HealthcareISCO 2221

Specialist nurse

Specialist nurses promote and restore people's health, and diagnose and care within a specific branch of the nursing field. Examples of such specialist nursing jobs include but are not restricted to; ambulatory care nurse, advanced practice nurse, cardiac nurse, dental nurse, community health nurse, forensic nurse, gastroenterology nurse, hospice and palliative care nurse, paediatric nurse, public health nurse, rehabilitation nurse, renal nurse and school nurse. Specialist nurses are general care nurses prepared beyond the level of a nurse generalist and authorised to practice as specialists with specific expertise in a branch of the nursing field.

Check yourself in a minute: specialist nurse

Rate 5 of the 66 essential skills of this occupation (European ESCO data). No account needed.

respond to changing situations in health care

manage hospital-acquired infections

delegate emergency care

educate on the prevention of illness

inform policy makers on health-related challenges

About specialist nurse

As a specialist nurse, you will provide expert care within a specific branch of nursing, drawing on advanced knowledge and training beyond general nursing practice. Your day-to-day responsibilities include delivering specialized clinical care, managing complex patient cases, responding to changing healthcare situations, and using advanced technologies like e-health systems to support patient outcomes. You might work in areas such as cardiac care, pediatrics, palliative care, or community health, where your deep expertise directly improves patient recovery and quality of life. The Polish healthcare system increasingly values specialist nurses to address chronic disease management, aging populations, and emerging health challenges, making this a career with strong job security and opportunities for advancement.

Key Work Functions

Core areas of responsibility for a specialist nurse.

1

Specialized Patient Care Delivery

  • Assess and diagnose nursing care needs for patients within your specialty area
  • Provide professional clinical care using advanced techniques and evidence-based practices
  • Manage communicable diseases and hospital-acquired infections using current protocols
  • Respond promptly to changing clinical situations and emergency care needs
2

Technology Integration and Innovation

  • Utilize e-health and mobile health technologies to monitor and support patient care
  • Interpret digital health data and adapt care plans based on technology insights
  • Train other staff on new health technologies and systems
3

Patient Education and Empowerment

  • Educate patients, families, and groups on illness prevention and health promotion
  • Empower individuals to take control of their health through counseling and support
  • Develop personalized care plans that consider social contexts affecting health
4

Professional Leadership and Policy Influence

  • Delegate emergency care appropriately and supervise junior staff members
  • Inform policy makers about health-related challenges and clinical evidence
  • Participate in health personnel training and professional development programs
  • Promote a positive image of nursing through professional conduct and community engagement
5

Emotional Intelligence and Patient Relations

  • Empathize with healthcare users and understand their individual needs and concerns
  • Communicate effectively with patients, families, and healthcare teams in specialized contexts
  • Maintain privacy and confidentiality while providing compassionate, person-centered care

European Skills Framework

Skills and knowledge areas required for this occupation based on European classification.

Essential (66)

impact of social contexts on healthimpact of social contexts on healthThe social and cultural contexts of individuals` behaviours, and the impact on their health within their social and cultural context.specialist nursing carespecialist nursing careThe analysis of complex clinical problems, the diagnosis, initiation and evaluation treatment for patients in a multi-professional arena, within the field of specialisation.respond to changing situations in health carerespond to changing situations in health careCope with pressure and respond appropriately and in time to unexpected and rapidly changing situations in healthcare.manage hospital-acquired infectionsmanage hospital-acquired infectionsDiagnose and treat infections developed in a hospital environment.delegate emergency caredelegate emergency careEfficiently delegate care to other personnel in the emergency department, supervising others working in the clinical environment to ensure that patient needs are met.educate on the prevention of illnesseducate on the prevention of illnessOffer evidence-based advice on how to avoid ill health, educate and advise individuals and their carers on how to prevent ill health and/or be able to advise how to improve their environment and healt...inform policy makers on health-related challengesinform policy makers on health-related challengesProvide useful information related to health care professions to ensure policy decisions are made in the benefit of communities.provide professional care in nursingprovide professional care in nursingProvide professional care, adequate to the health and nursing care needs of the individuals, families and groups, taking into account the scientific developments, as well as the quality and safety req...use e-health and mobile health technologiesuse e-health and mobile health technologiesUse mobile health technologies and e-health (online applications and services) in order to enhance the provided healthcare.promote a positive image of nursingpromote a positive image of nursingPresent and preserve a positive image of nursing in specific environments of the healthcare and educational spectra.perform bronchoscopyperform bronchoscopyConduct bronchoscopy to visualise the tracheobronchial tree for both diagnostic and therapeutic purposes.empathise with the healthcare userempathise with the healthcare userUnderstand the background of clients` and patients’ symptoms, difficulties and behaviour. Be empathetic about their issues; showing respect and reinforcing their autonomy, self-esteem and independence...communicate in specialised nursing carecommunicate in specialised nursing careFormulate and communicate complex clinical issues to patients, relatives and other health professionals.manage communicable diseasemanage communicable diseaseHandle dangerous infectious diseases in an intensive medical therapy unit.empower individuals, families and groupsempower individuals, families and groupsEmpower individuals, families and groups towards healthy lifestyles and self-care.diagnose nursing carediagnose nursing careA judgment based on a comprehensive nursing assessment.participate in health personnel trainingparticipate in health personnel trainingParticipate in the practical training of health personnel on the basis of the knowledge and skills acquired.implement fundamentals of nursingimplement fundamentals of nursingImplement the nursing theoretical and methodological fundamentals and principles, basic nursing interventions on scientific evidence and the resources available.deal with emergency care situationsdeal with emergency care situationsAssess the signs and be well-prepared for a situation that poses an immediate threat to a person's health, security, property or environment.initiate life preserving measuresinitiate life preserving measuresInitiate life-preserving actions by taking measures in crises and disaster situations.provide nursing advice on healthcareprovide nursing advice on healthcareGive advice to, instruct and support persons needing nursing care and their attachment figures.provide health educationprovide health educationProvide evidence based strategies to promote healthy living, disease prevention and management.promote human rightspromote human rightsPromote and respect human rights and diversity in light of the physical, psychological, spiritual and social needs of autonomous individuals, taking into account their opinions, beliefs and values, an...plan nursing careplan nursing carePlan care, defining nursing objectives, deciding on nursing measures to be taken, paying attention to health education and preventative measures and ensuring continuity and fullness of care with the a...manage information in health caremanage information in health careRetrieve, apply and share information among patients and healthcare professionals and across healthcare facilities and community.promote health in specialised carepromote health in specialised careIdentify health promotion and education needs for patients within the field of specialisation and develop and implement strategies as appropriate.communicate in healthcarecommunicate in healthcareCommunicate effectively with patients, families and other caregivers, health care professionals, and community partners.coordinate carecoordinate careCoordinate care for patient groups, being able to manage a number of patients within a given amount of time and provide optimum health services.advise on healthy lifestylesadvise on healthy lifestylesPromote healthy lifestyles, preventive measures and self-care by strengthening empowerment, promoting health and enhancing behaviours and therapeutic compliance, providing patients with the adequate i...adapt leadership styles in healthcareadapt leadership styles in healthcareAdapt leadership styles and approaches to different situations concerning nursing clinical practice and healthcare.apply person-centred careapply person-centred careTreat individuals as partners in planning, developing and assessing care, to make sure it is appropriate for their needs. Put them and their caregivers at the heart of all decisions.perform diagnostic testing for allergiesperform diagnostic testing for allergiesPerform diagnostic testing for allergies to drugs, vaccines, or other substances used in medicinal treatment.advise on healthcare users' informed consentadvise on healthcare users' informed consentEnsure patients/clients are fully informed about the risks and benefits of proposed treatments so they can give informed consent, engaging patients/clients in the process of their care and treatment.provide comprehensive care for patients with surgical conditionsprovide comprehensive care for patients with surgical conditionsProvide comprehensive care of critically ill patients with underlying surgical conditions.implement scientific decision making in healthcareimplement scientific decision making in healthcareImplement scientific findings for evidence-based practice, integrating research evidence into decision making by forming a focused clinical question in response to a recognised information need, searc...comply with quality standards related to healthcare practicecomply with quality standards related to healthcare practiceApply quality standards related to risk management, safety procedures, patients feedback, screening and medical devices in daily practice, as they are recognized by the national professional associati...comply with legislation related to health carecomply with legislation related to health careComply with the regional and national health legislation which regulates relations between suppliers, payers, vendors of the healthcare industry and patients, and the delivery of healthcare services.evaluation in specialised nursing careevaluation in specialised nursing careEvaluate and undertake audit of the field of specialisation to ensure the delivery of safe nursing care.listen activelylisten activelyGive attention to what other people say, patiently understand points being made, asking questions as appropriate, and not interrupting at inappropriate times; able to listen carefully the needs of cus...apply nursing care in long-term careapply nursing care in long-term careEnable the promotion and the development of nursing care in long term care, co-morbidity and in situations of dependency in order to maintain individuals’ personal autonomy and relationships with the ...solve problems in healthcaresolve problems in healthcareCarry out actions, by previously identifying and analysing problems, that facilitate seeking the most beneficial solution for the patient, the family and the community, reaching objectives, improving ...use electronic health records in nursinguse electronic health records in nursingUse electronic health records to document nursing assessment, diagnosis, interventions and outcomes based on comparable nursing classification systems and nursing taxonomy.manage personal professional developmentmanage personal professional developmentTake responsibility for lifelong learning and continuous professional development. Engage in learning to support and update professional competence. Identify priority areas for professional developmen...adhere to organisational guidelinesadhere to organisational guidelinesAdhere to organisational or department specific standards and guidelines. Understand the motives of the organisation and the common agreements and act accordingly.analyse quality of nurse careanalyse quality of nurse careAnalyse the quality of care in order to improve the own professional practice as a general care nurse.work in a multicultural environment in health carework in a multicultural environment in health careInteract, relate and communicate with individuals from a variety of different cultures, when working in a healthcare environment.address problems criticallyaddress problems criticallyIdentify the strengths and weaknesses of various abstract, rational concepts, such as issues, opinions, and approaches related to a specific problematic situation in order to formulate solutions and a...promote inclusionpromote inclusionPromote and respect diversity, and advocate for equal treatment of genders, ethnicities and minority groups in organisations in order to prevent discrimination and ensure inclusion and a positive envi...interact with healthcare usersinteract with healthcare usersCommunicate with clients and their carer’s, with the patient’s permission, to keep them informed about the clients’ and patients’ progress and safeguarding confidentiality.provide treatment strategies for challenges to human healthprovide treatment strategies for challenges to human healthIdentify possible treatment protocols for the challenges to human health within a given community in cases such as infectious diseases of high consequences at the global level.manage adverse reactions to drugsmanage adverse reactions to drugsAnalyse and manage adverse reactions to drugs such as general and local anaesthetics and antibiotics, describing the principles of drug challenge and desensitisation to the allergic patient and provid...ensure safety of healthcare usersensure safety of healthcare usersMake sure that healthcare users are being treated professionally, effectively and safe from harm, adapting techniques and procedures according to the person's needs, abilities or the prevailing condit...have computer literacyhave computer literacyUtilise computers, IT equipment and modern day technology in an efficient way.coach individuals in specialised nursing carecoach individuals in specialised nursing careKeep abreast of technological development and educate nurses, other health professionals and patient groups about advancements in the field of specialisation.develop a collaborative therapeutic relationshipdevelop a collaborative therapeutic relationshipDevelop a mutually collaborative therapeutic relationship during treatment, fostering and gaining healthcare users' trust and cooperation.contribute to the advancements in specialised nursing carecontribute to the advancements in specialised nursing careContribute to the continuous development of the field of specialisation and research-based practice, participating in continuous professional development and research programmes, when appropriate.apply context specific clinical competencesapply context specific clinical competencesApply professional and evidence based assessment, goal setting, delivery of intervention and evaluation of clients, taking into account the developmental and contextual history of the clients, within ...evaluate nursing careevaluate nursing careEvaluate nursing care assessing mechanisms and processes for continuous quality improvement in nursing care, considering the scientific, technical and ethical development.refer healthcare usersrefer healthcare usersMake referrals to other professionals, based on the healthcare user's requirements and needs, especially when recognising that additional healthcare diagnostics or interventions are required.work in multidisciplinary health teamswork in multidisciplinary health teamsParticipate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.carry out nurse-led dischargecarry out nurse-led dischargeInitiate and lead the discharge process of patients, involving all relevant professionals to expedite discharges. Assist bed and capacity management across the whole hospital.manage multiple patients simultaneouslymanage multiple patients simultaneouslyCoordinate and supervise the management of several patients simultaneously and manage mass-casualty incidents.accept own accountabilityaccept own accountabilityAccept accountability for one`s own professional activities and recognise the limits of one`s own scope of practice and competencies.implement nursing careimplement nursing careImplement nursing care when treating patients in order to improve their health situation. Carry out advanced treatment, diagnostic and invasive interventions as related to the field of specialisation.perform vascular surgery therapeutic proceduresperform vascular surgery therapeutic proceduresPerform vascular surgical interventions, such as arterial exposure and control, repair of vascular trauma, aortic reconstruction, repair of aortic aneurysms, carotid surgery, endarterectomy, endovascu...apply sustainability principles in health careapply sustainability principles in health careTake into account the sustainability principles in healthcare and strive for the rational use of resources.
Optional (21) — show
simulation-based clinical educationsimulation-based clinical educationThe activities and programs aimed at providing students with opportunities to practice their clinical and decision-making skills through various real-life situational experiences. It may involve the u...patient safety theoriespatient safety theoriesThe knowledge of theories addressing the management of risk and safety in nursing operations, such as the normal accident theory, the high reliability theory and the grid-group cultural theory.conduct patch testingconduct patch testingApply patch testing in order to determine allergic causes of dermatitis or eczema, or other skin conditions.provide nursing care in community settingsprovide nursing care in community settingsProvide nursing care in community settings such as schools, home settings, assisted living facilities, correctional facilities and hospice, and outside the hospital system.provide anti-cancer medical treatmentprovide anti-cancer medical treatmentDetermine the cancer treatment appropriate for the patient, considering chemotherapy, hormonal therapy and targeted therapy such as immunotherapy.address side effects of menopauseaddress side effects of menopauseAddress side effects of menopause such as fatigue, body temperature changes, mood swings, depression and weight gain. Search for symptoms of health problems that can be caused by menopause, such as he...advise patients on infectious diseases when travellingadvise patients on infectious diseases when travellingInform and prepare patients who are about to travel to areas with high infection rates, administering immunisations and instructing patients on prevention and treatment of infections and infectious di...follow-up patients with heart attackfollow-up patients with heart attackEnsure follow-up care following a heart attack, such as examining the patient at regular intervals.perform venous cannulationperform venous cannulationPlace a cannula inside the patient's vein to provide venous access. It allows many practices such as sampling of blood, administration of fluids, medications, parenteral nutrition, and chemotherapy.conduct preoperative investigationsconduct preoperative investigationsConduct tests before a planned surgical operation, taking into consideration possible risk factors apparent from the clinical assessment, the likelihood of asymptomatic abnormalities and the severity ...use clinical reasoninguse clinical reasoningReflect on care situations conceptually and theoretically, think critically and apply nursing models to real situations.prescribe medicationprescribe medicationPrescribe medications, when indicated, for therapeutic effectiveness, appropriate to the client`s needs and in accordance with evidence-based practice, national and practice protocols and within scope...assist in epilepsy surgeryassist in epilepsy surgeryAssist the surgeon in setting up and performing intra-operative electrocorticographic recordings while supervising the technician. Assist in identifying and correcting common artefacts and faults. Hel...treat endocrine disorderstreat endocrine disordersIdentify and provide medication treatment to endocrine-related disorders such as dysmenorrhea or amenorrhea.assist in kidney transplantassist in kidney transplantManage patient care before and after the transplant of kidneys, striving to maximise the likelihood of a successful outcome.provide palliative careprovide palliative careProvide care to improve the quality of life of patients and their caregivers confronting life-threatening illness, preventing and relieving suffering by means of early identification and adequate inte...conduct polysomnographyconduct polysomnographyPerform a sleep study in order to diagnose sleep disorders, recording measures of the sleep cycles and stages, including air flow in and out of the lungs, the level of oxygen in the blood, brain waves...use foreign languages for health-related researchuse foreign languages for health-related researchUse foreign languages for conducting and collaborating in health-related research.use foreign languages in patient careuse foreign languages in patient careCommunicate in foreign languages with healthcare users, their carers, or services providers. Use foreign languages to faciliate patient care according to the needs of the patient.perform endoscopyperform endoscopyCarry out endoscopy using an endoscope to examine the interior of a hollow organ or cavity of a patient.administer immunotherapyadminister immunotherapyAdjust immunotherapy dose and manage complications.

Related Occupations

Occupations that need many of the same essential skills, so the move between them is shortest.

Frequently asked questions

What does a specialist nurse do?

Specialist nurses promote and restore people's health, and diagnose and care within a specific branch of the nursing field. Examples of such specialist nursing jobs include but are not restricted to; ambulatory care nurse, advanced practice nurse, cardiac nurse, dental nurse, community health nurse, forensic nurse, gastroenterology nurse, hospice and palliative care nurse, paediatric nurse, public health nurse, rehabilitation nurse, renal nurse and school nurse. Specialist nurses are general care nurses prepared beyond the level of a nurse generalist and authorised to practice as specialists with specific expertise in a branch of the nursing field.

What skills does a specialist nurse need?

A specialist nurse needs 66 essential skills, including impact of social contexts on health, specialist nursing care, respond to changing situations in health care, manage hospital-acquired infections, delegate emergency care.

Will AI replace specialist nurse jobs?

The AI disruption score for specialist nurse is 11/100 (very low risk). Skills most exposed to automation: comply with legislation related to health care, use electronic health records in nursing, use foreign languages for health-related research. Most resilient: initiate life preserving measures, empathise with the healthcare user, deal with emergency care situations.

Quick Facts

ISCO GroupHealth professionals
Essential Skills66

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