During my clinical practicum hours at Fresno Surgical Hospital (FSH) with my preceptor, Heidi Honeycutt, I have gained a better understanding of the role of the clinical nurse specialist (CNS). Although all of the roles of the CNS are important, to be an effective and competent advanced practice nurse (APN), a CNS must have strong leadership skills. Leadership in a CNS role includes the ability to perform clinical research, guide change, model behaviors that lead to best patient outcomes, and develop trusting relationships with staff and patients in order to promote the facilitation of learning and communication. My preceptor has the knowledge and theoretical framework to accomplish the CNS role on a day-to-day basis, but what sets her apart and makes her a competent APN are her strong leadership skills. The purpose of this paper is to reflect on the role of the CNS as a leader and how having a better understanding of this role contributes to my professional and personal growth.
According to Hamric, Spross, and Hanson (2009), the role of the CNS was
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The three spheres in this model can be integrated with the Synergy Model to define nurse competencies. For example, in the systems leadership competency in the Synergy Model, the main function of the CNS is to be able “to manage change and empower others to influence clinical practice and political processes both within and across systems” (National CNS Competency Task Force, 2010, p. 20). Given this competency, the CNS models behaviors specific to each of the three spheres of influence. My preceptor is modeling the behaviors within the three spheres
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
During this semester, I went to many different clinical sites for clinical experience, and I had the opportunity to with the nurse leader and observed what he/she does during a shift. This paper will focus on the strength of a nurse leader, and on my self-evaluation as a potential nurse leader.
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Collaborative agreements or other physician signature for Advanced Practice Nurse Practitioners in the State of Texas.
They can create positive outcomes in regard to the nation’s most pressing healthcare concerns. While CNLs are actively involved in daily operations they do not work directly with patients. Their prevue is often limited to leadership among the nurse pool, with their charge ending where hospital administration begins. The Clinical Nurse Leaders master’s degree knowledge base helps to ensure that they can lead their units. Clinical Nurse Leaders specialize in overseeing patient groups rather than individual patients. It is the CNL’s job to make medical decisions based purely on research and
The National Council of State Boards of Nursing (2015) describes an advanced practice nurse as a nurse with a graduate level education in a specific area of study including nurse anesthesia, nurse midwifery, nurse practitioner, and clinical nurse specialist. Advance practice nurses have been crucial to meeting the demands of the growing patient population due to the implementation of the Affordable Care Act. These nurses bridge the gap between physician and patient and are a vital part of the healthcare team. There are a variety of specializations and educational paths nurses may pursue in order to advance their career towards advanced practice nursing.
In closing, as the healthcare climate consistently changes across the United States, it is imperative that registered nurses understand the demand for superior knowledge and lifelong commitment to nursing. As nursing theory and practice expand, our role as leaders is to place a high priority on our commitment to educate and guide nurses, thus improving the lives of their patients through the support of transformational leadership. The Institute of Medicine’s recent report, The Future of Nursing – Leading Change, Advancing Health, specifically calls for nurses to advance and embrace leadership roles on all levels and fronts – from collaborative improvement to positive identification of areas facing challenges within the healthcare setting.
When implemented the Clinical Nurse Consultant Research, nursing will be improve in other directions and not only patient care but the skill, knowledge and critical thinking of the nurse.
For me as a newly qualified member of staff entering into an established team I found Anne’s high morals and consistency were the basis for her providing me with a positive role model. She believed best practice was the minimum and would always ensure every patient experienced the best care possible. IIies (et al.2012) believes that managers should be role models that their followers seek to emulate. A study by Hauck,Winsett and Kuric (2012) concluded that leadership can affect nurses ability to provide evidence based care. They advocate nursing leaders need to be role models and mentors to their staff. Dang and Poe (2010, cited in Poe and White, 2010, p.23-53) outline seven core nursing leadership competencies needed to successfully implement
Nursing provides critical contributions to the healthcare system. With the increases in global health challenges, expanding technologies, increased diversity and the increasingly complex health problems of patients it is detrimental to equip nurses with the valuable knowledge and skills to lead change, promote health and evaluate levels of care in multiple settings through Master’s level nursing education (American Association of Colleges of Nursing, AACN, 2011). Master’s level nurses are capable to build and lead collaborative interprofessional teams and recognize the need to promote high quality and safe patient care guided by organizational and systems leadership (AACN,2011). The use of transformational leadership could effectively promote
Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.
Advanced practice nursing roles are expanding throughout the world, including here in the United States (U.S.) (http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Advanced-Nursing-Practice-Worldwide.html). While the scope of practice for these advance practice nurses varies between the states greatly (https://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment). There is a push for full practice authority across the U.S. by nurse practitioners (https://www.aanp.org/images/documents/policy-toolbox/fullpracticeauthority.pdf). The American Nurses Association (ANA) and the American Association of Nurse Practitioners (AANP) are resources that are
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.