Abstract
The purpose of this article is to clarify the role of the psychiatric clinical nurse specialist by re-examining some commonly held assumptions about role, communication, and the generalist/specialist debate. A historical review of the advanced practice nurse roles is examined. Parity and clarity of roles are questioned regarding the issues of boundaries, distinctive skills, and role functionality. Advanced practice nurses are challenged to define their roles in order to ensure quality and cost-effective care for the mental health client and their families.
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