Florence Nightingale: Visionary for the Role of Clinical Nurse Specialist

Florence Nightingale is well known as the mother of nursing, aptly recognized as “Lady in Chief”, immortalized as “the Lady with the Lamp”, and revered as a visionary and a catalyst for healthcare reform. Nightingale’s life and impact on patient care, nursing and nursing practice, and healthcare systems and organizations parallel the clinical nurse specialist (CNS) roles and three spheres of impact. In this article we highlight key events of Nightingale’s work that illustrate her calling and devotion as a nurse and review her observations of organizations and nursing practice and her famous twenty-month experience (1854-1856) in the Crimean War at the British Army Hospitals at Scutari. Nightingale’s critical thinking and problem analyses; implementation of interventions and positive outcomes; advancement of nursing practice based on evidence; detailed documentation and statistical analysis; and tenacious political advocacy to reform healthcare systems resembles the role of the CNS as an expert clinician, nurse educator, researcher, consultant, and leader in healthcare systems and policy creation. This article explores Nightingale’s contribution to nursing practice and education as a visionary for the role of the clinical nurse specialist.

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The Role of the Clinical Nurse Specialist as Clinician and Advocate in a Primary Health Care Clinic

Creative Nursing ◽

10.1891/1078-4535.18.3.104 ◽

2012 ◽

Vol 18 (3) ◽

pp. 104-108 ◽

Cited By ~ 6

Author(s):

Sarah DeFlon

Keyword(s):

Care Setting ◽

Primary Care Setting ◽

Underserved Populations ◽

Clinical Nurse Specialist ◽

Nurse Specialist ◽

Care Clinic ◽

Clinical Nurse ◽

Primary Health ◽

Expert Clinician

The clinical nurse specialist (CNS) functions as an expert clinician to disseminate knowledge and apply evidence-based practice in his or her role. The framework of CNS practice competencies (patient, nurse, and system) reflects an opportunity to advocate for disadvantaged and underserved populations when providing care. Strategies, techniques, and tools to advance CNS practice in the primary care setting are discussed.

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

Pflege ◽

10.1024/1012-5302/a000088 ◽

2011 ◽

Vol 24 (1) ◽

pp. 21-28 ◽

Cited By ~ 1

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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Rationalisation of non-sterile latex disposable gloves in clinical settings – a brief study using the purchase of expertise consultancy model

British Journal of Infection Control ◽

10.1177/175717740300400105 ◽

2003 ◽

Vol 4 (1) ◽

pp. 10-19

Author(s):

Duncanson V

Keyword(s):

Secondary Care ◽

Cost Benefit Analysis ◽

Cost Benefit ◽

Clinical Nurse Specialist ◽

Small Study ◽

Clinical Settings ◽

Nurse Specialist ◽

Benefit Analysis ◽

Clinical Nurse

T his article describes a small study aimed at making a purchasing recommendation to the purchasing manager, providing a cost-benefit analysis of the most commonly used brands of non-sterile latex examination gloves. One of the nine makes of glove tested remained consistent with the agreed criteria for assessment and, if introduced as the only option available, would result in a saving of $15,150 per annum on Site A of a recently merged secondary care Trust. Also, the importance of the consultancy role of the clinical nurse specialist in improving practice was demonstrated.

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