Advancing in Oncology Nursing: Exploring CNS Roles and their Impact on Patient Outcomes

Transcription

1 Advancing in Oncology Nursing: Exploring CNS Roles and their Impact on Patient Outcomes Barbara Wenger MS, RN, AOCNS, CRNI Oncology/ BMT CNS University of Colorado Hospital Aurora, Colorado September 23, 2016

2 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

3 What is a Clinical Nurse Specialist (CNS)?

4 Spheres of Influence

5 Direct Care Competency

6 Systems Leader Competency

7 Consultant Competency

8 Collaboration Competency

9 Coaching Competency

10 Research Competency

11 Ethical Decision Making, Moral Agency and Advocacy Competency

12 Independent Practice - CNS

13 Independent Prescribing - CNS

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16 Current Specialty Programs Adult Health CNS Adult Gerontology CNS Adult Psychiatric Mental Health CNS Home Health CNS Pediatric CNS Public/ Community Health CNS Child/ Adolescent Psychiatric Mental Health CNS

17 Oncology Certifications Clin J Oncol Nurs. Author manuscript; available in PMC 2013 Jun 10. Published in final edited form as: Clin J Oncol Nurs Oct; 12(5): doi: /08.CJON

18 NACNS Position Paper

19 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), doi: /NND 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), doi: /16.CJON 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), doi: /NND 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), doi: /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), doi: /14.CJON Houlihan, N.G. (2015). A review of challenging situations when administering palliative chemotherapy- a nursing perspective. Oncology Nursing Forum, 42(3), doi: /15.ONF 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 doi: /11.ONF.E66-E74.

20 References Knobf, M.T., Cooley, M.E., Duffy, S., Doorenbos, D., Eaton, L., Given, B., Mayer, D.K Mallory, G. (2015). The Oncology Nursing Society research agenda, Oncology Nursing Forum, 42(5), doi: /15.ONF Leak, A & Spruil, A. (2013). Oncology Certification: What Is in It for You? Retrieved fromhttp://dx.doi.org/ %2f08.cjon 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), doi: /13.CJON.17-04AP. Moore, S. (2012). Heart failure in a breast cancer survivor, Oncology Nursing Forum, 39(2), doi: /12.ONF NACNS. (2010). CNS scope of practice and prescriptive authority. Retrieved from NACNS. (2010). CNS core competencies. Retrieved from NACNS. (2015). Key findings from the 2014 Clinical Nurse Specialists census. Retrieved from NACNS. (2015). NACNS Position Statement on the Doctor of Nursing Practice. Retrieved from

21 References NCSBN. (2016). CNS Independent Prescribing Map. Retrieved from NCSBN. (2016). CNS Independent Practicing Map. Retrieved from 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), doi: /16.CJON ONS. (2004). ONCC Announces New Certification Options for Advanced Practice Nurses. Retrieved from Overcash, J. (2015). Integrating geriatrics into oncology ambulatory clinics, Clinical Journal of Oncology Nursing, 19(4), E doi: /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: /NND 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, doi: /s