Redesign of the CNS Role: Ensuring Competent Practice & Measurable Outcomes within a Large Health Care System

2.50
Hdl Handle:
http://hdl.handle.net/10755/164183
Category:
Abstract
Type:
Presentation
Title:
Redesign of the CNS Role: Ensuring Competent Practice & Measurable Outcomes within a Large Health Care System
Author(s):
Dickinson, Sharon; Hickey, Kimberly; O'Brien, Denise; Vollman, Kathleen
Author Details:
Sharon Dickinson, MSN, RN, CNS, BC, ANP, CCRN, University of Michigan Health System, Ann Arbor, Michigan, USA, email: nacnsorg@nacns.org; Kimberly Hickey, MSN, APRN, BC; Denise O'Brien, MSN, APRN, BC, CPAN, CAPA, FAAN; Kathleen Vollman, MSN, RN, CCNS, FCCM, Advancing Nursing, Northville, Michigan, USA
Abstract:
Background/Design: Current CNS practice revealed significant variations in competence, application of the role, visibility, and measurement of impact. This resulted in lack of understanding of the role by staff and organizational customers, role confusion, overlapping functions with other nursing positions, and insufficient leadership by the CNS for major practice changes. Methods: A redesign team was formed. A CNS consultant was hired to facilitate the process change. An initial assessment of CNS practice and organizational structure occurred. A survey based on the NACNS scope of practice and standards was conducted to determine customer expectations and insight into future challenges with role implementation. From the data, a new job description, performance appraisal, interview process/tool as well as a new CNS orientation plan was created. An implementation team compromised of CNS's and nurse managers convened to design objective measures for the unit based partnership and prepare for the launch. Each CNS was required to perform a skill assessment so an educational plan for professional development could be created. Findings: The redesign achieved standardization of the CNS interview process, qualifications for the role, expectations of practice, and objective measurements of achievement. Through the process, the CNS group became a team focused on advancing the practice of nursing at UMHS. Conclusions: The CNS redesign resulted in clarity of the role, measurable outcomes to determine success at the unit level and within the organization, and greater job satisfaction for the CNS. Implications for Practice: This program provides an organized, data driven method to reduce variations in CNS practice and facilitate accountability for measurable outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, 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.titleRedesign of the CNS Role: Ensuring Competent Practice & Measurable Outcomes within a Large Health Care Systemen_GB
dc.contributor.authorDickinson, Sharonen_US
dc.contributor.authorHickey, Kimberlyen_US
dc.contributor.authorO'Brien, Deniseen_US
dc.contributor.authorVollman, Kathleenen_US
dc.author.detailsSharon Dickinson, MSN, RN, CNS, BC, ANP, CCRN, University of Michigan Health System, Ann Arbor, Michigan, USA, email: nacnsorg@nacns.org; Kimberly Hickey, MSN, APRN, BC; Denise O'Brien, MSN, APRN, BC, CPAN, CAPA, FAAN; Kathleen Vollman, MSN, RN, CCNS, FCCM, Advancing Nursing, Northville, Michigan, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164183-
dc.description.abstractBackground/Design: Current CNS practice revealed significant variations in competence, application of the role, visibility, and measurement of impact. This resulted in lack of understanding of the role by staff and organizational customers, role confusion, overlapping functions with other nursing positions, and insufficient leadership by the CNS for major practice changes. Methods: A redesign team was formed. A CNS consultant was hired to facilitate the process change. An initial assessment of CNS practice and organizational structure occurred. A survey based on the NACNS scope of practice and standards was conducted to determine customer expectations and insight into future challenges with role implementation. From the data, a new job description, performance appraisal, interview process/tool as well as a new CNS orientation plan was created. An implementation team compromised of CNS's and nurse managers convened to design objective measures for the unit based partnership and prepare for the launch. Each CNS was required to perform a skill assessment so an educational plan for professional development could be created. Findings: The redesign achieved standardization of the CNS interview process, qualifications for the role, expectations of practice, and objective measurements of achievement. Through the process, the CNS group became a team focused on advancing the practice of nursing at UMHS. Conclusions: The CNS redesign resulted in clarity of the role, measurable outcomes to determine success at the unit level and within the organization, and greater job satisfaction for the CNS. Implications for Practice: This program provides an organized, data driven method to reduce variations in CNS practice and facilitate accountability for measurable outcomes.en_GB
dc.date.available2011-10-27T11:43:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:35Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, 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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