Nursing Careers - Three Types of Nursing Jobs in Canada For Advanced Nursing Practice

Nursing careers offer many opportunities forspecialty requires a strong knowledge base of :
employment in nursing. Nursing careers are some of- case management
the most challenging and rewarding careers in health- counselling and crisis intervention
care. Typically when one thinks of nursing as a career- health promotion and risk reduction
there is a mental image of working at the bedside of- legal and regulatory requirements for worker safety
a hospitalized patient. However, advanced practice- occupational hazard detection and reduction including
nursing provides interesting and challenging work forergonomic risks
nurses who want to add to their basic education.The occupational health nurse works within the same
Such nursing practice does not necessarily occur atnursing scope of practice as the bedside nurse or the
the bedside.clinical nurse specialist and is responsible for
Three different types of nursing that are consideredmaintaining the same practice standards as any other
advanced practice nursing jobs in Canada are thenurse registered with the regulatory nursing
clinical nurse specialist, the nurse practitioner and theorganization.
occupational health nurse. Each of these careerNurse Practitioner
specialities could occur in a variety of settings such asThe nurse practitioner has been a legally defined part
a hospital, a community, or even in industry.of nursing practice in the United states for many
Clinical Nurse Specialistyears but it is one of the newer types of nursing
The role of the clinical nurse specialist can varyjobs in Canada. The nurse practitioner is still not a
greatly depending on the needs of the communitylegally defined type of nursing in all provinces. British
and the employer. The clinical nurse specialist may beColumbia is one of the provinces that most recently
directly involved with patients and families and oftenmade the move to include the category of nurse
provides leadership to the nursing staff in a hospitalpractitioner as one of the types of nursing regulated
or a community setting.by the College of Registered Nurses of British
A clinical nurse specialist is a registered nurse with aColumbia.
master's degree who is specialized in a particularBecause a nurse practitioner practices in an advanced
aspect of nursing with a specialized client group suchrole as a registered nurse, an advanced education is
as pediatrics or gerontology. The clinical nursenecessary. Typically this requires a university degree
specialist may also be specialized within a particularplus two additional years of nurse practitioner
clinical area such as oncology,cardiology, or criticaleducation resulting in a educational qualification
care.equivalent to a master's degree.
The role of a clinical nurse specialist falls within theSpecific competencies for the nurse practitioner must
legally defined scope of nursing practice for abe in place. Within a legally defined scope of practice
registered nurse.a nurse practitioner can engage in activities that may
Occupational Health Nursebe outside the legal scope of practice of a registered
The occupational health nurse (OHN) works innurse or even a clinical nurse specialist. Such activities
settings not typically associated with the nursinginclude prescribing certain medications and treatments
profession. Uniforms, nursing caps. and shoes havefor specified medical problems and ordering diagnostic
been traded for overalls, steel toe boots, and a hardtests.
hat. Patients are not in hospital beds but are ableThe clinical nurse specialist, nurse practitioner, and
bodied workers in factories, paper mills, and chemicaloccupational health nurse are three different types of
plants.nursing careers in Canada. The clinical nurse specialist
According to the Canadian Association ofand the occupational health nurse practice within the
Occupational HealthNurses the scope of nursingsame nursing scope of practice but the nurse
practice for an Occupational Health Nurse includes:practitioner practices outside of this scope of
"...managing and administering an occupational healthpractice and therefore legislation must be in place
service within legal and professional parameters;that defines and regulates this type of nursing
conducting health examinations; assessing the workpractice. Not all provinces have this in place so the
environment; providing primary, secondary, andnurse practitioner is not a legally defined type of
tertiary prevention strategies; providing healthnursing career in all provinces in Canada.
education programs; providing health promotionAll nursing jobs in Canada provide for challenge, but
programs; providing counseling interventions andthese three types of nursing careers have diversity
programs; managing the information system;and challenge that goes beyond that typically
conducting health surveillance programs; monitoringassociated with the bedside nurse in a hospital
injury/illness trends; as well as program planning,setting. However, all these three types of nursing
policy development, and cost-containment strategies."careers are regulated in the public interest and nursing
The main focus of the occupational health nurse ispractice in each specialty must adhere to the nursing
promoting and maintaining the health of workers inpractice standards set by the regulatory
their work environment. Nursing practice in thisorganizations.