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Related Concept Videos

Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
The Professional Nurse01:22

The Professional Nurse

Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Accountability and Responsibility of a Nurse I01:30

Accountability and Responsibility of a Nurse I

Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
Accountability and Responsibility of a Nurse II01:09

Accountability and Responsibility of a Nurse II

Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

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Related Experiment Video

Updated: May 19, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
05:04

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Implementing autonomous clinical nurse specialist prescriptive authority: a competency-based transition model.

Tracy Ann Klein1

  • 1Oregon State Board of Nursing, 17938 SW Upper Boones Ferry Rd, Portland, OR 97224-7012, USA. tracy.klein@state.or.us

Clinical Nurse Specialist CNS
|August 21, 2012
PubMed
Summary
This summary is machine-generated.

A competency-based model successfully transitioned clinical nurse specialists (CNSs) to autonomous prescriptive authority. This regulatory approach facilitated CNSs obtaining prescribing rights, including scheduled drugs, without adverse actions.

Related Experiment Videos

Last Updated: May 19, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
05:04

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Area of Science:

  • Nursing Practice
  • Regulatory Science
  • Healthcare Policy

Background:

  • Current state laws may restrict or make optional prescriptive authority for clinical nurse specialists (CNSs).
  • The APRN Consensus Model advocates for full prescriptive authority for all advanced practice registered nurses.
  • CNSs encounter obstacles in obtaining prescribing authority due to evolving laws and practice standards.

Purpose of the Study:

  • To identify and implement a competency-based regulatory model for expanding CNSs' autonomous prescriptive authority.
  • To facilitate the transition of CNSs to full prescribing privileges in alignment with legislative changes.

Main Methods:

  • Development and implementation of a competency-based transition model.
  • Focus on practical experience, including practicum hours, tailored to CNS specialties.

Main Results:

  • Nine CNSs in the exemplar state achieved full prescriptive authority, including scheduled drugs, by January 1, 2012.
  • The transition to autonomous prescribing resulted in no reported complaints or board actions.

Conclusions:

  • Competency-based outcomes, such as practicum hours, can effectively facilitate the transition to prescribing for CNSs.
  • The developed model's outcomes can inform educational and credentialing policies to lower barriers for CNSs seeking prescriptive authority nationwide.