Transcultural Nurse Specialist
The purpose of the review of liter
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The purpose of the review of literature presented here is to determine, on the basis of pertinent work in the existing knowledge base, the role requirements of the Transcultural Nurse Specialist (TNS) in the managed care system. To this end, the paper presents a brief overview of the managed care system. This is followed by a definition of transcultural nursing and a discussion of its general function in managed care. The next section of the review describes and discusses the roles of the transcultural nurse specialist, using Role Theory as a conceptual framework. To place the roles of the TNS in context, the delineated roles of the TNS will be compared and contrasted to those of the Clinical Nurse Specialist (CNS). The review ends with a delineation of conclusions formulated on the basis of the reviewed research as well as implications and recommendations for future research in the field. Managed care is a broad category of health care delivery that encompasses 23 different types of organizations...In general, they are means of coordinating and presumably streamlining health care. (p. 8) Although there is a good deal of variation, Landers (1995) reports that the two major models of managed care in the United States are The Health Maintenance Organization (HMO) and the Individual Practice Association (IPA). The structure of these models differ somewhat. HMOs provide medical services to clients (e.
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list have at least nine roles; these are those of: (1) Expert Clinical Practioner; (2) Educator; (3) Administrator; (4) Consultant; (5) Entrepreneur; (6) Researcher; (7) Change Agent; (8) Culture Broker; and (9) Changing the Future Now. Each of these roles are discussed below.
Expert Clinical Practioner. In the capacity of expert, the CNS functions to provide direct care of patients. This care can be provided across a wide range of settings including those of managed care organizations (Hazelton, Boyum & Frost, 19993).
The transcultural nurse specialist has the same knowledge and skills as the CNS and applies these toward the same goal of optimal patient care. However, according to Munhall (1993), because of his/her awareness of the influence of culture and the difficulties that it can create in terms of nurses fulfilling their functions, job tasks, and responsibilities, the transcultural nurse must also practice "the art of unkowning," defined as the knowledge that one does not know the patient's subjective world. It is only by admitting that they really do not know the inner world of their patients that transcultural nurses can have authentic relationships with those in their charge.
Another way of saying this is th
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Some common words found in the essay are:
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Approximate Word count = 3850
Approximate Pages = 15 (250 words per page)
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