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Transition to Practice: Entry-Level Clinical Nurse Specialist Leveraging Practice From a Structured Orientation and
Jasper Sanchez1, Fotine Mamais, Lianna Z Ansryan
1Author Affiliations: Clinical Nurse Specialist (Sanchez), Adult Surgical Services; Geriatric Clinical Nurse Specialist and Practice Supervisor (Mamais); Clinical Nurse Specialist (Ansryan), Geriatrics; and Clinical Nurse Specialist in the PICU/PCTU and Advanced Practice Supervisor (Kirkpatrick), UCLA Health, Los Angeles, California.
Purpose:
The purpose of this article is to describe the experiences of an entry-level clinical nurse specialist (CNS) leveraging practice from a structured orientation and mentorship program developed by advanced practice supervisors.
Description Of Program:
An entry-level CNS may experience feelings of ambiguity, role confusion, social isolation, and inadequacy when transitioning into a CNS role. The author applied key components of a transition-to-practice program from a review of literature that includes a standardized competency-based orientation with mentorship, leadership support, and professional development opportunities.
Outcome:
An annual portfolio outlined the completion of entry-level CNS outcomes in the 3 spheres of impact: patient care, nursing practice, and health system innovation.
Conclusion:
A structured CNS onboarding and mentoring program is crucial to support entry-level CNS on transition to practice. Entry-level CNSs are in a position to take action advocating for role clarity, establishing a working relationship with mentors and peers, and maintaining clinical competence through a structured orientation program with mentorship.
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