Related Experiment Videos
Advanced practice roles for nurses in tomorrow's healthcare systems
A M Berger1, J G Eilers, L Pattrin
1General Oncology Department, University of Nebraska Medical Center, Omaha, USA.
Clinical Nurse Specialist CNS
|September 1, 1996
Summary
This study defines seven advanced practice nurse (APN) roles, including nurse practitioner (NP) and clinical nurse specialist (CNS), with clear competencies. These role clarifications aid healthcare institutions in managing complex patient needs and costs.
Area of Science:
- Nursing Science
- Healthcare Management
Background:
- Advanced practice nurses (APNs) traditionally exhibit diversity in titles, education, credentials, and roles.
- Common APN classifications include nurse practitioner (NP), certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS).
- The roles of NP, CRNA, and CNM are more clearly defined than those of CNS.
Purpose of the Study:
- To critically review and analyze clinical nurse specialist (CNS) roles in light of healthcare reform.
- To clarify responsibilities, outcomes, and financial impact of CNS roles.
- To present seven clearly defined APN roles with essential qualifications and competencies.
Main Methods:
- Analysis of existing APN roles, particularly CNS.
- Definition of minimal qualifications and competencies for seven distinct APN roles.
- Comparison of competency requirements across different APN roles.
Main Results:
- Seven advanced practice nurse (APN) roles are presented with defined qualifications and competencies.
- Competency requirements for these roles are compared.
- The defined roles aim to address patient complexity and cost containment.
Conclusions:
- Clearly defined APN roles, including CNS, are essential for modern healthcare.
- Standardized competencies facilitate the effective delivery of care for complex patient needs.
- These role clarifications support healthcare institutions in achieving cost-containment goals.