Erika R. Gabbard is at SCP Health, Atlanta, Georgia (
Deborah Klein is at Cleveland Clinic, Cleveland, Ohio.
AACN Adv Crit Care. 2021 Dec 15;32(4):413-420. doi: 10.4037/aacnacc2021511.
To describe the role of the clinical nurse specialist, an advanced practice registered nurse in the intensive care setting. The value and impact of the clinical nurse specialist role as a member of the ICU is presented along with a review of clinical nurse specialist education, licensure, and certification requirements as well as a description of the clinical nurse specialist role, scope of practice, and competencies. In addition, a selected review of clinical nurse specialist-led quality improvement and research that resulted in improved patient outcomes is provided.
Review of published medical and nursing literature and expert opinion guidance from a collaborative effort between the Society of Critical Care Medicine, American Association of Critical-Care Nurses, and National Association of Clinical Nurse Specialists.
Not applicable.
Not applicable.
Not applicable.
The utilization of a clinical nurse specialist, an advanced practice role, in the ICU is a unique and valuable approach for organizations who strive to move evidence into sustainable practice and drive quality through an interprofessional approach. The valuable contributions made by the clinical nurse specialist efficiently and effectively meet the needs of patients, clinicians, and organizations while improving patient outcomes and optimizing cost avoidance strategies, which further lower economic demands on the healthcare system.
描述重症监护病房中临床护理专家（高级实践注册护士）的角色。介绍临床护理专家作为 ICU 成员的价值和影响，并回顾临床护理专家的教育、许可和认证要求，以及临床护理专家角色、实践范围和能力的描述。此外，还提供了对临床护理专家主导的质量改进和研究的精选回顾，这些研究导致了患者结局的改善。
对已发表的医学和护理文献的审查，以及重症监护医学学会、美国危重病护理护士协会和国家临床护理专家协会之间合作的专家意见指导。
不适用。
不适用。
不适用。
在 ICU 中使用临床护理专家（高级实践角色）是一种独特且有价值的方法，适用于那些努力将证据转化为可持续实践并通过跨专业方法推动质量的组织。临床护理专家的宝贵贡献能够高效、有效地满足患者、临床医生和组织的需求，同时改善患者结局并优化成本避免策略，从而进一步降低医疗保健系统的经济需求。
