Currently, there is no better and reliable way to produce electricity than boiling a liquid and driving a rotating turbine - with nuclear energy or otherwise. The higher the temperature, the more efficient the energy conversion, however, higher temperatures usually come at the expense of material performance with erosion/corrosion and/or creep being the limiting factors. In the case of nuclear systems, containment of fission products becomes an issue as temperatures increase.
The steam Rankine cycle has been the traditional method of producing electricity with large scale systems (100s of MWe to 1+ GWe) for decades. Older nuclear plants had efficiencies of about 32-33%, but modern ones have efficienies approaching 37% - mostly due to more efficient turbine (blading and seals) design. Nuclear plants are considered wet steam plants because they do not use superheated steam - because of safety concerns, and well as plant performance issues. Fossil fired plants can use superheat, and some plants achieve efficiencies in the range of 34-38%. Plant employing supercritical or ultrasupercritical thermodynamics cycles may achieve conversion efficiencies of up to 44%.
http://asmedl.org/ebooks/asme/asme_press/801942/801942_ch1
http://www.stormeng.com/pdf/COALGEN-August2010-Presentation.pdf
http://www.nationalcoalcouncil.org/Documents/Advanced_Coal_Technologies.pdf
Some plants may use combined cycles, e.g., Brayton gas-fired cycle (based on an aero-derivative gas turbine) and steam Rankine cycle (heated by the exhaust of the gas turbine), and efficienies approach 60%. Nuclear Brayton systems have been problematic, and combined cycles plants would also be problemetic from the standpoint of heat exchanger preformance - the heat exchanger would have to maintain close to 100% reliability in keeping the Brayton system and steam system separated.
In fusion, the current plan is to use the thermal energy to drive conventional steam cycles. Ideally, MHD or direct conversion could be used, but appropriate configurations in conjunction with plant design has proved elusive. In fact, viable fusion conversion systems have proved elusive as well. In direct conversion, the ions and electrons are separated in a magnetic field and they provide a direct current to the load. Theoretically, efficiency could approach 80+%. However, there are practical engineering challenges.
Thermionic concepts have been considered, but they too are complicated and much less reliable - as well as expensive.
http://gcep.stanford.edu/research/factsheets/pete_solar.html