Comparison of CNS Responses to a National Survey on Common Patient Problems With Responses From Staff Nurses and CNSs at a Large Boston Medical Center

2.50
Hdl Handle:
http://hdl.handle.net/10755/164322
Category:
Abstract
Type:
Presentation
Title:
Comparison of CNS Responses to a National Survey on Common Patient Problems With Responses From Staff Nurses and CNSs at a Large Boston Medical Center
Author(s):
Cox, Erin; Jeffries, Marian; Martin, Ann; Phipps, Marion
Author Details:
Erin Cox, MS, RN, CCRN, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Marian Jeffries, MSN, APRN, BC, FNP-C; Ann Martin; Marion Phipps, MS, RN, CCRN, FAAN
Abstract:
Purpose: The purpose of this presentation is to identify and review the most frequently encountered common clinical problems found in clinical nurse specialist (CNS) and staff nurses practice, to address levels of preparedness, and to address the problems and resource adequacy. Significance: The role of the CNS is multifaceted, with a focus on patient healthcare that is evidence-based, cost-effective, interdisciplinary, safe, and produces positive, measurable outcomes. The CNS may practice in a variety of clinical roles and settings when working with the patient, clinical staff, administration, or management. Responsibilities vary from consultation to research development and from the bedside to the boardroom. The scope of CNS practice is often wide and varied. Identification of common patient problems may enhance understanding of the CNS role, focus staff development, and identify the complexity of the spheres of practice. Design/Background/Rationale: A survey tool was developed by a group of CNSs at the Massachusetts General Hospital (MGH) in Boston. The focus of the tool was to identify common clinical problems being seen in clinical practice by nursing staff that might benefit from a CNS intervention. CNSs have found that this data has been helpful in guiding evidence-based practice initiatives, focusing staff development issues, and further articulating the role of the CNS. This survey tool was comprised of a list of 27 patient problems. Using a 4-point Likert scale, participants were asked to determine problem frequency, preparedness to address these problems, and resource availability. Demographic information was also obtained. Methods/Description: After a brief explanation, a voluntary 4-page questionnaire was given to any willing CNS present at the NACNS national meeting in Orlando, Florida, in March 2005. Prior to participants' leaving the main meeting room, these completed questionnaires were collected by the MGH CNS group and collated. (Not all were returned; N = 122.) Data was also compared with findings from 2 other groups, including staff nurses and CNSs at a Boston medical center. Findings/Outcomes: The results of this survey indicate that many of the problems seen in Boston are also problems being identified by CNSs throughout the United States. Conclusions: Of the 27 problems addressed, the top 5 problems frequently seen were the same ones identified by our CNS group in Boston. The level of preparedness of the CNS was high for most problems and most CNSs felt comfortable with accessing appropriate resources. When data were compared with other data sets, there were several similarities and a few differences.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
CNS Leadership: Soaring to New Heights
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Salt Lake City, Utah, USA
Description:
Conference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, 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.titleComparison of CNS Responses to a National Survey on Common Patient Problems With Responses From Staff Nurses and CNSs at a Large Boston Medical Centeren_GB
dc.contributor.authorCox, Erinen_US
dc.contributor.authorJeffries, Marianen_US
dc.contributor.authorMartin, Annen_US
dc.contributor.authorPhipps, Marionen_US
dc.author.detailsErin Cox, MS, RN, CCRN, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Marian Jeffries, MSN, APRN, BC, FNP-C; Ann Martin; Marion Phipps, MS, RN, CCRN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/164322-
dc.description.abstractPurpose: The purpose of this presentation is to identify and review the most frequently encountered common clinical problems found in clinical nurse specialist (CNS) and staff nurses practice, to address levels of preparedness, and to address the problems and resource adequacy. Significance: The role of the CNS is multifaceted, with a focus on patient healthcare that is evidence-based, cost-effective, interdisciplinary, safe, and produces positive, measurable outcomes. The CNS may practice in a variety of clinical roles and settings when working with the patient, clinical staff, administration, or management. Responsibilities vary from consultation to research development and from the bedside to the boardroom. The scope of CNS practice is often wide and varied. Identification of common patient problems may enhance understanding of the CNS role, focus staff development, and identify the complexity of the spheres of practice. Design/Background/Rationale: A survey tool was developed by a group of CNSs at the Massachusetts General Hospital (MGH) in Boston. The focus of the tool was to identify common clinical problems being seen in clinical practice by nursing staff that might benefit from a CNS intervention. CNSs have found that this data has been helpful in guiding evidence-based practice initiatives, focusing staff development issues, and further articulating the role of the CNS. This survey tool was comprised of a list of 27 patient problems. Using a 4-point Likert scale, participants were asked to determine problem frequency, preparedness to address these problems, and resource availability. Demographic information was also obtained. Methods/Description: After a brief explanation, a voluntary 4-page questionnaire was given to any willing CNS present at the NACNS national meeting in Orlando, Florida, in March 2005. Prior to participants' leaving the main meeting room, these completed questionnaires were collected by the MGH CNS group and collated. (Not all were returned; N = 122.) Data was also compared with findings from 2 other groups, including staff nurses and CNSs at a Boston medical center. Findings/Outcomes: The results of this survey indicate that many of the problems seen in Boston are also problems being identified by CNSs throughout the United States. Conclusions: Of the 27 problems addressed, the top 5 problems frequently seen were the same ones identified by our CNS group in Boston. The level of preparedness of the CNS was high for most problems and most CNSs felt comfortable with accessing appropriate resources. When data were compared with other data sets, there were several similarities and a few differences.en_GB
dc.date.available2011-10-27T11:46:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:46:14Z-
dc.conference.date2006en_US
dc.conference.nameCNS Leadership: Soaring to New Heightsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionConference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, 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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