Educational For an individual to be considered a legitimate Clinical Nursing Specialist (CNS), Duffy et al. (2009), assert that they are required to possess a graduate degree (Masters or Doctorate) in nursing. The graduate level should reflect clinical application of the CNS concept. If a person lacks graduate training in CNS, they are required to compensate by acquiring a post-master’s certificate within three years after the date of hire. Practice Dissemination of the specialized skills and knowledge possessed by CNSs is focused on three prominent areas; patient/family, nurses/the nursing profession, and nursing organizations/systems (Lewandowski and Adamle, 2009). CNS partners with nurse managers in promoting leadership in the clinical practice. They also act as coordinators and guides to the nursing projects or activities in clinical areas. CNSs are responsible for collaborating with other members of the health care fraternity to design and implement efficient and cost effective care strategies. Some of the specialty areas purported by Lewandowski and Adamle (2009) as identified with CNS include population e.g. adults, disease or medical specialty e.g. cancer, the setting e.g. emergency room, type of care e.g. psychiatry as well as the nature of the problem e.g. eating disorders. The main role of CNS is the provision of direct patient care. The specialist also collaborates with the nursing personnel in a wide variety of ways in ensuring effective delivery of care services. They utilize their expertise to perform roles related to clinical, education, consultancy, research and leadership. This improves the quality and cost-effectiveness of the medical services offered to patients as well as the professional development among nurses. CNS can be practiced in a wide range of settings such as community health settings, educational institutions mental health settings, long term care facilities as well as private practice. Certification Requirements According to Duffy et al (2009) and Goudreau & Smolenski (2008), CNSs receive certification through American Nurses Credentialing Centre (ANCC) as well as other specialty organizations. Potential candidates are required to fulfill all the certification requirements before applying for the exam. Issues and Challenges One of the prominent challenges faced by the CNSs includes difficulty in the implementation of scientific findings (Fulton, Lyon and Goudreau, 2010). The modern advances in medical technologies allow medical researchers to generate standards and accurate findings for the people working in the medical profession. However, CNS may find it difficult to implement the research and analyzed information into the actual clinical practice especially in critical disease cases. The CNS practice may also be faced with low staff levels that place more performance demand on the inadequate workforce; making implementation difficult. The specialist may also lack adequate training on efficient and professional techniques of implementing the scientific findings. CNSs may also fall victim to conflict of roles. The clinical nursing specialists belong to a diverse category of advanced practice nurse practitioners, certified nurse midwives and nurse anaesthetists (Leary et al, 2008). Their roles overlap with that of other practitioners in research, education, consultancy as well as administrative functions. Ambiguity of roles complicates the integration
Nursing Capstone: An Analysis of Clinical Nurse Specialist Name Institution Date Nursing Capstone: An Analysis of Clinical Nurse Specialist Background Hamric (2008) defines a clinical nurse specialist (CNS) as an expert clinician working in a specialized field of nursing…
A nurse anesthetist is an expert nurse who gives out anesthesia during medical procedures. The nurses dispense anesthesia procedures in a broad scope of health care areas. They can administer anesthesia in the hospital emergency room or in a dental hospital.
Nurse anesthetists administer, supervise, and monitor anaesthesia-related care for those patients who undergo surgeries. The educational requirement for the nurse anesthetist is advanced training in anesthesiology and a Master’s degree (MSN). At school, those wishing to become nurse anesthetists in the future are supposed to study anatomy and physiology, chemistry, biology, mathematics, and health.
The premise about the advanced practice nurse is that she is a leader and change agent in the provision and development of evidenced based nursing care in her area of expertise. This statement shall be analysed in this research
theoretical, practical and research based skills, knowledge and competencies to improve the quality of services offered to patients in a defined clinical area or in the general nursing profession.
For an individual to be considered a legitimate Clinical Nursing Specialist
At school, those wishing to become nurse anesthetists in the future are supposed to study anatomy and physiology, chemistry, biology, mathematics, and health.
First, one becomes a RN (Registered Nurse)
According to Health career network (2010), any clinical health care worker specialist is somebody who finalizes any 4-year nursing degree, and excels in a nursing licensing test to become a listed health care worker or completes any master's program, and has several years of experience in the practical field.
The Family Nurse Practitioner (FNP) refers to a registered nurse whose main focus is on health promotion and disease prevention from childhood through elderly stage, diagnoses and development of treatment plans for diseases specifically acute and chronic.
They include frontline/ first level managers (nurse managers), middle-level managers (nurse administrators), and upper-level managers (nurse executives) (Koutoukidis, Stainton, & Hughson, 2012).