Clinical Nurse Specialist Case Study

Introduction

The Clinical Nurse Specialist (CNS) is an expert clinician in a specialized area of nursing practice. The specialty may be vary according a population (e.g., pediatrics), a setting (e.g., critical care), a disease (e.g., cardiovascular or mental health), or a type of problem (e.g., wound or pain). CNSs are engaged in direct clinical practice; function as consultants in their area of expertise; provide expert coaching and guidance; interpret, evaluate, and participate in research; provide clinical and professional leadership; collaborate; and employ ethical decision making.(Flecther,2011). Advanced practice registered nurse (APN) is a term used to encompass certified nurse-midwife (CNM), certified registered nurse anesthetist

Gibbs’ Reflective Model Figure 3. 5 Steps Critical Incident Techniques By Flanagan (1954)

An incident learning system is the set of organizational capabilities that enable the organization to extract useful information from incidents of all kinds, particularly “near-misses,” and to use this information to improve organizational performance over time. In the context of the “learning organization” described by Senge (1990).

Similarity from several models can be used by APN and CNS into practice in consulting and determining process of reflective thinking from critical incident and gaining insight. The needs of learning from critical incidents is to help in analyzing why the incident occurred and to introduce the concept of risk system instead of gaining values of insight of critical thinking among nurses and their collaborative health care for the purpose of quality improvement and safer practice.

Similarity of the models in evaluating incident can be compare by PDCA. (Plan- Do- Check- Act.) Deming’s cycle.

 Plan -Brain storming the problems. Although the words use may be differ either by description, analyzed or reflective or identify it mean into the same ideas of identifying problems.

 Do -drown up the action

The component of critical incident learning helps CNS and APN provide risk control process into practice and quality management principle to control quality services and managing incident from risk system , in fact, CNS and APN would consider quality problems adoption of critical thinking process and employing and incident learning or reflective learning model to improve the nursing practice for long terms organizational quality improvement. Critical incident learning may work tremendously when the component of identifying , response, reporting and investigating, recalling incident, making recommendation , communicating and implementing corrective actions take