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The Clinical Nurse Specialist: Maximizing Return on Investment
Justin DiLibero1, Lynn D Mohr, Kristen M Burton-Williams
1Authors' Affiliations : Rhode Island College, Onanian School of Nursing, Providence, Rhode Island (Dr DiLibero and Ms Calvert); Department of Women Children, & Family Nursing, Rush University College of Nursing, Chicago, Illinois (Dr Mohr); Rhode Island Hospital, Providence, Rhode Island (Ms Burton-Williams); Fran and Earl Ziegler College of Nursing, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Dr Dresser); Department of Nursing Research, H. Lee Moffitt Cancer Center, Tampa, Florida (Dr Mason); Department of Neurology, Miriam Hospital & Newport Hospital, Providence, Rhode Island (Ms Schaefer); and Neonatal Intensive Care, Children's Health, Dallas, Texas (Dr Tidwell).
The US faces a nursing shortage, burnout, and turnover, impacting care quality and finances. Clinical nurse specialists are vital for improving the work environment and retaining nurses.
Area of Science:
- Healthcare Management
- Nursing Workforce Studies
- Organizational Psychology
Background:
- The US healthcare system is experiencing a severe nursing shortage.
- Increasing patient care complexity and a decline in experienced nurse mentors exacerbate workforce challenges.
- These issues contribute to nurse burnout, high turnover rates, reduced quality and safety, and negative financial outcomes.
Purpose of the Study:
- To highlight the critical role of the clinical nurse specialist (CNS) in addressing systemic issues within the nursing profession.
- To examine how CNSs can mitigate burnout and turnover among nursing staff.
- To underscore the CNS's impact on improving the healthcare work environment and financial stability.
Main Methods:
- This abstract discusses the impact of the nursing shortage and associated factors on the healthcare system.
- It emphasizes the structural causes of burnout and turnover.
- The role of the clinical nurse specialist is presented as a key solution.
Main Results:
- The current healthcare climate is characterized by a nursing shortage, increased care complexity, and fewer mentors.
- These conditions foster a cycle of burnout, turnover, and compromised care quality and safety.
- Financial performance is negatively affected by these workforce challenges.
Conclusions:
- Mitigating the structural causes of burnout and turnover is essential for improving the healthcare system.
- The clinical nurse specialist (CNS) role is pivotal in enhancing the nursing work environment.
- CNSs are crucial for advancing evidence-based practice, reducing nurse turnover, and improving financial outcomes.
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