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1. The preparation of Indonesian Nursing Association to face Global Nurse Migration
   
2. The Impact of Global Nurse Migration on Health Services Delivery
3. New Challenges, Emerging Trends, and Issues in Regulation of Migrating Nurse

The Definition of Registered Nurse

Registered nurse

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A registered nurse ("RN"), is a health care professional responsible for implementing the practice of nursing through the use of the nursing process (in concert with other health care professionals). Registered nurses work as patient advocates for the care and recovery of the sick and maintenance of the healthy. In their work as advocates for the patient, RNs ensure that the patient receives appropriate and professional care. RNs use the nursing process to assess, plan, implement, and evaluate nursing care of the sick and injured.

Clinical Nurse Specialist in overseas.....how about Indonesian Nurse?

Clinical nurse specialist

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A clinical nurse specialist (CNS) is an advanced practice nurse, with graduate preparation (earned master's or doctorate) from a program that prepares CNSs. CNSs are clinical experts in the diagnosis and treatment of illness, and the delivery of evidence-based nursing interventions (ANA, 2004). CNSs work with other nurses to advance their nursing practices and improve outcomes, and provide clinical expertise to effect system-wide changes to improve programs of care. The three domains of CNS practice, known as the three "spheres of influence" are the patient/family, nursing personnel and system/network organization. The three spheres are overlapping and interrelated, but each sphere possesses a distinctive focus. In each of the spheres of influence, the primary goal of the CNS is continuous improvement of patient outcomes and nursing care.

Within the three domains of CNS practice, Sparacinio (2005) identified seven core competencies which are:

1. Direct clinical practice includes expertise in advanced assessment, implementing nursing care, and evaluating outcomes.

2. Expert coaching and guidance encompasses modeling clinical expertise while helping nurses integrate new evidence into practice. It also means providing education or teaching skills to patients and family.

3. Collaboration focuses on multidisciplinary team building.

4. Consultation involves reviewing alternative approaches and implementing planned change.

5. Research involves interpreting and using research, evaluating practice, and collaborating in research.

6. Clinical and professional leadership involves responsibility for innovation and change in the patient care system.

7. Ethical decision-making involves influence in negotiating moral dilemmas, allocating resources, directing patient care and access to care.

Historically, in North America, the CNS role developed within the acute care (hospital) setting (Sparacino, 2005). Currently, in addition to the traditional acute care setting, CNSs practice in a variety of non-acute care settings. No matter what the setting is, CNSs are a valuable resource for staff development as an expert clinician as well as a resource to organizations and systems in improving quality and conserving resources.

In the Australian Health System, however, a clinical nurse specialist refers to a promotional position, rather than a qualification.

In the U.S. there is a nationally recognized CNS certification sponsored by the American Nurses Credentialing Center (ANCC)that can be taken once the master's degree is completed.

References:

Sparacino, P. S. A. (2005). The clinical nurse specialist. In A. B. Hamric, J. A. Spross & C. M. Hanson (Eds.), Advanced practice nursing: An integrative approach (3rd ed., pp. 415-446). St. Louis: Elsevier.

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1. What nurses must know about medicine
2. What is the role of Magister of Nurse in clinical area
3. The different of Clinical Nurse Specialist and Nursing Certification
4. The important of clinical competency

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