The Clinical Nurse Specialist interacts with all components of the organization and community to explain and define nursing and to set standards of nursing practice, through the 3 spheres of influence: patients, nurses, and organization. The CNS practice domains include expert practitioner, researcher, consultant, educator and leader. Creates and/or refines existing strategies and interventions for care of patients. He/she manages utilization of economic, technological, and human resources over a quality-based continuum of care to achieve the outcome of health maintenance and prevention. Models advanced level practice for all nursing staff and students. Provides expert care to patients in their area of expertise. Examines current practices to improve patient care outcomes. Designs, plans, and operationalizes new nursing care programs to optimally reflect trends in health care. Serves as a leader in educational experiences throughout the organization and community. Serves as a representative of advanced practice nursing in the community-at-large.
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