{"title":"Expanding Prescriptive Privileges for Clinical Nurse Specialists: Evidence From Practice.","authors":"Brandon Tatar, Mitzi M Saunders","doi":"10.1097/NUR.0000000000000960","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose/objectives: </strong>The purpose of this paper is to show how a critical care clinical nurse specialist (CNS) with prescriptive authority can address immediate patient needs, drive quality improvement, and improve population health outcomes.</p><p><strong>Description: </strong>A review of the current legislative landscape suggests that CNS practice could be enhanced by adding prescriptive authority for the purposes of improving patient, nurse, and system outcomes. Though 41 states support CNS prescribing, many factors may hinder its implementation.</p><p><strong>Outcomes: </strong>By examining the values of a CNS authorized to prescribe in their healthcare organization with real-time reflections (scenarios), the ability to enhance direct patient care, reduce delays, and foster nurse engagement is revealed.</p><p><strong>Conclusion: </strong>CNSs who elect to obtain prescriptive privileges may have opportunities to improve patient services and outcomes.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"40 3","pages":"109-113"},"PeriodicalIF":0.9000,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Nurse Specialist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NUR.0000000000000960","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/1 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose/objectives: The purpose of this paper is to show how a critical care clinical nurse specialist (CNS) with prescriptive authority can address immediate patient needs, drive quality improvement, and improve population health outcomes.
Description: A review of the current legislative landscape suggests that CNS practice could be enhanced by adding prescriptive authority for the purposes of improving patient, nurse, and system outcomes. Though 41 states support CNS prescribing, many factors may hinder its implementation.
Outcomes: By examining the values of a CNS authorized to prescribe in their healthcare organization with real-time reflections (scenarios), the ability to enhance direct patient care, reduce delays, and foster nurse engagement is revealed.
Conclusion: CNSs who elect to obtain prescriptive privileges may have opportunities to improve patient services and outcomes.
期刊介绍：
The purpose of Clinical Nurse Specialist™: The International Journal for Advanced Nursing Practice is to disseminate outcomes of clinical nurse specialist practice, to foster continued development o fthe clinical nurse specialist role, and to highlight clinical nurse specialist contributions to advancing nursing practice and health policy globally. Objectives of the journal are: 1. Disseminate knowledge about clinical nurse specialist competencies and the education and regulation of practice; 2. Communicate outcomes of clinical nurse specialist practice on quality, safety, and cost of nursing and health services across the continuum of care; 3. Promote evidence-based practice and innovation in the transformation of nursing and health policy for the betterment of the public welfare; 4. Foster intra-professional and interdisciplinary dialogue addressing nursing and health services for specialty populations in diverse care settings adn cultures.
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