Nurses are responsible for obtaining and maintaining specific knowledge and skills for different professional roles and responsibilities. The professional roles are: Caregiver, Educator, Advocate, Communicator and Manager. These roles are developed because of the need for greater levels of professional competency and expertise. They enable the nurse achieve the best possible patient care outcome in the least amount of time and resources. The developments resulted as a response to the ever-changing and increasing complexity in the healthcare systems which are due to new regulations, accreditation processes, professional standard, increased accountabilities and financial priorities. The American Nurse Association [ 2009b] distinguishes Nursing
