Download Working with a Clinical Nurse Specialist

nursing
The Strong Model of Advanced Practice
Direct
comprehensive
care
How to Contact Your Program CNS
Tricia Carta: Burns .................................... 204-787-3392
Support of
systems
Doris Sawatzky-Dickson: Neonatology ... 204-787-1060
Collaboration
Scholarship
PATIENT
Publication and
professional
leadership
Education
Cathy Gillespie:
Pediatric Asthma and Allergy .................. 204-787-4205
Darlene Grantham: Oncology .................. 204-787-3917
Christine Finnbogason: Women’s Health ... 204-787-1579
Julie Halipchuk: Pediatric Diabetes ......... 204-787-8932
Research
Empowerment
Working with a
Clinical Nurse
Specialist
Isabelle Jarrin: Mental Health ................. 204-787-5088
Christine Johnson: Rehab/Geriatrics ....... 204-787-4221
NOVICE
Lisa Merrill: Women’s Health ................... 204-787-2612
EXPERT
Asha Pereira: Trauma ............................... 204-787-2839
Ackerman, M.H., Norsen L., Wiedrich, J., & Kitzman, H.J. (1996). Development
of a model of advanced practice. American Journal of Critical Care, 5, 68-73.
The WRHA Nursing Leadership Council has
endorsed the Strong Model of Advanced Practice
as the framework to guide and describe advanced
practice nursing in all regional settings. The
Strong Model - adopted at HSC to guide advanced
nursing practice - identifies the areas of practice
and underlying processes, and acknowledges
Benner’s movement from novice to expert.
The CNS enacts the role along a continuum as
outlined below.
CNS
Continuum of APN Roles
Professional Development
Organizational Leadership
Research
lEducation
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Clinical Practice Role
Lisa Streeter:
Adult Palliative Care (WRHA) .................. 204-237-2400
Karen Throndson: Cardiology ................. 204-787-8827
Alison Bodnarchuk: Wound Care ............ 204-787-2960
We would like to acknowledge the St. Boniface Hospital CNS Committee
for sharing their document with us.
NP
Integrated Role Domains
Advanced
Nursing
Practice
Erin Shepherd: Pediatric Symptom Management
& Palliative Care (WRHA) ........................ 204-237-2400
Expanded clinical
functions requiring
Extended Class (EC)
registration
l
Bryant-Lukosius, D. (2010). The continuum of advanced practice nursing roles.
Clinical Nurse Specialists and Nurse Practitioners in Canada: A Decision Support Synthesis.
Canadian Foundation for Healthcare Improvement (formerly CHSRF) cfhi-fcass.ca
820 Sherbrook Street
Winnipeg MB R3A 1R9
Phone: (204) 774-6511
www.hsc.mb.ca
HSC is an operating division of
01 /13
www.hsc.mb.ca
Clinical Expert l Researcher l Consultant l Leader l Educator l Mentor
What is a Clinical Nurse Specialist?
A Clinical Nurse Specialist (CNS) is a Registered
Nurse who has extensive clinical experience and a
Master’s and/or Doctoral degree.
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Direct Patient & Family Care
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Supports nurses to provide evidence-informed
nursing care
Provides guidance and assists with patient and
family education
Acts as a resource in managing patients with
complex needs
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Collaborates with the care team to ensure safe,
quality patient care
Organizational Support
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Facilitates the integration and standardization of
services provided
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Research
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Analyzes research and recommends clinical
practice changes
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Promotes critical inquiry with patient care matters
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Participates in decision-making around health
policy issues
Assist with critical incident reviews
How can the CNS Support You?
Helps staff identify and develop clinical research
questions
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Facilitates quality improvement initiatives related
to clinical practice
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Acts as a resource for clinical matters and risk
management issues
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Mentors nursing staff on critical thinking and
professional practice
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Implements evidence-informed nursing practice
Participates on committees related to care
delivery, policy/procedure development and
professional practice
Education
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Participates in developing standards of care in
the facility
Acts as a principle investigator and/or participates
in research projects
Leadership
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Supports evidence-informed care to achieve
quality, cost-effective clinical outcomes
Supports and develops educational material and
programs for patients, families, staff and the
health care authority
Assesses staff learning needs to promote
professional development
Be a resource for you related to patient care
concerns
Assist you in providing patient and family
education and counseling
Help you to provide care for complex patients
Guide you in how to do a literature search on a
topic of interest for your nursing practice
Assist you with information on best practice
standards
Develop a care plan with you for patients and
their families with complex needs
Work with you on evidence-informed practice
projects and nursing research
Provide you with current articles or research to
help answer clinical questions
Listen to your clinical practice concerns and
examine possible solutions with colleagues
Help you to provide patient and family support
when your patient moves to a different ward/
unit or focus becomes comfort care