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This study identified essential elements for clinical nurse specialist (CNS) transition-to-practice (TTP) programs. Key needs include understanding the CNS role and fostering supportive organizational cultures for advanced practice.

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Area of Science:

  • Nursing Science
  • Healthcare Quality Improvement
  • Evidence-Based Practice

Background:

  • Clinical Nurse Specialists (CNSs) are vital knowledge workers addressing complex healthcare challenges.
  • A standardized CNS transition-to-practice (TTP) is lacking, potentially leading to inconsistent practice and competency attainment.

Purpose of the Study:

  • To identify critical components for CNS TTP needs using stakeholder experiences.
  • To inform the development of effective CNS TTP programs within a tertiary healthcare setting.

Main Methods:

  • A quality improvement/evidence-based practice project.
  • Structured face-to-face discussions with entry-level CNSs, experienced CNSs, and directors of nursing.

Main Results:

  • Identified 16 categories of CNS TTP needs, with 8 deemed critical.
  • Key challenges included role ambiguity, high expectations, and lack of organizational support and understanding.

Conclusions:

  • Effective CNS TTP programs require an organizational culture that values CNS roles.
  • Tiered, sustainable support from preceptors, mentors, and peers is crucial for advanced deliberate practice.