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Clinical Nurse Specialists: Value Added!. Barbara Wheeler RN, MN, IBCLC, RLC St. Boniface General Hospital 21 November 2008. The Strong Model . Ackerman, M.H. et al. (1996). The CNS Role. Practice Education Leadership Research

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clinical nurse specialists value added

Clinical Nurse Specialists: Value Added!

Barbara Wheeler RN, MN, IBCLC, RLC

St. Boniface General Hospital

21 November 2008

the strong model
The Strong Model

Ackerman, M.H. et al. (1996)

the cns role
The CNS Role
  • Practice
  • Education
  • Leadership
  • Research
    • CNS role: “recognized as ideal to bridge the research gap between academia and clinical practice”(Nelson, et al., 2007)
importance of nursing research
Importance of Nursing Research
  • To provide scientific accountability & a foundation for evidence-based practice
  • To evaluate the efficacy of nursing practice
  • To advance the practice of nursing, and ultimately,
  • To improve clinical outcomes
st boniface general hospital
St. Boniface General Hospital

SBGH: 10 Clinical Nurse Specialists

  • Cardiac Sciences
  • Gerontology
  • Medicine
  • Palliative Care
  • Surgery
  • Woman & Child Program
sbgh cns research
SBGH CNS Research
  • Staff knowledge & attitudes regarding implementation of the Hospital Elder Life Program (HELP) (B. Tallman)
  • The effectiveness of probiotic yogurt in preventing antibiotic associated diarrhea in hospitalized patients (K. Jabusch)
Canadian heart failure patients’ & caregivers’ emotions (E. Estrella-Holder)
  • Multimodal assessment of functional capacity in heart failure patients: The integrated role of the heart failure and device clinics (E. Estrella-Holder)
sbgh cns research8
SBGH CNS Research
  • Testing the Breastfeeding Self-Efficacy Scale (BSES) among mothers of ill or preterm infants
  • What really happens after they go home? Human milk feeding after NICU discharge(B. Wheeler)
sbgh cns research9
SBGH CNS Research
  • Parents in the NICU: Development of a satisfaction survey (B. Wheeler)
  • The effects of post-operative pain education on selected patient outcomes for urgent coronary bypass surgery (A. Fedorowicz)
sbgh cns research10
SBGH CNS Research
  • Urinary drainage following continence surgery: Development of Canadian best practice guidelines (B. Lewthwaite)
  • What do nurses know about post-operative nausea and vomiting? (B. Lewthwaite)
sbgh cns research11
SBGH CNS Research
  • Factors related to patient satisfaction in a Family Medicine Residency Teaching program (J. Parker)
  • Late-Preterm Infant Research-Based Practice Project (B. Wheeler)
    • AWHONN: 15 sites in the US and Canada
our current project
Our Current Project…
  • Planning implementation of the WRHA Pain Assessment & Management Clinical Practice Guideline (CPG)
  • CNS group: an opportunity to:
    • improve pain management,
    • improve patient satisfaction, and
    • to decrease LOS
pain project
“Pain” Project
  • Goal: explore knowledge & attitudes nurses (~700 +) have re: pain assessment & management
    • i.e. baseline knowledge level
  • Research Tool: a well-validated 22 item true/false questionnaire
our current project14
Our current project…
  • Study findings will guide implementation of the CPG at SBGH
    • Identify knowledge gaps
    • Design appropriate education sessions
    • Generate interest in learning about pain


  • Introduce CPG