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Related Experiment Videos

The CNS role: evolution within a shared governance environment

S Houston, S Green

    Clinical Nurse Specialist CNS
    |March 1, 1993
    PubMed
    Summary
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    Organizational change significantly impacts the Clinical Nurse Specialist (CNS) role. A shift to shared governance redirected CNS work, highlighting their evolution through change phases like culture creation, restructuring, and adaptation.

    Area of Science:

    • Nursing leadership and organizational behavior.
    • Healthcare administration and management.
    • Clinical Nurse Specialist (CNS) professional practice.

    Background:

    • Organizational structures influence professional roles, particularly in nursing.
    • The transition from centralized to shared governance models presents unique challenges and opportunities.
    • Understanding the Clinical Nurse Specialist (CNS) role evolution is crucial for effective healthcare management.

    Purpose of the Study:

    • To describe the impact of organizational change on the Clinical Nurse Specialist (CNS) role.
    • To outline the change response spiral and its phases as experienced by CNSs.
    • To identify CNS activities and experiences that foster organizational change.

    Main Methods:

    • Qualitative description of CNS role evolution during a transition to shared governance.

    Related Experiment Videos

  • Analysis of CNS activities within a three-phase change response spiral: creating a culture, restructuring, and adaptation.

    • Main Results:

    • The shift to shared governance significantly altered the CNS role, requiring new strategies and activities.
    • CNSs navigated distinct phases of change, demonstrating adaptability and leadership.
    • Key activities included fostering a supportive culture, participating in restructuring, and facilitating adaptation.

    Conclusions:

    • Clinical Nurse Specialists (CNSs) play a pivotal role in navigating and leading organizational change.
    • The change response spiral provides a framework for understanding CNS role evolution during transitions.
    • Administrators and CNSs can utilize these insights to manage change effectively and optimize CNS practice.