Joint CNS appointment: is it viable?

A CNS joint appointment that is supported by the departments of nursing and medicine is viable when goals of the nurse and the organizations are congruent and expectations are delineated. Many challenges and strategies are associated with a joint appointment. Although the challenges and strategies were similar for the first (C.N.) and second authors (L.A.), their experiences differed. Based on the experience of the authors, feasibility of a joint appointment and benefits, challenges, and strategies for enacting the role are presented.