The Bright Future for Clinical Nurse Specialist Practice

The Future of the Clinical Nurse Specialist Role in Finland

“…Role specialization and expansion provide advanced practice nurses with their secondary title, such as clinical nurse specialist (CNS; Ruel & Motyka, ). CNS will lead change in three impactful areas: direct patient care, nursing practice, and systems (Lewandowski & Adamle, ; National Association of Clinical Nurse Specialists, ; Patten & Goudreau, ).…”

“…Several factors, such as healthcare reform, the requirement for evidence‐based practice (EBP), and the proliferation of Magnet hospital status, offer opportunities for strengthening the CNS role worldwide (Patten & Goudreau, ). Although the CNS role has gained support in recent years, it appears to be, out of all advanced practice nursing roles, the least clearly defined (Dowling et al., ; Kilpatrick et al., ).…”

“…Often the rigidity and slowness of healthcare systems and regulation to change have led to the ad hoc formulation of advanced nursing roles; hence, many countries are retrospectively working toward policy formulation to support role implementation (Bryant‐Lukosius et al., ). Variation in CNS practice and lack of uniform policies regulating CNS and other APN roles represent barriers to the accurate identification and optimal functioning of these practitioners (Furlong & Smith, ; Kilpatrick et al., ; Patten & Goudreau, ; Rounds, ). Therefore, considerable effort and collaboration of the central healthcare agents, organizations, legislators, educational institutions, and other stakeholders are required to increase clarity and common understanding related to CNS roles to support policy formulation and role implementation.…”

Current status of clinical nursing specialists and the demands of osteoporosis specialized nurses in Mainland China

“…The simultaneous occurrence of healthcare system reform, the Institute of Medicine report, and the consensus model of nursing competencies and educational level, along with the proliferation of institutions seeking magnet status, have placed the demand for the CNS role at an all-time high [39], increasing the strain on the already burdened nursing education system. The CNS is an indispensible resource available to meet the increasingly complex medical care needs.…”

Focus group interviews examining the contribution of intellectual disability clinical nurse specialists in Ireland

“…). Thus, the pace of and readiness for role implementation vary from country to country (Bryant‐Lukosius & DiCenso , Sheer & Wong ), leading to variation in CNS practice and lack of uniform policies regulating CNS representing barriers to the accurate identification and optimal functioning of CNSs (Furlong & Smith , Patten & Goudreau , Kilpatrick et al . ).…”