Capture of Knowledge Work of Clinical Nurse Specialists Using a Role Tracking Tool

Colwill, Jennifer P.; O’Rourke, Colin; Booher, Lydia; Soat, Marian; Solomon, Deborah; Albert, Nancy M.

doi:10.1097/nur.0000000000000078

Cited by 13 publications

(10 citation statements)

References 29 publications

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“…The practice of CNSs operating as staff members and not attaining supernumerary status, to take on a CNS caseload needs to be addressed in order for CNSs to collaborate and lead the profession 26 . It is recognised that CNSs influence practice through nursing activities, practice development, education, consultation, research and clinical research [27][28][29][30][31][32] . Our findings are similar to Acton Shapiro 33 who highlighted that CNSs are not being utilised to their full extent and are therefore unable to have the desired impact on practice that might be anticipated [33][34] .…”

Section: While Differences May Exist Among Cns Roles/definitions Betwmentioning

confidence: 99%

Activities of Intellectual Disability Clinical Nurse Specialists in Ireland

2017

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Ireland ABSTRACT Purpose/Aim:The aim of this study was to identify the contribution of Irish intellectual disability clinical nurse specialist to service delivery. Design:A non-experimental descriptive design was selected to survey intellectual disability clinical nurse specialists presently working in Ireland. The questionnaire was developed based on focus group interviews, available literature and expert panel views. Methods:Ethical approval and access was granted to all intellectual disability clinical nurse specialists in Ireland. 32 responded (33.68% response rate) from all work areas (voluntary organisations or health service executive) practicing within residential, community or school services. Respondents were surveyed across a range of areas (demographic details, support to; client, staff, family, organisation, community, other agencies, and professional development). Results:Findings identify that intellectual disability clinical nurse specialists are active in all aspects of their roles as clinical specialist, educator, communicator, researcher, change agent and leader. Thus supporting person-centred care and improving service delivery. Conclusions:To meet changing healthcare demands, promote person-centred care, and improve service delivery, the clinical nurse specialist role in intellectual disability should be developed and supported. The findings merit further study on ID CNS role activity, possible variables influencing role activity and team members' views.

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Section: While Differences May Exist Among Cns Roles/definitions Betwmentioning

confidence: 99%

Activities of Intellectual Disability Clinical Nurse Specialists in Ireland

2017

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“…In 2012, Richardson and Tjoelker (17) reported a 2.5-year, CNS-led CLABSI reduction initiative that prevented eight CLABSIs, which yielded $200,000 in cost avoidance and saved 1.4 lives. Similarly, Colwill et al (19) identified an association with CNS involvement in care and a reduction in CAUTI rates in the critical care setting. These examples demonstrate the value of the CNS role as an expert clinician, consultant, and change-agent in the prevention of HACs and the associated cost savings for healthcare organizations.…”

Section: Cns Practice and Contributions To Outcomesmentioning

confidence: 87%

Clinical Nurse Specialist: A Critical Member of the ICU Team

Gabbard

Klein

Vollman

et al. 2021

Critical Care Medicine

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OBJECTIVES: To describe the role of the clinical nurse specialist, an advanced practice registered nurse in the intensive care setting. The value and impact of the clinical nurse specialist role as a member of the ICU is presented along with a review of clinical nurse specialist education, licensure, and certification requirements as well as a description of the clinical nurse specialist role, scope of practice, and competencies. In addition, a selected review of clinical nurse specialist–led quality improvement and research that resulted in improved patient outcomes is provided. DATA SOURCES: Review of published medical and nursing literature and expert opinion guidance from a collaborative effort between the Society of Critical Care Medicine, American Association of Critical Care Nurses, and National Association of Clinical Nurse Specialists. STUDY SELECTION: Not applicable. DATA EXTRACTION: Not applicable. DATA SYNTHESIS: Not applicable. CONCLUSIONS: The utilization of a clinical nurse specialist, an advanced practice role, in the ICU is a unique and valuable approach for organizations who strive to move evidence into sustainable practice and drive quality through an interprofessional approach. The valuable contributions made by the clinical nurse specialist efficiently and effectively meet the needs of patients, clinicians, and organizations while improving patient outcomes and optimizing cost avoidance strategies, which further lower economic demands on the healthcare system.

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“…While clinical nurse specialists (CNSs) roles are recognised internationally (Kilpatrick, Tchouaket, Carter, Bryant‐Lukosius, & DiCenso, ), the role is broad, ambiguous and individualised (Colwill et al., ). Essential components within the CNS role include direct clinical practice, education, consultation, research, professional leadership and ethical decision‐making (Sparacino, ).…”

Section: Introductionmentioning

confidence: 99%

“…CNSs improve practice and service delivery by integrating their specialist knowledge, skill and research evidence (Bryant‐Lukosius et al., ; Lewandowski & Adamle, ), to support evidence‐based practice and improve quality of care (Begley et al., ) and provide safe effective care across a wide range of settings (Newhouse et al., ). CNSs spend varying amounts of time in each component of their role (Colwill et al., ; Kilpatrick et al., ). These variations in time spent within each component of their role may reveal how CNSs adapt their practice and respond to the needs of patients, organisations and health systems (Kilpatrick et al., ).…”

Section: Introductionmentioning

confidence: 99%

“…and provide safe effective care across a wide range of settings (Newhouse et al, 2011). CNSs spend varying amounts of time in each component of their role (Colwill et al, 2014;Kilpatrick et al, 2013). These variations in time spent within each component of their role may reveal how CNSs adapt their practice and respond to the needs of patients, organisations and health systems (Kilpatrick et al, 2016).…”

mentioning

confidence: 99%

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