Public reporting burden tor this collection ot intormation is estimated to average 1 hour per response, including the time Tor reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington. DC 20503. Purpose: The purpose of this study was to provide recommendations for a delineated role of the PCNS that will provide role clarity and practice guidance.
AGENCY USE ONLY (Leave blank)Methods: A systematic review of the literature was conducted utilizing an adaptation of Rheiner's "Role Theory Framework for Change". The initial search yielded 6374 articles.Thirteen percent (859) of the articles met inclusion criteria. In order to ensure consistency and confirmability, two members read each article and entered a synopsis into a review summary table. Synopses were analyzed using both deductive and inductive techniques.Results: There was no uniform role for the CNS identified through the literature, Conclusions: Competencies and educational preparation of the CNS are well defined by professional organizations however many nurses use the title without the credentials.Versatility of CNS practice, the lack of core or specialty certification, and the variance of state recognition all contribute to role confusion. Future research should evaluate the merging of the CNS and NP titles; the presence of PCNSs, their functions, spheres of influence, and patient outcomes. All authors are military members and are in transit at the time this manuscript is being submitted. Current addresses and duty assignments will be forwarded to AORN as soon as the members secure housing at their new duty stations. As we previously discussed, I will keep in contact with you during my travel. Tables Table 1 Keyword Phrases Table 2 The purpose of this study was to utilize an evidence-based approach to provide recommendations for a delineated role of the PCNS that would provide role clarity and practice guidance. Using a systematic review of the literature, the researchers analyzed the defined roles of the CNS in perioperative and non-perioperative practice and compared these roles to those of the Registered Nurse (RN) and Nurse Practitioner (NP) within the perioperative environment to answer the research question: What is a Perioperative Clinical Nurse Specialist? The specific study objectives are to compare and contrast the roles, competencies, and educational preparation of the previously stated specialties. As well as to identify and describe organizations/systems that influence their utilization and professional organizations that develop/recommend c...
