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Clinical Nurse Specialist Transition to Practice
Rosina Bloomingdale1, Julie V Darmody, Julie L Ellis
1Author Affiliations: Clinical Assistant Professor (Dr Bloomingdale), Clinical Associate Professor Emeritus (Dr Darmody), and Assistant Professor (Dr Ellis), College of Nursing, University of Wisconsin Milwaukee.
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.
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.
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