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Factors that influence CNSs' decision about specialization

D L Sexton, B H Munro, L M Sulzbach

Clinical Nurse Specialist CNS

|July 1, 1993

Summary

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Most clinical nurse specialists (CNS) choose their specialty after basic nursing education. Key influences include early career experiences and role models, with critical care being the most favored specialty.

Area of Science:

Nursing
Advanced Practice Nursing
Healthcare Professionals

Background:

Limited research exists on decision-making processes for advanced practice roles.
Understanding specialty choice factors is crucial for nursing workforce development.

Purpose of the Study:

To investigate the timing of specialty decision-making for Clinical Nurse Specialists (CNS).
To identify factors influencing CNS specialty selection.

Main Methods:

A survey was administered to 257 Certified Nurse Specialists (CNSs).
Data analysis focused on decision timing and influencing factors.

Main Results:

69% of CNSs decided on their specialty post-basic nursing program.

Related Experiment Videos

Top influencing factors were first position experience (47%), clinical role models (37%), and student experiences (35%).

Critical care was the most preferred specialty; psychiatric nursing was the least preferred.

Conclusions:

Specialty decisions for CNSs often occur later in their educational or early career pathways.
Professional experiences and mentorship significantly shape advanced practice specialty choices.
Identifying preferred and least preferred specialties can inform recruitment and training strategies.