Abstract

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.

Author Details

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

Sigma Membership

Xi Upsilon

Lead Author Affiliation

Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Role Transition, Clinical Nurse Specialist, CNS, Work Experiences, Role Change

Conference Name

NACNS Annual Conference

Conference Host

National Association of Clinical Nurse Specialists (NACNS)

Conference Location

Atlanta, Georgia, USA

Conference Year

2017

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Self-submission

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Reflections on new clinical nurse specialist transition into practice

Atlanta, Georgia, USA

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.