MacNeil Joan, Mackinnon Karen
School of Nursing, University of Victoria, Victoria, BC.
Nurs Leadersh (Tor Ont). 2011 Jan;24(4):88-98. doi: 10.12927/cjnl.2012.22737.
This paper reviews the knowledge gap regarding the contributions of the clinical nurse specialist (CNS) in Canada. As a first step to deal with this gap, we address how the CNS role has been conceptualized and studied in Canada. Because the CNS is a clinical leader with a primary focus on improving the quality of nursing and patient care, we propose the Spheres of Influence Model for studying the contributions of the CNS. This model directs attention to various research questions, which are illustrated with sample questions for each of the spheres of influence: the patient/client sphere, the nurses/nursing sphere and the organizations/health systems sphere. Examining the role through these spheres of influence may be a better way to illuminate the contributions of the CNS to health services and to the provision of excellent nursing care.
本文回顾了加拿大临床护理专家（CNS）贡献方面的知识空白。作为填补这一空白的第一步，我们阐述了加拿大对CNS角色的概念界定及相关研究情况。由于CNS是专注于提高护理质量和患者护理水平的临床领导者，我们提出了用于研究CNS贡献的影响范围模型。该模型引导关注各种研究问题，并针对每个影响范围给出示例问题：患者/服务对象范围、护士/护理范围以及组织/卫生系统范围。通过这些影响范围来审视该角色，可能是阐明CNS对卫生服务及优质护理提供所做贡献的更好方式。
