Introduction
The Clinical Nurse Specialist (CNS) Scope of Practice for Hamad Medical Corporation is a competency framework (Appendix 1) built on five domains intrinsic to the role of the Clinical Nurse Specialist (CNS);
- Professional and Ethical Practice
- Clinical Practice
- Leadership and Management
- Education, learning and development
- Research and improvement
Each domain is described through competency standards and performance criteria that define the requirements for practice demanded of the CNS. This document is to be used as a foundation for all registered nursing roles, professional development and performance appraisal.
Definition
Clinical nurse specialists provide expert advice related to specific conditions or treatment pathways. They focus on improving patient care and developing services. Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality care. These clinicians are experts in evidence-based practice in specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health and community health among others. In addition to providing direct patient care, CNS’ may engage in teaching, mentoring, consulting, research, management and systems improvement. They are able to adapt their practice to work across settings, and influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems.
N.B. Domain of Clinical Practice:
CNSs are expert nurses who work within a specific area of practice incorporating advanced knowledge and skills. They practice in collaboration with other health care professionals to promote health, prevent disease and to diagnose, access and manage health needs. They work in partnership with individuals, families and communities and the multidisciplinary care team. CNS’ may demonstrate leadership according to their skills and experience as consultants, educators, managers and researchers and actively participate in professional activities and local and national policy development.