Abstract
The aim of this chapter is to explore differing models and frameworks which may be utilised by the nurse specialist in organising and operationalising the role. Fundamental to this exploration is some discussion aimed at explicating the differences between theoretical and conceptual models. Existing models or frameworks will be outlined and their merits discussed in relation, not only to their ability to direct practice, but their ability to guide nurses in the search for nursing theory. Utilising the role definition statement from Chapter 1 the roles of the Clinical Nurse Specialist will be related to practice with particular emphasis on the Clinical Nurse Specialist as direct care giver. Those factors impacting on the Clinical Nurse Specialist in this role will be outlined and survival strategies discussed. The importance of being explicit regarding the utilisation of a conceptual model of practice to explicate the Clinical Nurse Specialist role and to expand the body of knowledge that is uniquely nursing will be illuminated.
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