Reflections on New Clinical Nurse Specialist Transition into Practice
Jennifer Bath, MSN, RN, AGCNS-BC, CEN, TCRN; Amy Lucas, MSN, RN, CCNS, CCRN-K; Cynthia Ward, DNP, RN-BC, CMSRN, ACNS-BC; Kimberly Carter, PhD, RN
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- Xi Upsilon
- Contributor Affiliation(s)
- Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia, USA
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The purpose of this qualitative study was to identify common themes in the experience of transitioning from staff nurse to CNS.
The investigators used a phenomenological approach to examine their lived experiences of transitioning into CNS practice. The investigators developed a questionnaire about becoming a new CNS, and then individually wrote answers to the questions. The research team collectively identified meaning units, or the smallest element of the text that represented one concept. Data analysis included a combined technique of inductive and deductive thematic content analysis, including constant comparative methodology between the meaning units and the original transcript as it was deconstructed. Themes and subthemes were identified.
The themes that emerged were fitting into a new identity, aspiring for spherical balance, and emerging. The study results suggest that there are shared experiences and feelings amongst new CNSs.This study provides information that may be helpful to someone new to the CNS role, and to organizations hiring new CNSs. A structured role orientation taking into account the themes and strategies identified in this study will help provide a smoother role transition.
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