A nurse scientist is a registered nurse with advanced education and expertise in nursing research. [1] These professionals play a critical role in advancing nursing knowledge, improving patient care, and shaping the future of the nursing profession. [1] Highly educated and specialized, nurse scientists conduct research to generate new knowledge about nursing care, employing a deep understanding of nursing theory, research methodologies, and clinical practice. [2] Nurse scientists are essential contributors to the development of new nursing interventions and practices. [3] Their skills extend beyond academic settings and these advanced nurses work in hospitals, research institutes, and community organizations. Through their efforts, nurse scientists have a profound impact on the quality of healthcare, contributing significantly to the improvement of patient care and the overall advancement of the nursing profession. [3] They possess advanced qualifications, typically holding a Ph.D. in nursing or a related field, demonstrating expertise not only in research principles and methodology but also in-depth content knowledge within a specific clinical area. The primary focus of the role is to provide leadership in the development, coordination and management of clinical research studies; provide mentorship for nurses in research; lead evaluation activities that improve outcomes for patients participating in research studies; contribute to the overall health sciences literature. [4] Nurse scientists have been regarded as knowledge brokers. [5] They participate in nursing research. [6] [7] [8] [9] [10] [11] [12]
The term "nurse scientist" refers to a specialized nursing professional whose primary focus is on advancing healthcare through dedicated efforts in research, education, and advocacy. [3] Nurse scientists are integral contributors to the healthcare landscape, actively engaged in generating new knowledge that can positively impact patient outcomes and the nursing profession as a whole. [3]
One of the primary responsibilities of nurse scientists is to conduct rigorous research that expands the understanding of various aspects of healthcare. [3] This research is essential for developing evidence-based nursing interventions, a critical role in improving the quality of patient care. [2] By applying scientific methods to nursing practice, nurse scientists contribute to the ongoing enhancement of healthcare delivery.
Nurse scientists serve a pivotal function in connecting the realms of research and clinical practice. Their role is essential in translating research discoveries into practical insights for healthcare providers, facilitating the seamless integration of the most recent evidence into patient care. [13] This systematic approach contributes to the ongoing enhancement of healthcare standards and cultivates a professional atmosphere where evidence-based practices thrive within the nursing community.
In addition to their research and translational roles, nurse scientists actively engage in mentorship and education. By sharing their expertise and experiences, they contribute to the development of future generations of nurse scientists. [2] This educational aspect is vital for sustaining the growth and evolution of nursing research, creating a legacy of expertise that extends beyond individual careers.
Furthermore, nurse scientists serve as advocates for the nursing profession. Through their research and expertise, they influence policy development and promote the significance of nursing research in shaping healthcare practices. [2] This advocacy role is crucial for elevating the profile of nursing and ensuring that evidence-based practices are embedded in healthcare policies and protocols.
The role of a nurse scientist encompasses various essential functions within the healthcare landscape, contributing significantly to the advancement of nursing practice. The following key responsibilities outline the multifaceted contributions of nurse scientists, as supported by relevant literature:
Nurse scientists actively engage in conducting nursing research to generate novel insights and contribute to the expansion of knowledge within the field. [3] Through systematic investigation and analysis, they seek to address gaps in current understanding, fostering the evolution of evidence-based nursing practices.
Nurse scientists play a pivotal role in the development and evaluation of evidence-based nursing interventions. [2] This involves a meticulous process of designing, implementing, and assessing interventions to ensure they are grounded in the best available evidence, thereby enhancing the quality and effectiveness of nursing care.
The translation of research findings into clinical practice is a critical aspect of the nurse scientist's role. [13] By bridging the gap between research and practical application, nurse scientists contribute to the integration of the latest evidence into patient care settings. This process facilitates the continual improvement of healthcare standards and encourages an environment of evidence-based practice.
Nurse scientists actively engage in mentorship and education, nurturing the growth of future professionals in the field. [2] Through sharing their expertise and experiences, they contribute to the development of the next generation of nurse scientists, ensuring the sustainability and progression of nursing research.
Nurse scientists serve as advocates for the nursing profession, actively influencing policy development and promoting the importance of nursing research. [13] Through their advocacy efforts, they contribute to shaping the broader healthcare landscape and reinforcing the significance of evidence-based practices within nursing.
Nurse scientist education and training are integral components that shape the expertise and proficiency of professionals in this specialized field. The educational pathway typically involves the following key elements:
Master's degree in nursing: Many nurse scientists begin their formal education with a master's degree in nursing. This advanced degree provides a comprehensive foundation in nursing principles and practices, laying the groundwork for a more specialized focus on research and scientific inquiry.
Doctor of Philosophy in Nursing (Ph.D.): The decision to pursue a Doctor of Philosophy in Nursing (Ph.D.) marks a significant milestone in the academic and professional development of aspiring nursing scientists. This advanced program extends beyond fundamental concepts, prioritizing the refinement of advanced research capabilities, cultivation of critical thinking, and establishment of a robust theoretical understanding. The overarching objective is to equip individuals with proficiency to undertake independent research and contribute substantively to the field.
Postdoctoral training in nursing research: Beyond doctoral education, nurse scientists often undergo postdoctoral training in nursing research to further refine their research skills and gain hands-on experience in conducting high-quality, innovative research projects. This phase of training allows individuals to deepen their expertise and contribute to the ongoing advancements within the nursing research domain.
In summary, the educational and training trajectory for nurse scientists typically involves a progression from a master's degree in nursing to a Doctor of Philosophy in Nursing, followed by postdoctoral training in nursing research. This structured pathway ensures that nurse scientists acquire the necessary knowledge and skills to engage in rigorous research and contribute meaningfully to the advancement of nursing science. [1]
Nurse scientists contribute significantly to healthcare by influencing improved patient outcomes through the implementation of evidence-based practices. [2] The impact of nurse scientists on healthcare is multi-faceted, encompassing several key dimensions:
The influence of nurse scientists on healthcare is evident in the enhanced quality of care facilitated by the application of the latest research findings. [3] Nurse scientists help improve patient care by doing research. They add to the information that guides how healthcare is provided, making sure it is based on the latest evidence. This way, healthcare providers have the most recent knowledge to give effective and informed care, leading to better outcomes for patients.
Nurse scientists play a crucial role in advancing nursing knowledge and practice, contributing to the evolution of the profession. [13] Through their research endeavors, they generate new insights and innovative approaches that shape the way nursing care is delivered. This continuous advancement in knowledge is essential for adapting to evolving healthcare needs and ensuring that nursing practices align with the latest evidence-based standards.
Beyond the clinical setting, nurse scientists contribute to the strengthening of the nursing profession by actively engaging in advocacy and influencing healthcare policies. [13] Their expertise allows them to advocate for the integration of evidence-based practices into policy frameworks, thereby promoting a healthcare environment that prioritizes the application of research findings in decision-making processes.
Nurse scientists, despite their valuable contributions, encounter challenges that can impact their effectiveness in advancing healthcare. These challenges include limited resources, a lack of senior leadership support, and difficulties in translating research findings into practical applications. [3]
The accelerated retirements of faculty in Ph.D. nursing programs, notably exacerbated by the COVID-19 pandemic, present a notable challenge. This trend has created a significant gap that necessitates attention to ensure the continued development of nurse scientists, posing a potential obstacle to sustaining a robust pipeline of nursing researchers. [14]
Despite these challenges, nurse scientists have opportunities to lead initiatives aimed at enhancing the quality of patient care and outcomes through evidence-based practice and research. [2] By taking on leadership roles within nursing and healthcare professional organizations, nurse scientists can advocate for research priorities and contribute to shaping the nursing profession, thus overcoming some of the challenges they face. [2] This dual perspective of challenges and opportunities underscores the dynamic nature of the nurse scientist role in the contemporary healthcare landscape.
Several American nurse scientists have made notable contributions to the field of nursing through their theories, models, and research. The following individuals have left a lasting impact on nursing theory, education, and practice:
Virginia Henderson: Virginia Henderson, an American nurse and theorist, is renowned for developing the "Needs Theory of Nursing." This theory, focusing on fundamental human needs, has become one of the most widely used nursing theories globally and has profoundly influenced nursing practice. [15]
Jean Watson: Jean Watson, an American nurse and theorist, is recognized for developing the "Transpersonal Caring Model of Nursing." This theory places a significant emphasis on human caring in nursing, impacting both nursing education and practice. The model highlights the importance of the interpersonal aspects of patient care.
Patricia Benner: American nurse and theorist who developed the "Stages of Clinical Expertise" model. This model describes the different stages of nursing expertise and has helped to improve the understanding of nursing skill development.
Kathleen McCauley: American nurse and researcher who developed the "Model of Cultural Care". This model is a framework for culturally competent nursing care and has been adopted by nursing schools and healthcare organizations around the world. [16]
Elizabeth Corwin: American nurse and researcher who is the vice dean of research at Columbia University School of Nursing. She is a physiologist and family nurse practitioner. Elizabeth Corwin is currently conducting interdisciplinary research on the biological mechanisms causing adverse health outcomes in pregnant and postpartum women, particularly among low-income and minority populations. [17]
Nursing theory is defined as "a creative and conscientious structuring of ideas that project a tentative, purposeful, and systematic view of phenomena". Through systematic inquiry, whether in nursing research or practice, nurses are able to develop knowledge relevant to improving the care of patients. Theory refers to "a coherent group of general propositions used as principles of explanation".
A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, prescribe medications and formulate treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion.
The Doctor of Nursing Practice (DNP) is a professional degree in nursing in the United States of America.
Supervision is used in counselling, psychotherapy, and other mental health disciplines as well as many other professions engaged in working with people. Supervision may be applied as well to practitioners in somatic disciplines for their preparatory work for patients as well as collateral with patients. Supervision is a replacement instead of formal retrospective inspection, delivering evidence about the skills of the supervised practitioners.
A clinical nurse specialist (CNS) is an advanced practice nurse who can provide advice related to specific conditions or treatment pathways. According to the International Council of Nurses (ICN), an Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice.
A health professional, healthcare professional, or healthcare worker is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a nurse, physician, physician assistant, registered dietitian, veterinarian, veterinary technician, optometrist, pharmacist, pharmacy technician, medical assistant, physical therapist, occupational therapist, dentist, midwife, psychologist, audiologist, or healthcare scientist, or who perform services in allied health professions. Experts in public health and community health are also health professionals.
Nursing in the United States is a professional health care occupation. It is the largest such occupation, employing millions of certified professionals. As of 2023, 3,175,390 registered nurses were employed, paid a median income of $86,070.
Patient advocacy is a process in health care concerned with advocacy for patients, survivors, and caregivers. The patient advocate may be an individual or an organization, concerned with healthcare standards or with one specific group of disorders. The terms patient advocate and patient advocacy can refer both to individual advocates providing services that organizations also provide, and to organizations whose functions extend to individual patients. Some patient advocates are independent and some work for the organizations that are directly responsible for the patient's care.
Gerontological nursing is the specialty of nursing pertaining to older adults. Gerontological nurses work in collaboration with older adults, their families, and communities to support healthy aging, maximum functioning, and quality of life. The term gerontological nursing, which replaced the term geriatric nursing in the 1970s, is seen as being more consistent with the specialty's broader focus on health and wellness, in addition to illness.
Evidence-based nursing (EBN) is an approach to making quality decisions and providing nursing care based upon personal clinical expertise in combination with the most current, relevant research available on the topic. This approach is using evidence-based practice (EBP) as a foundation. EBN implements the most up to date methods of providing care, which have been proven through appraisal of high quality studies and statistically significant research findings. The goal of EBN is to improve the health and safety of patients while also providing care in a cost-effective manner to improve the outcomes for both the patient and the healthcare system. EBN is a process founded on the collection, interpretation, appraisal, and integration of valid, clinically significant, and applicable research. The evidence used to change practice or make a clinical decision can be separated into seven levels of evidence that differ in type of study and level of quality. To properly implement EBN, the knowledge of the nurse, the patient's preferences, and multiple studies of evidence must all be collaborated and utilized in order to produce an appropriate solution to the task at hand. These skills are taught in modern nursing education and also as a part of professional training.
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. Shortages of qualified nurses are found in many countries.
Patient participation is a trend that arose in answer to medical paternalism. Informed consent is a process where patients make decisions informed by the advice of medical professionals.
Evidence-based dentistry (EBD) is the dental part of the more general movement toward evidence-based medicine and other evidence-based practices. The pervasive access to information on the internet includes different aspects of dentistry for both the dentists and patients. This has created a need to ensure that evidence referenced to are valid, reliable and of good quality.
The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure. Used for documenting the plan of care; following the nursing process in all health care settings.
Holistic nursing is a way of treating and taking care of the patient as a whole body, which involves physical, social, environmental, psychological, cultural and religious factors. There are many theories that support the importance of nurses approaching the patient holistically and education on this is there to support the goal of holistic nursing. The important skill to be used in holistic nursing would be communicating skills with patients and other practitioners. This emphasizes that patients being treated would be treated not only in their body but also their mind and spirit.. Holistic nursing is a nursing speciality concerning the integration of one's mind, body, and spirit with his or her environment. This speciality has a theoretical basis in a few grand nursing theories, most notably the science of unitary human beings, as published by Martha E. Rogers in An Introduction to the Theoretical Basis of Nursing, and the mid-range theory Empowered Holistic Nursing Education, as published by Dr. Katie Love. Holistic nursing has gained recognition by the American Nurses Association (ANA) as a nursing specialty with a defined scope of practice and standards. Holistic nursing focuses on the mind, body, and spirit working together as a whole and how spiritual awareness in nursing can help heal illness. Holistic medicine focuses on maintaining optimum well-being and preventing rather than just treating disease.
Public health nursing, also known as community health nursing is a nursing specialty focused on public health. The term was coined by Lillian Wald of the Henry Street Settlement, or, Public health nurses (PHNs) or community health nurses "integrate community involvement and knowledge about the entire population with personal, clinical understandings of the health and illness experiences of individuals and families within the population." Public health nursing in the United States traces back to a nurse named Lillian Wald who, in 1893, established the Henry Street Settlement in New York City and coined the expression "public health nurse". A Public or Community Health Nurse is expected to comply with the duties and limitations of the American Nurse Association (ANA) publication Public Health Nursing: Scope and Standards of Practice.
Katharine Kolcaba is an American nursing theorist and nursing professor. Dr. Kolcaba is responsible for the Theory of Comfort, a broad-scope mid-range nursing theory commonly implemented throughout the nursing field up to the institutional level.
Genetics nursing is a nursing specialty that focuses on providing genetic healthcare to patients.
Patricia Sawyer Benner is a nursing theorist, academic and author. She is known for one of her books, From Novice to Expert: Excellence and Power in Clinical Nursing Practice (1984). Benner described the stages of learning and skill acquisition across the careers of nurses, applying the Dreyfus model of skill acquisition to nursing practice. Benner is a professor emerita at the University of California, San Francisco UCSF School of Nursing.
Daniel J. Pesut is an American nurse educator, academic, researcher and coach. He is an Emeritus Professor of Nursing, Past Director of Katharine J. Densford International Center for Nursing Leadership, and Katherine R. and C. Walton Lillehei Chair in Nursing Leadership at University of Minnesota.