Preparing the CNS for participation in quality assurance activities

Preparation of CNSs must include advanced knowledge in the area of clinical specialty and experience in the various subroles of the clinical specialist. In order to enhance students' knowledge and skills related to these subroles, the authors instituted a clinical project focusing on quality assurance activities for students enrolled in the medical-surgical nursing major in a large graduate nursing program. Students begin the project during the clinical practicum by identifying an area in need of quality assurance monitoring. Students then develop monitoring tools, collect data, and make recommendations for changes in clinical practice. The project gives the students practical experience in an important area of clinical specialist practice and can be adapted or expanded for any clinical major.