title: Model for integration of CNS with nursing management and staff development.
abstract: The contemporary health care environment is changing rapidly in response to complex economic factors and changes in patterns of care. Coupled with limited nursing resources, these changes challenge the nursing profession to critically evaluate the effectiveness and quality of care delivery, particularly that of advanced practitioners. This paper presents a model for the integration of Clinical Nurse Specialist (CNS) practice with that of the Clinical Nurse Manager (CNM) and Staff Development Instructor (SDI). The model demonstrates that, although the CNS, CNM, and SDI share the same role dimensions, the central focus of each role determines and differentiates its unique practice arena. The interelationship of dimensions within roles and the complementarity between roles result in significant, nonduplicative contributions to high-quality, cost-effective care by the CNS, as well as the CNM and SDI.
authors.forename: C
authors.initials: C
authors.lastname: Shawler
authors.forename: H
authors.initials: H
authors.lastname: Stepler
authors.forename: S
authors.initials: S
authors.lastname: Kinnaird
mesh_terms: D004509:Education, Nursing, Continuing; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D007587:Job Description; D008962:Models, Theoretical; D009720:Nurse Clinicians; D009745:Nursing, Supervisory / Q000458:organization & administration*; D010559:Personnel Management