Who is the Clinical Nurse Specialist?

Transcription

1 CNA Webinar Series: Progress in Practice Who is the Clinical Nurse Specialist? Josephine Muxlow Adjunct Professor, Dalhousie School of Nursing Clinical Nurse Specialist, Adult Mental Health Prevention and Promotion Programs and Nursing Leadership, Fist Nations & Inuit Health, Atlantic Region, Health Canada December 10, 2013 Canadian Nurses Association, 2012

2 Josette Roussel, RN., GNC(C), MSc, M.Ed Senior Nurse Advisor Professional Practice Canadian Association of Nurses

3 Josephine Muxlow, RN, MS, CPMHN(C) Adjunct Professor, Dalhousie University, School of Nursing Clinical Nurse Specialist, Adult Mental Health Prevention & Promotion Programs and Nursing Leadership, First Nations & Inuit Health, Atlantic Region Health Canada

4 The Clinical Nurse Specialist A registered nurse who holds a master s or doctoral degree in nursing with expertise in a clinical nursing speciality (CNA, 2008).

5 CNS Practice Across the life span Complex Issues Clinical Specialities Variety of Settings

6 What does the CNS bring to the health system? Expert Nursing Care System Change CNS Leadership Support

7 Competencies Nursing Knowledge Theory Research Clinical Experience

8 The Pillars Clinical Research Leadership Consultation and Collaboration

9 Why Uses expert knowledge, skills and competencies to enhance continuous quality improvement and quality care. CNSs Utilize competencies to influence system changes resulting in positive outcomes for clients, providers, professionals, stakeholders and organizations. Matter Evidence shows that CNSs clinical practice results in cost effectiveness, quality of care, and client satisfaction.

10 Practice Outcomes What Positive impact on health outcomes Reduce cost length of hospital stay Are the Reduced frequency of emergency room visits Improved pain management practices Outcomes Increased patient satisfaction with nursing care Reduced medical complications in hospitalized patients

11 Influence on Practice Patient/Client/ Resident Nursing Practice Health-care Organization

12 Barriers to Role Ambiguity Job Expectation Role Implementation Reporting Structure Practice Education Provincial & Territorial Nursing Associations Organizational Structure

13 My Personal Experience Communities Provincial Health Systems Community Health Planning Families Individuals Communities Linkages/ Collaboration CQI & Improved Access to Services CNS Community Health Nurses Mental Wellness & Addiction Workers Health Directors Other Health Staff Consultations/ Connections Internal & External Change Agent & Activities PromotIng Mental Wellness Advocacy Education/Mentoring Knowledge Transfer Crisis Intervention

14 CNS Role Implementation Logic Model Main Component Leader/ Clinician Consultant Researcher/ Educator Change Agent Implement Objective Clinical Practice Mental Health Expertise Role Modelling Best Practice Evidence-Based Practice Standards Professional Support Community Development Knowledge Transfer Professional Development Challenging the Process Input into National Initiatives Outputs Countable Indicators Characteristics Of Those Served Mental Health Inventory of Activities Community Visits Research Findings Training Sessions Interagency Collaborative Initiatives Short-Term Outcomes (To Increase Or Decrease) Personal Satisfaction Increased Job Satisfaction For CHN Increased Information and Awareness Improve Access to Care Promote System Changes Education Long-Term Outcomes (Prevention) Enhanced Service Delivery Integration of Traditional Holistic Approach For Clients at Risk Early Identification, Assessment & Appropriate Treatment October 2004

15 Summary Snapshot Salient Points Change Agents

16 References Canadian Nurses Association (2008). Advanced Nursing Practice: A National Framework. Canadian Nurses Association, Ottawa. Canadian Nurses Association (2009). Clinical Nurse Specialist Position Statement, Canadian Nurses Association, Ottawa. Clinical Nurse Specialist (CNS). Retrieved November 3, 2013 from Duffield, C., et al.,(2009). Advanced nursing practice: A global perspective. Collegian (2009) 16, Kilpatrick, K., et al., (2011). Canadian Clinical Nurse Specialist Practice Patterns. Retrieved November 8, 2013 from CNS_practice_pattern_study-final.pdf

17 References Kilpatrick, K.. et al., Practice patterns and perceived impact of clinical nurse specialist: Results of a national survey. International Journal of Nursing Studies. (2013). Mayo, A., et al.,(2010). Clinical Nurse Specialist Practice Patterns. Wolters Kluwer Health/Lippincott Williams & Wilkins, McMaster University, The Clinical Nurse Specialist: Getting a Good Return on Healthcare Investment. Retrieved November 8, 2013 from National Association of Clinical Nurse Specialist (2004). Statement on Clinical Nurse Specialist Practice and Education. National Association of Clinical Nurse Specialist, Harrisburg, PA.

18 For more information: Photo credits: istock Canadian Nurses Association, 2012

19 Upcoming Webinar Learn more about advancing public health nursing in schools January 14, 2014, 12 to 12:45 pm ET Canadian Nurses Association, 2012

20 Thank you! Canadian Nurses Association, 2012