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Updated: Aug 5, 2026

A Multi-compartment CNS Neuron-glia Co-culture Microfluidic Platform
Published on: September 10, 2009
Expanding the CNS role to the community
The clinical nurse specialist (CNS) role must expand into community settings to remain relevant amidst healthcare reform and cost containment. Evidence supports CNS effectiveness in community-based case management and consultation.
Area of Science:
- Nursing
- Healthcare Administration
- Community Health
Background:
- Healthcare reform is reducing acute care hospital days.
- Cost containment is a major focus in healthcare delivery.
- The traditional role of the Clinical Nurse Specialist (CNS) is primarily in acute care settings.
Purpose of the Study:
- To explore the evolving role of the CNS in response to healthcare reform.
- To determine the necessity and potential for CNS expansion into community settings.
- To identify community-based CNS practices supported by literature and practice.
Main Methods:
- Literature review on CNS effectiveness in community settings.
- Interviews with nurse managers regarding community-based CNS practice.
Main Results:
- The literature validates the effectiveness of CNS interventions in the community.
- Nurse managers strongly advocate for CNS roles in community settings.
- Key community-based CNS functions include case management and consultation to agencies.
Conclusions:
- The CNS role must transition beyond acute care to ensure its survival and relevance.
- Expanding the CNS role into the community is supported by evidence and practice.
- Community-based CNS practice, including case management and consultation, is crucial for effective healthcare delivery.
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