9+ Nursing Jobs: Explore Non-Bedside Opportunities Now!


9+ Nursing Jobs: Explore Non-Bedside Opportunities Now!

The investigation into nursing roles that exist outside of the traditional hospital or clinical setting, often referred to as bedside care, encompasses a diverse range of positions. These alternative roles utilize the skills and knowledge of registered nurses in environments such as insurance companies, pharmaceutical firms, educational institutions, and government agencies. Examples include nurse educators who train future nurses, utilization review nurses who manage healthcare costs, and legal nurse consultants who provide expert opinions in legal cases.

The pursuit of these alternative career paths offers numerous advantages for nurses seeking professional growth, improved work-life balance, or a change of pace. The healthcare landscape is constantly evolving, leading to an increased demand for nurses with specialized expertise in areas beyond direct patient care. Historically, nursing roles were primarily confined to hospitals, but the growing complexity of healthcare has created a need for nurses in diverse sectors, contributing to improved patient outcomes and more efficient healthcare delivery.

The subsequent sections will delve into specific examples of non-bedside nursing roles, examining the required qualifications, responsibilities, and potential career trajectories. These examples aim to provide nurses with a comprehensive overview of the available options and to facilitate informed decision-making regarding their career paths.

1. Career Diversification

Career diversification within the nursing profession represents a strategic shift away from traditional bedside roles, driven by a desire for professional growth, alternative work environments, and the application of nursing expertise in diverse sectors. This diversification is inherently linked to the exploration of non-bedside nursing jobs and opportunities, as it necessitates a proactive search for roles that leverage nursing skills beyond direct patient care.

  • Expanded Skill Utilization

    Diversification allows nurses to utilize a broader range of skills acquired through education and experience. Beyond clinical skills, nurses possess strong communication, critical thinking, problem-solving, and leadership abilities. Non-bedside roles such as nurse educators, legal nurse consultants, or informatics nurses require the application of these skills in unique and impactful ways. For example, a nurse educator applies pedagogical skills to train the next generation of nurses, while an informatics nurse uses analytical skills to improve healthcare data management.

  • Enhanced Work-Life Integration

    Many non-bedside nursing roles offer improved work-life integration compared to the demands of bedside nursing. Positions with regular daytime hours, remote work options, and reduced physical strain contribute to a better quality of life. For instance, a telehealth nurse may have the flexibility to work from home, while a quality improvement nurse may have a more predictable schedule than a bedside nurse. This allows for more time for personal pursuits and family commitments.

  • Increased Professional Autonomy

    Diversifying into non-bedside roles can provide nurses with increased professional autonomy and control over their career paths. These positions often involve independent decision-making, project management, and the opportunity to specialize in a particular area of interest. A nurse entrepreneur, for example, might start a healthcare consulting business, while a clinical research nurse might lead studies that advance medical knowledge. This autonomy can lead to increased job satisfaction and professional fulfillment.

  • Broader Impact on Healthcare

    By moving beyond the bedside, nurses can broaden their impact on the healthcare system as a whole. Non-bedside roles allow nurses to influence policies, improve processes, and contribute to advancements in healthcare technology. A nurse lobbyist, for instance, might advocate for policies that improve patient access to care, while a nurse informaticist might design systems that enhance patient safety and efficiency. This broader impact can be a powerful motivator for nurses seeking to diversify their careers.

In conclusion, career diversification is not merely a change in job title, but a strategic move towards utilizing nursing skills in innovative ways, achieving better work-life balance, and making a more significant impact on the healthcare landscape. The exploration of non-bedside nursing jobs and opportunities is the necessary first step in realizing the benefits of this diversification, opening doors to professional growth and personal fulfillment within the nursing profession.

2. Skills Application

The exploration of non-bedside nursing jobs and opportunities is fundamentally driven by the application of acquired nursing skills in contexts beyond direct patient care. Traditional nursing education and experience cultivate a diverse skill set encompassing clinical judgment, critical thinking, communication, patient advocacy, and leadership. The transition to non-bedside roles necessitates the adaptation and application of these core skills to new challenges and environments. The ability to effectively apply these skills is, therefore, a key determinant of success in these alternative career paths.

The correlation between skills application and the pursuit of non-bedside roles is evident in various career trajectories. For instance, a nurse transitioning into a clinical research position leverages their understanding of patient care and medical procedures to contribute to the design, implementation, and evaluation of research studies. Similarly, a nurse working in utilization review applies their clinical knowledge and critical thinking skills to assess the appropriateness and medical necessity of healthcare services, ensuring efficient resource allocation. The effectiveness with which these skills are translated into new settings directly influences the nurse’s ability to contribute meaningfully to the organization and the healthcare system as a whole.

Ultimately, the exploration of non-bedside nursing jobs and opportunities represents a strategic deployment of existing skills, refined and adapted to meet the evolving demands of the healthcare industry. While the specific skills required may vary depending on the role, the fundamental principles of nursing practice critical thinking, communication, advocacy, and leadership remain essential. Nurses who can effectively demonstrate their ability to apply these skills in innovative and impactful ways are well-positioned to thrive in non-bedside settings, thereby expanding the scope and influence of the nursing profession.

3. Patient Advocacy

Patient advocacy, a core tenet of nursing practice, extends beyond the direct care setting and significantly influences the exploration of non-bedside nursing jobs and opportunities. The commitment to safeguarding patients’ rights, ensuring informed consent, and promoting optimal health outcomes is not confined to the bedside; instead, it permeates various roles within the healthcare ecosystem. Nurses seeking to expand their influence in these areas often find non-bedside positions as avenues to effect broader systemic change. For example, a nurse working in quality improvement can analyze patient safety data to identify areas for improvement, directly advocating for safer practices across an entire hospital system. Similarly, a nurse lobbyist advocates for policies that improve access to healthcare services for underserved populations. The cause-and-effect relationship is clear: a dedication to patient advocacy often motivates nurses to seek roles where their impact can extend beyond individual patient interactions. The importance of patient advocacy as a component of exploring non-bedside opportunities lies in its ability to guide career choices towards positions that align with the nurse’s ethical and professional values.

The practical significance of understanding this connection is multifaceted. Nurses who recognize that patient advocacy is not limited to direct care can proactively seek roles in areas such as case management, utilization review, or healthcare informatics. In these roles, nurses leverage their clinical knowledge to ensure patients receive appropriate and cost-effective care, advocating for their needs within the complexities of the healthcare system. Legal nurse consultants, for example, utilize their expertise to advocate for patients in legal cases, ensuring their rights are protected. Health coaches can develop and implement personalized care plans, giving patients the resources and guidance they need to manage their conditions effectively and independently. Each of these examples demonstrates the diverse ways in which patient advocacy can be translated into non-bedside roles, and shows that nursing advocacy is not only limited to bedside care.

In summary, the exploration of non-bedside nursing jobs and opportunities is intrinsically linked to the pursuit of patient advocacy on a broader scale. By recognizing the diverse avenues through which they can champion patient rights and promote optimal health outcomes, nurses can make informed career choices that align with their professional values and contribute to a more equitable and patient-centered healthcare system. While challenges may exist in navigating the complexities of these roles, the commitment to patient advocacy serves as a guiding principle, ensuring that the needs and rights of patients remain at the forefront of healthcare decision-making.

4. Technology Integration

Technology integration has become a central tenet in the exploration of non-bedside nursing jobs and opportunities, fundamentally reshaping the roles and responsibilities of nurses beyond traditional direct patient care settings. This integration is not merely the adoption of new tools; it represents a paradigm shift in how nurses leverage technology to enhance patient outcomes, streamline processes, and expand their professional reach.

  • Telehealth and Remote Patient Monitoring

    Telehealth platforms and remote patient monitoring systems enable nurses to provide care and education to patients in remote or underserved areas. Nurses utilize video conferencing, wearable sensors, and mobile apps to assess patients, monitor vital signs, and provide medication management. This expands access to care, reduces hospital readmissions, and empowers patients to actively participate in their own health management. For example, a nurse specializing in cardiology can remotely monitor patients with heart failure, adjusting medication regimens and providing education to prevent exacerbations.

  • Electronic Health Records (EHRs) and Data Analytics

    EHRs provide a comprehensive and longitudinal view of patient health information, enabling nurses to make data-driven decisions. Nurses utilize data analytics tools to identify trends, predict risks, and improve patient outcomes. For example, a nurse working in quality improvement can analyze EHR data to identify patterns of hospital-acquired infections, implementing targeted interventions to reduce infection rates and improve patient safety.

  • Clinical Decision Support Systems (CDSS)

    CDSS provide nurses with evidence-based recommendations and alerts to guide clinical decision-making. These systems integrate patient data with clinical guidelines, helping nurses to select appropriate treatments, prevent medication errors, and improve adherence to best practices. For example, a CDSS might alert a nurse to a potential drug interaction or provide guidance on managing patients with specific conditions, such as diabetes or hypertension.

  • Healthcare Informatics and Data Management

    Healthcare informatics nurses specialize in the management and analysis of healthcare data. They design and implement systems to collect, store, and analyze patient information, ensuring data integrity and security. Informatics nurses also play a crucial role in training healthcare professionals on the effective use of technology and data. For example, a nurse informaticist might lead the implementation of a new EHR system, providing training and support to nurses and other healthcare providers.

The convergence of technology and nursing practice is not merely a trend, but a fundamental shift that is redefining the landscape of healthcare. As technology continues to advance, the demand for nurses with expertise in these areas will only continue to grow, creating opportunities and allowing them to play a pivotal role in improving patient care, driving innovation, and shaping the future of healthcare delivery.

5. Healthcare Administration

Healthcare administration represents a significant avenue for nurses seeking non-bedside career paths. It encompasses the management and oversight of healthcare systems, facilities, and programs. This domain offers nurses opportunities to utilize their clinical expertise and leadership skills in roles focused on improving operational efficiency, ensuring regulatory compliance, and enhancing patient care at a systemic level.

  • Quality Improvement Leadership

    Nurses in healthcare administration frequently lead quality improvement initiatives. They analyze data, implement best practices, and monitor outcomes to enhance patient safety and satisfaction. For example, a nurse administrator might lead a team to reduce hospital-acquired infections by implementing standardized protocols and educating staff on infection control measures. This role directly links clinical knowledge with administrative oversight, impacting patient care on a broad scale.

  • Nursing Management and Supervision

    Nursing management roles, such as nurse managers and directors of nursing, involve overseeing nursing staff, managing budgets, and ensuring compliance with regulatory standards. These positions require a strong understanding of clinical practice, as well as leadership and administrative skills. A nurse manager, for instance, is responsible for staffing, performance evaluations, and conflict resolution within a nursing unit, directly influencing the work environment and patient care quality.

  • Healthcare Compliance and Risk Management

    Nurses with a background in clinical practice are well-suited for roles in healthcare compliance and risk management. They ensure that healthcare facilities adhere to federal and state regulations, as well as accreditation standards. They also identify and mitigate potential risks to patient safety and organizational liability. A compliance officer, for example, might conduct audits to ensure adherence to HIPAA regulations or investigate patient complaints, safeguarding both patients and the organization.

  • Strategic Planning and Healthcare Policy

    Healthcare administrators with a nursing background contribute to strategic planning efforts, shaping the direction of healthcare organizations and influencing healthcare policy. They bring a valuable clinical perspective to strategic decision-making, ensuring that patient needs are prioritized. A nurse administrator might, for example, participate in developing a strategic plan to expand access to specialty care services in a rural community, combining clinical insights with business acumen to improve health outcomes.

The integration of clinical expertise with administrative functions positions nurses uniquely within the healthcare system. Through these varied roles, nursing professionals are able to leverage the knowledge and skills in a new context. This contributes to healthcare and ensures a focus on the patient experience across the board.

6. Education Roles

Education roles within nursing are intrinsically linked to the exploration of non-bedside nursing jobs and opportunities. These positions, which include nurse educators in academic institutions and staff development specialists in healthcare facilities, represent a significant departure from direct patient care while still leveraging the core competencies of the nursing profession. The demand for qualified nurse educators is driven by a nationwide nursing shortage and the need to train competent and skilled healthcare professionals. These positions directly contribute to the future workforce of nurses and improve healthcare by training qualified individuals in evidence-based practices.

Nurse educators are involved in curriculum development, classroom instruction, clinical supervision, and student mentorship. They require advanced education, typically a Master of Science in Nursing (MSN) with a focus on education or a Doctor of Nursing Practice (DNP) degree. Staff development specialists, on the other hand, focus on providing continuing education and training to nurses within a specific healthcare organization. This can involve conducting workshops, presenting in-services, and developing online learning modules. Clinical nurse specialists often incorporate educational roles, providing specialized knowledge and training to nurses in their area of expertise.

In summary, education roles represent a vital non-bedside avenue for nurses, contributing to the development of future nursing professionals and the advancement of knowledge within the field. The role of education can serve as career progression and growth through professional development. This commitment to education ensures the delivery of safe, high-quality patient care throughout the healthcare system.

7. Research Contributions

Research contributions are integral to the exploration of non-bedside nursing jobs and opportunities. A nurse’s engagement in research, whether through conducting studies, analyzing data, or implementing evidence-based practices, broadens career prospects beyond direct patient care. The cause-and-effect relationship is demonstrable: participation in research cultivates critical thinking, analytical skills, and a deeper understanding of healthcare systems, thereby opening doors to roles such as clinical research nurses, nurse scientists, and research consultants. These roles are inherently non-bedside and directly benefit from a nurse’s research experience.

The importance of research contributions as a component of exploring non-bedside opportunities stems from its ability to enhance a nurse’s expertise and credibility. For example, a nurse who has published research on the effectiveness of a new wound care protocol may be well-suited for a position as a clinical specialist or a consultant for a medical device company. Furthermore, involvement in research equips nurses with the skills necessary to evaluate and implement evidence-based practices, a crucial competency in many non-bedside roles, including those in quality improvement, risk management, and healthcare policy. Consider a nurse who utilizes research findings to implement a new falls prevention program in a long-term care facility, resulting in a significant reduction in fall-related injuries. This demonstrates the practical application of research in improving patient outcomes and justifying a transition to a leadership or administrative role.

In conclusion, research contributions serve as a catalyst for exploring non-bedside nursing jobs and opportunities. By actively participating in research endeavors, nurses develop specialized skills, enhance their professional standing, and contribute to the advancement of nursing knowledge. These factors collectively increase their competitiveness for non-bedside positions and empower them to make a significant impact on healthcare beyond the confines of direct patient care. Challenges exist, such as securing funding and navigating ethical considerations; however, the benefits of research involvement are undeniable and essential for nurses seeking to expand their career horizons.

8. Consultation Services

Consultation services, within the nursing profession, represent a critical pathway for nurses seeking to expand their careers beyond the traditional bedside role. This specialized area leverages the expertise and knowledge of experienced nurses to provide guidance, analysis, and solutions to various healthcare-related challenges, thereby opening diverse non-bedside opportunities.

  • Legal Nurse Consulting

    Legal nurse consultants employ their clinical expertise to analyze medical records, provide expert opinions, and assist attorneys in legal cases involving healthcare issues. They may review cases of medical malpractice, personal injury, or workers’ compensation, offering insights into standards of care, causation, and damages. Their role is instrumental in bridging the gap between the legal and medical fields. For example, a legal nurse consultant might analyze a patient’s medical record to determine if a healthcare provider deviated from accepted standards of care, potentially leading to a successful malpractice claim.

  • Informatics Consulting

    Informatics consultants specialize in the application of information technology to healthcare. They advise healthcare organizations on the selection, implementation, and optimization of electronic health records (EHRs), clinical decision support systems, and other health IT tools. Their role is crucial in improving patient safety, enhancing data quality, and streamlining healthcare workflows. For instance, an informatics consultant might help a hospital implement a new EHR system, ensuring that it meets the needs of clinicians and improves the efficiency of patient care.

  • Risk Management Consulting

    Risk management consultants assist healthcare organizations in identifying and mitigating potential risks to patient safety, financial stability, and regulatory compliance. They conduct risk assessments, develop risk management plans, and provide training to staff on risk prevention strategies. Their expertise is essential in creating a culture of safety and minimizing potential liabilities. A risk management consultant might analyze incident reports to identify trends and develop interventions to prevent future adverse events, such as medication errors or falls.

  • Healthcare Business Consulting

    Healthcare business consultants provide expertise in areas such as strategic planning, financial management, and operational improvement. They work with hospitals, physician practices, and other healthcare organizations to enhance efficiency, reduce costs, and improve patient outcomes. Their role often involves analyzing financial data, conducting market research, and developing business plans. For example, a healthcare business consultant might help a physician practice improve its revenue cycle management, reducing billing errors and increasing collections.

The integration of these specialized consultation services significantly broadens the scope of nursing practice, offering experienced nurses avenues to leverage their expertise in diverse and impactful ways. Nurses can leverage their experience into a consulting role, and further promote their career.

9. Policy Influence

Policy influence, in the context of nursing, represents a significant, yet often overlooked, dimension within the exploration of non-bedside nursing jobs and opportunities. Nurses who actively engage in shaping healthcare policies can exert a broad impact on patient care, resource allocation, and professional standards, extending far beyond the direct patient interaction of traditional bedside roles.

  • Legislative Advocacy

    Legislative advocacy involves nurses working to influence the passage or modification of laws related to healthcare. This may entail lobbying elected officials, providing expert testimony at hearings, or organizing grassroots campaigns to raise awareness about specific issues. For example, a nurse lobbyist might advocate for legislation that expands access to mental health services or improves reimbursement rates for advanced practice registered nurses. Effective legislative advocacy requires a deep understanding of the legislative process and the ability to articulate the potential impact of proposed policies on patients and healthcare professionals.

  • Regulatory Engagement

    Regulatory engagement focuses on influencing the development and implementation of regulations promulgated by government agencies. Nurses can participate in this process by submitting comments on proposed rules, serving on advisory committees, or collaborating with regulatory bodies to develop best practice guidelines. For instance, a nurse with expertise in infection control might work with a state health department to develop regulations aimed at preventing healthcare-associated infections. Successful regulatory engagement requires a thorough understanding of the regulatory landscape and the ability to translate clinical knowledge into practical, evidence-based recommendations.

  • Professional Organization Leadership

    Serving in leadership positions within professional nursing organizations offers another avenue for policy influence. These organizations often advocate for the interests of nurses and patients at the local, state, and national levels. By participating in policy committees, serving on boards of directors, or representing the organization in public forums, nurses can help shape the direction of healthcare policy. For example, a nurse serving as president of a state nurses association might advocate for policies that promote nurse autonomy or address workforce shortages. Effective leadership within professional organizations requires strong communication skills, a commitment to advocacy, and the ability to build consensus among diverse stakeholders.

  • Community Health Initiatives

    Nurses can also influence policy through participation in community health initiatives. By identifying health disparities, developing targeted interventions, and advocating for community-based solutions, nurses can address social determinants of health and improve health equity. For example, a nurse working in a community health center might advocate for policies that increase access to affordable housing or improve food security in underserved neighborhoods. Successful community health initiatives require a deep understanding of the social, economic, and environmental factors that influence health, as well as the ability to collaborate with community partners and build trust with residents.

These various avenues of policy influence highlight the diverse opportunities available to nurses seeking to expand their impact beyond direct patient care. By actively engaging in policy-making processes, nurses can shape the future of healthcare and improve the lives of patients and communities. The pursuit of non-bedside careers focused on policy provides a platform for nurses to leverage their clinical expertise and advocacy skills to create lasting, systemic change.

Frequently Asked Questions

The following questions and answers address common inquiries regarding career paths for nurses that extend beyond direct patient care in a traditional bedside setting. The information presented aims to clarify the scope, requirements, and potential benefits of these alternative nursing roles.

Question 1: What constitutes a “non-bedside” nursing job?

A non-bedside nursing job refers to any role that utilizes the skills and knowledge of a registered nurse but does not primarily involve direct, hands-on patient care. These positions may be located in various settings, including insurance companies, pharmaceutical firms, government agencies, educational institutions, and private consulting firms.

Question 2: What are the typical educational requirements for non-bedside nursing positions?

The educational requirements vary depending on the specific role. However, a Bachelor of Science in Nursing (BSN) is generally preferred, and many positions may require a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP), particularly for advanced roles in administration, education, or research. Certifications relevant to the specific field may also be necessary.

Question 3: How does the salary for non-bedside nursing jobs compare to traditional bedside nursing?

Salary ranges for non-bedside nursing positions can vary significantly based on factors such as experience, education, location, and the specific role. Some non-bedside positions may offer higher earning potential than traditional bedside roles, particularly those in specialized areas such as informatics or legal consulting. However, entry-level non-bedside positions may offer comparable or slightly lower salaries.

Question 4: What skills are essential for success in non-bedside nursing roles?

Essential skills include strong communication, critical thinking, analytical abilities, leadership qualities, and a solid understanding of healthcare systems and regulations. The ability to adapt to new technologies and learn continuously is also crucial. Proficiency in areas such as data analysis, project management, and strategic planning may be required for certain positions.

Question 5: What are some examples of career advancement opportunities within non-bedside nursing?

Career advancement opportunities include moving into leadership positions within healthcare organizations, specializing in a particular area of interest (e.g., informatics, quality improvement), pursuing advanced education to become a nurse practitioner or nurse educator, or transitioning into consulting roles. The specific opportunities will depend on the individual’s skills, experience, and career goals.

Question 6: What are the potential benefits of transitioning to a non-bedside nursing career?

Potential benefits include improved work-life balance, reduced physical strain, increased professional autonomy, opportunities for specialized training and development, and the ability to contribute to healthcare at a systemic level. Non-bedside roles may also offer greater opportunities for career growth and advancement.

The exploration of non-bedside nursing careers requires careful consideration of individual skills, interests, and career goals. The information provided here offers a starting point for nurses seeking to broaden their professional horizons and make a meaningful impact on the healthcare landscape.

The subsequent sections will offer direction for nurses seeking to grow into leadership roles.

Tips for Exploring Non-Bedside Nursing Jobs and Opportunities

The following guidance facilitates the process of investigating nursing careers beyond the traditional bedside role. The advice emphasizes practical steps and considerations for a successful transition.

Tip 1: Conduct a Self-Assessment: Evaluate existing skills, interests, and career goals. Identify strengths, weaknesses, and areas for professional development. This self-awareness informs the direction of the job search and ensures a strategic approach.

Tip 2: Research Non-Bedside Nursing Roles: Investigate the diverse range of non-bedside nursing positions available. Explore roles such as nurse educator, legal nurse consultant, informatics nurse, and case manager. Understand the specific requirements, responsibilities, and potential career paths associated with each role.

Tip 3: Network Strategically: Engage with professionals working in non-bedside nursing settings. Attend industry conferences, join professional organizations, and connect with individuals on platforms like LinkedIn. Networking provides valuable insights, mentorship opportunities, and potential job leads.

Tip 4: Tailor Resume and Cover Letter: Customize application materials to highlight skills and experience relevant to the specific non-bedside role. Emphasize transferable skills such as communication, critical thinking, and leadership. Quantify accomplishments whenever possible to demonstrate impact.

Tip 5: Obtain Relevant Certifications: Pursue certifications that enhance credibility and demonstrate expertise in a particular non-bedside nursing area. Examples include certification in informatics nursing, case management, or legal nurse consulting. Certifications can significantly improve job prospects.

Tip 6: Gain Experience Through Volunteering or Internships: Seek opportunities to gain practical experience in non-bedside settings. Volunteer at a community health organization, intern with a healthcare consulting firm, or participate in research projects. This provides valuable hands-on experience and strengthens qualifications.

Tip 7: Develop Technology Skills: Enhance proficiency in relevant technologies, such as electronic health records (EHRs), data analytics tools, and telehealth platforms. Technology skills are increasingly essential for success in non-bedside nursing roles.

The careful application of these tips will improve the likelihood of a successful transition into a fulfilling non-bedside nursing career. A proactive and informed approach maximizes opportunities for professional growth and personal satisfaction.

The subsequent section provides a conclusion to this exploration of nursing opportunities beyond the bedside.

Conclusion

This exploration of non-bedside nursing jobs and opportunities has revealed a diverse landscape of career options for nurses seeking alternatives to traditional direct patient care. From roles in education and research to positions in administration, consultation, and policy, the nursing profession extends far beyond the confines of the hospital setting. The key takeaway is the adaptability and versatility of nursing skills, which can be effectively applied in a wide range of non-clinical contexts. The exploration has highlighted the importance of self-assessment, strategic networking, and targeted skill development in facilitating a successful transition to a non-bedside nursing career.

As the healthcare system continues to evolve, the demand for nurses with specialized expertise in areas beyond direct patient care is likely to increase. Nurses are encouraged to proactively explore these opportunities, leverage their unique skills and experiences, and contribute to the advancement of healthcare in innovative and impactful ways. The future of nursing lies not only at the bedside but also in the diverse and dynamic non-bedside roles that are shaping the delivery of care.