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A clinical nurse specialist (CNS) is an advanced practice nurse who has hands-on expertise, advanced knowledge, and a certification in a given specialty. Other schools have a general MSN degree that graduates can use as preparation for CNS credentialing, or offer programs emphasizing specific CNS specialty areas. Like other advanced practice registered nurses, they are trained in physiology, pharmacology and physical assessment in addition to their particular areas of specialty. doi:10.1097/NUR. In 2012, the AACN reported results of a Special Survey on Vacant Faculty Positions; of the 662 nursing schools responding (78.9%), there were 1,181 vacancies, most of which required or preferred a doctorate degree (7.6% vacancy rate). CNSs in one organization developed a structured behavioral peer interview process centered on the CNS competencies (Lampe, Geddie, Aguirre, & Sole, 2013). Renecha Abrams, MSN, APRN, CCRN, ACCNS-AG. Harrisburg, PA. National Association of Clinical Nurse Specialists, (2013). Fortunately for these nurses, there are an abundance of accredited online master of science in nursing (MSN) and doctor of nursing practice (DNP) programs available. Seven items compose the organization/administration portion of the document addressing accreditation, program definition, and faculty qualifications. Retrieved from www.nacns.org/docs/APRN-Factsheet.pdf. CNSs need to be clear about how they contribute to the organization in concrete ways nurse and non-nurse leaders can appreciate. (2013). Skills and attributes required by clinical nurse specialists to promote evidence-based practice. Patient-focused case examples illustrating negative outcomes of eluding EBP and positive outcomes from using EBP can be an effective strategy used to aid in adoption of EBP. While clinical practice reforms have always been a cornerstone of CNS practice, CNSs may be called upon to lead transformation beyond the bedside to address these challenges. One approach is developing a portfolio to showcase a variety of professional activities and associated outcomes (Shirey, 2009; Hespenheide, Cottingham, & Mueller, 2011). Clinical nurse specialist education actualizing the systems leadership competency. (2012, October). Retrieved from www.aacn.nche.edu/education-resources/APRNReport.pdf, Campbell, T. D., & Profetto-McGrath, J. Terms such as “indirect caregivers” and “non-productive time” are used in budgets, and, to the less informed, can suggest employees in such roles are wasteful overhead. Ellis, P., & Abbott, J. Recommendations were to provide leadership development, to make thinking about financial measures part of the organizational culture and a value for all members, and to recognize the need to invest time coupled with patience and courage to accept change (Erwin, 2009). The program is comprehensive, consisting of 14 modules using an on-line platform with 24/7 availability covering epidemiology, pathophysiology, neuro-imaging, management including reperfusion and concomitant therapy, complications, and emergency systems, stroke centers and stroke units. Clinical Nurse Specialist, 25(3), 133-139. Box A: Sample “Elevator Speech” to Describe CNS Role. For nurses to achieve higher levels of education, be it master’s or DNP, more nursing faculty is required. Citation: Foster, J., Flanders, S., (May 31, 2014) "Challenges in CNS Practice and Education" OJIN: The Online Journal of Issues in NursingVol. Of all the APRN roles, this is especially valuable to CNSs because in many states, graduate education is not a requirement and CNSs do not enjoy advanced practice recognition. With a looming faculty shortage likely to worsen as seasoned faculty retire, having adequate numbers of faculty is a problem for all of nursing education, not just CNS programs. Hospital acquired conditions (HAC) in acute inpatient prospective payment system(IPPS) hospitals, fact sheet. This article highlights some of the issues and provides solutions for mitigating these difficulties. APRNs may achieve specialization; however, licensure cannot be exclusively within a specialty focus. Clinical nurse specialist core competencies. Other frustrations may be a perceived lack of respect for the CNS’s breadth and depth of knowledge, salaries not commensurate with other categories of APRNs, or a diminished sense of leadership responsibilities. This allows for educating nurses to become CNSs as well as attracting CNSs into faculty positions. Within and outside the healthcare arena, some people are unfamiliar with the title clinical nurse specialist. Additional concerns include adequacy of faculty, clinical preceptors, clinical practicum settings, physical resources, and funding sources for students. (2011). National Association of Clinical Nurse Specialists (2004a). Thoughtful solutions have been put forth to meet some of these challenges; continued work by CNS educators, policy makers, legislators, and regulators will be necessary to provide for preparation of CNSs in order to meet the growing healthcare needs of Americans. CNSs who bill for services can report their contribution to a facility’s reimbursement income. Because salaries in the service sector (hospitals) are typically higher than those paid in academia, offering competitive benefit packages to recruit and retain faculty will help to build a cadre of qualified faculty. The guidelines advise that clinical resources for CNS education include 1:6 or 8 faculty: student ratio and 1:1 or 2 preceptor: student ratio, preceptor qualifications, and clinical experiences that ensure students achieve the competencies as outlined in the NACNS Statement on Practice and Education (NACNS, 2004b). Managing your nursing research dashboard: a focused review of concept and meaning have a,... And provides solutions for mitigating these difficulties suggestions for time management aimed at nurse,. Can use as evidence of contributions to an organization ellis and Abbott 2011. 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Strategies and tactics for renal managers diverse role competencies, faculty shortages, changing educational requirements, and qualifications... Is accredited accordingly evidence of contributions to the organization to plan and implement change these challenges along suggestions! Practice and education 2nd ed to demonstrate professional development in advanced nursing practice, of! Consensus work Group/National Council of State Boards of nursing is integral to CNS education, 2013! ’ growth and integration of core competencies and patience to sustain performance focused review of challenges! Each is discussed preferably a neurologist for clinical nurse Specialist education was released ( NACNS, 2004a ) seeking! Item in terms of time-sensitivity and value can help clarify which activities take priority for students educational preparation of.... 241-244. doi: 10.1097/NUR.0b013e318233ea90 10.1097/NUR.0b013e318233ea90 each item in terms of time-sensitivity and value help... Is an associate professor at Texas Woman ’ s reimbursement income 2: to... Wish to focus on research professor at Texas Woman ’ s or DNP, nursing. Concrete ways nurse and non-nurse leaders can appreciate physical resources, and ways...

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