Implementing a surgical first assistant role into that of a clinical nurse specialist at an orthopaedic specialist hospital

2021 ◽  
Vol 30 (20) ◽  
pp. 1178-1183
Author(s):  
Amanda Denton
Keyword(s):  
Care Delivery ◽  
Leadership Skills ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Study Approach ◽  
Advanced Roles ◽  
Health And Social Care

Background: Clinical nurse specialists (CNSs) are experienced senior nurses with advanced clinical knowledge, communication and leadership skills and commonly take on extended roles to optimise care delivery within health and social care. Aim: To critically explore the experience of one clinical nurse specialist who undertook an enhanced qualification to become a surgical first assistant. Methods: A case-study approach based on Gibbs' reflective model is used to reflect on the experience, its benefits to patient care and the challenges and facilitators related to taking on advanced surgical roles. Findings: Long-term benefits can be achieved by investing in CNSs educated to hold the enhanced surgical first assistant qualification. Advanced roles enhance evidence-based service delivery, while also benefitting the clinical nurse specialist, the patient and the trust.

scholarly journals The clinical nurse specialist's role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

2016 ◽  
Vol 130 (S2) ◽  
pp. S212-S215 ◽  
Author(s):  
L Dempsey ◽  
S Orr ◽  
S Lane ◽  
A Scott
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Cancer Care ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Holistic Needs Assessment

AbstractThis is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care.Recommendations• All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R)• Clinical nurse specialists must act as gate keeper to the patients' cancer pathway to provide a seamless journey. (R)• Holistic needs assessment should be completed at different stages of the patient's pathway to reflect the changes of the patients' needs. (R)• Clinical nurse specialists to be part of local and national initiatives for health promotion and raising awareness in the public domain. (G)• Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient's needs for the future. (G)• Treatment summaries should become part of practice to provide good communication between primary and secondary care to enable continuity of care for the patient. (G)

Clinical Nurse Specialist: A Critical Member of the ICU Team

2021 ◽  
Vol 32 (4) ◽  
pp. 413-420
Author(s):  
Erika R. Gabbard ◽  
Deborah Klein ◽  
Kathleen Vollman ◽  
Tracy B. Chamblee ◽  
Lisa M. Soltis ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Outcomes ◽  
Data Extraction ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Advanced Practice ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Study Selection ◽  
Certification Requirements

Objectives To describe the role of the clinical nurse specialist, an advanced practice registered nurse in the intensive care setting. The value and impact of the clinical nurse specialist role as a member of the ICU is presented along with a review of clinical nurse specialist education, licensure, and certification requirements as well as a description of the clinical nurse specialist role, scope of practice, and competencies. In addition, a selected review of clinical nurse specialist–led quality improvement and research that resulted in improved patient outcomes is provided. Data sources Review of published medical and nursing literature and expert opinion guidance from a collaborative effort between the Society of Critical Care Medicine, American Association of Critical-Care Nurses, and National Association of Clinical Nurse Specialists. Study selection Not applicable. Data extraction Not applicable. Data synthesis Not applicable. Conclusions The utilization of a clinical nurse specialist, an advanced practice role, in the ICU is a unique and valuable approach for organizations who strive to move evidence into sustainable practice and drive quality through an interprofessional approach. The valuable contributions made by the clinical nurse specialist efficiently and effectively meet the needs of patients, clinicians, and organizations while improving patient outcomes and optimizing cost avoidance strategies, which further lower economic demands on the healthcare system.

Is Heart Failure Nursing Practice at the Level of a Clinical Nurse Specialist or Advanced Nurse Practitioner? The Irish Experience

2005 ◽  
Vol 4 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Mary Ryder
Keyword(s):  
Heart Failure ◽  
Health Service ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Clinical Nurse Specialist ◽  
University Hospital ◽  
Scope Of Practice ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists

Since 2000 there has been a significant increase of Heart Failure Nursing positions in the Irish health service. The background to these positions has been based on the model established at St. Vincent's University Hospital, Dublin since 1998. Recognition of nursing practice in Ireland has also transformed with the introduction of Clinical Nurse Specialist and Advance Nurse Practitioner positions. To date Clinical Nurse Specialists coordinate and manage heart failure programmes, however it remains to be seen whether current practices are within the scope of practice of these nurses. Advanced Nurse Practitioner is a new position in Irish Nursing from examining guidelines and education this may be the way forward for Heart Failure Nursing in Ireland.

Nurse Specialist Assessment and Management of Palliative Care Patients who are Depressed—a Study of Perceptions and Attitudes

2002 ◽  
Vol 18 (4) ◽  
pp. 270-274 ◽  
Author(s):  
Mari Lloyd-Williams ◽  
Sheila Payne
Keyword(s):  
Palliative Care ◽  
Psychological Symptoms ◽  
Antidepressant Medication ◽  
Postal Questionnaire ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Further Training ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Perceptions And Attitudes

Depression is a frequent symptom in palliative care patients but is often not diagnosed. In the U.K., the majority of patients with advanced cancer are referred to a clinical nurse specialist (CNS) whose remit includes the assessment of psychological symptoms and depression. Clinical nurse specialists have a key role in the diagnosis and management of patients with depression and it is important that they have the skills to do so. A postal questionnaire of all U.K. hospital, hospice, and community palliative care clinical nurse specialist teams was carried out to determine how they assessed depression in their patients. The response rate was 40%. Seventy-nine percent of all clinical nurse specialists believed their skills were poor in this area, and 92% felt they required further training. These beliefs were substantiated by the difficulties nurses encountered in assessing depression and by their beliefs regarding antidepressant medication. Clinical nurse specialists have a pivotal role in improving the detection and management of depression in palliative care patients, and require further training in this area.

A review of telephone clinic letters for patients with subarachnoid haemorrhage and arteriovenous malformations

2020 ◽  
Vol 16 (6) ◽  
pp. 272-278
Author(s):  
Helen Wood ◽  
Gillian Cluckie ◽  
Jennifer Corns ◽  
Jan Hickin
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Arteriovenous Malformations ◽  
Short Term Memory ◽  
Clinical Nurse Specialist ◽  
Psychological Support ◽  
Nurse Specialist ◽  
Common Theme ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists

Background: This review investigated the role of neurovascular clinical nurse specialists in telephone clinics following subarachnoid haemorrhage (SAH) and arteriovenous malformations (AVM). Aims: To review telephone clinic letters to assess frequency of support provided. Methods: Clinic letters for all neurovascular clinical nurse specialist telephone clinics from July 2016–June 2018 were reviewed using a locally developed standardised template. Findings: Some 133 telephone clinic letters were included. The most common theme was clinical advice for SAH complications: fatigue (n=63) and headache (n=60). Psychological support was the second most common theme: emotional issues (n=41) and short–term memory concerns (n=41). Information was most frequently provided on lifestyle (n=61). Conclusions: The role of the neurovascular clinical nurse specialist following SAH and AVM involves clinical advice on complications. Psychological support after SAH and AVM is required for almost two–thirds of patients, which is significantly higher than previous studies. While a single site audit, this study indicates the important role in supporting psychological care that clinical nurse specialists have in a neurovascular service.

Clinical Nurse Specialist Contributions to Care Delivery

2010 ◽  
Vol 24 (2) ◽  
pp. 90
Author(s):  
Meghann T. Roberts ◽  
Nancy J. Smith ◽  
Virginia Brendlen ◽  
Kimberly Madara ◽  
Jessica Salyer ◽  
...  
Keyword(s):  
Care Delivery ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse

«Wie ein ANP-Team laufen lernt» – Herausforderungen und Chancen von ANP-Teams am Universitätskinderspital Zürich

Pflege ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Andrea Ullmann-Bremi ◽  
Anna-Barbara Schlüer ◽  
Gabriela Finkbeiner ◽  
Yvonne Huber
Keyword(s):  
Nurse Practitioner ◽  
Nursing Practice ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Advanced Nursing Practice ◽  
Clinical Nurse

Im angloamerikanischen und nordeuropäischen Raum wurden verschiedene ANP-Einzelrollen entwickelt, unter anderem die der Clinical Nurse Specialist und der Nurse Practitioner. Diese universitär ausgebildeten Pflegespezialisten sind in der Schweiz weiterhin sehr rar. Um vor diesem Hintergrund die Praxis dennoch nachhaltig weiterentwickeln zu können, wurden in den letzten acht Jahren im Kinderspital Zürich kontinuierlich Advanced-Nursing-Practice-Teams (ANP-Teams) aufgebaut. Dieser Ansatz bewährte sich durch gezielte und angemessene Leistungserbringung in hochkomplexen Situationen. In diesem Artikel wird die Zusammensetzung der ANP-Teams diskutiert, wobei der Personalmix einen Schlüsselfaktor darstellt. Unterstützende Elemente stellen dabei sowohl die Aufgabendefinition als auch Aufgabenteilung in Klinik- und Konzeptteams dar. Die ANP-Teams arbeiten motiviert und zielgerichtet, sie integrieren Pflegende verschiedenster Erfahrungs- und Ausbildungsniveaus, wodurch gegenseitiges Lernen gefördert wird.

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