Question

Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles?

Answer 1

Clinical nurse specialist ( CNS)

CNS are registered nurses,who have graduate level nursing preparation at the master's or doctoral level as a CNS. They are clinical experts in evidence based nursing practice within a speciality area, treating and managing the health concerns of patients and population.

A review of state laws be and regulations reveals that since 2010, eight states have granted CNS has the authority to practice without a physician's supervision and six have given CNS's independent authority to prescribe drugs and durable medical equipment.

Scope of CNS:-

#) Professional and ethical practice

#) Clinical practice

#) Leadership and managemen

#) Education, learning and development

#) Research and improvement

Extended roles of CNS:-

@) direct patient care and family care

@) clinical supervision

@) consultation

@) system leadership

@) teaching, coaching, mentoring

@) patient advocacy

@) research

@) performance improvement

@) leadership and professional development