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Role of the clinical nurse specialist in impacting quality of care: a qualitative exploratory interview study utilising complexity theory.

Title: Role of the clinical nurse specialist in impacting quality of care: a qualitative exploratory interview study utilising complexity theory.
Authors: Yoder, Angela; Minchhoff, Robin; Swavely, Deborah
Source: Nursing Management - UK; Oct2025, Vol. 32 Issue 5, p10-17, 8p
Subject Terms: NURSES; CORPORATE culture; NONPROFIT organizations; OCCUPATIONAL roles; MEDICAL quality control; LEADERS; QUALITATIVE research; INTERPROFESSIONAL relations; HOSPITAL nursing staff; INTERVIEWING; NURSING; ENTRY level employees; HOSPITALS; JUDGMENT sampling; NURSE practitioners; THEMATIC analysis; SOUND recordings; NURSES' attitudes; ORGANIZATIONAL change; PROFESSIONAL employee training; RESEARCH methodology; RESEARCH; CONCEPTUAL structures; QUALITY assurance; VOCATIONAL guidance; CRITICAL care medicine
Geographic Terms: UNITED States
Abstract: Why you should read this article: • To enhance your understanding of what the clinical nurse specialist (CNS) role entails • To learn about the benefits of the CNS role in terms of quality improvement • To consider areas for further research in relation to the CNS role. Background: Clinical nurse specialists (CNSs) work in advanced practice and aim to enhance patients' experiences through expert consultation and providing evidence-based nursing care. They also have a role in educating colleagues about new research and practice innovations. Aim: To understand the perceptions of nurse leaders and staff nurses regarding the effect of the CNS role on quality improvement and to identify the unique features of the CNS role that can drive change within an organisation. Method: This qualitative study used interviews with nurse leaders and staff nurses in the US to explore their perceptions of the CNS role. It was hoped that understanding these perceptions would enable nurse leaders to realise the full potential of the CNS role in developing meaningful professional relationships and shaping organisational culture. Findings: A total of 24 participants completed the interviews. Five themes were extrapolated from the interview data: a hospital and unit with cultural rules of quality and evidence-based practice; interdependence among roles; diversity and innovation; attributes; and associative capacity. Conclusion: The CNS role is essential, providing clinical and financial value to healthcare organisations through the professional development of novice nurses, the enhancement of practice environments and improved patient outcomes. [ABSTRACT FROM AUTHOR]
: Copyright of Nursing Management - UK is the property of Royal College of Nursing of the United Kingdom (The) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index