...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...Advanced Generalist: Reaction Paper In today’s society nursing has grown to fit the healthcare needs of society. We have grown by providing different nursing educational roles that will evolve healthcare as we know it. The advanced generalist education role is a clinical nurse leader. The American Association of Colleges of Nursing defines the clinical nurse leader role (CNL) as a leader in the healthcare system that delivers care across different settings within a Microsystems, using assimilation and application of research-based information to design, implement and evaluate the patients plan of care (Thompson, and Lulham, 2007). The Clinical Nurse Leader is further described as designing and implementing, and evaluating client care by coordination, delegation, and supervision of the care provided by the health care team (Thompson and Lulham, 2007). Thompson and Lulham (2007) states that the healthcare team in which supervision care is provided from the CNL include the license nurses, technicians, and other various health care professionals. American Association of Colleges of Nursing (2013) states that clinical nurse leaders are masters prepared nurses that involves risk anticipation for individuals and groups of patients, implementation of evidence based practice initiatives, team leadership, management and collaboration with other health care professional team members, and the use of information system and technologies to improve healthcare. The advance generalist advocates...
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...Master Family Nurse Practitioner Name University Course Tutor Date Clinical competence requires a well defined professional scope of operation. In this aspect or line nursing education provides nurses with profession guidelines on how to handle many clinical issues and help provide quality service the society. In this definition it is important to have the details of each and every role to be played by people or members of the nursing profession. All these roles which pass wealth of skills and experience to the nurses is found in the basic nursing education. Professional scope of practice in the nursing profession is always detailed in documents which address roles, function, population to be served and the practice setting. Based on the guidelines provided by nursing education, the nursing have great roles which are considered very sensitive to the community (American Nurses Association, 2010). Clinical advanced specialist is the one who deals with patients directly by treating them. The non-clinical advanced specialists are specialists whose roles do not include the taking care of the patients directly. They have different expertise in health care areas and they provide the consultancy services. They offer problem solving skills and their opinions are mainly in demand. They usually have high levels of degree in medical services and several years of experience. The nurse practitioner is the one who is mandated to provide an extensive health care service...
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...inter-professional collaboration with MD? Nurse practitioners are registered nurses who have an advanced education (Master’s Degree at minimum) and the ability to provide a wide range of health services, similar to those of physicians. These services allow preventative and acute healthcare services to patients of all ages. An NP’s services can include, performing physical examinations, diagnosing and treating common and chronic acute health issues, ordering and interpreting x-rays and laboratory tests, and prescribing and managing medications. NP’s also provide health education and promote healthy lifestyle behaviors and illness prevention. An NP’s scope of practice can very from state to state depending on the state laws that govern their practices; some of the most rigorous laws and restrictions being from California. (Buppert, C. 2012). A Clinical Nurse Specialist is a clinical expert who also has an advanced education and shares some of the same abilities and practices of an NP. They can also provide direct patient care services including, health assessment, health promotion, and prevention, as well as the management of health issues. However, CNS’s specialize in areas of nursing that improves nursing care through education, consultation, and research. The roles of CNS’s contain five major components consisting of expert clinical practice, clinical leadership, consultation, education, and research. (Buppert, C. 2012). A Clinical Nurse Specialist (CNS) is an expert clinician...
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...Paraphrasing Within academic writing it is advised that a combination of both direct and indirect quotes (paraphrasing) are used. Often it is better to paraphrase what an author has said as opposed to using lengthy direct quotations. But what does it mean ‘to paraphrase’? According to the MacMillan English Dictionary (MacMillan, 2012:online), to paraphrase is “to express what someone else has said or written using different words, especially in order to make it shorter or clearer.” When you paraphrase another author's writing you rewrite their argument using your own words, phrasing and interpreting it in your own way. How to paraphrase • change the vocabulary • reorganise the structure of the argument • cite the author directly, For example the direct quote from Halliday (1978:1) “A child creates, first his child tongue, then his mother tongue, in interaction with that little coterie of people who constitute his meaning group …” • Halliday (1978) claims that children develop their language by interacting with those around them • OR • Children develop their language by interaction with those around them (Halliday, 1978). Some helpful guidelines • As you study and write your notes do not copy chunks of text directly out of the book, instead always write your study notes in your own words. Remember to note which book or article your notes were drawn from for your reference information. • Check...
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...defines APNs as having advanced specialized clinical knowledge and skills through master’s or doctoral education that prepares them for specialization, expansion, and advancement of practice. Specialization is concentrating or limiting one’s focus to part of the whole field of nursing. Expansion refers to the acquisition of new practice knowledge and skills, including knowledge and skills legitimizing role autonomy within areas of practice that overlap traditional boundaries of medical practice. Advancement involves both specialization and expansion and is characterized by the integration of theoretical, research-based, and practical knowledge that occurs as part of graduate education in nursing. APN is an umbrella term for the four roles mentioned earlier: clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), and nurse practitioner (NP) (Sheer, & Wong, 2008). Each role is distinguishable from the others, but in some respects they overlap. This APN definition encompasses nurses engaged in clinical practice; it does not include nurses with advanced preparation for administration, education, or research (ANA, 2014). Only recently has the expectation arisen that APNs should receive their education within master’s or doctoral nursing programs. Although CNSs have always required master’s degrees in nursing, the educational preparation for many nurse-midwives, nurse anesthetists, and nurse practitioners did not necessarily occur...
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...Introduction In this assignment I will be choosing three job roles and design a fact sheet for each one, this will be informing people about what the job involves, how to train and qualify in that job and the opportunities available for future career development. ] Midwifery Job Description Midwives provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and services they access. They care for newborn children, providing health education and parenting support immediately after delivery, until care is transferred to a health visitor. Midwives are personally responsible for the health of both mother and child and only refer to obstetricians if there are medical complications. Place of Work You could work in various places including hospital maternity units, GP surgeries, midwife units and birth centres.In some NHS trusts you would split your time between working in the community and working in hospitals. In other trusts, you may move between antenatal, deliveries and postnatal tasks every six months. As a community midwife, you would go to clinics and visit clients in their homes. Skills and Qualities There are a range of important skills and knowledge you will need to pursue a career in midwifery. Excellent people skills: having babies happens to all sorts of people, so you will be providing professional support and reassurance to a huge diversity of women...
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...A Case Study: Integration of Survivorship Care Plans and Treatment Summaries into Oncological Care Joyce Ross, RN, BSN, OCN University of Cincinnati Due: Monday, July 9, 2012 Professor: Jennifer McCord Course Number: 29NURS858 Section 701 Clinical Nurse Specialist/Nurse Educator Practicum III Author Guidelines for the Journal of Oncology Navigation and Survivorship The guidelines that must be adhered to in order to facilitate the editorial and production process for the Journal of Oncology Navigation and Survivorship include: * Manuscripts must be original and not published previously * Format requirements must be followed entirely * Authors are required to sign a Copyright Transfer Form * Authors must receive written permission to reuse or adapt any tables or figures that have been previously published The required manuscript format must be followed entirely and include: * Title page with the proper title, names and affiliations of all authors * Abstract with no more that 250 words that describes the main objectives and why the article is important * Conclusion with comments that offer rationale for the article and what it adds to the literature * Double spaced manuscript and numbered pages that are consecutive * Tables and figures must be cited in text * The length should be 2500-3000 words, plus tables and figures * Images must be saved as individual files * Provide all authors and highest academic degree and affiliations ...
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...Required Discussion HCI/500 November 16, 2015 Required Discussion Create a list of five health information technology (HIT) roles and provide a brief description of each. How do their responsibilities differ from each other? 1. Informatics nurse specialist. Because not all health care disciplines and those working under such disciplines have the necessary aptitude required with the constantly evolving technical aspect of the health care industry, the role of clinical informatics critical to assist others in health care disciplines adequately understand and utilize the complexities of various databases and interfacing software programs being developed and launched to better help manage data as health related data is collected and recorded. "For this reason, the informatics nurse specialist (INS) plays a central role in assessing clinical applications, bringing crucial clinical, informatics, and technical knowledge to bear on the process. The conceptual basis of nursing informatics joins nursing science, computer science, and information science to improve nursing practice by communicating and managing data, information, knowledge, and wisdom" (Rojas, 2014, p. 215). With valuable information regarding practices and work flows from a nursing standpoint, the informatics nurse specialist in many regards acts as a liaison between users of data and software programs and those responsible for the design, development, and maintenance of such programs to communicate areas...
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...historical evolution of the four Advance Practice Registered Nurse (APRN) roles date back as early as the 1860s when nurses were administering chloroform anesthesia during the Civil War (Cockerham & Keeling). During the nineteenth century lay midwives were delivering babies without any nursing education, and the first program for psychiatric nursing in America had opened its’ doors (Cockerham & Keeling, 2014). This specialty paved the way for Clinical Nurse Specialists (CNSs). Around the same time the Henry Street Settlement opened its’ doors, and public health nurses started providing primary care to the poor (Cockerham & Keeling, 2014). These nurses and lay midwives were practicing based on skills taught in the fields, because there were no formal education programs at that time for the APRN specialties. During the twentieth century, schools started opening and offering specialty nursing programs for the four Advanced Practice Registered Nurse (APRN) roles: Certified Registered Nurse Anesthesists (CRNAs), Certified Nurse Midwives (CNMs), Clinical Nurse Specialists (CNSs), and Nurse Practitioners (NP). This was also the time when nursing organizations were being formed including: the American Association of Nurse Anesthetists (AANA), the National Organization of Nurse Practitioner Faculties (NONPF), the American College of Nurse Midwives (ACNM), and the Council of Clinical Nurse Specialists (CCNS). These organizations united each specialty giving them...
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...Introduction Many organizations now have clinical documentation improvement programs (CDIs) designed to help an organization accurately reflect the quality of patient care, prove healthcare services, and make accurate reports of diagnosis and procedures (Cassano, 2014). A Clinical Documentation Specialist (CDS) is a registered nurse who manages, assesses, and reviews a patient’s medical records to ensure that all the information documented reflects the patient’s severity of illness, risk of mortality, clinical treatment, and the accuracy of documentation. Part of the role is to perform concurrent reviews of medical records, validate diagnosis codes, identify missing diagnosis, and query physicians and other healthcare providers for more specifics so documentation accurately reflects the patient’s severity of illness (Cassano, 2014). Health Information Management (HIM) professionals advocate for a strong commitment to accurate and timely clinical documentation as hospital initiatives push forward with programs such as ICD-10-CM/PCS implementation, Accountable Care Organizations reimbursement models, Fraud and Abuse compliance programs, and implementation of electronic health records (EHRs) (AMIHA, 2010). HIM professionals also impact CDI programs by providing education regarding compliant documentation to physicians, something that is not taught in medical school. Successful CDI programs facilitate the accurate representation of a patient’s clinical status that translates into coded...
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...The specialist practice nurse is employed as a British Heart Foundation (BHF) Heart Failure (HF) nurse and is based in secondary care. Along with networking with a wide range of health care practitioners providing a seamless service between primary and secondary care her role also involves evidence-based care to clients with chronic heart failure (CHF). CHF is a complex syndrome that results from a structural or functional cardiac disorder that impairs the ability of the heart to function as a pump. This results in the heart not being able to pump enough blood to meet metabolic demands of the body (Clinical Resource Efficiency Support Team (CREST), 2005). The most common cause of HF is coronary artery disease, hypertension and valvular disease. It is a chronic condition, which may fluctuate, and result in repeated hospital admissions. The incidence and prevalence of heart failure is on the increase and with the current ageing population it is likely to continue along this trend. It is currently the most common cause of hospital admission in clients over the age of 65 years and accounts for 1 - 3 % of the National Health Service’ expenditure, the majority of which is associated with inpatient care (CREST, 2005). The Nursing and Midwifery Council (NMC, 2010) defined specialist practice as “...the exercising of higher levels of judgement, discretion and decision making in clinical care” and requires that specialist practice nurse is competent in clinical assessment and...
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...Registered Nursing defines the nurse practitioners as “registered nurses who are prepared by advanced education to provide primary care including medical procedures that may be required for a specialty area “(BRN, 2012). Additionally, nurse practitioners must ”possess additional preparation and skills in physical diagnosis, psycho-social assessment, and management of health illness needs in primary health care and who have been prepared in a program conforming to board standards” (BRN, 2012). Advanced practice nursing, simply said, is a licensed registered nurse who has completed graduate training as a clinical nurse specialist, nurse anesthetist, nurse-midwife, or nurse practitioner. (Medical-Dictionary, 2012). The nurse practitioner is managed by standards in collaboration with the supervising Physician. The advanced practice nurse, is first and foremost a nurse. This role carries life experiences from hospital to clinical settings. The registered nurses role sets the basis for expanding the nurse practitioner role. This expanded role allows the family nurse practitioner to examine, assess and treat patients under the doctor's supervision. They can function in much the same way as a physician but does not have the same license or education as a doctor. Ylisela states, “In a family practice, the nurse practitioner sees patients of all ages for routine physical examinations as well as for illnesses and minor injuries. The family nurse practitioner assesses...
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...Section One – Clinical Learning Environment This section provides a critical discussion of the clinical environment within which I’m presently working. I will aim to identify and discuss further ways in which our learning environment is conducive to a positive learning experience for students, as well as identifying areas in which the environment could be enhanced. This critical analysis will look in particular at those areas of the clinical environment which have been identified in research as being both positively and negatively influential on a students’ learning experience. According to Nicklin and Kenworthy (2000) the clinical learning environment, within the content of nursing, can be defined as: “Those circumstances that directly or otherwise influence the teaching and learning of nursing.” (Nicklin and Kenworthy, 2000, p13) This is more recently supported by O’Mara et al (2014) who highlight that clinical nursing education is of vital importance in providing students with opportunities to integrate their theoretical knowledge into their nursing care, develop clinical judgement and a professional identity. Furthermore, they identify that the clinical nursing environment has many complex variables which could influence students’ learning experiences, both positively and negatively. Walsh (2014) discusses several such variables which should be considered in the clinical learning environment. These are categorised into the following main areas; staff, availability of...
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...of view of the writer's clinical experiences as a nurse. It discusses the concept of therapeutic communication and how important verbal and nonverbal communication is with patients. The paper presents a case study that the writer was involved in and discusses how therapeutic communication was successful or unsuccessful in this scenario. 1 From the Paper: "Even when the nurse has experience with therapeutic communication, there can still be the problem of a breakdown in that communication. The nurse can have empathy, respect for the person, and use active listening skills, but the problem could still come about. The reason it happens is that the nurse also needs to do critical thinking. That kind of thinking means that that she is always assessing the patient and the situation (McNabb, 2006). Another point is that sometimes it can be very difficult to see things from the perspective of the patient. Bournes and Mitchell (2002, p. 59) state, "health is the way people go on and live what is important to them, moment to moment and day to day". Health for me is very different than it is for a person such as Mrs. A. The only way I can understand her experience is by empathy and through active listening." 2 Sample of Sources Used: 1. Bournes, D. & Mitchell, G. (2002). Waiting: The experience of persons in a critical care waiting room. Research in Nursing and Health, 25, 58-67. 2. McNabb, A. (2006). Mastering communication. College of Nurses of Ontario. http://www.cno...
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