title: Relationship Between Clinical Nurse Specialist Role Implementation, Satisfaction, and Intent to Stay.
abstract: OBJECTIVE
  There is a lack of research examining the relationship between role satisfaction and intent to remain in one's professional role from the perspective of nurses in advanced practice roles. The purpose of this study is to examine the strength of the relationship between clinical nurse specialist (CNS) role implementation, role satisfaction, and intent to remain in a CNS role.
  
  
  METHODS
  We conducted a secondary analysis of data from a cross-sectional survey.
  
  
  METHODS
  The setting of this study was Canada.
  
  
  METHODS
  We included 423 of 471 (90%) questionnaires of graduate-prepared CNSs.
  
  
  METHODS
  We surveyed all CNSs in Canada from April to August 2011. Cronbach's α (.79-.96) was used to assess the reliability of the portion of the questionnaire that measured CNS role dimensions. Using logistic regression analysis, we examined the relationship between CNS role implementation, role satisfaction, and intent to stay.
  
  
  RESULTS
  Clinical, research, scholarly and professional development, and consultation activities were significantly associated with improved CNS role satisfaction, and role satisfaction positively influenced intent to stay. However, CNS roles heavily focused on consultation activities negatively influenced CNS intent to stay. Only scholarly and professional development activities both improved role satisfaction and indirectly influenced intent to stay in the role.
  
  
  CONCLUSIONS
  There is a small positive association between some CNS role dimensions and role satisfaction, and role satisfaction positively influences intent to stay. However, too many consultation activities decreased CNS intent to remain in the role. Given the multidimensional role of the CNS and unique patient needs, CNSs will want to work closely with their managers to design a role that meets patient needs and optimizes CNS satisfaction and intent to stay in the role. Further research is needed to understand if CNS role implementation influences CNS departures and the relationship between intending to leave and actual departures from a CNS role.
authors.affiliation: Author Affiliations: Assistant Professor, Faculty of Nursing, Université de Montreal, Affiliate Faculty, Canadian Centre for Advanced Practice Nursing Research, and Researcher, Hôpital Maisonneuve-Rosemont Research Centre, Montréal, Quebec (Dr Kilpatrick); Assistant Professor, Department of Nursing, Université du Québec (Dr Tchouaket); Assistant Professor, School of Nursing, McMaster University, and Affiliate Faculty, Canadian Centre for Advanced Practice Nursing Research, Hamilton, Ontario (Dr Carter); Associate Professor, School of Nursing and Department of Oncology, McMaster University, and Co-Director, Canadian Centre for Advanced Practice Nursing Research, Hamilton, Ontario (Dr Bryant-Lukosius); and Professor Emeritus, School of Nursing, and Department of Clinical Epidemiology & Biostatistics, McMaster University, and Senior Advisor, Canadian Centre for Advanced Practice Nursing Research, Hamilton, Ontario, Canada (Dr DiCenso).
authors.forename: Kelley
authors.initials: K
authors.lastname: Kilpatrick
authors.forename: Eric
authors.initials: E
authors.lastname: Tchouaket
authors.forename: Nancy
authors.initials: N
authors.lastname: Carter
authors.forename: Denise
authors.initials: D
authors.lastname: Bryant-Lukosius
authors.forename: Alba
authors.initials: A
authors.lastname: DiCenso
mesh_terms: D000328:Adult; D002170:Canada; D003430:Cross-Sectional Studies; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D016015:Logistic Models; D008875:Middle Aged; D009720:Nurse Clinicians / Q000523:psychology* / Q000706:statistics & numerical data; D024802:Nurse's Role / Q000523:psychology*; D010563:Personnel Turnover; D011795:Surveys and Questionnaires