Distinguishing the Clinical Nurse Specialist From Other Graduate Nursing Roles

Mohr, Lynn; Coke, Lola

doi:10.1097/nur.0000000000000373

Cited by 41 publications

(51 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is at the core of a sense of belonging as this increases mutual trust and therefore respect, wellbeing and self-esteem. The impact of working conditions such as remuneration, workload allocation, staffing levels and lack of role clarity [75] have been raised previously as well as in this study [31, 33, 72, 73]. The impact of workload and the working environment on the personal self has also been documented previously [76, 77].…”

Section: Discussionsupporting

confidence: 73%

From incomer to insider: The development of the TRANSPEC model – A systematic review of the factors influencing the effective rapid and early career TRANsition to a nursing SPECiality in differing contexts of practice

et al. 2019

View full text Add to dashboard Cite

Objective Shortages in the speciality nursing workforce, both nationally and internationally are driving the need for the development of an evidence-based model to inform recruitment and retention into speciality nursing practice. This study aimed to identify the factors influencing rapid and early career transition into speciality nursing practice. Methods A comprehensive systematic review of the literature was undertaken using a convergent qualitative synthesis design where results from qualitative, quantitative and mixed methods studies were transformed into qualitative findings. Databases included CINAHL, Medline, Scopus and PsycINFO. Search terms were: nurse, early career, rapid career, transition, specialty, and Medical Subject Heading terms included: professional development and educational, nursing, and continuing. Using validated tools, papers were independently assessed by a minimum of two reviewers. Results Twenty-three research articles were included. There were no randomized control trials. Through thematic analysis and matrix mapping of the results, the TRANSPEC model was developed. The model outlines three phases of transition: pre-entry, incomer and insider. There has been little focus on pre-entry with programs being designed at the incomer and insider phases. Impacting on these phases are three concepts: the self (professional and personal), the transition processes (informal and formal) and a sense of belonging. The overarching theme influencing the phases and concepts is the context of practice. Enablers and inhibitors influence successful transition and therefore impact on recruitment and retention. Each nurse’s transition is influenced by time. Conclusions For successful transition, the enablers and inhibitors impacting on the three concepts, phases and the context of practice need to be considered when developing any program. It is apparent that while previous studies have focused on the transition processes, such as curricula, the development of the self and a sense of belonging are also essential to successful transition. Further studies should include the pre-entry phase.

show abstract

Section: Discussionsupporting

confidence: 73%

From incomer to insider: The development of the TRANSPEC model – A systematic review of the factors influencing the effective rapid and early career TRANsition to a nursing SPECiality in differing contexts of practice

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Overall, the finding of a four-competency-factor solution reflects similarities in the US and Canadian CNS competencies. The US CNS competencies are grouped under three spheres of patient, nursing and organisation (Baldwin et al, 2007) other specialty practitioners such as nurse administrators work in this sphere (Hanson & Hamric, 2003), the CNS practice within the organisation is supported by the other complimentary competence areas of patient, clinical nursing leadership and scholarship, which enable them to influence the organisational outcomes in the micro-, meso-and macrosystem (Mayo et al, 2017;Mohr & Coke, 2018).…”

Section: Discussionmentioning

confidence: 99%

Construct validity of clinical nurse specialist core competency scale: An exploratory factor analysis

Jokiniemi

Pietilä

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Studies have revealed several, even hundreds, of job titles in use (Leary, Maclaine, Trevatt, Radford, & Punshon, 2017;Pulcini, Jelic, Gul, & Loke, 2010). The array of titles used is found a problematic issue in several countries across Europe causing disparity and confusion (Dury et al, 2014;Leary et al, 2017;Maier et al, 2017;Mohr & Coke, 2018). Recently, some organizations have begun to develop frameworks for APN; however, there is a paucity of information guiding the policymaking or practice implementation process (Chang, Gardner, Duffield, & Ramis, 2012;Schober, Gerrish, & McDonnell, 2016).…”

Section: Introductionmentioning

confidence: 99%

Evidence‐informed policymaking: Modelling nurses' career pathway from registered nurse to advanced practice nurse

Jokiniemi

Suutarla

Meretoja

et al. 2019

Int J of Nursing Practice

View full text Add to dashboard Cite

Aim To formulate, validate, and disseminate policy, modelling nurses' career pathway from registered to advanced practice nurse. Method The evidence‐informed policy and practice pathway framework was utilized. Multiple methods were used, including scoping review of literature, consultation of key informants, survey study, and expert group round‐table discussions during 5‐year project between 2013 and 2018. Results Through (a) sourcing, (b) using, and (c) implementing the evidence, the expert group worked systematically to formulate a policy on a career pathway from registered to advanced practice nurse. The formulated career pathway includes three competence levels: registered nurse, specialized nurse, and advanced practice nurse, which includes the roles of nurse practitioner and clinical nurse specialist. In addition, validation and dissemination of the policy, as well as its effective implementation and the process of integrating it into practice, were examined. Conclusion Evidence‐informed policymaking is an effective, interactive way to work collaboratively in achieving consensus and translating knowledge into practice. The formulated policy will contribute to the increased awareness, acknowledgement, and implementation of the registered nurses' traditional and new roles within health care environments. Implementing and integrating the policy in national health care policy, legislation, education, and organizations across the country is a work in progress.

show abstract

Distinguishing the Clinical Nurse Specialist From Other Graduate Nursing Roles

Cited by 41 publications

References 12 publications

From incomer to insider: The development of the TRANSPEC model – A systematic review of the factors influencing the effective rapid and early career TRANsition to a nursing SPECiality in differing contexts of practice

From incomer to insider: The development of the TRANSPEC model – A systematic review of the factors influencing the effective rapid and early career TRANsition to a nursing SPECiality in differing contexts of practice

Construct validity of clinical nurse specialist core competency scale: An exploratory factor analysis

Evidence‐informed policymaking: Modelling nurses' career pathway from registered nurse to advanced practice nurse

Contact Info

Product

Resources

About