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Advanced Practice Nursing in Chile and the Role of the Registered Nurse: Integrating 2 Realities Through Continuous
Pilar Espinoza1, Bernardita Troncoso, Lauren Jacobson
1Author Affiliations: Associate Professor and Director of Postgraduate, Research and International Relations (Dr Espinoza), Faculty of Sciences for Health Care, Universidad San Sebastián; and Associate Professor (Ms Troncoso) School of Nursing, Andes University of Chile, Santiago, Chile; Nurse Practitioner (Ms Jacobson), Beth Israel Deaconess Medical Center, Boston, Massachusetts; and President (Dr Schober), Schober Global Healthcare Consulting, International Healthcare Consultants, New York, New York.
Purpose/Aims:
The aim of this study was to explore the perceptions that experienced and highly specialized nurses have of the clinical nurse specialist (CNS) role through description of the registered nurses' (RNs') experiences.
Design:
This study used a qualitative descriptive design.
Methods:
Interviews were conducted with 6 RNs (2 managers, 1 chief nursing officer, 2 educators, and 1 clinician) and 32 RNs who participated in 5 focus groups. Participants were purposively sampled from intensive care units and emergency departments from 4 public and private hospitals. The analysis of the narratives and field notes used thematic content analysis.
Results:
Common aspects of the CNS competencies and the experienced RN were recognized. These included direct patient care, assessment, and mentoring, with important differences in management, research, and coaching competencies.
Conclusion:
The findings could facilitate the development of a master's program for the CNS in Chile. Formally recognizing the skills and clinical experiences of expert RNs may motivate nurses to pursue a master's degree that prepares them for advanced practice.
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