Evaluation and time documentation for the clinical nurse specialist

This article introduces a time documentation tool designed to gather and record information on the many facets of the role of the CNS. A review of the literature provides background information on types of evaluation, time documentation, and the need for qualitative as well as quantitative accountability. Because existing tools did not meet the documentation needs of the authors, they designed a system that could accommodate six domains of the CNS role and provide a means to document quantitative and qualitative activities. Three CNSs pilot tested the tool for 2 months and provided a critique of the instrument for the authors. The evaluations have been summarized, and comments for individualization and frequency of use have been noted. Suggestions for future study include the need for measuring outcomes of care and documentation methods for qualitative interventions.