Observing the Work of the Clinical Nurse Specialist

Darmody, Julie

doi:10.1097/00002800-200509000-00010

Cited by 23 publications

(30 citation statements)

References 23 publications

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“…Research by Wolf, 14 Darmody,15 and Scott 16 confirmed the performance of several activities, specified as the role of the CNS. Research by Wolf, 14 Darmody,15 and Scott 16 confirmed the performance of several activities, specified as the role of the CNS.…”

Section: Role Of the Cnsmentioning

confidence: 91%

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A Modern African Perspective on the Role of the Clinical Nurse Specialist

Mapanga

2008

Clinical Nurse Specialist

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In Africa, there is an overwhelming and increasing prevalence of illnesses such as HIV and AIDS, tuberculosis, and malaria. This constitutes a "burden of disease" facing Africa. Nursing must evolve accordingly to the changing needs of clients, many of whom have chronic illnesses. In achieving desirable outcomes, it is essential to adopt and adapt the clinical nurse specialist (CNS) role so that expert and specialist practice is available to clients in a cost-effective manner. The role of the CNS singles out clinical responsibilities in a hospital setting so that nurse administrators can concentrate on the provision of resources. A CNS position in the hospital structure would offer a clinical career pathway for advanced practice nurses who wish to remain "by-the-bedside." Regional initiatives are already beginning to show a need for master's-prepared, advanced practice nurses in the clinical areas so as to reduce maternal mortality.

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Section: Role Of the Cnsmentioning

confidence: 91%

“…Darmody 15 investigated how CNSs spent their time. It was found that 44% of their time was spent with nursing personnel, 30% with the patient/client, and 10% with the organization/system.…”

Section: Role Of the Cnsmentioning

confidence: 99%

A Modern African Perspective on the Role of the Clinical Nurse Specialist

Mapanga

2008

Clinical Nurse Specialist

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“…All observed activities were categorized in a framework that distinguished three domains and seven roles of APNs. The structure of the framework was based on frameworks used in previous studies (Darmody, ; Oddsdóttir & Sveinsdottir, ). As shown in Appendix S2, the framework was divided into three columns representing the following domains: (a) patient and family, referring to the APNs’ direct and indirect contact with the patient and his family; (b) the team, referring to the position of the APN in a multidisciplinary team and the input in a specific hospital department or ward; and (c) the healthcare organization, referring to the contribution of the APN in hospital policy, specific care teams, and (inter)national networks.…”

Section: The Studymentioning

confidence: 99%

Time use of advanced practice nurses in hospitals: A cross‐sectional study

Goemaes

Lernout

Goossens

et al. 2019

Journal of Advanced Nursing

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Aims To examine the use of time by advanced practice nurses and time use differences according to type of healthcare organization, work experience, and supervisor. Design A cross‐sectional, observational study. Methods Non‐participant observations were executed in Belgium (October 2015–January 2016). Time use was categorized in domains (patient/family, team, healthcare organization) and roles (clinical expert, educator/coach, change agent/innovator, researcher, leader, collaborator, and ethical decision‐making facilitator). Proportional working time in domains and roles was calculated. Chi‐squared tests identified differences in time use according to type of healthcare organization, number of years of work experience, and type of hierarchical/functional supervisor. Results Participants mainly devoted time to the patient/family domain (30.78%) and the clinical expert role (34.19%). The role of leader and ethical decision‐making facilitator covered, respectively, 4.84% and 0.07% of participants’ time. Time distribution in domains and roles differed between participants in university and peripheral hospitals. Conclusion Activities were executed in all domains and roles, except for the ethical decision‐making facilitator role. Further research could uncover barriers and facilitators for role execution, especially about leadership and ethical decision‐making. Impact Advanced practice nurses, supervisors and policymakers could act to optimize advanced practice nurses’ scope of practice.

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“…20 The evidence-based change project is an opportunity for the students to positively impact the understanding of the CNS role among patients, staff, and organizations and begin to learn how they can use evidence to express the value the CNS brings to the health care system. 21 Organizational appreciation for the CNS student's work has been communicated face-to-face and through e-mail. To formalize the institution's evaluation of the benefit of CNS student projects, an organizational satisfaction and evaluation tool, which will be completed by the immediate supervisor/administrator at the end of the student's project, will be piloted with the current cohort of students.…”

Section: Anecdotal Student Evaluation Of the Change Project Experiencementioning

confidence: 99%

Clinical Nurse Specialist Education

Thompson

Nelson‐Marten

2011

Clinical Nurse Specialist

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The contemporary CNS is to be a leader in the translation of evidence into practice. To assist students to acquire this competency, all CNS students are expected to use research and other sources of evidence to identify, design, implement, and evaluate a specific practice change. Anecdotal comments from students completing the projects are offered. Student projects have been focused in acute and critical care, palliative care, and adult/gerontologic health clinical settings; community outreach has been the focus of a few change projects. Examples of student projects related to the systems leadership competency and correlated to the spheres of influence impacted are presented.

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Observing the Work of the Clinical Nurse Specialist

Abstract: Describing the work of the CNS is an important preliminary step to measuring outcomes and costs of care.

Cited by 23 publications

References 23 publications

A Modern African Perspective on the Role of the Clinical Nurse Specialist

A Modern African Perspective on the Role of the Clinical Nurse Specialist

Time use of advanced practice nurses in hospitals: A cross‐sectional study

Clinical Nurse Specialist Education

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