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Research Article| Volume 66, P213-215, September 2022

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The pediatric clinical nurse specialist: A children's hospital journey

  • Hector R. Valdivia, MN, ARNP, ACCNS-P, CCRN-K
    Hector R. Valdivia
    Correspondence
    Corresponding author.
    Contact
    Affiliations
    Department of Nursing Practice Professional Development and Innovation Seattle Children's, United States of America
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Published:August 18, 2022DOI:https://doi.org/10.1016/j.pedn.2022.07.019
The pediatric clinical nurse specialist: A children's hospital journey
Previous ArticleAdvancing pediatric primary care practice: Preparing youth for transition from pediatric to adult medical care, a quality improvement initiative
Next ArticleTherapeutic advances for the management of congenital adrenal hyperplasia
      Advertisement
      The role of the pediatric clinical nurse specialist (CNS) is grounded in the core curriculum and competencies outlined by the National Association of Clinical Nurse Specialists Statement on CNS Practice and Education and the certifying body (
      National Association of Clinical Nurse Specialists, 2019
      • National Association of Clinical Nurse Specialists
      Statement on clinical nurse specialist practice and education.
      3rd ed. 2019
      https://nacns.org/resources/practice-and-cns-role/cns-competencies/
      • Google Scholar
      ). As of 2019, there were over 70,000 practicing CNSs across the United States (
      National Association of Clinical Nurse Specialists, 2019
      • National Association of Clinical Nurse Specialists
      Statement on clinical nurse specialist practice and education.
      3rd ed. 2019
      https://nacns.org/resources/practice-and-cns-role/cns-competencies/
      • Google Scholar
      ). The NACNS program directory outlines 12 CNS pediatric programs in eight states and over 60 adult programs across the country (
      National Association of Clinical Nurse Specialists, 2020
      • National Association of Clinical Nurse Specialists
      The role of the CNS: Findings from the 2020 census.
      https://nacns.org/wp-content/uploads/2021/03/NACNS-2020-Census-Infographic-FINAL.pdf
      Date: 2020
      • Google Scholar
      ). While there are fewer pediatric programs, the 2020 NACNS census survey revealed that based on the CNS competencies and the Advanced Practice Registered Nurse (APRN) Consensus Model's certification for licensure, approximately 22.5% (n = 557) of CNS respondents practice in pediatrics. Care of the pediatric patient has become more complex and therefore a need for a pediatric CNS to support more complex care becomes even more apparent (
      Cohen et al., 2011
      • Cohen E.
      • Kuo D.Z.
      • Agrawal R.
      • Berry J.G.
      • Bhagat S.K.
      • Simon T.D.
      • Srivastava R.
      Children with medical complexity: An emerging population for clinical and research initiatives.
      Pediatrics. 2011; 127: 529-538
      https://doi.org/10.1542/peds.2010-0910
      • Crossref
      • PubMed
      • Scopus (675)
      • Google Scholar
      ;
      Murphy and Ehritz, 2021
      • Murphy S.
      • Ehritz C.
      Clinical nurse specialist practice strategies for children with medical complexity.
      Clinical Nurse Specialist. 2021; 35: 38-43
      • Crossref
      • PubMed
      • Scopus (1)
      • Google Scholar
      ). The purpose of this article is to review ongoing pediatric CNS challenges, the value of the role, opportunities and outlining the journey of the CNS team at Seattle Children's (SC) in Seattle, Washington.
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      Article info

      Publication history

      Published online: August 18, 2022

      Identification

      DOI: https://doi.org/10.1016/j.pedn.2022.07.019

      Copyright

      © 2022 Published by Elsevier Inc.

      ScienceDirect

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