Systems Leadership is a core competency for CNSs and as such is integral to CNS education. doi:10.1097/NUR. Some take issue with the term residency for preparing advanced practice RNs, believing the term fellowship is more appropriate, which somewhat parallels the medical education process: completion of medical school (nursing school) – residency (graduate school with at least 500 post-baccalaureate clinical hours) – fellowship. Thoughtful solutions have been put forth to meet some of these challenges; continued work by CNS educators, policy makers, legislators, and regulators will be necessary to provide for preparation of CNSs in order to meet the growing healthcare needs of Americans. 2019 Georgia Working Mother of the Year. Sonya Flanders, MSN, RN, ACNS-BC, CCRN. At the conclusion of the CNS program, students deliver a poster presentation highlighting results achieved under their leadership of the project (Thompson & Nelson-Martin 2011). Not all CNS programs entail implementation of a project, however; the degree requirement may be merely to propose an idea. Another reality in the healthcare arena is the need to demonstrate the value CNSs bring to an organization. Few practicing CNSs may be available to students and/or may practice in institutions that are limited in clinical services, with little opportunity for CNS students to encounter a multiplicity in specialty services or even challenging patients. This role confusion is further exacerbated by the ...assets that strengthen CNS education and development of core competencies include simulation classrooms, information technology support, and library resources... proliferation of nurse practitioners whose role too may be poorly understood and hospital administrators require them to do “CNS work”. The major intent of the IOM for this recommendation is to improve nurse retention rates and improve patient outcomes; retention rates is relative to baccalaureate prepared/newly licensed nurses, however, improving patient outcomes under CNS leadership is consistent with fundamental CNS practice. © 2020 National Association of Clinical Nurse Specialists. CNSs can apply these principles by working with teams of other CNSs, nurses, managers, educators, and/or other stakeholders to maximize efforts of all toward achieving desired outcomes. Postgraduate fellowship education and training for nurses: The NETSMART experience. Box A: Sample “Elevator Speech” to Describe CNS Role. Individual CNSs’ lack of knowledge and comfort in accessing and evaluating evidence can be barriers to EBP (Solomons & Spross, 2011). CNSs are well qualified to respond with expertise in advanced nursing practice, knowledge of patient and family concerns, and systems thinking. CNSs in clinical practice need to be able to articulate their roles in clear, concise, and meaningful ways. Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: An integrative review. There are several other ways CNS activities can produce positive financial outcomes. Article published May 31, 2014, Substance Use Disorders and Related Concerns, The 200th Birthday of Florence Nightingale, Addressing Social Determinants of Health: Progress and Opportunities, Translational Research: From Knowledge to Practice, APRN Consensus Work Group/National Council of State Boards of Nursing APRN Advisory Committee, 2008, American Association of Critical Care Nurses, 2013. There is no doubt that minority nurses experience slights which are related to race from unconscious bias which permeates our culture. Recommendation 3 of the IOM Report promotes nurse residency programs for nurses after completing prelicensure and advanced degree programs when transitioning into a new clinical practice area (IOM, 2011, p 280). Additionally, the NACNS website has a frequently asked question (FAQ) page on which the CNS role is explained (NACNS, 2013). Skills and attributes required by clinical nurse specialists to promote evidence-based practice. The report goes on to say that private funding agencies and federal monies should be used to expand programs and offer accelerated curricula to reach this goal. APRNs may achieve specialization; however, licensure cannot be exclusively within a specialty focus. In addition to didatic content, fellows are required to contract with a local physician, preferably a neurologist for clinical training and education. CNSs in clinical practice face various challenges. A clinical nurse specialist (CNS) is an advanced practice nurse who has hands-on expertise, advanced knowledge, and a certification in a given specialty. Another approach is to ensure annual performance goals include measurable outcomes a CNS can use as evidence of contributions to the organization. Ellis, P., & Abbott, J. (2011). Journal of Nursing Management, 19(1), 109-120. doi: 10.1111/j.1365-2834.2010.01144.x, Thompson, C., & Nelson-Martin, P. (2011). SpO2 Alarm Management Toolkit by AAMI Foundation, 2020 CNS Graduate Education Virtual Forum, NACNS Opens Voting for Board and Officer Leadership Positions, Meet the 2021 Board of Directors Candidates. 2, Manuscript 1. With growing disparity in the US population, sicker patients, increasing regulatory requirements, and shrinking reimbursement, balancing the demands to survive requires organizations to respond quickly, with never-ending change a consequence. A well-written CNS job description can clarify and legitimize the role of the CNS within a particular organization. Consensus model for APRN regulation: Licensure, accreditation, certification & education. CNS since 2014. These three changes (population focus, specialty focus post-certification, wellness-acute care scope) are most dramatic for CNSs, who, obviously by the title, have always practiced with a specialty focus sometimes defined as what is now a population. In maintenance of energy, commitment and patience to sustain performance can not be exclusively a... Taken a step further by integrating role and competency related questions into CNS! Are not typically included in direct patient care staffing several other ways CNS activities can produce positive financial outcomes:... House information about aprns, including photographs, role descriptions and contact information challenge on. 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