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
). As of 2019, there were over 70,000 practicing CNSs across the United States (
National Association of Clinical Nurse Specialists, 2019
). 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
). 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
;
Murphy and Ehritz, 2021
). 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.To read this article in full you will need to make a payment
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References
- AACN scope and standard for acute care clinical nurse specialist practice.American Association of Critical Care Nurses, 2014 (Retrieved on April 1, 2022, from)
- Children with medical complexity: An emerging population for clinical and research initiatives.Pediatrics. 2011; 127: 529-538
- Building a renowned clinical nurse specialist team: Recruitment, role development, and value identification.Clinical Nurse Specialist. 2019; 33: 266-272
- Description of work processes used by clinical nurse specialists to improve patient outcomes.Nursing Outlook. 2019; 67: 511-522
- Clinical nurse specialist expands to crisis management role during COVID-19 pandemic.Clinical Nurse Specialist. 2021; 35: 291-299
- Clinical nurse specialist as nurse researcher: Development of SMART metrics and dashboard to articulate role.Clinical Nurse Specialist. 2021; 35: 300-302
- The advanced practice clinical nurse specialist.Nursing Administration Quarterly. 2017; 41: 70-76
- Clinical nurse specialist practice strategies for children with medical complexity.Clinical Nurse Specialist. 2021; 35: 38-43
- Statement on clinical nurse specialist practice and education.3rd ed. 2019 (NACNS. Retrieved May 15, 2022, from)
- The role of the CNS: Findings from the 2020 census.(Retrieved on May 1, 2022, from)
- Enhancing a culture of inquiry: The role of a clinical nurse specialist in supporting the adoption of evidence. JONA.The Journal of Nursing Administration. 2017; 47: 154-158
- Clinical nurse specialists in the United States registered with a national provider identifier.Clinical Nurse Specialist. 2021; 35: 119-128
- Establishing the clinical nurse specialist identity by transforming structures, processes, and outcomes.Clinical Nurse Specialist. 2019; 33: 117-122
- Taking outcomes to the next level: The clinical nurse specialist as a partner in changing practice.Nursing Management. 2020; 51: 28-34
- Improving the care and health of populations through optimal use of clinical nurse specialists.Nursing Outlook. 2020; 68: 523-527
- Frequently asked questions: Clinical nurse specialist.(Retrieved May 5, 2022, from)
Article info
Publication history
Published online: August 18, 2022
Identification
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© 2022 Published by Elsevier Inc.