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The unit-based CNS: a hand in everything.

Kimberly Coursen-Antinone1, Joyce Parks, Karin Taylor

  • 1Johns Hopkins Hospital, Baltimore, Maryland, USA.

Nursing Management
|August 7, 2002
PubMed
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Unit-based clinical nurse specialists significantly impact healthcare systems. These advanced practice nurses influence the entire organizational structure in tertiary care settings.

Area of Science:

  • Nursing Science
  • Healthcare Administration

Background:

  • Unit-based clinical nurse specialists (UBCNS) are integral to tertiary care.
  • Their role extends beyond direct patient care to organizational systems.

Purpose of the Study:

  • To examine the influence of UBCNS on the organizational system.
  • To understand the scope of UBCNS impact within a tertiary care setting.

Main Methods:

  • Qualitative analysis of UBCNS roles.
  • Case study of Johns Hopkins Hospital, Baltimore, Maryland.

Main Results:

  • UBCNS demonstrate broad influence across multiple organizational levels.
  • Their impact encompasses policy, practice, and patient outcomes.

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Conclusions:

  • UBCNS are key change agents within complex healthcare environments.
  • Their strategic positioning allows for system-wide improvements in tertiary care.