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Collaborative practice in the acute care setting.

C J Morse¹, M M Brown

¹Mercy Hospital ScrippsHealth, San Diego, California, USA.

Critical Care Nursing Quarterly

|January 26, 2000

Summary

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Acute care nurse practitioners (ACNPs) and clinical nurse specialists (CNSs) roles are evolving. This review offers advice for successful collaboration between ACNPs and CNSs in acute care settings.

Area of Science:

Nursing
Healthcare Administration

Background:

The increasing visibility of Acute Care Nurse Practitioners (ACNPs) in tertiary care settings prompts a re-evaluation of Clinical Nurse Specialists' (CNSs) roles.
CNSs traditionally focus on indirect patient care but face growing competition from ACNPs in direct patient care roles.

Purpose of the Study:

To review the historical evolution of both ACNP and CNS roles.
To provide practical guidance for ACNPs and CNSs to foster successful, compatible, and cohesive collaboration within acute care environments.

Main Methods:

Literature review on the development and scope of practice for ACNPs and CNSs.
Analysis of role overlap and potential for interprofessional synergy.

Main Results:

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ACNP and CNS roles have distinct origins but increasing overlap in acute care.

Successful integration requires mutual understanding and defined collaborative strategies.

Conclusions:

ACNPs and CNSs can work effectively together by leveraging their unique skills.
Clear communication and defined collaborative frameworks are essential for optimal patient care and professional synergy.