Dorothy S. Oda

Role Advancement for the Experienced Clinical Nurse Specialist

As the number of experienced clinical nurse specialists increases, serious consideration of their career advancement opportunities is indicated. An exploratory study was conducted using a role perception questionnaire distributed at a regional meeting of clinical nurse specialists. The results showed that most of the specialists (n=36) were satisfied in their present position (82.8%) and that many have reached role maturity (70.6%). A move to an administrative position was not perceived as a role advancement for 78.8% and private practice was not a career option for 60.6% of the sample. Data on employment characteristics and variables are presented. Implications include the need for role enhancement and creative challenges for role stimulation and retention of experienced nurse specialists.

The clinical nurse specialist role in the Army Medical Department.

Although clinical nurse specialists (CNSs) have been in the Army Medical Department for more than 10 years, there are no reports in the literature regarding role implementation for them. In this study, a survey of all practicing CNSs in the Army Medical Department (AMEDD) and their supervisors was conducted with the purpose of defining their perceived role and the value placed on it by their supervisors. The results showed that the study population (n = 52) has implemented the role with all components (practice, education, consultation, administration, and research) considered important by them Further, 85% of the CNSs report positive job satisfaction, and 67% believe they have reached role maturation. Their supervisors were equally or more positive about the importance of the role, and all (n = 26) felt it must be maintained despite budget constraints and nursing shortages. Findings were that CNSs experience role satisfaction, have achieved role maturation, and are valued by their supervisors within the AMEDD.