CNS SIG Meeting

1. CNS SIG Meeting ONS Congress 2011 Clinical Nurse Specialist SIG Mission The Clinical Nurse Specialist (CNS) SIG exists to support the role of the clinical nurse specialist in the advanced practice of oncology nursing.

2. Welcome & Introductions

3. Advocacy-Recognition in the cancer community: CNS SIG Membership involvement in the local community. • Knowledge - Continuous Professional Development • Partnership - Internal Partnership: Increase the number of volunteers in the CNS SIG at the leadership level and continue to mentor and foster growth of membership to leadership position and/or active involvement. CNS SIG GOALS

4. Recognition in the cancer community: CNS Sig Membership involvement in the local community • Deadline: Congress 2011 • Action: Develop a survey to measure the amount of volunteer work the CNS Sig members (consider sending to all ONS CNS members) participate in outside of their paid work. • Measurable: Report at Congress 2011 and decide action items at that time. Look for trends in the data and common organizations. This information could also be given in a report form to such agencies as ACS and LLS to show partnership and the expertise of CNSs in the community. Goal 1 - ADVOCACY

5. ONCC Board Members: • Carol Brueggen • Susan Bruce • Cynthia Miller Murphy MSN RN CAE Executive Director Oncology Nursing Certification Corporation AOCNS Updates

6. Angela AdjeteyRN, MPH, MA, FAACM  Clinical Nurse Specialist Women's Oncology Memorial Sloan-Kettering Cancer APN Conference

7. Gail A. Mallory, PhD, RN, NEA-BC  Director of Research Oncology Nursing Society Breast Cancer Quality Measures

8. Use of the Competencies per the 2010 needs survey Are you aware of the existence of the ONS Oncology Clinical Nurse Specialist (CNS) Competencies published in 2008? 83% (n=15) YES 17% (n=3) No • Results and actions • Theresa Koetters, RN, MS Oncology Clinical Nurse Specialist Competencies

9. Discussed with immediate supervisor. • 33% yes • 66% no • To develop a job description • 50% yes • 50% no • Discussed with CNS Students • 44% yes • 56% no • Discussed with CNS Colleagues • 50% yes • 50% no • To develop curriculum for academic or continuing education • 22% yes • 78% no How have you used the Oncology Clinical Nurse Specialist (CNS) Competencies?

10. I use the competencies to guide my practice at my facility. I am one of two specialized CNSs in a community based hospital, and the competencies have given me the guidance to help administration to see the potential of the CNS role. • I have used them to validate/explain expanded roles, plan for the coming year (goals), and as a springboard for a CNS student to focus on one or two during their clinical. Have you used the competencies to guide your CNS practice in any way? 44% Yes 56% No

11. 11% Strongly Agree • 72% Agree • 11% Disagree • 6% Strongly Disagree The CNS competencies were developed to describe a novice or entry level of CNS practice. Would you agree that the competencies are written for the novice CNS? Haven't looked at them. Couldn't answer NA.

12. 22% Very useful • 61% Somewhat useful • 17% Not useful Have you found the competencies to be useful in your practice in any way?

13. Scope of practice • Writing my summary/evaluation report for supervisor • I am in a graduate program for CNS and have referred to competencies for writing papers. • Serve as a general guide to maintain the basics of my duties to the organization and my profession. • Used for development of general advanced practice nurse job descriptions and to defend my position on requirements for CNSs to upper management. Please describe uses for the competencies.

14. Go beyond the entry level. Basically language changes could help accomplish this but that would make it more useful for our more experience members • Increase awareness of it's availability. • Better marketing • Now I 'd like to see competencies for experienced CNS How could the Oncology CNS Competency document be improved? Suggestions? Discussion?

15. Continuous Professional Development • Deadline: Congress 2011 • Action: Develop a task force of CNS Sig members to evaluate and make recommendations about Continuous Professional Development. • Measurable: White paper from the ONS CNS SIG to ONS Leadership. Presentation and discussion at the CNS SIG meeting. Goal 2 - KNOWLEDGE

16. ONS is the early stages of a draft addressing Continuous Professional Development • Lead by Michele Gaguski, RN, MSN, AOCNS • For more information • http://www.aacn.nche.edu/Education/pdf/MacyReport.pdf • Review of the Summary statements Lifelong Learning

17. Conducted, financed, regulated, and evaluated. • The health care workforce is not optimally prepared to provide the highest quality of care to patients or to meet public expectations for quality and safety. Major Flaws in the CE System

18. The science underpinning CE for health professionals is fragmented and under- developed. • Difficult to identify effective educational methods integrate those methods into coordinatedprograms that meet the needs of the diverse range of health professionals. Not Evidence Based

19. Continuing education efforts should bring health professionals from various disciplines together in carefully tailored learning environments. • As team-based health care delivery becomes increasingly important, such interprofessional efforts will enable participants to learn both individually and as collaborative members of a team, with a common goal of improving patient outcomes. Not Multidisciplinary

20. A new, comprehensive vision of professional development is needed to replace the culture that now envelops continuing education in health care. • To guiding efforts to address flaws in current CE efforts and to ensure that all health professionals engage effectively in a process of lifelong learning aimed squarely at improving patient care and population health. Need a New Vision

21. Establishing a national interprofessional CE institute is a promising way to foster improvements in CE for health professionals. • The creation of a public-private entity that involves the full spectrum of stakeholders in health care delivery and continuing education and that is charged with developing and overseeing comprehensive change in the way CE is conducted, financed, regulated, and evaluated. CE Institute?

22. Internal Partnership: Increase the number of volunteers in the CNS SIG at the leadership level and continue to mentor and foster growth of membership to leadership position and/or active involvement • Deadline 2012 • Action • Work with ONS National to develop plan to increase SIG volunteers • Fill vacancies with a minimum of one person, consider co-chair and mentoring for VC, editor and historian • SIG members to participate in the Congress session on Translating Research into Clinical Practice • Measurable • A minimum of 2 candidates will run in the next coordinator election • There will be 2 co-editors of the Newsletter and at least 2 new contributors per newsletter. Goal 3 - PARTNERSHIP

23. Review of CNS Sig Needs • VC Administrator • Newsletter Contributors • Communication/Information • What is best? Networking? • Plan for future Events/Projects • Open Discussion & Networking SIG Business & Ideas