While CNSs share some similarities with other advanced practice registered nurses (APRNs) such as nurse practitioners (NPs), nurse anesthetists (CRNAs), and nurse midwives (CNMs), their roles are distinct. CNSs typically focus more on indirect patient care, including system-wide improvements and staff education, whereas NPs often provide direct primary or specialty care. CRNAs specialize in anesthesia, and CNMs focus on women's reproductive health and childbirth.