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Restructuring the CNS role for a managed care environment

J M Higgins, P R Ponte, J R James

    Clinical Nurse Specialist CNS
    |May 1, 1994
    PubMed
    Summary
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    Clinical Nurse Specialists (CNSs) adapted their roles in a teaching hospital to meet fiscal challenges, shifting from consultants to case managers and partners. This demonstrates CNSs

    Area of Science:

    • Nursing Administration
    • Healthcare Management
    • Clinical Nurse Specialist Practice

    Background:

    • A large northeast teaching hospital faced fiscal pressures necessitating organizational changes.
    • The existing Clinical Nurse Specialist (CNS) role required restructuring to align with new financial realities.
    • Adapting healthcare roles is crucial in response to evolving economic environments.

    Purpose of the Study:

    • To restructure the Clinical Nurse Specialist (CNS) role within a hospital setting.
    • To evaluate the developmental needs and learning associated with CNS role revision.
    • To demonstrate the adaptability of CNSs in a managed care environment.

    Main Methods:

    • Organizational restructuring of the CNS role from consultant to case manager, nurse manager partner, and departmental resource.

    Related Experiment Videos

  • Assessment of CNS developmental needs before and after role revision.
  • Evaluation of the change and learning process.

    • Main Results:

    • The CNS role was successfully redefined to encompass case management, nurse manager partnership, and departmental consultation.
    • Developmental needs assessments indicated significant learning and adaptation among CNSs post-revision.
    • The restructuring process highlighted the CNSs' capacity for change.

    Conclusions:

    • Clinical Nurse Specialists (CNSs) can effectively adapt their roles to address fiscal constraints and evolving healthcare demands.
    • The revised CNS role proved valuable in a managed care setting, enhancing departmental support.
    • Evidence of learning and change supports the successful transformation of the CNS position.