Supporting the CNS from Novice to Expert: Advancement
Topic of Interest
Capture Value of the CNS
Interprofessional Collaboration
Abstract
Significance/Background
The Clinical Nurse Specialist (CNS) Advancement and Recognition Program acknowledges CNSs for their contributions in leading care quality and advancing nursing practice and clinical knowledge. Three CNS levels are recognized. The CNS IV is an entry-level position for novice to advanced beginner CNSs who influence practice at the unit level. The CNS V is an advanced position for proficient CNSs who have expanded their scope to influence change across multiple units. The CNS VI is an expert who influences practice change across the institution to demonstrate improvements in patient, nurse, and/or organizational outcomes.
Evaluation Methods
To evaluate the CNS applying for advancement, the CNS candidates prepare and submit a portfolio including: curriculum vitae, letters of recommendation, volunteer activities, and scholarly work. Framed by the three spheres of influence, candidates present how they impact clinical care, develop clinical nurses, and advanced the organizational imperatives.
Outcomes
Peers provided written feedback about the candidate’s presentation and portfolio. Peers suggested recommendations for future professional growth and development. Since fiscal year 2016, 12 CNSs advanced to level V and four CNSs advanced to level VI. On average, twice a year, two to three CNS candidates advance.
Implications
The CNS Advancement and Recognition Program supports advancing CNS candidates by allowing them to showcase their accomplishments to a committee of peers while leveraging a network of support. The CNS team values the presentations, learning from their colleagues while supporting each other’s professional growth and development.