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Collegial model for clinical nurse specialists: implementation

M J Geiger-Bronsky, L C Howard-Glenn, A I Hancock

    Clinical Nurse Specialist CNS
    |September 1, 1994
    PubMed
    Summary

    This study introduces the Collegial Model for Clinical Nurse Specialists (CNSs), a self-governing strategy implemented in a multihospital setting. It details the model

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    Area of Science:

    • Nursing Administration
    • Healthcare Management
    • Organizational Development

    Background:

    • Clinical Nurse Specialists (CNSs) traditionally hold administrative or management roles.
    • Lack of autonomy and defined professional identity can impact CNS practice.
    • Need for a structured, self-governing model to enhance CNS roles.

    Purpose of the Study:

    • To develop and operationalize the Collegial Model for Clinical Nurse Specialists (CNSs).
    • To establish a self-governing strategy for CNSs within a multihospital medical center.
    • To describe the implementation process, including facilitators and barriers.

    Main Methods:

    • Development of the Collegial Model framework.
    • Operationalization of the model within a multihospital system.
    • Analysis of implementation drivers, obstacles, and strategic solutions.

    Main Results:

    • Successful implementation of a self-governing structure for CNSs.
    • Identification of key driving forces, such as leadership support and clear role definition.
    • Documentation of encountered obstacles, including resistance to change and resource allocation challenges.
    • Development of strategies to overcome implementation barriers.

    Conclusions:

    • The Collegial Model provides a viable framework for CNS self-governance.
    • Effective implementation requires strategic planning, stakeholder engagement, and adaptive management.
    • This model can enhance CNS professional autonomy and impact within healthcare organizations.

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