Comparison between direct and indirect care-taking

Comparison between direct and indirect care-taking

In nursing, direct care refers to the provision of services to the patient whereby a practitioner or the health care provider is expected to interact with the patient to a certain degree such as the roles that are performed by an NP. On the other hand, secondary care does not necessarily require any interaction between the health care provider and the patient and may include; an administrative, informaticist, or an educator nurse. There exists a correlation form of relationship between direct and indirect caregivers’ activities (Hamric et al, 2014). The most notable similarity that exists between direct and indirect care giving is that both strive to offer quality patient care in the long-run. This paper will highlight core competencies an administrative nurse and an NP nurse in the process of care giving comparing the two.

An administrative nurse is tasked with all managerial activities and responsibilities that ensure the smooth running of care giving activities to patients in any organization (Doenges et al, 2014). In this regard, he or she is most likely to be faced with critical decisions that affect staff productivity in general. This essentially means that an administrative nurse will typically assess costly combinations of both physical as well as human resources. This is an important assessment that is aimed at yielding a favorable cost-measurable outcome reported in figures and facts (Basayantappa, 2008). Although these activities do not directly interact with patients as in the case of an NP, they are frequently aimed at reducing patients’ stay in any health institution. Therefore, the value attained by an administrative nurse is achieved when he or she can meet the technical and physical needs of patients as opposed to gaining financial value or any attention.

Direct nursing is accomplished through constant or regular interaction with patients through real or actual humanistic caring (Ralph & Taylor, 2013). Their core competencies present threats to the nursing professions just as external economic forces do. Such internal threats are seen when an NP nurse has the inability to properly articulate their actual practices in the caring profession. In this case, an administrative nurse is tasked with clearly explicating all relevant caring practices that patients require from an NP nurse. Besides, an administrative nurse is required to demonstrate as well as measure the impacts of all economic decisions that involves the overall nursing practices in the health institution (Ralph & Taylor, 2013). This can be achieved by evaluating or assessing the level of productivity of an NP nurse as well as the patients’ outcomes when it comes to those activities. It is important to note that patients’ outcomes present credible data that is used by administrative nurses the assess the effectiveness of NP nurses.

There is a commonly held misconception that an NP nurse always produces patients’ outcomes that are positive. This is because the nursing profession is usually believed to promote the family or individual health through nurse caring (Baird & Bethel, 2010). This believes eventually presents a healing effect because it encompasses important factors such as health, human relatedness, human development, general well –being as well as the overall patient satisfactory. Of all this factor, the most important factor that is closely associated with the core competencies of an NP nurse is patients’ successful that is achieved as a result of the experience that an NP accords to them. In this case, an administrative nurse regularly uses that patients’ satisfaction as a critical marketing tool from an economic perspective in an environment that is highly competitive (Ralph & Taylor, 2013). This inherently implies that an NP nurse’s core activities present critical perceptions to patients, which is then used as an indicator for measuring patient quality outcomes by an administrative nurse.

Moreover, administrative nurses are expected to have a clear imperative that can balance the role of NP nurses in the delivery of services that are of high quality (Hamric et al, 2014). This is through an efficient decision-making process that involves the utilization of all available resources. This means that it is the core mandate of an administrative nurse to hold enough knowledge and skills of making important decisions from both the NP’s practices that support patients’ side and also from a business perspective.

In essence, the core competencies of an administrative nurse require that he or she must fully understand the relationship between economic or business decisions and the quality of patients’ care (Hamric et al, 2014). This is by shunning activities aimed at achieving short-term cost saving practices such as decreasing the number of NP nurses or substituting nursing assistants. These administrative activities have negative consequences as they lead to undermining any efforts aimed at raising the competitive edge of a health institution in the delivery of patient care (Hamric et al, 2014). This means that the effectiveness of the developed system as well as cutting the costs are not adequate tools for the survival of any organization. Hence, the core competencies of an NP Nurse remain to be the most critical tools in reaching out and convincing consumer groups that patient care is of high quality in a particular health institution.

Direct care giving typically offered by NP nurses is known to be the heart of the nursing profession. Unlike in secondary care such as the core competencies laid out for an administrative nurse, the core competence of an NP nurse is to care for the patients. This is because caring in nursing is typically defined to be a human trait, interpersonal interaction, a moral imperative or therapeutic intervention (Basayanthappa, 2008). Additionally, some theorists have further identified caring to be the moral ideal in the profession of nursing, whose aim is to enhance, protect and preserve human dignity. Therefore, an NP nurse is expected to have all relevant knowledge, values, willingness and the will to care for the patients. However, in contrast to an administrative nurse an NP nurse is expected have a caring consciousness during every nursing practice or transaction (Basayanthappa, 2008). This is important as it seeks to direct those practices or actions towards critical care to the patients as the primary core competency.

Moreover, in comparison with an administrative nurse the curative factors of an NP nurse normally become actualized during interaction moments with the patients that regularly happen frequently. During any time of contact with the patient, such a nurse is faced with the dilemma of choosing the most efficient action and choice in the mode of interaction with different types of patients (Ralph & Taylor, 2014). Thus, during such interactive moments, an NP nurse is faced with an opportunity of deciding how on the kind of relationship that will be established with different patients. This type of dilemma or opportunity is usually non-existent for administrative patients who do not necessarily interact with patients. Besides, it is worth noting that the actual caring practice which is the primary core competency of an NP is commonly greater than the occasion itself.  This is mainly because the concept of caring typically emphasizes on patients’ perceptions in regards to being able to correctly identify any caring event if it occurs at any given interaction with an NP nurse (Ralph &Taylor, 2013). Consequently, this judgment is used as an important tool for measuring the quality of patients care by administrative nurses.


Baird S. M. & Bethel S. (2010). Manual of Critical Care Nursing: Nursing Interventions. Germany. Elsevier.

Basayanthappa B. T.(2008). Community Health Nursing. Panama. Jaypee Brothers Publications.

Doenges E. M, Moorhouse F. M. Murr C. A. (2014). Nursing Care Plans: Guidelines for Individualizing Client Care. Philadelphia. F. A Davis Publication.

Hamric B. A. Hamson M. C. Tracy F. M. (2014). Advanced Practice Nursing: An Integrative Approach. Germany. Elsevier.

Ralph S. & Taylor M. C. (2013). Sparks and Tailor’s Nursing Diagnosis Pocket Guide. Philadelphia. Wolters Kluwer Health. Philadelphia. Wolters Kluwer Health Publications

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