The Clinical Nurse Specialist in an Irish Hospital

Wickham, Sheelagh

doi:10.1097/nur.0b013e31820aefb5

Cited by 4 publications

(4 citation statements)

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“…The evolution and development of CNS roles in the Republic of Ireland present some similarities to that in the US, Canada and UK although differences exists in entry requirements. Three pathways existed in Ireland where the immediate pathway (prior to the 30 April 2001) allowed for a CNS who held an appropriate post-registration qualification and/or a minimum of 5 years' experience in the area of specialty to be appointed 1 the management of cystic fibrosis 5 , views of nurse prescribing 6 , use of dependency and prioritization tools in palliative care 7 , their role 8 , impact of educational level on role 9 , activities in an acute hospital 10 , community palliative care CNSs 11 , lesser recognised roles 12 and perceived outcomes of research and audit activities 13 .…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

Activities of Intellectual Disability Clinical Nurse Specialists in Ireland

2017

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“…Through the implementation of the CNS/CMS framework (NCNM, 2001;2004;2007;2008), Ireland is now at a stage where the criteria of experience and education are prerequisites for the role. However, literature (Dowling, 2000;Begley et al, 2010;Wickham, 2011) identifies numerous challenges for CNS/CMS' in fulfilling their roles. Such challenges include time pressures, lack of resources, suboptimal organizational support, lack of understanding about the role and poor administrative support (Table 6).…”

Section: Discussionmentioning

confidence: 99%

“…Such challenges include time pressures, lack of resources, suboptimal organizational support, lack of understanding about the role and poor administrative support (Table 6). (Dowling, 2000;Gibson and Bamford, 2001) • Lack of resources (Begley et al, 2010;Wickham, 2011) • Organizational support (Booth et al, 2003;Wickham, 2011) • Team support (Bousfield, 1997;Begley et al, 2010) • Others perceptions (Bamford and Gibson, 1998;Wickham, 2011) • Administration support (Begley et al, 2010;Wickham, 2011) …”

Section: Discussionmentioning

confidence: 99%

The development of clinical nurse specialist roles in Ireland

Doody

Bailey²

2011

Br J Nurs

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While the term specialist in nursing can be traced to the turn of the 20th Century, it is only since 2001 that a framework was developed for a clinical career pathway in Ireland. This framework has promoted the development and expansion of the clinical nurse/midwife specialist (CNS/CMS) throughout Ireland over the past 10 years guided by the National Council for the Professional Development of Nursing and Midwifery (NCNM). To build upon the achievements of the NCNM and advance nursing practice, it is imperative that CNS/CMS's adopt and fulfil the components of their role. Since CNS/CMS practice is relatively new to Ireland, there is the opportunity to learn from experiences of other countries. This article outlines the development and challenges of the CNS role in Ireland.

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“…Several studies have examined the professional time use of CNSs (Darmody, , ; Kilpatrick et al, ; Leary et al, ; Mayo et al, ; Norton, Sigsworth, Heywood, & Oke, ; Oddsdóttir & Sveinsdottir, ; Ream et al, ; Wickham, ), NPs (Johnson, Brennan, Musil, & Fitzpatrick, ; Kleinpell & Goolsby, ; Martin‐Misener et al, ; Rosenfeld, McEvoy, & Glassman, ; Woo, Zhou, Lim, & Tam, ), or both (Becker, Kaplow, Muenzen, & Hartigan, ; Lincoln, ). These studies investigated the time investment of APNs using self‐reporting methods, such as diaries (Ream et al, ; Norton et al, ; Oddsdóttir & Sveinsdottir, ), instruments to register the frequency of activities (Becker et al, ; Leary et al, ; Martin‐Misener et al, ; Wickham, ), or the estimated proportion of time spent on APN roles (Darmody, ; Johnson et al, ; Kilpatrick et al, ; Kleinpell et al, ; Lincoln, ; Mayo et al, ; Rosenfeld et al, ; Wickham, ; Woo et al, ). However, recurring limitations in these studies are as follows: no random selection of the sample, unclear inclusion criteria, a lack of reasons explaining attrition, and a risk of self‐reporting bias.…”

Section: Introductionmentioning

confidence: 99%

Time use of advanced practice nurses in hospitals: A cross‐sectional study

Goemaes

Lernout

Goossens

et al. 2019

Journal of Advanced Nursing

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Aims To examine the use of time by advanced practice nurses and time use differences according to type of healthcare organization, work experience, and supervisor. Design A cross‐sectional, observational study. Methods Non‐participant observations were executed in Belgium (October 2015–January 2016). Time use was categorized in domains (patient/family, team, healthcare organization) and roles (clinical expert, educator/coach, change agent/innovator, researcher, leader, collaborator, and ethical decision‐making facilitator). Proportional working time in domains and roles was calculated. Chi‐squared tests identified differences in time use according to type of healthcare organization, number of years of work experience, and type of hierarchical/functional supervisor. Results Participants mainly devoted time to the patient/family domain (30.78%) and the clinical expert role (34.19%). The role of leader and ethical decision‐making facilitator covered, respectively, 4.84% and 0.07% of participants’ time. Time distribution in domains and roles differed between participants in university and peripheral hospitals. Conclusion Activities were executed in all domains and roles, except for the ethical decision‐making facilitator role. Further research could uncover barriers and facilitators for role execution, especially about leadership and ethical decision‐making. Impact Advanced practice nurses, supervisors and policymakers could act to optimize advanced practice nurses’ scope of practice.

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The Clinical Nurse Specialist in an Irish Hospital

Abstract: The findings merit further study on CNS role activity and possible variables that influence role activity.

Cited by 4 publications

References 6 publications

Activities of Intellectual Disability Clinical Nurse Specialists in Ireland

Activities of Intellectual Disability Clinical Nurse Specialists in Ireland

The development of clinical nurse specialist roles in Ireland

Time use of advanced practice nurses in hospitals: A cross‐sectional study

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