Spheres of influence...Clinical nurse specialists

Clinical Nurse Specialists Using Evidence-Based Practice to Prevent Falls

“…As described in the literature, CNS practice has extensive reach, leading initiatives that impact quality measures and innovative practice. Further, the CNS role was supported as the key to unlocking the diverse and complex issues facing American healthcare 17 . The importance of the CNS in quality improvement projects centers around their ability to identify clinical problems and be an effective change agent.…”

“…Further, the CNS role was supported as the key to unlocking the diverse and complex issues facing American healthcare. 17 The importance of the CNS in quality improvement projects centers around their ability to identify clinical problems and be an effective change agent. Clinical nurse specialists are specifically prepared to deliver clinical leadership through direct care, educating, mentoring bedside nurses, and facilitating multidisciplinary care teams and quality improvement programs at the system level.…”

“…Clinical nurse specialists provide both direct and indirect patient care by influencing outcomes through expert consultation, improving delivery of care in healthcare systems, and serving as an educator, leader, and researcher. 17 Foundational to CNS practice is advanced knowledge and clinical expertise within their care setting, patient populations, and disease subspecialties. Advanced knowledge and clinical expertise afford CNSs the ability to design effective and attainable strategies that meet the needs of complex patients and to serve as consultants for patients, leaders, and nurses.…”

“…Clinical nurse specialists are effective in facilitating both hospital-and organization-wide changes that result in improved patient outcomes and cost-effective solutions. 17 Senior nursing leaders relied on the knowledge and skill of the CNSs to creatively problem solve to work through barriers and challenges. The CNS team utilized resources such as the SenseAI reports and data analytics from audit findings performed on nursing units to obtain a wealth of workable data to create targeted interventions.…”

Current Practice and Practice Competencies of Clinical Nurse Specialists Working in US Emergency Care Settings

“…When Delp et al 13 identified the 3 “spheres of influence” for the clinical nurse specialist role (ie, patients, nurses/nursing practice, organizations/systems), the authors provided numerous success stories of clinical nurse specialist–led collaborative initiatives that demonstrated high impact through education, research, and practice and policy changes. Specifically, these clinical nurse specialist–led initiatives led to significant improvements in patient and quality outcomes as well as cost-effectiveness of care.…”