Posted: Jun 06, 2021
This comprehensive study examines the multifaceted role of Clinical Nurse Specialists (CNSs) in enhancing patient outcomes for individuals with chronic conditions through a novel analytical framework that integrates clinical expertise, system-level interventions, and patient-centered care models. Unlike previous research that often focused on singular aspects of CNS practice, our investigation employs a multidimensional approach to quantify the synergistic effects of CNS interventions across diverse healthcare settings. We developed and implemented the Clinical Nurse Specialist Impact Assessment Tool (CNS-IAT), a proprietary instrument designed to measure the comprehensive impact of CNS interventions on clinical outcomes, patient satisfaction, healthcare utilization, and cost-effectiveness. The study followed 1,247 patients with multiple chronic conditions across 12 healthcare institutions over an 18-month period, documenting the implementation of CNS-led care coordination, evidence-based practice protocols, and interdisciplinary collaboration strategies. Our findings reveal that CNS involvement was associated with a 34
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