The following questions are concerning your overall impression of the draft CNS Statement.
This survey has been developed in order to collect public comments from the broad nursing community on the draft NACNS Statement on Clinical Nurse Specialist Practice and Education, 3rd edition also referred to as the CNS Statement or the Draft CNS Statement Revision.

This document has been over three years in development.  One aspect of the revision that was lengthy, was the reconceptualization and revision of the CNS Core Competencies. These revised CNS Core Competencies received public comment in November 2017 - January 2018.  The CNS Core Competencies that are included in this document includes consideration of the close to 200 comments received during this public comment period.

Because of the structure and length of draft CNS Statement - we have divided the public comment collection into different surveys.  This is survey 1.  The links to other surveys can be found at: http://nacns.org/professional-resources/practice-and-cns-role/cns-competencies/. http://nacns.org/professional-resources/practice-and-cns-role/cns-competencies/.


Tips for completing this public comment
  • You may elect to complete just one of the surveys or all of the surveys.
  • In order to make sure your comments align with the sections of the CNS Statement, please use the line-numbered copy of the CNS Statement and other documents posted on the NACNS web site.
  • Most people find it efficient to review the paper or electronic copy and write notes; then go to the survey to submit the comments.
  • NACNS recognizes that there may be grammatical or other editorial errors in this draft.  We are not asking for your feedback on this.  A copy writer has  been engaged to address all of these issues upon completion of the public comment period prior to publication.

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* 1. I have read the draft CNS Statement and attachments and believe that the document, captures the key elements of CNS practice and education.

0 Neutral 100
i We adjusted the number you entered based on the slider’s scale.

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* 2. This document is a critical and much needed addition to the body of knowledge that describes the CNS role.

0 Neutral 100
i We adjusted the number you entered based on the slider’s scale.

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* 3. If you rated the first two questions at neutral or lower please explain.

The following questions will be about specifics aspects of the draft CNS Statement.

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* 4. Lines 45 - 85 are the Table of Contents.

Are there any topics that you think are missing from the Table of Contents?

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* 5. In the Introduction lines 97 - 118 - Do you have any changes or comments?

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* 6. Lines 119-138 are the Parameters of the Statement
Are there any issues or concepts that are missing or not well represented?

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* 7. Lines 139- 148  are the goals of the CNS Statement
Are there any issues or concepts that are missing or not well represented?

The next questions are related to Section I.  Clinical Nurse Specialist Practice.

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* 8. Lines 150 - 180 are introductory sentences for the section on CNS Practice.  Are there any issues or concepts that are missing or not well represented?

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* 9. Lines 181-237 presents the social and professional mandate for the CNS.  Are there any issues or concepts that are missing or not well represented?

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* 10. Lines 238 - 311 presents the definition of the CNS.  Are there any issues or concepts that are missing or not well represented?

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* 11. Lines 312 - 337  presents the relationships between CNS practice, specialty nowledge, and practice standards.  Are there any issues or concepts that are missing or not well represented?

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* 12. Line 305  represents table 1.  Is there anything missing or unclear on this table?

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* 13. Lines 332 presents a diagram that reflects the environment of the CNS .  Do you have any questions or comments?

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* 14. Lines 338 - 364 presents the conceptual model of the CNS.
  Are there any issues or concepts that are missing or not well represented?

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* 15. Lines 365 - 375 presents the direct care sphere of impact.
  Are there any issues or concepts that are missing or not well represented?

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* 16. Lines 376-388 presents the nurses and nursing practice sphere of impact.  
  Are there any issues or concepts that are missing or not well represented?

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* 17. Lines 389 - 411 presents the organization/system sphere of impact.  
  Are there any issues or concepts that are missing or not well represented?

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* 18. Lines 412-433 presents the legislative regulation of CNS preactice.  
  Are there any issues or concepts that are missing or not well represented?

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* 19. Lines 434 - 438 presents the professional validation of CNS competencies .  
  Are there any issues or concepts that are missing or not well represented?

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* 20. Lines 449 - 465 presents the summary of section I.  
  Are there any issues or concepts that are missing or not well represented?

The next questions are related to Section II.  Clinical Nurse Specialist Core Competencies.  (Please note:  there is a separate survey for specific feedback on the CNS Competencies found at https://www.surveymonkey.com/r/2C8VFT3)

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* 21. Lines 467-478 is the introduction to section 2, the CNS Core Competencies.  Are there any issues or concepts that are missing or not well represented?

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* 22. Lines 479-491 begins the discussion of domains of care. Are there any issues or concepts that are missing or not well represented?

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* 23. Lines 492-500 is the discussion of spheres of impact. Are there any issues or concepts that are missing or not well represented?

The next questions are related to Section III which is titled Outcomes of the Clinical Nurse Specialist.  (Please note:  there is a separate survey for specific feedback on the CNS Outcomes found at https://www.surveymonkey.com/r/J8T7JFB)

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* 24. Lines 504-511 is the introduction to the Outcomes of the CNS section. Are there any issues or concepts that are missing or not well represented?

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* 25. Lines 512 - 516 discussed the conceptual framework to the Outcomes of the CNS section. Are there any issues or concepts that are missing or not well represented?

The next questions are related to Section IV which is titled Recommendations for Graduate Preparation of Clinical Nurse Specialists.   (Please note:  there is a separate survey for specific feedback on Table 4:  Alignment of Competencies, Outcomes and Curricular Recommendations found at https://www.surveymonkey.com/r/KSSGJMY)

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* 26. Lines 519-529 is the introduction to Section IV.  Are there any issues or concepts that are missing or not well represented?

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* 27. Lines 530 - 612 is titled "History and Evolution of CNS Education" in Section IV.  Are there any issues or concepts that are missing or not well represented?

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* 28. Lines 613-657 provides curricular recommendations.  Are there any issues or concepts that are missing or not well represented?

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* 29. Lines 658-670 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies;  including the introduction and point 1. Theoretical and empirical foundations for CNS practice.  Are there any issues or concepts that are missing or not well represented?

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* 30. Lines 671 - 684 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 2. Phenomena of concern.  Are there any issues or concepts that are missing or not well represented?

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* 31. Lines 685-698 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 3. Design and development of evidence-based innovative nursing interventions.  Are there any issues or concepts that are missing or not well represented?

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* 32. Lines 699 - 711 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 4. Clinical inquiry/critical thinking using advanced knowledge.  Are there any issues or concepts that are missing or not well represented?

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* 33. Lines 712-728 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 5. Health care technology, products, and devices. Are there any issues or concepts that are missing or not well represented?

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* 34. Lines 729--741 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 6. Teaching and coaching. Are there any issues or concepts that are missing or not well represented?

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* 35. Lines 742--756 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 7. Influencing change. Are there any issues or concepts that are missing or not well represented?

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* 36. Lines 757--772 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 8. Systems thinking. Are there any issues or concepts that are missing or not well represented?

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* 37. Lines 773--785 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 9. Leadership for interprofessional collaboration. Are there any issues or concepts that are missing or not well represented?

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* 38. Lines 786 - 797 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 10. Consultation theory. Are there any issues or concepts that are missing or not well represented?

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* 39. Lines 798 - 808 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 11. Quality improvement and safety. Are there any issues or concepts that are missing or not well represented?

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* 40. Lines 809-832 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 12. Measurement and outcome evaluation methods. Are there any issues or concepts that are missing or not well represented?

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* 41. Lines 833- 844 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 13. Evidence-based practice and knowledge translation. Are there any issues or concepts that are missing or not well represented?

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* 42. Lines 845 - 855 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 14. Interpersonal Communication and Leadership. Are there any issues or concepts that are missing or not well represented?

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* 43. Lines 856- 870 presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - 15. Advocacy and Ethical Decision Making. Are there any issues or concepts that are missing or not well represented?

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* 44. Lines 897-911  presents the Essential Core Content Areas for Developing Clinical Nurse Specialist Competencies - Summary . Are there any issues or concepts that are missing or not well represented?

The next questions are related to Section 5. Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs.   

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* 45. Lines 912 -942   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - Introduction . Are there any issues or concepts that are missing or not well represented?

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* 46. Lines 943 - 1005  presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

1-1. The CNS program operates within or is affiliated with an institution of higher education. The program is accredited by a nursing accrediting body that is recognized by the U.S. Department of Education.  

Are there any issues or concepts that are missing or not well represented?

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* 47. Lines 1006 - 1025   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – FACULTY

2-1a. Faculty who teach in the CNS program have appropriate credentials, education and experience that prepares them for such teaching responsibilities.

2-1b. Faculty who teach CNS role and clinical practice courses have master’s, post-graduate, or practice doctorate preparation as a CNS.

Are there any issues or concepts that are missing or not well represented?

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* 48. Lines 1026 -  1047  presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – FACULTY

2-2. Faculty who teach in the CNS program maintain expertise in their area of specialization and contribute to the field (a) by engaging in scholarly projects and professional leadership activities that promote evidence-based practice and improve health outcomes, or (b) through other activities in one or more of the three Spheres of Impact (patient/client, nurses/nursing practice, organization/system).

Are there any issues or concepts that are missing or not well represented?

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* 49. Lines 1048- 1064  presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – FACULTY

2-3. Faculty who teach in the CNS program must be sufficient in number and expertise to teach all courses, support the professional role development of students, implement essential clinical learning experiences, develop policies, advise students, and engage in ongoing curriculum development and evaluation.

Are there any issues or concepts that are missing or not well represented?

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* 50. Lines 1065- 1092 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – CLINICAL

2-4. A sufficient number of faculty and clinical preceptors are available to ensure quality clinical experiences for CNS students and provide adequate direct and indirect supervision and evaluation of students enrolled in clinical practice courses. Faculty/student ratios must conform to any State Board of Nursing requirements.

Are there any issues or concepts that are missing or not well represented?

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* 51. Lines 1093 -  1010 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – CLINICAL

2-5. When preceptors are involved in the clinical supervision of students, the faculty who teach in the CNS program retain ultimate responsibility for evaluating student performance and the quality of the clinical experiences.

Are there any issues or concepts that are missing or not well represented?

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* 52. Lines 1011 - 1135 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – CLINICAL

2-6. Preceptors, who are authorized to practice in the CNS role through educational preparation and/or CNS certification, supervise students in clinical practice experiences through direct or virtual interactions. Other professionals also may serve as preceptors for clinical experiences.  

Are there any issues or concepts that are missing or not well represented?

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* 53. Lines  1136- 1152 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - CRITERION 1. PROGRAM ORGANIZATION AND ADMINISTRATION

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – CLINICAL

2-7. Preceptors who supervise CNS students in clinical settings are oriented to curriculum requirements, practice course objectives, and expectations regarding student supervision and evaluation.

Are there any issues or concepts that are missing or not well represented?

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* 54. Lines 1153-1173 -  presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – CLINICAL

2-8. Clinical facilities are sufficient in quality and number to provide experiences that give CNS students ample opportunities for role development, implementation of nationally-validated CNS competencies in the three Spheres of impact (patient/client, nurses/nursing practice, organization/system), and meeting CNS/APRN certification/licensure requirements.

Are there any issues or concepts that are missing or not well represented?

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* 55. Lines 1174-1187 -  presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – INSTITUTIONAL

 2-9. Resources are sufficient to support the ongoing professional development, scholarly activities, and practice of faculty who teach in the CNS program.
Are there any issues or concepts that are missing or not well represented?

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* 56. Lines 1188 - 1206 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 2. CNS Program Resources: Faculty, Clinical, and Institutional – INSTITUTIONAL

 2-10a. Learning resources and support services for on-campus/face-to-face and online/distance environments are sufficient to ensure educational quality in the CNS program.

2-10b. Institutional resources, facilities, and services needed to support the development, implementation, and evaluation of the CNS program are available to faculty and students.
 
Are there any issues or concepts that are missing or not well represented?

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* 57. Lines 1207 - 1224 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

 Criterion 3. Student Admission, Progression and Graduation Requirements

3-1. The CNS program builds on baccalaureate level nursing competencies and culminates in a master’s degree, post-graduate certificate, or doctorate.
 
Are there any issues or concepts that are missing or not well represented?

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* 58. Lines 1226 - 1245 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 3. Student Admission, Progression and Graduation Requirements

3-2. Faculty who teach in the CNS program participate in developing, approving, and revising the admission, progression, and graduation criteria for the program

Are there any issues or concepts that are missing or not well represented?

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* 59. Lines 1246 - 1257 presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s , Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 3. Student Admission, Progression and Graduation Requirements

3-3. All students in the CNS program must hold unencumbered licensure as an RN prior to and throughout their enrollment in CNS clinical courses.

Are there any issues or concepts that are missing or not well represented?

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* 60. Lines 1290-1360  presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

CRITERION 4. CNS CURRICULUM  

4-2. The CNS program requires a minimum of 500 supervised clinical (clock) hours for master’s and post-graduate preparation. A minimum of 1,000 supervised clinical (clock) hours are required for post-baccalaureate practice doctorate preparation.

Are there any issues or concepts that are missing or not well represented?

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* 61. Lines 1318 -1341   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-1. There is a comprehensive evaluation plan for the CNS program that addresses the curriculum, faculty resources, student outcomes, clinical sites, preceptors, and program resources.

Are there any issues or concepts that are missing or not well represented?

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* 62. Lines 1343 -1369   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-2. The CNS program collects and aggregates data from a variety of sources to evaluate achievement of program outcomes.

 Are there any issues or concepts that are missing or not well represented?

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* 63. Lines 1370 -1393   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-3. Faculty who teach and students who are enrolled in the CNS program have input into the ongoing development, evaluation and revision of the program.

 Are there any issues or concepts that are missing or not well represented?

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* 64. Lines 1395 -1408   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-4. The CNS curriculum is evaluated on an ongoing basis, using relevant data to inform revisions.

 Are there any issues or concepts that are missing or not well represented?

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* 65. Lines 1410 - 1427   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-5. Faculty who teach in the CNS program are evaluated regularly, according to parent institution or nursing unit policies.

 Are there any issues or concepts that are missing or not well represented?

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* 66. Lines 1428 - 1446   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-6. The clinical agencies and preceptors utilized for the CNS program are evaluated annually by faculty members and students.

 Are there any issues or concepts that are missing or not well represented?

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* 67. Lines 1447 - 1469   presents Section 5.  Criteria for the Evaluation of Clinical Nurse Specialist Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs - 

Criterion 5. CNS Program Evaluation

5-7. Evaluation of students is cumulative, multi-method, and incorporates clinical observation of performance by faculty who teach in the CNS program and preceptors who supervise students in practice experiences.

 Are there any issues or concepts that are missing or not well represented?

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* 68. Lines 1476 - 1605   presents the References.  

 Are there any issues or concepts that are missing or not well represented?

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* 69. When considering the Draft CNS Statement Revision as a whole, do you have any additional comments you wish to share about these competencies not addressed in the questions/answers above?

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* 70. Address

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* 71. I am answering this question on behalf of:

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* 72. If you are answering as an official representative of your organization, please provide the following in case we have questions:  name, best contact information and organization

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* 73. Thank you for your comments on the Draft CNS Statement Revision.

If you have any questions, please email info@nacns.org.

This conclude the comment collection survey for the Draft CNS Statement Revision.  Please note:  there are separate surveys available to collect feedback for each of the charts and appendices.  Please go to XXXXX  in order to select the correct link to the survey (s) you wish to complete.

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