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Nursing Roles Graphic Organizer Template Worksheet.


Nursing Roles Graphic Organizer Template Worksheet.

Nursing Roles Graphic Organizer Template Worksheet.



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Nursing Roles Graphic Organizer Template

 Type Future Role Here><Type Comparison Role of Choice Here>Observations (Similarities/Differences)
Public Health      
Health Care Administration           
Specialty (e.g., Family, Acute Care)      
Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice      


<Reference 1>

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Nursing Roles Graphic Organizer Template

 Certified Nurse Educator (CNE)Clinical Nurse Leader (CNL)Observations (Similarities/Differences)
Ethics· The ethics of nursing and nurse educators are very similar with a few differences. Nurse educators for instance are the ones teaching nursing students about the code of ethics. This is one reason it is part of the nurse educators code of ethics to be supportive and encouraging to their student’s learning needs and considerations (NLN, 2019).· Confidentiality is another similarity, but with nurse educators it also involves students and not just patients. Nurse educators must maintain confidentiality with grades, communications, concerns with their students (NLN, 2019).· A very important part of the ethical code of conduct for nursing educators is to remain professional in all dealing with their students. For instance, this means not friending or “hanging out” with students, not having sexual relations with students, and maintaining professional boundaries in all dealings with students (NLN, 2019).· The clinical nurse leader (CNL) maintains very similar ethical standards when compared to that of a nurse. Some of the difference include ethical roles that involve management and leadership since this is a large majority of the CNL training and education throughout graduate school.· For example, CNLs are expected to use resources available to them to ensure the safety, cultural principles, and risk assessments are taken into consideration in all dealings with patient care/management (AACN, 2019).· Another example would be to continually drive care that is effective, safe, and based off of outcome driven analysis (AACN, 2019).· They need to continually advocate for the best possible treatment for their patients to all healthcare providers/ team members involved in the coordination of the patient’s care from beginning to end while maintaining professional boundaries and ensuring evidence-based practice is addressed (AACN, 2019). Nursing Roles Graphic Organizer Template Worksheet.· Similarities: Both CNLs and CNEs have a foundation of ethics that follows that of nursing. Prior to obtaining graduate degrees, both nurses must first become nurses and in that they practice by that basic code of ethics. Both specialties are expected to maintain professionalism and confidentiality, work under their scope of practice, and use their education to fullest extent of their ability. Both are also expected to maintain safety in all dealings with patients and staff and to look for opportunities to use evidence-based practice to further make changes to care that institutes higher standards of safety.· Differences: Since CNEs deal mainly with educating students, they are expected to have an extra boundary of professionalism by having a teacher-student relationship and nothing more. For example, not friending students on any form of social media or having any other relations with the students. CNLs still maintain the nurse-patient relationship but the education piece is less than that of the CNE. For example, CNL still educate their patients, but they do not directly educate students in the same sense or fashion that a CNE would. Another difference would be that although CNEs advocate for their patients, they need to truly advocate for their students as well whereas, CNLs advocate solely for their patients and better outcomes. Both require certain levels of advocation, but different focuses.
Education· To become a nurse educator, one must obtain a graduate level degree (Booth & Emerson, 2016). This means that the nurse must obtain either a master’s or doctoral degree.· A common thought among educators within the universities today suggest that it is no longer enough to have expertise in the clinical setting (Booth & Emerson, 2016). The graduate level prepared educators prove to have a solid foundation in strategy, curriculum, and teaching methods that offer a more extensive educational environment for students to learn and thrive (Booth & Emerson, 2016).· To become a clinical nurse leader (CNL), nurses must obtain at least a master’s degree while some positions are requiring a doctoral degree (AACN, 2019).· Clinical nurse leaders are taught to become leaders and manage direct clinical care while understanding advanced subjects.· Certification in clinical nurse leadership proves a level of understanding in areas such as management, clinical outcomes, environmental care management, and leadership (AACN, 2019).· Similarities: CNLs and CNEs both start out by obtaining a ASN or BSN degree. From there both CNEs and CNLs are expected to have a graduated degree that proves a higher level of understanding on the topics at which they specialize. Both specialties have the opportunity for examination to obtain further certification with the CNE having two different certification options.· Differences: While CNLs in most cases can get away with only a master’s degree, more and more educational institutions are moving towards CNEs obtaining a doctoral degree. This can be either Ph.D. or DNP. CNEs have the option between two different exams (one that focuses on the academic classroom portion of education and another that focuses on the clinical aspect of education). CNLs on the other hand only have one certification exam to cover the entirety of the specialty. CNEs education is focused more on curriculum, evidenced-based practice, scholarly research, teaching methods, and strategy whereas, CNLs education is based more on management, leadership, clinical outcomes, and environmental care of populations.
Leadership· Nurse educators lead by example and role modeling to their prospective students. Whether it is done intentionally or unintentionally, every action and every move is assessed by students and soaked up into what student will use to form their own clinical judgement and skills (Booth & Emerson, 2016).· In the clinical setting, educators can lead by example by demonstrating proper medication pass or foley catheter insertion. In the classroom setting, educators can lead by example by role modeling proper decision-making skills or critical thinking. In every scenario, a nurse educator can be intentionally or unintentionally trying to model for his/her students and that leadership is what students pick up on when learning both in and outside of the classroom.· CNLs are educated throughout graduate school to become leaders in the healthcare of their patients. It is expected that they make the transition into practice and assume and leadership role on an interprofessional healthcare team that focuses on delivering the best patient-centered care to a patient while advocating for all the different variables involved in patient-centered care (AACN, 2019). This is where the leadership and management mold together to aid in patient-centered care advocacy.· CNLs are also expected to collaborate with other healthcare professionals to assess, plan, implement, and evaluate programs, models, or policies to continuously take the opportunity for improvement.· CNLs should also demonstrate leadership by participating in shared leadership teams that help to make recommendations for improvement at every level of the healthcare system (AACN, 2019).· Similarities: Both CNLs and CNEs use leadership to establish relationships and communicate with other healthcare professionals.· Differences: CNEs lead by example and role model for their students whereas CNLs take the lead of patient care to ensure advocacy for their patients. For example, CNEs can role model and either intentionally or unintentionally teach their students and by doing so lead them in their decision making and skills. CNEs use leadership as an instructional and educational tool whereas, CNLs lead to establish relationships with other healthcare professionals and ensure proper patient-centered care for their patient. CNLs use leadership and management interchangeably to get the job done. CNEs use more leadership to teach and role model proper technique. This helps to build confidence in nursing students and helps them develop their own process. CNLs also take on more leadership roles within the hospital or community that deal with making improvements at every level of healthcare whereas CNEs might lead to make curriculum changes or program changes.
Public Health· By staying up to date on current evidenced based practice, nurse educators are better able to prepare nursing students to evaluate and assess current public health trends (NLN, 2019).· Nurse educators help students get out of the hospital mindset and look further for progressive problems within the healthcare system. For instance, Nebraska has a high rate of STDs and this is a current ongoing public health concern. By addressing this in public health education, students are able to consider ways to assess, monitor, trend, and track changes for STDs.· Nurse educators open the eyes of nursing student beyond what nursing students originally consider. Many issues within healthcare originate from trending primary health concerns within the public health region. By educating on public health early in one’s career, more preventative care can be established and educated on outside of the hospital.· CNLs must monitor outcomes of their care plans that specifically address health promotion within the community and population. This includes disease prevention in certain patient populations (AACN, 2019).· CNLs are also expected to engage with the community and assess health care delivery services to help determine and recognize problem areas (AACN, 2019). By doing this, CNLs are determining which problems and diseases are specifically affecting the healthcare of the given public population in which he/she practices. By assessing the healthcare delivery system, he/she can determine where the faults lie and construct creative alternatives or procedures to fix the systems and ensure the best possible health care for the at need population (AACN, 2019).· Similarities: Both CNLs and CNEs are expected to stay up to date on evidenced-based practice within the public health section. Both CNEs and CNLs use the basis of assessing current public health trends, collecting data, implementing changes, and evaluating the results to help understand changes in patient care. Both look at progressive problems outside of the hospital to analyze preventative measures that can be taken to ensure better patient care.· Differences: CNEs would use pubic health to introduce students to the problems outside of the hospital. CNLs would assess public health trends to factor in potential changes in patient care. CNEs use analysis and evaluation to introduce students to public health and potentially brings those students out into the public to help educate on subjects of interest. CNLs use the same information to potentially change policies, preventative measures, education open to the public, and care throughout the community.
Health Care Administration· Nurse educators have a set of core competencies and within these core competencies, leadership and management are addressed (NLN, 2019).· Nurse educators should lead by example and role model their intentions to their students. This will facilitate learning and ensure competency with skills and assessments.· It is vital that nurse educators facilitate learning by managing different aspects of finances, leadership, ethics, informatics, and evidenced-based practice in order to facilitate learning and development (NLN, 2019).· Leadership and management are essential elements of the CNL training and education. These especially come into play when dealing with health care administration.· For example, CNLs are expected to advocate for health care policies that influence change, promote wellness, reduce the costs of visits or hospitalizations or care, and continually improve care outcomes (AACN, 2019).· Another example would be advocating for further integration of CNLs within newer and evolving models of care within the healthcare system (AACN, 2019).· The last example I must demonstrate would be the management of regulatory agencies to ensure quality and value-based care for patients and continued communication among staff and team members (AACN, 2019).· Similarities: Both CNLs and CNEs use management and leadership to accomplish health care administrative goals.· Differences: CNEs base in health care administration is more academically based. They tend to make decisions based on policies, financial changes, and evidence-based practice that would potentially change their way of teaching and affect their students. CNEs monitor and make changes in order to better facilitate the education and clinical skills of their students. CNLs on the other hand advocate for health care policy change or model changes that would influence more than just a specific group of people. CNLs look to change health care from larger aspects of the spectrum. This is done by managing regulatory agencies, analyzing changing with healthcare models/policies, and continued research into the best evidence-based practice.
Informatics· Every healthcare provider is an educator. We teach our patients on a daily basis about a wide variety of topics, but what makes nursing educators different is their specialization and informatics from their education that helps them to adjust to the constantly changing environment that is evidenced-based practice and education. Nurse educators use informatics and evidenced-based practice to alter their teaching methods to make sure their students get the most out of their learning (Booth & Emerson, 2016).· Nurse educators also use informatic to stay on top of evidence-based practice and changes to practice or healthcare. This information is vital in staying current and teaching the most relevant and most current information to their students (Booth & Emerson, 2016).· CNLs use informatics just like any other healthcare professional with a few differences.· For instance, CNLs use informatics to analyze and implement the use of new technologies to coordinate patient care (AACN, 2019).· Another example would be CNLs using informatics to participate in ongoing information collection that would be key to developing and implementing changes to evidence- based practice and design changes in EHRs (AACN, 2019).· CNLs also help to gather data and generate accurate accounts that play into evidence-based practice for nursing practice. This is important because it aids in improving performance, patient care, it identifies gaps in care, and analyzes current and potential trends in evidence and then looks to improve them (AACN, 2019).· Similarities: Both specialties use informatics to analyze and implement changes within their profession. Both specialties help to gather relevant information for data analysis and interpret the findings to further aid in helping facilitate the necessary changes for their specialty.· Differences: CNLs use informatics to make changes that would coordinate with patient care whereas CNEs would use informatics to make changes within the educational system for the students. CNLs might use informatics more with policy and EHR changes within a hospital setting. They would use more technology to implement the necessary changes. CNEs would use informatics to potentially back up their reasoning for curriculum changes, teaching changes, or program changes that they wish to make to facilitate learning.
Business/Finance· Nurse educators must be able to read statistics and interpret them accordingly. For the role of a nurse educator, business and finance plays a role when preparing students with simulations, skills, textbooks, and other vital educational aids. Being able to maintain a budget for the nursing program and still provide adequate supplies for students to learn from is a part of the management side of the nurse educator role. Nurse educators will need to make assessments and determinations based on what they feel, and the department feels would be most valuable to the student’s education at that point in time.· CNLs help manage every aspect of a patient’s care. This means that the CNL will coordinate with discharge planning, home health services, and other financial responsibility coordinators to assist the patient in receiving the best care (CNC, 2016). This means that the CNL will advocate for the best possible treatment for the patient, both short and long term, while also helping to manage the finances that come with costly treatments, hospitals stays, and continued care outside of the hospital. This is where the managerial side of the CNL position is important to all inclusive patient care (CNC, 2016).· Similarities: Both CNLs and CNEs use statics and interpretation. For example a CNE might gather data on student development and a CNL might gather data on patient care and then they would take those findings and assess where changes could be made and then implement the appropriate changes.· Differences: CNEs use business and finance to potentially make changes or justifications for changes to their programs that would facilitate learning. CNLs use help to manage monetary treatment options or home care for patients. They work with different aspects of the healthcare team to work through finances whereas CNEs would work with boards of directors, program directors, fellow educators, and peers.
Specialty (e.g., Family, Acute Care)· Certified nurse educators can specialize in a number of different areas. The most common are the academic classroom setting and the clinical setting (NLN, 2019). By specializing in the classroom setting, the educator facilitates the learning of nursing students in the classroom on an academic basis whereas specializing in the clinical setting, allows the educator to assist in the education of clinical skills in the hospital/clinical setting (NLN, 2019). In both situations, the educators work side by side to facilitate the learning of the nursing students and make sure they are receiving the very best experience and education.· CNLs can work in a wide variety of specialties and settings. Each of these roles has a foundation that involves managing and leading patient care while using new innovative techniques to continuously find the best outcome driven management you’re your patients. These roles include: hospitals, veteran affairs, public health, psychiatrics, home health, hospice, and many more (CNC, 2016). Wherever there is a need for patient driven management and care, there is a need for a CNL.· Similarities: Both CNEs and CNLs have the opportunity for specialization either within or outside of the hospital setting. For instance, CNLs can work in the public section or acute care and CNEs can work clinically within the hospital and externally within a university.· Differences: Where a CNL has a wide variety of specialties to chose from, a CNE only has a few. A CNE is either clinical or academic. Either in the classroom or in the clinical setting. A CNL could specialize in any field of interest and manage/lead patient care in the field. For instance they could specialize in pediatrics, oncology, hospice and many more.
Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice· The National Commission for Certifying Agencies (NCAA) oversees certifying bodies such as the National League of Nurses (NLN) for the certification process for nurse educators (NLN, 2019).· There are two certification exams for a prospective nurse educator: the Certified Nurse Educator Exam and the Certified Academic Nurse Educator exam (NLN, 2019).· The Certified Nurse Educator exam is an exam for the nurse educator that specializes in facilitating the learning of nursing students within the university or college setting in the classroom (NLN, 2019).· The Certified Academic Nurse Educator exam is for the nursing educator wishing to facilitate the learning of nursing students in the clinical setting by assisting academic nurse educators and provide assistance in the clinical aspect of nursing education rather than the classroom setting (NLN, 2019).· The NLN constitutes core competencies by which the nurse educator should adhere. They are as follows: facilitate learning, facilitate learner development and socialization, use assessment and evaluation strategies, participate in curriculum design and evaluation of program outcomes, function as a change agent and leader, pursue continuous quality improvements in the nurse educator role, engage in scholarship, and function within the educational environment (NLN, 2019).· The NLN also uses these core competencies to outline the scope of practice for the academic nurse educator. By doing this, they establish a complex specialty area for which a nurs educator can specialize and certify in after taking the certification exam listed above. This further demonstrates the complexity of the nurse educator role and helps to promote ongoing excellence within the classroom or clinical setting (NLN, 2019).· The Association for Nursing Professional Development (ANPD) also published a scope of practice for the role of nurse educators.· The AACN developed and oversees the practice and education of CNL. This role was developed as an effort to address the critical need for improvement of patient care outcomes (AACN, 2019).· The AACN establishes competencies and parameters in which a CNL must practice. Some of these include: coordinating care, outcome measurements, establishing and maintain interprofessional communication and leadership, focus on quality improvement, and assessing for risks (AACN, 2019).· The AACN has also developed a certification exam that allows the nurse leader to prove their expertise, management, and leadership potential by obtaining this certification. This exam focuses on subjects that would test the applicants ability to handle leadership, management, professional development, and changing ethical standards (AACN, 2019).· Similarities: Both CNLs and CNEs have certifying agencies in which they can gain certification within their profession. Each of the certifying agencies has an established set of core competencies for each specialty. The AACN sets the core competencies for CNLs and the NLN sets some of the core competencies for CNEs. Certifications in either field prove a level expertise that helps to establish trust in the provider, excellence in the profession, and establishes and understanding of profound expertise to willingness to make continued improvements to the healthcare system as it stands today.· Differences: CNLs get their certification and regulations through the AACN whereas CNEs get their certification through NLN. The certification exams focus on different material. For CNEs, the focus is on education, curriculum, and other relative involvements with teaching. For CNLs, the exam covers leadership, management, interprofessional communication and quality improvement among other thing. The exams are widely different.


American Association of Colleges of Nursing (AACN). (2019). Clinical Nurse Leader. Retrieved from https://www.aacnnursing.org/CNL/Education-Practice-Resources

Booth, T. L., Emerson, C. J., Hackney, M. G., & Souter, S. (2016). Preparation of academic nurse educators. Nurse Education in Practice, 19, 54-57. doi:http://dx.doi.org.lopes.idm.oclc.org/10.1016/j.nepr.2016.04.006

Commission on Nurse Certification (CNC). (2016). Clinical Nurse Leader. CNL job analysis. Retrieved July 28, 2019, from https://www.aacnnursing.org/Portals/42/CNL/2016-CNL-Job-Analysis-Final-Report.pdf

National League of Nursing (NLN). (2019). Nurse Educator Core Competency. Retrieved from http://www.nln.org/professional-development-programs/competencies-for-nursing-education/nurse-educator-core-competency

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