2.50
Hdl Handle:
http://hdl.handle.net/10755/164046
Category:
Abstract
Type:
Presentation
Title:
Pioneering the Collaborative Role In Private Practice: A Task Force Approach in San Antonio
Author(s):
Paparelli, Victoria; Abbott, Marcia; Brune, Sonja
Author Details:
Victoria Paparelli, MSN, RN, CCNS-AC, South Texas Cardiovascular Consultants, San Antonio, Texas, USA, email: nacnsorg@nacns.org; Marcia Abbott, MSN, RN, CCNS-AC; Sonja Brune, MSN, RN, CCNS, Texas Transplant Institute, San Antonio, Texas, USA
Abstract:
Problem: High levels of confusion, regarding the scope of practice of the Clinical Nurse Specialist (CNS) exist in the professional community. Purpose: To familiarize the professional community with the state scope of practice, rules, regulations and the varied roles of the CNS in private practice. Significance: Non-competitive collaboration to maximize disease management in special populations and facilitate CNS/APN practice. Utilize the practice and influence of nursing science for improved wellness. Increase knowledge of the roles of the CNS in private practice. Method/ Approach: Selection of a multidisciplinary advisory board, introducing the role of the CNS to others in the professional community. Members of the advisory board and CNS/APNs in community were invited to be members of the task force. Clarification of the rules and regulations governing the CNS/APN role for those in hospital administration was an early goal. The plan for expansion of the role of the CNS in the hospital setting (as a private practitioner through requests for expanded privileges) was initiated with the aid of administrators on the task force. We invited hospital administration, collaborating physicians, pharmaceutical sponsors and faculty to support the goals of the task force. A brochure was developed to familiarize the professional and patient communities with the APN role. Evaluation/Outcomes: Successful expansion of the CNS hospital privileges was attained. Of the ten CNS/APNs applying for expanded privilege under the new guidelines, all had proper certification and licensure and were approved in two of three civilian hospital centers. The third civilian hospital has recently designed expanded guidelines and is now accepting applications. A fourth new center is scheduled to open January of 2004 and has accepted applications for expanded APN roles. Administrators demonstrated increased familiarity with scope of the CNS/APN practice in all four institutions by supporting the approval of these expanded privileges. Sponsorship and funding are available for all meeting expenses including APN speaker honorarium by unrestricted educational grants. For eighteen months we continue to meet bi-monthly. An anonymous survey of members revealed a wide range of salary, benefit, expected roles and workload distribution. Identification of future needs: We plan to continue development of the task force to: 1) continue clinical education, 2) design guidelines and privileges for collaborative practice needs which include independent consultation and admitting privileges, 3) CNS/APNs to be privileged under the medical staff guidelines vs. special allied professions guidelines, based on more similar role expectations. As state regulations allow, we also plan to explore the possibility of partnerships within group collaborative practices.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePioneering the Collaborative Role In Private Practice: A Task Force Approach in San Antonioen_GB
dc.contributor.authorPaparelli, Victoriaen_US
dc.contributor.authorAbbott, Marciaen_US
dc.contributor.authorBrune, Sonjaen_US
dc.author.detailsVictoria Paparelli, MSN, RN, CCNS-AC, South Texas Cardiovascular Consultants, San Antonio, Texas, USA, email: nacnsorg@nacns.org; Marcia Abbott, MSN, RN, CCNS-AC; Sonja Brune, MSN, RN, CCNS, Texas Transplant Institute, San Antonio, Texas, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164046-
dc.description.abstractProblem: High levels of confusion, regarding the scope of practice of the Clinical Nurse Specialist (CNS) exist in the professional community. Purpose: To familiarize the professional community with the state scope of practice, rules, regulations and the varied roles of the CNS in private practice. Significance: Non-competitive collaboration to maximize disease management in special populations and facilitate CNS/APN practice. Utilize the practice and influence of nursing science for improved wellness. Increase knowledge of the roles of the CNS in private practice. Method/ Approach: Selection of a multidisciplinary advisory board, introducing the role of the CNS to others in the professional community. Members of the advisory board and CNS/APNs in community were invited to be members of the task force. Clarification of the rules and regulations governing the CNS/APN role for those in hospital administration was an early goal. The plan for expansion of the role of the CNS in the hospital setting (as a private practitioner through requests for expanded privileges) was initiated with the aid of administrators on the task force. We invited hospital administration, collaborating physicians, pharmaceutical sponsors and faculty to support the goals of the task force. A brochure was developed to familiarize the professional and patient communities with the APN role. Evaluation/Outcomes: Successful expansion of the CNS hospital privileges was attained. Of the ten CNS/APNs applying for expanded privilege under the new guidelines, all had proper certification and licensure and were approved in two of three civilian hospital centers. The third civilian hospital has recently designed expanded guidelines and is now accepting applications. A fourth new center is scheduled to open January of 2004 and has accepted applications for expanded APN roles. Administrators demonstrated increased familiarity with scope of the CNS/APN practice in all four institutions by supporting the approval of these expanded privileges. Sponsorship and funding are available for all meeting expenses including APN speaker honorarium by unrestricted educational grants. For eighteen months we continue to meet bi-monthly. An anonymous survey of members revealed a wide range of salary, benefit, expected roles and workload distribution. Identification of future needs: We plan to continue development of the task force to: 1) continue clinical education, 2) design guidelines and privileges for collaborative practice needs which include independent consultation and admitting privileges, 3) CNS/APNs to be privileged under the medical staff guidelines vs. special allied professions guidelines, based on more similar role expectations. As state regulations allow, we also plan to explore the possibility of partnerships within group collaborative practices.en_GB
dc.date.available2011-10-27T11:40:59Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:40:59Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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