From unit based to population focused: transforming the role of oncology clinical nurse specialists

Clinical Nurse Specialist CNS
Kimberly CataniaSusanne Vendlinski

Abstract

The aim of this study was to describe how the clinical nurse specialist (CNS) role can be positioned to proactively plan and facilitate evidenced-based best practices in collaboration with a transdisciplinary, population-focused team that manages the patient across the cancer care continuum. This model capitalizes on the spheres of CNS practice (patient, nurse, and organization) through the functional roles of the CNS (clinical expert, researcher, educator, and consultant) to maximize quality care. The CNS practice in a Midwest comprehensive cancer center has been unit based, focused on nursing staff education, skills, and competencies. Practice varied based on the needs of the unit. With the aging population, rapid growth in research accrual, increasing referrals, and expansion of facilities and programs, a reexamination of CNS practice was undertaken. Nursing administration and CNSs evaluated the efficacy of transitioning to a population-focused model. Some responsibilities transitioned to other roles, the reporting structure was changed, and the role was realigned to a specific disease focus that encompassed care across the entire cancer continuum. There was significant improvement in the areas of physician collaboration, au...Continue Reading

Citations

Jul 19, 2016·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Janet S FultonLinda D Urden
Oct 2, 2013·European Journal of Cancer Care·Y WengströmT Rustøen
Oct 15, 2019·Clinical Nurse Specialist CNS·Erica Fischer-CartlidgeKevin Browne
Dec 6, 2016·Nursing Administration Quarterly·Susan Okuno-JonesPatricia Juarez

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