title: Developing clinical nurse specialist practice competencies.
abstract: BACKGROUND
  In 1998, the National Association of Clinical Nurse Specialist (NACNS) developed the first ever core competencies for clinical nurse specialist (CNS) practice.
  
  
  OBJECTIVE
  This article describes the method used to develop, validate, and revise CNS core practice competencies.
  
  
  METHODS
  The stepwise method of identifying core CNS competencies included content analysis of CNS position/job descriptions, extensive literature review, development by role experts, first-tier corroboration, second-tier corroboration encompassing stakeholder review, final review/editing, approval by the board of directors, and dissemination.
  
  
  CONCLUSIONS
  The process used by professional organizations to develop competencies and standards varies; however, it should be transparent and consist of adequate review and validation for accuracy and applicability by members of the representative group for whom the standards and competencies apply.
  
  
  CONCLUSIONS
  The stepwise method used by the National Association of Clinical Nurse Specialist generated valid CNS core competencies and may be instructive to professional organizations interested in developing competencies and standards.
authors.affiliation: Texas Christian University College of Nursing and Health Sciences, Fort Worth, TX 76129, USA. k.baldwin@tcu.edu
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Baldwin
authors.forename: Brenda L
authors.initials: BL
authors.lastname: Lyon
authors.forename: Angela P
authors.initials: AP
authors.lastname: Clark
authors.forename: Janet
authors.initials: J
authors.lastname: Fulton
authors.forename: Sue
authors.initials: S
authors.lastname: Davidson
authors.forename: Nancy
authors.initials: N
authors.lastname: Dayhoff
mesh_terms: D001291:Attitude of Health Personnel; D032921:Consensus; D003625:Data Collection; D006801:Humans; D007587:Job Description; D007857:Leadership; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D016134:Organizational Policy; D017410:Practice Guidelines as Topic / Q000592:standards*; D011361:Professional Competence / Q000592:standards*; D011367:Professional Staff Committees / Q000458:organization & administration; D015203:Reproducibility of Results; D012956:Societies, Nursing / Q000458:organization & administration*; D014481:United States