Combining the roles of clinical nurse specialist and neonatal nurse practitioner: The experience in one academic tertiary care setting

Abstract

The roles of clinical nurse specialist (CNS) neonatal nurse practitioner (NNP) have originated and evolved to meet specific needs in the nursing and medical community. The CNS role was developed in response to the perception that patient care needed to be improved; the NNP role resulted from an acute shortage of physicians to provide neonatal medical management. While on the surface these two roles may appear to be vastly different, many facets of each may be effectively interfaced. The NNP-CNS practice at Doernbecher Neonatal Care Center is an example of successful convergence of the two roles. The implementation of the combined practice is described in this article.

Doctors’ and nurses’ perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice

“…The intervention was the introduction of a modified model of NNP practice into each of the NICUs. The model envisaged by the project team was similar to that described by Ditzenberger et al. (1995) and Hunsberger et al.…”

“…The intervention was the introduction of a modified model of NNP practice into each of the NICUs. The model envisaged by the project team was similar to that described by Ditzenberger et al (1995) and Hunsberger et al (1992) as a blended CNS/NP model, in North American terminology. This model incorporates advanced clinical management of the newborn, education, leadership and research.…”

Changing roles and identities in primary health care: exploring a culture of uncertainty

“…The nurse practitioner role has, as Stilwell (1996) and others (Ridsdale 1993) point out, been associated with physician shortage in the USA and Canada. This in turn has led to a call for more nurse practitioners up until the present day (Ditzenberger et al 1995, Hoffman & Redman 1995. Within the UK, talk of the nurse practitioner role as an extension of the practice nurse role and its consequent medical in¯uence has resulted in some deprecation of those who could be seen to be aspiring to be junior doctors rather than nurses.…”

Enfermagem neonatal: análise das publicações indexadas nos índices de referências informatizados

“…A expansão significativa do conhecimento em neonatologia ocorreu por volta do período de 1970 com o desenvolvimento da tecnologia nas diversas áreas, tendência esta que contribuiu para o desenvolvimento de tecnologias apropriadas à assistência neonatal (1,2) .…”

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Resumo

IntroduçãoA expansão significativa do conhecimento em neonatologia ocorreu por volta do período de 1970 com o desenvolvimento da tecnologia nas diversas áreas, tendência esta que contribuiu para o desenvolvimento de tecnologias apropriadas à assistência neonatal (1,2) .A introdução de ações mais complexas que incluem métodos, procedimentos, técnicas, equipamentos e outros instrumentos aplicados, sistematicamente, para resolver problemas específicos dos cuidados cotidianos requerendo refinamento das habilidades técnicas e conhecimento. A introdução destas ações determinou mudanças nas práticas profissionais daqueles que se encarregam da assistência ao recém-nascido.

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