advanced nurse practitioner? The proposed study employs a sequential mixed method design, underpinned by Realistic Evaluation, to explore how Nurse Consultants contribute to organisational outcomes. In any particular focus group participants will either be all rural or all metropolitan based to allow isolation of data for analysis and comparison. Michelle Giles. Nurse consultants may work as a clinical consultant, an operations consultant, or a legal nurse consultant. Mixed method approaches provide a mechanism for understanding and explaining complex organisational and social phenomena [45] and provides for a more comprehensive and deeper understanding ([4648]. 2009, California: Left Coast Press. Focus groups with Nurse Consultants explore issues highlighted in the survey data. Can CNSs claim parity of pay using the 'Agenda for Change' framework? Mays N, Pope C: Rigour and qualitative research. Please enable it to take advantage of the complete set of features! Context will be explored in terms of rural versus metropolitan, health sectors, government and local policy and institutional environment, role clarity, current attitudes towards the role and individual approaches and accountabilities. While both NP and CNS roles require at least a master's degree and APRN licensure, aspiring nurses should understand the differences before choosing a career path. Focus groups with other clinicians, policy makers and managers will help to achieve understanding of how the role is viewed and enacted across a range of groups and contexts. Baldwin R, Duffield C, Fry M, Roche M, Stasa H, Solman A: The role and function of clinical nurse consultants, an Australian advanced practice role: a descriptive exploratory cohort study. There is an urgent need for examination of how the APN role of Nurse Consultant can be deployed, not necessarily in traditional ways, but in the most appropriate and effective manner that fits best with health care redesign that aims to improve patient outcomes through impact and efficiency in a way that is economically sustainable. APRN vs NP - What's the Difference? Clinical nurse consultants are advanced practice RNs or NPs and health care leaders who are trained within a specialized area of nursing, such as pediatrics or oncology. Bryant-Lukosius D, DiCenso A, Browne G, Pinelli J: Advanced practice nursing roles: development, implementation and evaluation. However, the Nurse Consultant role has been plagued with confusion due to lack of clarity over function and appropriateness for purpose within health organisations across contexts. 10.1016/j.colegn.2008.02.004. Epub 2008 Feb 19. J Adv Nurs. NPs tend to enjoy more autonomy, a greater scope of practice, and increased earning potential, making it a great career step after working as a registered nurse. NPs earn a median salary over $118,000 per year, with the lowest-paid 10% making $70,000 annually, and the top 10% receiving over $163,000. PubMed Unable to load your collection due to an error, Unable to load your delegates due to an error. Suggest changes to inaccurate or misleading information. This is well supported by much of the literature that examines the optimization of APN roles [5, 16, 24, 26, 33, 56]. Because of their greater scope of practice, nurse practitioners earn a higher salary on average than registered nurses. Nurse Practitioners (NPs) have a broad and vital scope of practice that encompasses primary and specialty care across diverse patient populations. 2010, 42 (1): 31-39. RN vs. Nurse Practitioner (NP): Note These 5 Key Differences Herzing neither represents that its graduates will earn the average salaries calculated by BLS for a particular job nor guarantees that graduation from its program will result in a job, promotion, salary increase or other career growth. Realistic evaluation is concerned with exploring what mechanisms work, under what conditions, why and to produce what outcome [52]. Fuller J, Edwards J, Martinez L, Edwards B, Reid K: Collaboration and local networks for rural and remote primary mental healthcare in South Australia. Whether youre looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. J Clin Nurs. The job outlook for nurse practitioners is even better. When comparing NP vs. CNS, the educational path for both nursing roles takes between 6-8 years. While RNs and nurse practitioners typically work within the same healthcare environments hospitals, physicians' offices, outpatient care centers and other . 2010, 66 (10): 2320-2330. J Adv Nurs. Lloyd Jones M: Role development and effective practice in specialist and advanced practice roles in acute hospital settings: systematic review and meta-synthesis. Nurse Practitioner Hospital vs. Private Practice: Pros and Cons Manley K: A conceptual framework for advanced practice: an action research project operationalizing an advanced practitioner/consultant nurse role. Realistic evaluation has been highlighted as an effective framework for complex, multicomponent activities in health care [51]. In this study a mixed method sequential design provides for one phase to influence the focus of the next phase of the study and details are provided in Figure1. The nature of the Nurse Consultant as a complex multidimensional leadership and practice support role with in many cases no direct relationship to patient and practice outcomes makes it difficult to attribute patient outcomes to the role [25, 2830] and compounds role ambiguity. Multiple factors, including prior experience, age, geography market in which you want to work and degree field, will affect career outcomes and earnings. 10.1111/j.1365-2834.2012.01353.x. CAS Geography significantly impacts CNS salaries. We are proud to offer our first doctoral degree, the Doctor of Nursing Practice (DNP), designed for nurses who hold an MSN. 2011, 24 (3): 216-222. To investigate individual hypotheses we will also use ordinary least squares regression analysis which will allow the generation of confidence intervals to assist in the interpretation of hypothesised direct and indirect effects and investigation of regions of significance for proposed moderators. J Nurs Manag. 2013, 69 (10): 2295-2308. Nurs Manag. Key reasons include: Despite these positives when compared to working as an RN, the NP role can be very challenging and more demanding. Interim analysis will determine representation across rural and metropolitan context. 10.1001/jama.299.10.1182. Org Sci. The American Nurses Credentialing Center, among others, administers these exams. CNSs tend to hold less practice autonomy, but have considerable input in managing patient care. Nurs Res. McSherry R, Mudd D, Campbell S: Evaluating the percieved role of the nurse consultant through the lived experience of healthcare professionals. Jokiniemi K, Pietila A, Kylma J, Haatainen K: Advanced nursing roles: a systematic review. Many of the principles and processes involved in consultancy may be viewed by nurses as incongruent with nursing practice, including the relationship between the consultant and the consultee and the view that the consultant nurse should not have a direct care role. Clinical nurse specialists manage patient care. With strong roots in clinical nursing practice, LNCs apply the nursing process to evaluating relevant, complex information in legal cases. The significance of this study can be considered from several perspectives. This is the first Australian study to take a stakeholder approach in order to understand the relational and integrated nature and impact of the role within the different contexts of health service delivery and within health service teams. First, if nurse consultant jobs are the top of the clinical career ladder, will clinical nurse specialists (CNSs) need to accept a lower rung on it? How effective and valued are nurse consultants in the UK. Ventatesh V, Brown S, Bala H: Bridging the qualitative quantitative divide: guidelines for conducting mixed method research in information systems. Online Nurse Practitioner MS | Northeastern University JAMA: J Am Med Assoc. As well the triangulated approach to data collection will provide evidence from a wide range of sources to strengthen the accuracy and reliability of information [59]. Initially a workforce profile will be established from workforce databases and a comprehensive survey of the Nurse Consultant workforce will be completed. The .gov means its official. This is summed up by Pawson et al. Once NPs receive state licensure, they must renew their certification, often every five years. While both types of nurses require a master's or doctoral degree and specialty training for certification, their roles and responsibilities differ. This study will extend knowledge by identifying the unique and diverse nature of the role and how it is enacted in a variety of contexts, in particular across metropolitan and rural service areas. What does a Nurse Consultant do and how you can become one - Nurses.co.uk This study is set in a very large Local Health District (LHD) in NSW that has a combination of metropolitan, rural and remote services within its boundaries. 2005, 14: 845-854. Both settings offer unique advantages and challenges, and it is important to weigh these factors when deciding on the best path for your nursing career. Difficulties also arise due to existence of discrete roles for each of the domains (educator, manager, care coordinators for example) that make up the single role of the Nurse Consultant [24]. Pract Regulat J Nurs Scholar. RNs work closely with a care team including doctors and specialists. Adult-geriatric (acute or primary) Pediatric (acute or primary) Psychiatric mental health. Federal government websites often end in .gov or .mil. Recognising the differences in the nurse consultant role across context: a study protocol, http://www.biomedcentral.com/1472-6955/13/30/prepub, http://creativecommons.org/licenses/by/4.0, http://creativecommons.org/publicdomain/zero/1.0/. J Clin Nurs. The ICN stated that the APN "is fundamentally a nursing role, built on nursing principles" 1 (pg. The sequential nature of data collection will allow analysis of survey data to inform focus groups with Nurse Consultants investigating in more detail perceptions of role value, barriers and facilitators to role effectiveness, relationships, role support and resource provision. 2011, 67 (9): 2004-2014. Drennan V, Goodman C: Sustaining innovation in the health care workforce: a case study of community nurse consultant posts in England. 10.1111/j.1365-2702.2005.01165.x. Historically, little attention has been paid to examination and evaluation of the long standing Nurse Consultant type role and the nature of its evolution with changing health care services, particularly across contexts [5, 26, 27]. Consider these five major differences between RNs and NPs: Registered nurses (RN) and nurse practitioners (NP) are different types of nurses with unique scopes of practice: Keep in mind specific roles and responsibilities for both RNs and NPs can vary by state due to state regulations and licensure. The role of an NP is to work collaboratively with the health care team while seeing and assessing patients, ordering and interpreting diagnostic tests, diagnosing a condition and . Sections included; role context, enactment and engagement covering the notion of role patterns that describes the level to which each of the domains is included in the role [18, 21, 40] satisfaction levels, role innovation, networks, collaboration and engagement [7, 18, 19].