Advancing in Oncology Nursing:
Exploring CNS Roles and their Impact
on Patient Outcomes
Barbara Wenger MS, RN, AOCNS, CRNIOncology/ BMT CNS
University of Colorado HospitalAurora, Colorado
September 23, 2016
Objectives
1. Describe the various roles of the Clinical Nurse
Specialist (CNS).
2. Discuss how the CNS role influences both nursing
practice and system changes to improve patient
outcomes
What is a Clinical Nurse
Specialist (CNS) ?Spheres of Influence
http://www.nacns.org/docs/CNSCoreCompetenciesBroch.pdf
Direct Care Competency Systems Leader Competency
Consultant Competency Collaboration Competency
Coaching Competency Research Competency
Ethical Decision Making, Moral
Agency and Advocacy CompetencyIndependent Practice - CNS
Independent Prescribing - CNS
Current Specialty Programs
• Adult Health CNS
• Adult Gerontology CNS
• Adult Psychiatric Mental
Health CNS
• Child/ Adolescent
Psychiatric Mental Health
CNS
• Home Health CNS
• Pediatric CNS
• Public/ Community Health
CNS
Oncology Certifications
Clin J Oncol Nurs. Author manuscript; available in PMC 2013 Jun 10.
Published in final edited form as: Clin J Oncol Nurs. 2008 Oct; 12(5): 703–705.doi: 10.1188/08.CJON.703-705
NACNS Position Paper
References
Beavor, C., Magnan, M.A., Henderson, D., DeRose, P., Carolin, K. & Bepler, G. (2016). Standardizing assessment of competences and competencies of oncology nurses working in ambulatory care, Journal of Nurses in Professional Development, 32(2), 64-73. doi: 10.1097/NND.0000000000000250
Blackburn, R., Presson, K., Laduman, R., Tomczak, N. & Brassil, K.F. (2016). Establishing an inpatient gym for recipients of stem cell transplantation: A multidisciplinary collaborative, Clinical Journal of Oncology Nursing, 20(1), 66- 71. doi: 10.1188/16.CJON.66-71.
Carreon, N., Sugarman, C., Beener, E. & Agan,D. (2015). Creating and standardizing annual chemotherapy competencies throughout a healthcare system. Journal for Nurses in Professional Development, 31(1), 35-39. doi: 10.1097/NND.0000000000000131.
Eisenberg, S. (2016). A call to action for hazardous drug safety: Where we have been and where we are now, Clinical Journal of Oncology Nursing, 20(4), 377-384. doi: 10.1188/16.CJON.20-04AP.
Garzo-Saria, M., Stone, A., Walton, A.L., Brown, G., Norton, B. & Barton-Burke, M. (2014). Voices of ONS members matter in advoccy and decisions related to U.S. health policy, Clinical Journal of Oncology Nursing, 18(6), 719- 721. doi: 10.1188/14.CJON.719-721.
Houlihan, N.G. (2015). A review of challenging situations when administering palliative chemotherapy- a nursing perspective. Oncology Nursing Forum, 42(3), 319-320. doi: 10.1188/15.ONF.319-320.
Kim, M.Y.(2011). Effects of Oncology Clinical Nurse Specialists interventions on nursing sensitive outcomes in South Korea, Clinical Journal of Oncology Nursing, 15(5), E 66-74. doi: 10.1188/11.ONF.E66-E74.
References
Knobf, M.T., Cooley, M.E., Duffy, S., Doorenbos, D., Eaton, L., Given, B., Mayer, D.K…Mallory, G. (2015). The 2014-2018 Oncology Nursing Society research agenda, Oncology Nursing Forum, 42(5), 45-465. doi: 10.1188/15.ONF.450-465.
Leak, A & Spruil, A. (2013). Oncology Certification: What Is in It for You? Retrieved fromhttp://dx.doi.org/10.1188%2F08.CJON.703-705.
Maloney, K.W., Denno, M., Kider, T., McCintock, K., Moore, A., Rutyna, T., Wiley, K.& Sullivan, M.D. (2013).The oncology phone: An innovative program for the management of the oncology population in an academic medical center. Clinical Journal of Oncology Nursing, 17(4), 387-392. doi: 10.1188/13.CJON.17-04AP.
Moore, S. (2012). Heart failure in a breast cancer survivor, Oncology Nursing Forum, 39(2), 147-150. doi: 10.1188/12.ONF.147-150.
NACNS. (2010). CNS scope of practice and prescriptive authority. Retrieved from http://www.nacns.org/html/prescr-authority.php
NACNS. (2010). CNS core competencies. Retrieved fromhttp://www.nacns.org/docs/CNSCoreCompetenciesBroch.pdf
NACNS. (2015). Key findings from the 2014 Clinical Nurse Specialists census. Retrieved from http://www.nacns.org/docs/CensusInfographic.pdf
NACNS. (2015). NACNS Position Statement on the Doctor of Nursing Practice. Retrieved from http://www.nacns.org/docs/DNP-Statement1507.pdf
References
NCSBN. (2016). CNS Independent Prescribing Map. Retrieved from https://www.ncsbn.org/5410.htm
NCSBN. (2016). CNS Independent Practicing Map. Retrieved from https://www.ncsbn.org/5406.htm
Olsen, M., Mooney, K.,& Evans, E. (2016). Implementation of an early warning scoring system to identify patients with cancer at risk for deterioration. Clinical Journal of Oncology Nursing, 20(4), 374-376. doi: 10.1188/16.CJON.374-376.
ONS. (2004). ONCC Announces New Certification Options for Advanced Practice Nurses. Retrieved from http://onsopcontent.ons.org/Publications/Chapter/june04/oncc.html
Overcash, J. (2015). Integrating geriatrics into oncology ambulatory clinics, Clinical Journal of Oncology Nursing, 19(4), E80-86. doi: 10.1188/15.CJON.E80-E86
Sanares-Carreon, E., Comeau, O., Heliker, D., Marshall, D., Machner, C., Bell, L., Brumfield, J…Sandridge, J. (2015).An educational pathway to fast track evidence-based practice at the bedside. Journal for Nurses in Professional Development, 31(1), E 1-6. doi: 10.1097/NND.0000000000000113.
Yarom, N., Arkyawardand, A., Hovan, A., Barasch, A., Jarvis, V., Jensen, S.B., Zadik, Y… Lalla, R.V. (2013). Systematic review of natural agents for the management of oral mucositis in cancer patients, Supportive Care in Cancer, 21, 3209-3221. doi: 10.1007/s00520-013-1869-5
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