Role Of Nurse Specialist Research Articles

Future directions for the Prostate Cancer Specialist Nurse in Australia

Prostate cancer is the most commonly diagnosed cancer in Australian men. A cancer diagnosis causes physical, social and psychological morbidity. The role of the specialist nurse in chronic illness care is well recognized both nationally and internationally; however, the role of the Prostate Cancer Specialist Nurse is not as developed or formalized in Australian health care delivery. Prostate Cancer Foundation of Australia (PCFA) aims to bridge this gap and has developed a model to pilot a number of Prostate Cancer Specialist Nurses in various locations throughout both metropolitan and regional Australia.This paper reports on the findings of a project commissioned by PCFA to define a model for a national Prostate Cancer Specialist Nursing service. The service model was developed following an extensive consultation process at a national level. A framework for practice and professional development for the Prostate Cancer Specialist Nurse has been developed which utilizes both the Australian Nursing and Midwifery Council Registered Nurse Competency Frameworks and the National Cancer Nursing Education Project Professional Development Framework. The pilot program will involve PCFA working in partnership with host health regions by providing funding for the recruitment of the nurses on a 3‐year trial basis. The nurses will be employed directly by the host health regions and will be professionally supported by PCFA. The program will also be formally evaluated.

Recognizing the depth of the IBD nurse specialist role

In this climate of austerity, the question has been raised regarding the benefits and functions of nurse specialists. In this article, Alex Hall discusses demonstrating the complexity of the role of the inflammatory bowel disease (IBD) specialist nurse and cost benefits to managers and commissioners. It also aims to examine the importance different methods of collecting both qualitative and quantitative data to demonstrate the depth and complexity of the role.

N038 At the centre of the strategy: Inaugurating the role of the provincial heart failure clinical nurse specialist in British Columbia

The prevalence of Heart Failure (HF) throughout British Columbia (BC) is reaching epidemic proportions. Irrespective of BC's significant health care infrastructure, resources and clinical expertise, patients with HF remain one of the leading causes for hospital admission as well as one of the largest cost items to the BC health care system. Currently in BC there are only pockets of organized HF care and there is inequity of access to HF resources such as advanced diagnostics and HF specialty expertise. Additionally, there is no standardized provincial integration of HF care across the care continuum. With financial support from Cardiac Services BC, a new provincial HF strategy has been established to address these issues. This included the creation of a new Provincial HF Clinical Nurse Specialist (CNS) and Physician role to lead the strategy. In this session the mandate and desired outcomes of the British Columbia HF strategy will be described. The central role played by the Provincial HF CNS in co-leading the strategy will be brought to life through “on the job” examples of each of the 5 CNS core functions identified by the Canadian Nurses Association. The challenges and successes experienced in inaugurating the role will be shared with an emphasis on utilizing the principles of strategic organizational change theory to overcome the challenges. Lastly, informed by evaluation data, the potential of this new HF CNS role to showcase CNS expertise and provide the foundation for expanded cardiac CNS practice opportunities will be highlighted.

The development of clinical nurse specialist roles in Ireland

While the term specialist in nursing can be traced to the turn of the 20th Century, it is only since 2001 that a framework was developed for a clinical career pathway in Ireland. This framework has promoted the development and expansion of the clinical nurse/midwife specialist (CNS/CMS) throughout Ireland over the past 10 years guided by the National Council for the Professional Development of Nursing and Midwifery (NCNM). To build upon the achievements of the NCNM and advance nursing practice, it is imperative that CNS/CMSs adopt and fulfil the components of their role. Since CNS/CMS practice is relatively new to Ireland, there is the opportunity to learn from experiences of other countries. This article outlines the development and challenges of the CNS role in Ireland.

Is there a role for a nurse specialist within a tertiary referral stone unit

Is there a role for a nurse specialist within a tertiary referral stone unit

The creation of a Dementia Nurse Specialist role in an acute general hospital

Older people form the largest group occupying acute hospital beds and many of them will have undiagnosed mental health problems. The creation of a Dementia Nurse Specialist role in a district general hospital provided the opportunity to assess the extent of the previously unmet need among patients, carers and nursing staff. Over 30 patients were seen each month, while around 6 to 12 were diagnosed as having dementia. Other activities undertaken as part of the role included providing information and support for carers, and advice on management of behaviours and support for ward staff. The role also involved policy writing, pathway and local strategy planning, care plan development, and formal and informal teaching on dementia. It is argued that this fixed-term post demonstrated that a Dementia Nurse Specialist could provide significant input in an acute hospital setting, by improving the experience of hospitalization for vulnerable older people and their carers.

Factors influencing the referral of non-cancer patients to community specialist palliative care nurses

To understand why non-cancer patients are under-represented on the caseloads of community Macmillan specialist palliative care nurses by exploring what influences community health professionals' referral patterns of non-cancer patients in one locality of a primary care trust. The study adopted a qualitative design, making use of semi-structured interviews with a purposive sample of community health professionals comprising three GPs, three district nurses, and three community matrons. The framework approach was used for analysis. The classification of patients, the perception of the palliative care service, the existence of different pathways of care for cancer and non-cancer patients, and the role of other specialist nurses all seem to influence the referral patterns of community health professionals. Although further research is required to fully understand all of the relevant viewpoints, in particular those of patients and carers, it appears that innovative new models of service delivery could be developed that address the engrained perception of the Macmillan nursing service as being for dying cancer patients only, as well as the blurred boundaries between Macmillan nurses and other senior clinical nurses.

Quality and Safety Education for Nurses Competencies and the Clinical Nurse Specialist Role

Quality and Safety Education for Nurses came about through a grant from the Robert Wood Johnson Foundation. Its mission has been to transform nursing education by deliberately changing the focus of nursing's professional identity. The purpose of this article is to discuss the recent adaptation of the Quality and Safety Education for Nurses knowledge, skills, and attitudes, originally developed for undergraduate education, into competencies for advanced practice nursing education. This article discusses the applicability of those competencies for graduate education as it applies to the spheres of influence in the clinical nurse specialist role and the implications for preceptors.

The Clinical Nurse Specialist Role in Canada

The clinical nurse specialist (CNS) provides an important clinical leadership role for the nursing profession and broader healthcare system; yet the prominence and deployment of this role have fluctuated in Canada over the past 40 years. This paper draws on the results of a decision support synthesis examining advanced practice nursing roles in Canada. The synthesis included a scoping review of the Canadian and international literature and in-depth interviews with key informants including CNSs, nurse practitioners, other health providers, educators, healthcare administrators, nursing regulators and government policy makers. Key challenges to the full integration of CNSs in the Canadian healthcare system include the paucity of Canadian research to inform CNS role implementation, absence of a common vision for the CNS role in Canada, lack of a CNS credentialing mechanism and limited access to CNS-specific graduate education. Recommendations for maximizing the potential and long-term sustainability of the CNS role to achieve important patient, provider and health system outcomes in Canada are provided.

The lived experience of sleep disturbance in people with Parkinson’s disease

suddick km & chambers s (2010) Journal of Nursing and Healthcare of Chronic Illness2, 292–301 The lived experience of sleep disturbance in people with Parkinson’s diseaseAims and objectives. This paper reports on an exploratory study of the lived experience of sleep disturbance in a group of men with Parkinson’s disease (PD).Background. Research into sleep disturbance in PD has focused on determining prevalence, causative factors, and relationships between the signs and symptoms. Sleep disturbance has not been previously explored from the perspective of the person experiencing it.Design. An interpretive phenomenological approach, aligned with Heideggerian hermeneutics was used.Method. A convenience sample of five people from the UK with PD participated in interviews in 2007–2008. Interviews were transcribed and data thematically analysed.Results. The themes that emerged regarding sleep disturbance in PD were: ‘good and bad’ sleep, a worsening journey, the experience of uncertainty, and the experience of loss.Conclusions. Sleep disturbance and ‘good and bad’ sleep, had significant implications for the person with PD and their carer. People with PD may accept or fight their sleep disruption, use, restrict, or avoid activity, and give up hobbies and sharing the marital bed. Sleep disturbance meant being part of a worsening journey, and experiencing loss and uncertainty. These may be inseparable essences of living with a progressive neurological condition.Relevance to clinical practice. Sleep disturbance needs more recognition and improved management. Health professionals may need to better consider issues around uncertainty and loss, and coping with the worsening journey. Services that develop coping styles, self efficacy, and self management, and introduce structured ways of providing education, advice, and ongoing support are needed. This supports the nurse specialist role in PD.

Reinventing the Role of the Clinical Nurse Specialist as Practitioner-Teacher to Transform Nursing Education

Author Affiliations: School of Nursing, Purdue University Calumet, Hammond, Indiana. No funding was received for this editorial. Correspondence: Peggy Gerard, PhD, RN, 15605 Brookshore Dr, Plainfield, IL 60544 ([email protected]).

The Role of the Clinical Nurse Specialist in the Assessment and Management of Biologic Therapies

Musculoskeletal CareVolume 9, Issue 1 p. 54-62 Short Report The Role of the Clinical Nurse Specialist in the Assessment and Management of Biologic Therapies Susan M. Oliver MSc, FRCN, Corresponding Author sue@susanoliver.com Nurse Consultant Rheumatology (Independent)Nurse Consultant Rheumatology, 7 Trafalgar Lawn, Barnstaple, Devon, EX32 9BD, UK. Tel: +44 (0)1271 374294 or +44 (0)7813 947070Search for more papers by this author Susan M. Oliver MSc, FRCN, Corresponding Author sue@susanoliver.com Nurse Consultant Rheumatology (Independent)Nurse Consultant Rheumatology, 7 Trafalgar Lawn, Barnstaple, Devon, EX32 9BD, UK. Tel: +44 (0)1271 374294 or +44 (0)7813 947070Search for more papers by this author First published: 12 October 2010 https://doi.org/10.1002/msc.190Citations: 4Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat Citing Literature Volume9, Issue1March 2011Pages 54-62 RelatedInformation

Venous thromboembolism prophylaxis: the role of the nurse

Venous thromboembolism is the most common preventable cause of hospital death, with surgical and medical patients at a significantly increased risk. It is estimated that, without prophylaxis, it occurs in 20% of general medical and surgical patients, and 40-60% of orthopaedic patients. It accounts for 25-times greater mortality than meticillin resistant Staphylococcus aureus (MRSA). Despite overwhelming evidence advocating the routine use of thromboprophylaxis, provision is persistently deficient. It has been demonstrated that involvement of the nursing profession in initiatives to improve provision is important and effective. Recent years have seen the nursing profession continue to evolve and take the lead in a number of areas of preventive medicine, and to develop specialist nursing roles. The authors believe that this drive must be harnessed so that the profession can enact the routine provision of thromboprophylaxis to patients.

Oncology Certified Nurse Specialist in Japan

The purpose of this article is to review a historical perspective of the Certified Nurse Specialist role and current trends in nursing education and practice of the Oncology Certified Nurse Specialist. Since the initiation of Certified Nurse Specialist credentialing system in 1995, 193 Oncology Certified Nurse Specialists have practiced in clinical settings. The Oncology Certified Nurse Specialist credentials committee, the Association of Nursing Programs in University and the Association of Oncology Certified Nurse Specialists play the important part to maintain a high level of Oncology Certified Nurse Specialist competencies in Japan. The Oncology Certified Nurse Specialist should promote the outcomes research to assess the effectiveness of nursing intervention by the Oncology Certified Nurse Specialist, and participate in the interdisciplinary research by collaborating with other health professionals to realize the ongoing cancer reforms in Japan.

Roles of the Clinical Nurse Specialist and Nurse Practitioner in Survivorship Care

Roles of the Clinical Nurse Specialist and Nurse Practitioner in Survivorship Care

Advancing the role of minor surgery for nurses

This article describes the development of the nurse specialist role in an ophthalmology setting. The nurse specialist was trained to carry out incision and curettage of chalazion - a firm, usually non-tender, localized nodule under the pretarsal skin. The aim of the nurse-led chalazion service is to provide prompt, high quality care to patients during their surgical episode, while offering job satisfaction to the nurse. The article outlines the training involved and the outcome of an audit conducted of the service. Risk management procedures and the benefits of the advances to the nursing role, to patients and to the nursing professional are explained.

Community Palliative Care – The Role of the Clinical Nurse SpecialistCommunity Palliative Care – The Role of the Clinical Nurse Specialist

Community Palliative Care – The Role of the Clinical Nurse SpecialistCommunity Palliative Care – The Role of the Clinical Nurse Specialist

Specialist nurses change lives and save money

Lynn young explains why the role of specialist nurses is a feature of the rcn’s pre-election campaign

The Role of the Clinical Nurse Specialist in Facilitating Evidence-Based Practice Within a University Setting

There are many changes occurring within the healthcare system today, bringing forth multiple challenges for nurses. Changes in reimbursement for hospitals and staffing shortages are impacting the ways that nurses are delivering care. During these changing times, it is essential that healthcare providers strive to maintain high-quality care and patient safety. Utilizing evidence-based practice (EBP) to guide the delivery of care is one way to ensure that high-quality outcomes are achieved. EBP is one of the driving forces to improve clinical practice and ensure patient safety within the healthcare system. The clinical nurse specialist is very instrumental in facilitating quality care and implementing EBP within the healthcare setting. Through the development of a multidisciplinary committee, the clinical nurse specialist can lead professional nurses in the implementation of EBP and facilitate practice changes to improve patient outcomes.

The Role of the Clinical Nurse Specialist

Bowllan, Nancy M. EdD, MSN, BSNEditor(s): EBRIGHT, PATRICIA DNS, RN, CNS; PATTEN, STEPHEN MSN, RN, CNS, CNOR, Conference Co-chairs Author Information