Global View of the Clinical Nurse Specialist Role

Abstract

A clinical nurse specialist (CNS) is an advanced practice nurse who has acquired knowledge, skills, and aptitude at greater depth and breadth than generalist preparation registered nursing. Globally there are varying descriptions of the CNS role and practice. In the United States and Canada, the term CNS is used, whereas in other countries the role may be titled, for example, Clinical Nurse Consultant. As titling continues to evolve, the core criterion for a CNS is advanced formal nursing preparation at the postbaccalaureate level. CNS practice focuses on managing complex and vulnerable patients and populations, providing education and support for nurses and interprofessional staff, and creating change and innovation in healthcare systems for improved patient/population outcomes. A global need exists for the role of the CNS, and educational and regulatory support is required to fully implement the role in many countries and settings. Common concerns varying in importance by country include securing title protection, defining scope of practice, determining core practice competencies, establishing educational requirements and curriculum, securing professional certification, and obtaining authority to practice regulation. Continuing efforts to assure public access to CNS services are essential for the successful integration of the CNS role into the professional healthcare expertise contributing to the health and well-being of persons globally.