Clinical Nurse Specialist Case Study

Superior Essays
Role of the Clinical Nurse Specialist The clinical nurse specialist (CNS) offers uniqueness as a nurse who can move between numerous roles with expert skill-sets assisting facilities to enhance health care outcomes for patients. The CNS is a notable advanced practice nurse (APRN), who contributes to delivery of population health care and quality improvement. The CNS is an interpreneurial nurse and pivotal to meet the increasing needs in rural population health care.
Purpose
Rural communities struggle to recruit and retain providers. There are multiple barriers beginning with education of nurses and physicians in a primarily urban-based setting and few providers willing to explore a practice in a rural community setting. These barriers give
…show more content…
The CNS role in quality appears diminutive with the hiring of Quality Improvement teams strained to train new nurses and staff. However, the key is the CNS who can serve multi-level roles in health care innovation. The CNS has title protection as an advanced practice nurse in some states because of rigorous credentialing at the state and national level. The literature is beginning to report some employers are taking notice of the decreasing health care costs utilizing a CNS (Gordon, Lorilla, and Lehman, 2012). More evidence as to the CNS role in quality and cost containment in literature needs to …show more content…
The CNS role is a leadership role. The IOM reports the development of structure and improving quality should infuse into the CNS role because of educational preparedness to influence all three CNS foci of patient, organization, and nursing practice (Finkelman, 2013). The CNS role always involves quality improvement.
Outcomes directly related to the CNS practice through implementation strategies deserve evaluation in literature. For example, the University of Pennsylvania utilized a CNS scorecard, tracking outcomes directly related to CNS influence (Muller, McCauley, Harrington, 2011). Another initiative, The Cancer Reform Strategy reported the CNS involvement improved the experience of patients diagnosed with cancer (Hardie and Leary, 2010).
Facilities receiving Magnet designation through the American Nurse Credentialing Center are distinguishable and display clinical practice change and process improvement as the foundation of health care service (Gordon, Lorilla, and Lehman, 2012). The CNS role has the skill-sets to assist clinical practice change and quality improvements in health care systems. The CNS role is a health care interdisciplinary role in the demand for sustaining Magnet recognition (Gordon, Lorilla, and Lehman,

Related Documents

  • Decent Essays

    Title of Occupation: Licensed Practical Nurse 1. Nature of Work [Look at What They Do and Work Environment]: Three statements [complete sentences] about what they do—ONE MUST be related to technology 1) Licensed Practical nurse records patients health. 2) Discuss the patients health, and listen to their concerns 3) Licensed practical nurse check their blood pressure 2. Education and Training [Look at How to Become One]: What kind of degree is required, 2 other facts about training or education related to the job [bullet points] • Degree required: • LPN must complete an educational program • LPN must take N.C.L.E.X. and pass to work as a LPN.…

    • 218 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Strategies listed include, but are not limited to: implementing nurse residency programs; preparing and enabling nurses to lead change in the health care field; and removing APRNs scope-of-practice barriers to allow them to practice to their full extent of training and education (“Top Nurse Leaders,” 2011). Susan Reinhard, R.N., Ph.D., F.A.A.N., senior vice president of the AARP Public Policy Institute believes implementing these recommendations will improve health care in rural areas. Health issues for people living in rural areas are more serious than people who live in towns or cities for various reasons. One major reason is the distance individuals have to travel to get to the closest hospital or doctor’s office. Many residents of rural areas may not have the financial funds or means of transportation to get to doctor’s offices for their routine checkups and screenings.…

    • 1628 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    The role of Nurse Practitioner (NP) is among the four recognized Advanced Practice Registered Nurse roles. NPs are independent practitioners with prescriptive privileges, and are found in a variety of healthcare settings, including hospitals, family and specialty practices, as well as in nursing homes. Additionally, and importantly, in these times of corporate driven medicine, NP’s can bill and be reimbursed for services rendered (McClelland, 2014). The four concepts of the nursing metaparadigm; health, person, environment, and nursing practice, overlap and combine to form the foundation for nursing knowledge, theory and practice at all levels including the advanced clinical practice level (Bender & Feldman, 2015).…

    • 370 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    They are prepared in many aspects such as management, research and scholastically. The APRN must advocate and become involved in improving the profession. They must educate entry level nurses, the public and policy makers to truly make a change in the way policy is driven. The MSN and DNP nurse can bring research and best evidence based practices to the table, which certainly affects the way care is provided. Hain and Feck (2014) state that the NP must take a “outcome driven approach to care” by presenting innovating NP models of care, and showing that those models lead to improved outcomes in patient populations (Hain and Feck, 2014).…

    • 1390 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The barrier remains to find preceptors and providers willing to work in underserved populations and gain valuable experience working with marginalized populations. In Bemidji Minnesota, the CNS or DNP as the preceptor for underserved populations remains a plausible focus. This will require the National Association of Clinical Nurse Specialists (NACNS) to champion the role of the CNS in credentialing bodies, DNP schools of nursing to create curriculum changes to include 75 hours of clinical service to underserved populations, offer innovative clinical sites to schools of nursing with available preceptors, and create guidelines to include 75 hours of clinical service to underserved populations to renew an APRN license for state boards of nursing.…

    • 773 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Nurses are responsible for obtaining and maintaining specific knowledge and skills for different professional roles and responsibilities. The professional roles are: Caregiver, Educator, Advocate, Communicator and Manager. These roles are developed because of the need for greater levels of professional competency and expertise. They enable the nurse achieve the best possible patient care outcome in the least amount of time and resources. The developments resulted as a response to the ever-changing and increasing complexity in the healthcare systems which are due to new regulations, accreditation processes, professional standard, increased accountabilities and financial priorities.…

    • 162 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Nursing Case Study

    • 714 Words
    • 3 Pages

    Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Secondary to the implementation of evidence based practice, mentorship of bedside care providers, and quality improvement projects, the CNL will increase effectiveness and efficiency. The CNL will not directly affect the responsibility of the staff at the bedside, however, with increased knowledge comes increased responsibility, and via mentoring and education, the CNL will move staff from novice to expert. In addition, the CNL role will facilitate a decrease length of stay, improve patient outcomes utilizing research based interventions that reduce errors and increase safety (Stavrianopoulos,…

    • 1210 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    163) Several key points were mentioned under this section of the report. They included the committee’s feeling that it is imperative that there is an increase in the percentage of BSN prepared nurses and that by 2020 it should increase from the current fifty percent to eighty percent. (IOM Report, pg. 172-173) The IOM also states that Advanced Practice Registered Nurses (APRNs), especially those with a doctorate degree , currently fewer than 1 percent of nurses, (HRSA, 2010b) needs to double by 2020 to meet the upcoming need to assume faculty and research positions.…

    • 996 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Powered byLoading... NDNQI Taylor, Page 1 Kim Taylor HBI 110-801 December 13, 2015 NDNQI NDNQI stands for National Database of Nursing Quality Indicators. It is the only national nursing database that provides quarterly and annual reporting of structure, process and outcome indicators to evaluate nursing care at the unit level. It links between nurse and staffing levels using patient outcomes that have already been demonstrated through the use of this database. Presently over 1100 facilities in the United States add to this rising database which can now be used to show the cost-effective effects of several levels of nurse staffing.…

    • 1039 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Np Role

    • 486 Words
    • 2 Pages

    “On January 1, 2013, the American Academy of Nurse Practitioners and the American College of Nurse Practitioners came together to form the American Association of Nurse Practitioners (AANP). They are the largest full-service national professional membership organization for NPs of all specialties”, (Annual Report, AANP, 2016) “In 1985, a small group of visionaries convened under an apple tree in Pennsylvania to address the growing need for NPs of all specialties to have a unified voice. They established AANP to fill that need and become The Voice of the Nurse Practitioner. These perceptive leaders recognized that national action was essential to securing the relevance and durability of the NP role.…

    • 486 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The CNS role has intentionally remained broad due to unending changing environments and must remain a multifaceted role, while maintaining the defining characteristic of direct patient care (Hamris et al., 2014). The CNS is an advance practice registered nurse with a focus on the macrosystems with three scopes of influence. The three scopes of influence include the patient, nursing, and healthcare system (Stuesse, 2014).…

    • 421 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    The Importance Of Nursing Values In Nursing

    • 1436 Words
    • 6 Pages
    • 13 Works Cited

    Nurses are champions in adapting to change and identifying creative measures to help modify their practice, so it is not surprising that they are eager to meet these challenges head on. The assumption has been made that the delegation of physician care to FNPs will lead to better use of resources, however nurses must continue to be mindful of the possible risks and implications that may accompany these demands. Sacrificing nursing values cannot be tolerated. It continues to be a slippery slope as nurses cross the line into a medical role while maintaining a nursing framework. Having a concrete understanding of nursing theory and nursing values will help preserve the nursing identity during the newest healthcare…

    • 1436 Words
    • 6 Pages
    • 13 Works Cited
    Great Essays
  • Improved Essays

    This essay will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the future of nursing. The Institute of Medicine (IOM) “Future of Nursing” report in relation to nursing practice, education and workforce development will also be explored. Finally, California’s progress in implementing the changes set forth by the IOM report will be discussed. In 2008, The Robert Wood Johnson Foundation and Institute of Medicine (IOM) completed a two-year program that assessed a need to transform the way patient care was delivered through the nursing profession.…

    • 1121 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In 2010 the Institute of Medicine published a report called The Future of Nursing: Leading Change, Advancing Health. It discusses how nurses can make changes to create a greater role in America’s healthcare system. It encourages nurses to become more educated and to take on leadership roles. It also talks about nurses working in partnership with physicians and other highly trained healthcare professionals. Therefore, nurses should study this report and see what kind of changes they can make in their own practice.…

    • 739 Words
    • 3 Pages
    Improved Essays