The Role and Impact of Clinical Nurse Specialists Third year student nurses perceptions

Background: A rapid expansion clinical nurse specialists (CNS) posts in the UK has occurred over the last two decades. However there is limited evidence that evaluates their role and impact. Furthermore there is considerable confusion and inconsistency surrounding titles, descriptions, qualifications and grading the posts (Castledine 2000). With the implementation of the Knowledge and Skills Framework (Department of Health 200�) it is essential the value of CNS posts is explored. Methodology: The study aim was to explore how final year student nurses perceived the role and impact of CNS’ (Jack et al 200�). A confidential descriptive survey was distributed to all final year (adult branch) student nurses in three higher education institutions in England and Scotland, providing nurse education programmes leading to NMC registration. The survey contained both open and closed questions. Data was analysed using descriptive statistics. Open ended questions were analysed for emerging themes. Results and Discussion: A total of 296 questionnaires were distributed and a response rate of 82% (220) was obtained. The results indicated the students had encountered a wide range of CNS during their training with the fields of diabetes, palliative care and acute pain as the most frequent referrals. The added value of the CNS for patient care was reported, with the CNS having additional knowledge, skills and resources. Additionally CNS’ were identified as providing education, support and as an advocate for nursing staff. The potential disadvantage of CNS’ for patients was reported by 16.�% (n=�6) with potential dependency highlighted. 21.8% (�8) respondents identified potential disadvantages for nurses including deskilling of generalist staff, conflict between CNS and nurses and role confusion This paper will discuss the findings and offer possible explanations for the results