{"id":11,"date":"2021-08-02T12:29:17","date_gmt":"2021-08-02T12:29:17","guid":{"rendered":"https:\/\/www.bcsnsg.org.uk\/?page_id=11"},"modified":"2022-02-15T10:47:38","modified_gmt":"2022-02-15T10:47:38","slug":"nurse-specialist","status":"publish","type":"page","link":"https:\/\/www.bcsnsg.org.uk\/","title":{"rendered":"Nurse Specialist"},"content":{"rendered":"\n
\"\"<\/figure><\/div>\n\n\n\n

A clinical nurse specialist (CNS) is an advanced practice nurse, with graduate preparation (earned master’s or doctorate) from a program that prepares CNSs. CNSs are clinical experts in the diagnosis and treatment of illness, and the delivery of evidence-based nursing interventions. CNSs work with other nurses to advance their nursing practices and improve outcomes, and provide clinical expertise to effect system-wide changes to improve programs of care. The three domains of CNS practice, known as the three “spheres of influence” are the patient\/family, nursing personnel and system\/network organization. The three spheres are overlapping and interrelated, but each sphere possesses a distinctive focus. In each of the spheres of influence, the primary goal of the CNS is continuous improvement of patient outcomes and nursing care.<\/p>\n\n\n\n

Within the three domains of CNS practice, Sparacinio (2005) identified seven core competencies which are:<\/p>\n\n\n\n

  1. Direct clinical practice includes expertise in advanced assessment, implementing nursing care, and evaluating outcomes.<\/li>
  2. Expert coaching and guidance encompasses modeling clinical expertise while helping nurses integrate new evidence into practice. It also means providing education or teaching skills to patients and family.<\/li>
  3. Collaboration focuses on multidisciplinary team building.<\/li>
  4. Consultation involves reviewing alternative approaches and implementing planned change.<\/li>
  5. Research involves interpreting and using research, evaluating practice, and collaborating in research.<\/li>
  6. Clinical and professional leadership involves responsibility for innovation and change in the patient care system.<\/li>
  7. Ethical decision-making involves influence in negotiating moral dilemmas, allocating resources, directing patient care and access to care.<\/li><\/ol>\n\n\n\n

    Healthcare Administration<\/h2>\n\n\n\n

    In the Australian Health System, however, a clinical nurse specialist refers to a promotional position, rather than a qualification.<\/p>\n\n\n\n

    In the U.S. there is a nationally recognized CNS certification sponsored by the American Nurses Credentialing Center (ANCC) that can be taken once the master’s degree is completed.<\/p>\n","protected":false},"excerpt":{"rendered":"

    A clinical nurse specialist (CNS) is an advanced practice nurse, with graduate preparation (earned master’s or doctorate) from a program that prepares CNSs. CNSs are clinical experts in the diagnosis and treatment of illness, and the delivery of evidence-based nursing interventions. CNSs work with other nurses to advance their nursing practices and improve outcomes, and provide clinical expertise to effect system-wide changes to improve programs of care. The three domains of CNS practice, known as the three “spheres of influence” […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/pages\/11"}],"collection":[{"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":1,"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":30,"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/pages\/11\/revisions\/30"}],"wp:attachment":[{"href":"https:\/\/www.bcsnsg.org.uk\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}