Clinical Nurse Specialist

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Clinical Nurse Specialist

• Clinical expert in specialized area
• MN preparation expectation to conduct research
• Novice in role
• Experience and evolution of the role

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Clinical

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Environmental Factors

• Position funded through medicine
• Main collaboration with medicine
• Limited residents within the program
• One-half day protected time

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Environmental Influences Change

• Increased number of residents
• Clinical assistants
• APN Course
• Crucial to have support from physicians and
  nursing
• Protected time essential

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Transformation

• Emphasis to support/collaborate with nurses
• Role function in each domain of the Strong Model
• Team approach to clinical issues
• Research projects with SLP, medicine
• Support group with SW

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Administrative Perspective

• Support the model of practice
• Emphasis switched to nursing knowledge and
  standards
• Provide autonomy and offer advice
• Several discussions
• Funding transition