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International Journal of Nursing Education and Research Nurse's Role: Beyond

the Bedside

Article · September 2019

DOI: 10.5958/2454-2660.2019.00099.1

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 International Journal of Nursing Education and Research. 7(3): July- September, 2019

ISSN 2347-8640 (Print) Available online at

2454-2660 (Online) www.anvpublication.org
DOI: 10.5958/2454-2660.2019.00099.1
International Journal of Nursing Education
Vol. 07 | Issue-03|
July- September 2019 and Research
Home page www.ijneronline.com

REVIEW ARTICLE

Nurse's Role: Beyond the Bedside

Mr. Pankaj Punjot
Nursing Officer (Diabetes Educator), All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand,
India, 249203.
*Corresponding Author E-mail: punkaj1994@gmail.com

ABSTRACT:
Nursing is heart of healthcare and the road to achieve excellence require the dynamic role of nurses from bed
side and beyond bedside. Bedside role of nurses remains primary function but to expand more advances require
beyond bedside role for strengthen the nursing profession.

KEYWORDS: Nursing, Nurses, Role, Profession, Patient.

INTRODUCTION: Healthcare setting changes has vigorous impact on

Today’s nurses are flourishly evolving as they are
widened with their task and health care responsibilities.
Nurses are not just caring the sick but they are
innovative with the new ideas with changing vision of
the nation. Nurse are scientifically growing in the field
of technology and other Evidence based practices.
Collaborative nursing care and nurse specialist brought
new opportunities for the nurses in this modern era.
Nurses will no longer adhere to one particular task but
current generations of nurses are Even more smarter with
complex diversity and upcoming thoughts in healthcare
system. Traditional and cultural role of nurses has
changes and now scientific and evidence based role has
been evolved.(1)(2)(3)
The pivotal role of nurses has expanded continuously
with the time and exploring the role of caring from
monopoly to future division of developmental role.(4)
As the role of registered nurse is rapidly changing from
traditional with shading of their responsibilities. The
entire health care scenario has changed from past
decades.
Received on 16.07.2019 Modified on 25.07.2019
Accepted on 15.08.2019 © A&V Publications all right reserved
Int. J. Nur. Edu. and Research. 2019; 7(3):432-434.
DOI: 10.5958/2454-2660.2019.00099.1
432
nurses on their attitude, knowledge, skills and other
competencies. The important role of nurses from patient
safety has improved with an evidence based practices
and reformation of smart work.(5)(6)
The nurse has different cadres and qualifying nurses has
moved from bedside nursing. The auxiliary nurses are
also advancing with their expanding roles. Nurses are
being evaluated on their competencies and skills which
will give them a pathway for their career and their role.
(7)
THE FOLLOWING ARE THE NURSE’S ROLE
BEYOND THE BEDSIDE:
1) Nurse Academician:
The evidence based practices layout and design of study
for research in organization is role of nurse academician.
Specialized skill training for nurses and competency
assessment expanded by nurse academician.
Academician nurse has clinical opportunity for
conducting research and streamline the nursing
workflow. Nurse academician also have the significant
role in educating the nursing workforce with the
leadership quality for the productivity.(8)(9)
2) Case Manager:
Case managers choreograph all aspects of patient care,
coordinating the nurses, doctors, therapists and other
 International Journal of Nursing Education and Research. 7(3): July- September, 2019

practitioners who treat patients. As hospitals discharge 8) Legal Nurse Consultants and Patient Advocates:
patients more quickly and managed-care organizations In today’s health care delivery system, informed
increasingly oversee patient care, the need for case decision-making is a fundamental right of patient
managers has blossomed. They ensure the utilization of autonomy. Legal information on informed consent
all resources as they are expert in obtaining resources. including state laws, disclosure standards and hospital
Case manager is collaborative approach with policies, procedures and protocols relative to informed.
coordination of in and out of medical facilities with Empower the patient and protect autonomy. Protect the
decision making ability.(10)(11) rights and interests of patients where they cannot protect
their own. Ensure patients have fair access to available
3) Quality Manager: resources.(18)
Ensuring quality in clinical and non-clinical services
with periodic assessment of hospitals on quality check 9) Forensic Nurse Consultants:
list. Identification of gaps and ensuring that the hospital Forensic nursing is an emerging specialty field of
meets all regulatory compliances. Managing an effective practice for nurses. Health care and the law often
grievance redressed system. Continuous quality become enmeshed during the critical moments when
improvement programmes should be conducted by patient care supersedes the concern for social justice.
quality manager.(12) This interdisciplinary course was designed to increase
awareness and practical application of principles of
4) Emergency Medical Services: forensic science in the professional nurse. Forensic
Treat illnesses and injuries that require an urgent medical nursing has vital role in patient violence and criminal
response, providing pre hospital treatment and transport activity.(19)
to definitive care. They have different professional
perspectives with key insights about the unfolding of 10) Managing Hospital Operations:
events, goals of care, and the patient’s environment. Bedside to boardroom with leadership quality in hospital
Standardized approach to transitions in care ensures that operations and project. Decision making quality and
patient expectations and outcome.(13) management of healthcare with advance resources. They
are in a prime position to mandate policy, systems,
5) Patient Safety Officer: procedures and organisational climates. Beyond
A new health care role is emerging: Patient safety healthcare, there is clear evidence of managerial impact
officers shape the philosophy of healthcare professionals on workplace safety.(20)
so that they prioritize patient safety. This ensures that
patients will receive the best possible care. Ensure safety CONCLUSION:
of Patients and families, workers, visitors and others Nurses wearing scrub suit and working for patient in
with risk assessment and risk management. The hospital is common scenario and public thinking. Initial
important role is analysis of safety events.(14)(15) few years of clinical experience is requiring to
understand the patient need and gaining first hand
6) Nurse Researcher: valuable knowledge and best practices that nurse can
Nurse researchers may begin their research careers in only learn and develop skill in the field. But there are
positions such as research assistant, clinical data nursing career beyond bed side with great opportunity
coordinator and clinical research monitor. Partnering for professional growth. Nurses who are competent in
with scientists in other fields, such as pharmacy, other task with quality and management skills along with
nutrition, medicine and engineering, to better address leadership should go beyond bedside and shine the
complex questions and problems. The nursing research profession.
help build the knowledge base and provide the evidence
to guide interventions by nurses and other health care Florence Nightingale introduce modern concept of
workers. Continuous improvement on nursing profession nursing; fundamental nursing is the core component of
and patient care can be achieved by nurse researcher.(16) nursing practices but today nurses are expanding their
role beyond bedside with advance technology and
7) Freeland Nurse Writer and Academic Nurse scientific evidences.
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 International Journal of Nursing Education and Research. 7(3): July- September, 2019

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