Chelsea Bostelman, Chelsea Passwater, Michael Urton
{"title":"Exploring Clinical Nurse Specialist Impact in Primary Health Care: Exemplars From a Student's Clinical Practice.","authors":"Chelsea Bostelman, Chelsea Passwater, Michael Urton","doi":"10.1097/NUR.0000000000000756","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000756","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>Primary healthcare (PHC) is a clinical frontier full of opportunities for clinical nurse specialists (CNSs) to improve population outcomes, facilitate smooth care transitions, and overcome challenges through a unique lens. Clinical nurse specialist practice in primary care is exceedingly rare, and there is a paucity of literature on the topic. This article provides exemplary projects implemented by a CNS student in a primary care clinic.</p><p><strong>Description of the project/program: </strong>Primary healthcare has been described as the \"front door\" of the health system. It has increasingly relied on nursing to deliver health services, yet PHC and nursing practice in this setting remain poorly defined. Clinical nurse specialists are well-positioned to define these concepts, standardize processes used to deliver services, and impact patient outcomes in PHC. The CNS student successfully supported a primary care clinic in these activities.</p><p><strong>Outcome: </strong>Reviewing the impact of the CNS student's experience offers a better understanding of CNS practice in PHC.</p><p><strong>Conclusion: </strong>Gaps exist in the literature regarding best practices and care delivery in PHC. Clinical nurse specialists are educationally prepared to address these gaps and improve patient outcomes at the health system's \"front door.\" Utilizing a CNS's unique skill set achieves cost-effective and efficient healthcare delivery in a new way that bolsters the strategy of utilizing nurse practitioners to meet the challenge of provider shortages.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"187-193"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-efficacy in Clinical Nurse Specialists During the COVID-19 Pandemic.","authors":"Wendy D Greenwood, Pamela Bishop","doi":"10.1097/NUR.0000000000000753","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000753","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the perceived self-efficacy of the clinical nurse specialist working in the United States during the COVID-19 pandemic and explore whether there was any difference in self-efficacy based on practice focus (spheres of impact) and if differences existed between self-efficacy and demographics.</p><p><strong>Design: </strong>This study used a nonexperimental, correlational, cross-sectional design utilizing a voluntary, anonymous, 1-time survey administered through Qualtrics (Qualtrics, Provo, UT).</p><p><strong>Methods: </strong>The National Association of Clinical Nurse Specialists and 9 state affiliates distributed the electronic survey starting late October 2021 through January 2022. Survey content consisted of demographics and the General Self-efficacy Scale, which measures the individual's perceived ability to cope and execute tasks when faced with hardship or adversity. Sample size was 105.</p><p><strong>Results: </strong>Results included a high perception of self-efficacy of the clinical nurse specialist working during the pandemic, no statistical significance in practice focus, and a statistically significant difference in the scores of self-efficacy for participants with previous infectious disease experience compared with those without experience.</p><p><strong>Conclusions: </strong>Clinical nurse specialists with previous infectious disease experience can guide policy, be utilized in multifaceted roles to support future infectious disease outbreaks, and develop training to prepare and support clinicians during crises such as pandemics.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"177-186"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9801641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justin M Smith, Kristina K Pearson, Amy E Roberson
{"title":"Interface of Clinical Nurse Specialist Practice and Healthcare Technology.","authors":"Justin M Smith, Kristina K Pearson, Amy E Roberson","doi":"10.1097/NUR.0000000000000755","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000755","url":null,"abstract":"<p><strong>Purpose: </strong>This article demonstrates the leadership role of the clinical nurse specialist in developing and implementing healthcare technology across the continuum of care.</p><p><strong>Description: </strong>Three virtual nursing practices-facilitated self-care, remote patient monitoring, and virtual acute care nursing-illustrate how the clinical nurse specialist is well suited to transform traditional practice models to ones that use healthcare technology effectively. These 3 practices use interactive healthcare technology to gather patient data and allow communication and coordination with the healthcare team to meet patient-specific needs.</p><p><strong>Outcome: </strong>Use of healthcare technology in virtual nursing practices led to early care team intervention, optimized care team processes, proactive patient outreach, timely access to care, and reduction in healthcare-associated errors and near-miss events.</p><p><strong>Conclusion: </strong>Clinical nurse specialists are well positioned to develop innovative, effective, accessible, and high-quality virtual nursing practices. Integrating healthcare technology with nursing practice augments care for various patients, ranging from those with low illness severity in the outpatient setting to acutely ill patients in the inpatient hospital environment.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"169-176"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tables, Figures, and Graphs-Oh My: How to Best Display Data.","authors":"Sandra L Siedlecki","doi":"10.1097/NUR.0000000000000751","DOIUrl":"10.1097/NUR.0000000000000751","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"160-163"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9801639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advanced Practice Entrepreneurial Partners in Birthing.","authors":"Pamela Jane Nye","doi":"10.1097/NUR.0000000000000746","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000746","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"114-116"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Food and Drug Administration Accelerated Approval of Lecanemab for Early Alzheimer's Disease-Hope, Reality, and the Unknown Going Forward.","authors":"","doi":"10.1097/NUR.0000000000000748","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000748","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"E3"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9685255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of a Doctor of Nursing Practice Health Policy Course on Clinical Nurse Specialist Practice and Competencies.","authors":"Keitha R Beamer, Susan B Fowler","doi":"10.1097/NUR.0000000000000744","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000744","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"144-146"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospital-Based Credentialing and Privileging: Overview and Implications for the Clinical Nurse Specialist.","authors":"Susan C Dresser, Kimberly W Elgin","doi":"10.1097/NUR.0000000000000742","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000742","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>The purpose of this article is to provide an overview of hospital-based credentialing and privileging processes for clinical nurse specialists (CNSs), describe barriers to success, and share lessons learned from CNSs who have successfully navigated the credentialing and privileging process.</p><p><strong>Description of project: </strong>This article shares knowledge, experiences, and lessons learned from an initiative to achieve hospital credentialing and privileging for CNSs at 1 academic medical center.</p><p><strong>Outcome: </strong>Policies and procedures for credentialing and privileging CNSs are now consistent with other advanced practice providers.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"133-138"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9685254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}