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Open Access The Consultation Component of the Clinical Nurse Specialist Role Le volet consultation du rôle d'infirmière clinicienne spécialisée

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The clinical nurse specialist (CNS) role in Canada has 5 key components: clinical practice, consultation, education, research, and leadership. This study focuses on the consultation component: how it is described by CNSs and the facilitators and barriers to its implementation. A qualitative descriptive design was used to interview 8 CNSs who worked with adult populations in a university hospital setting. The findings indicate that managing crisis situations, ensuring continuity of care, and supporting other health professionals and health-care teams are key areas of consultation. Role ambiguity perceived by other professionals and constant demands and expectations due to a changing environment constitute the major challenges of CNS practice, requiring CNSs to continuously clarify their role in accordance with changes in time and place.

Au Canada, le rôle de l'infirmière clinicienne spécialisée (ICS) comporte cinq grands volets : l'exercice clinique, la consultation, l'éducation, la recherche et la direction. La présente étude porte sur le volet consultation, tel que décrit par les ICS, plus précisément sur les facteurs qui facilitent ou entravent sa mise en œuvre. Les auteures se sont fondées sur une approche qualitative et descriptive pour interroger 8 ICS qui travaillent auprès d'une population adulte dans un hôpital universitaire. Selon les données recueillies, gérer les situations de crise, assurer la continuité des soins et appuyer le travail des autres professionnels et équipes de santé constituent trois aspects essentiels du volet consultation. L'ambiguïté des rôles perçue par les autres professionnels ainsi que les demandes et attentes constantes attribuables à un milieu en constante évolution comptent parmi les principaux défis que doit relever l'ICS dans son travail. Ces facteurs exigent de l'ICS qu'elle clarifie constamment son rôle en fonction de l'époque et du lieu.


Document Type: Research Article

Publication date: June 1, 2010

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