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Roles of Advanced Practice Nurses 

Acute Care Nurse Practitioner
Acute care nurse practitioners care for acutely and critically ill adults. As members of a multidisciplinary health care team, they work in intensive care units and hospital units, emergency departments, specialty clinics, and specialty physicians’ offices. They focus on assessment, diagnosis, and management of acute health problems, and provide tertiary restorative and preventive care to patients and their families.

Adult Clinical Nurse Specialist
 Adult clinical nurse specialists provide advanced clinical care, patient and staff education, collaborate with other health care professionals throughout the system to improve quality of care, serve as consultants for complex health care problems, and design innovative, evidence-based interventions. They may work in hospitals, clinics or managed care settings. These specialists focus on helping people make transitions from one level of care to another and often work with those who have acute and chronic health problems. Specializations are available in cardiovascular, oncology, critical care, complementary practices, and other areas.

Nursing Management
Nurse managers play a key role in assuring high quality care and a satisfying work environment on individual units, clinics and departments in all types of health care organizations. They plan, design, implement and evaluate evidence-based clinical programs that are client-centered. Nurse managers develop policies and procedures that ensure patient safety, promote high quality clinical care, and provide a satisfying and meaningful working environment. They select and hire nursing staff and promote professional development of staff nurses. They monitor budgets and ensure fiscally sound nursing practice in their areas and facilitate teamwork and positive interdisciplinary working relationships. (NOTE: This track is not available with the Post-graduate Clinical Scholars Option.)

Parent-Child Nursing Track

Neonatal Nurse Practitioner
Neonatal nurse practitioners specialize in health care for premature and/or ill newborns. They provide both autonomous and collaborative management of infants in neonatal intensive care units and demonstrate leadership in organizing immediate and subsequent care for their patients. Providing neonatal health care requires expertise in performing assessments and physical examinations, analyzing each infant’s perinatal history, clinical laboratory data, and coordinating diagnostic and therapeutic interventions. These practitioners also provide education, continuity, and support services to families of high-risk newborns in both ambulatory and acute care settings. (NOTE: This subspecialty is not available with the Post-graduate Clinical Scholars Option.)

Pediatric Nurse Practitioner
Pediatric nurse practitioners specialize in primary health care for children and adolescents (birth to 18 years). They diagnose and manage acute and chronic pediatric health problems, educate parents about children’s growth and development, promote healthy lifestyles, and work toward prevention of illness.

Primary Care Nurse Practitioner Track

Adult Nurse Practitioner
Adult nurse practitioners provide primary care to adults and provide counseling on health promotion and disease prevention and emphasize wellness. They diagnose and treat acute and chronic health problems. They may work in physicians’ offices, primary care clinics, nurse-managed clinics, occupational health clinics or health department clinics to name a few examples.

Family Nurse Practitioner
Family nurse practitioners provide primary health care to patients of all ages. They may work in community health settings, clinics, physician offices, school health, occupational health, home health, and urgent care. They diagnose and treat common health problems, promote wellness and illness prevention, and help patients learn effective self-care. Family nurse practitioners focus on health promotion and disease prevention throughout the life span. They also diagnose and treat acute and chronic health problems.

Geriatric Nurse Practitioner
Geriatric nurse practitioners work with older adults and their families, promoting healthy aging, coordinating care, helping manage therapeutic regimens including medications, and maintaining safe independence. They diagnose and treat common health problems of older adults and work collaboratively with elders and their families or significant others in managing care. Geriatric nurse practitioners might work in geriatric clinics, parish nursing programs, long term care facilities, or adult day care centers.

Psychiatric/Mental Health Nursing Track
Advanced practice psychiatric/mental health nurses provide care for clients with psychiatric disorders and mental health needs including severe mental illness, depression, anxiety and substance abuse. They are prepared as individual and group therapists for the population that is the focus of their specialization. Adult and family psychiatric/mental health nurse practitioners are prepared to manage psychopharmacological treatments. Adult and child and adolescent psychiatric-mental health clinical nurse specialists are prepared for systems activities including consultation and education.

Public Health Nursing Track

Public Health Clinical Nurse Specialist
These specialists concentrate on population-focused care. Assessing advanced public health issues, developing wellness and illness prevention programs, assuring health care for populations at risk, and policy development are among the services public health clinical nurse specialists provide. They work on policy changes that affect the health of their populations. Their work is based on the core functions of public health: assessment, policy development and assurance. Health departments, schools, occupational health settings, wellness centers, and community health clinics are among the places where public health clinical nurse specialists are employed.

Public Health Nursing Management
Public health nurse managers focus on leading and managing population-focused public health nursing programs. They emphasize the core functions of public health: assessment, policy development and assurance. They understand how to contribute to the development of health policy and the impact of state, federal and even organizational policies on the health of populations. Public health nurse managers might work, for example, for health departments, managed care organizations, or home health agencies.

Nursing Case Management
Nurse case managers work with target populations which have high risk, high volume, problem prone health concerns. These include conditions such as cancer, cardiovascular disease, trauma, work-related injuries and certain disabilities. Emphasizing good symptom management and functional status are important goals. These nurses work in a variety of settings, and many provide care across a continuum, following clients from hospital to home. Their work may be centered on groups or on families within those groups. Nurse case managers work for hospitals, managed care organizations, insurance companies, and in home health.
 

 

Questions? E-mail conss@uky.edu or call (859) 323-5108.


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