Comparing CNS and NP role activities: a replication

Area of Science:

• Advanced Practice Nursing
• Nursing Roles and Responsibilities

Background:

• Discussion regarding merging clinical nurse specialist (CNS) and nurse practitioner (NP) roles has persisted since the early 1980s.
• Potential implications of merging CNS and NP roles have raised significant concern and controversy within the nursing profession.

Purpose of the Study:

• To replicate a 1992 descriptive study comparing CNS and NP roles.
• To gain current insights into the implementation of role activities for CNSs and NPs.
• To analyze whether the roles have evolved towards a blended model.

Main Methods:

• A descriptive study design was employed.
• 610 CNSs and NPs practicing in Minnesota were surveyed.
• Data collection utilized a demographic questionnaire, the Advanced Nursing Practice Survey, and the Work Activities Checklist.

Main Results:

• Significant differences were identified in the role activities of CNSs and NPs.
• Analysis indicated no evolution towards a blended CNS/NP role when comparing current findings to the original 1992 study.
• Similarities exist between the roles, but unique practice areas remain distinct.

Conclusions:

• The findings support the continued existence and distinctiveness of both the CNS and NP advanced practice roles.
• Despite some overlap, CNS and NP roles maintain unique areas of practice.
• The study suggests that a merger of these roles has not occurred and may not be indicated based on current practice patterns.