The Effects of Master’s Degree Education on the Role Choices, Role Flexibility, and Practice Settings of Clinical Nurse Specialists and Nurse Practitioners

2006 ◽  
Vol 45 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Sharon W. Stark
2020 ◽  
Vol 14 (3) ◽  
pp. 141-146
Author(s):  
Kathleen Posa-Kearney ◽  
Samantha M. Aranda ◽  
Elizabeth M. Day ◽  
Erin Dowding ◽  
Kristen Fisher ◽  
...  

Advanced practice nurses including nurse practitioners, clinical nurse specialists (CNS), certified registered nurse anesthetists, and certified nurse midwives contribute in many ways to improve care in the intensive care unit. This article reports on the roles of the CNS at an academic medical center and how they contribute to improving patient outcomes and support critical care nursing practice during the COVID-19 pandemic.


2006 ◽  
Vol 15 (2) ◽  
pp. 130-148 ◽  
Author(s):  
Deborah Becker ◽  
Roberta Kaplow ◽  
Patricia M. Muenzen ◽  
Carol Hartigan

• Background Accreditation standards for certification programs require use of a testing mechanism that is job-related and based on the knowledge and skills needed to function in the discipline. • Objectives To describe critical care advanced practice by revising descriptors to encompass the work of both acute care nurse practitioners and clinical nurse specialists and to explore differences in the practice of clinical nurse specialists and acute care nurse practitioners. • Methods A national task force of subject matter experts was appointed to create a comprehensive delineation of the work of critical care nurses. A survey was designed to collect validation data on 65 advanced practice activities, organized by the 8 nurse competencies of the American Association of Critical-Care Nurses Synergy Model for Patient Care, and an experience inventory. Activities were rated on how critical they were to optimizing patients’ outcomes, how often they were performed, and toward which sphere of influence they were directed. How much time nurses devoted to specific care problems was analyzed. Frequency ratings were compared between clinical nurse specialists and acute care nurse practitioners. • Results Both groups of nurses encountered all items on the experience inventory. Clinical nurse specialists were more experienced than acute care nurse practitioners. The largest difference was that clinical nurse specialists rated as more critical activities involving clinical judgment and clinical inquiry whereas acute care nurse practitioners focused primarily on clinical judgment. • Conclusions Certification initiatives should reflect differences between clinical nurse specialists and acute care nurse practitioners.


2019 ◽  
Vol 28 (20) ◽  
pp. 1308-1314 ◽  
Author(s):  
Mark A Cooper ◽  
Joan McDowell ◽  
Lavinia Raeside ◽  

A lack of awareness exists within healthcare services on the differences between the roles of advanced nurse practitioner (ANP) and clinical nurse specialist (CNS). This may lead to ambiguity in relation to the development, scope of practice and impact of these roles. The aim of this review was to compare the similarities and differences between the ANP and CNS within the research literature. Databases (CINAHL, Medline and Embase) were searched using selected search terms. This resulted in 120 articles of potential interest being identified. Following a rigorous review process for content and relevance, this was reduced to 12. Both roles are valuable and effective, predominately being clinically based with education, leadership and research components. CNS roles are specialist, ANP are more likely to be generalist. Where there is regulation and governance the role of the ANP is clearly defined and structured; however, a lack of governance and regulation is evident in many countries.


2010 ◽  
Vol 23 (sp) ◽  
pp. 189-210 ◽  
Author(s):  
Faith Donald ◽  
Denise Bryant-Lukosius ◽  
Ruth Martin-Misener ◽  
Sharon Kaasalainen ◽  
Kelley Kilpatrick ◽  
...  

2015 ◽  
Vol 1 ◽  
pp. 11-17 ◽  
Author(s):  
Deborah A. Marshall ◽  
Faith Donald ◽  
Sarah Lacny ◽  
Kim Reid ◽  
Denise Bryant-Lukosius ◽  
...  

Author(s):  
Carl Kirton

Nurses are an integral part of the interdisciplinary team caring for patients with HIV/AIDS. Since the start of the epidemic nurses have provided care across the healthcare spectrum, serving as care coordinators, clinical nurse specialists, and nurse practitioners. To competently care for people with HIV or AIDS, nurses have to provide care that is advanced and specialized. Nurses working in the field of HIV or AIDS care require advanced knowledge of virology and infectious disease to address the clinical needs of persons with HIV-related illness. This chapter describes the historical engagement of nurses in the epidemic and the nursing strategies that support interprofessional work. It addresses the key aspects of nursing care of the HIV-infected adult throughout the spectrum of HIV illness. The chapter focuses on the nurse’s role in minimizing risk, preventing HIV transmission, caring for persons with HIV, helping individuals to cope with illness, and negotiating the healthcare system.


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