The CNS is an advance practice registered nurse with a focus on the macrosystems with three scopes of influence. The three scopes of influence include the patient, nursing, and healthcare system (Stuesse, 2014). They are often the human answer to disease-specific situations (Stusesse, 2014). According to the core competencies outline by the National Association of Clinical Nurse Specialists; the CNS demonstrates their knowledge and proficiency at the macro level by developing plans of care aimed to …show more content…
NP’s are master or doctorate prepared registered nurses who provide health evaluation and disease management services to their clients or patients (McClelland, 2014). In many states NP’s are independent providers and can prescribe medications and treatments (McClelland, 2014). According to Lynch (1996) NP’s proficiency in assessment and treatment helps them provide the greatest impact in patient delivery of care. These individuals will play a major role in providing an increase access to quality health care (Hamric et al.,