Mixed Methodology:

A review of the literature was undertaken. Focus groups were conducted, n= 274. Data was analysed using a content analysis approach. A questionnaire n=1372 was sent to all clinical nurse/midwife specialists, this was based on Bamford & Gibson’s (2000) study of the perceptions of practicing CNS/CMS’s of their role and developmental needs.

Findings:

Issues which arose from the content analysis include, role preparation, success of the role, value of the role to staff nurse and midwives and the patient, the educational aspects of the role, the need for continuing professional development in the area of audit and performance measurement outcomes.

Conclusions:

It will be argued that the CNS/CMS in Ireland exists on a developmental continuum; some are at the beginning of this continuum and are struggling with issues such as role acceptance, integration and lack of adequate resources, whilst others are at the other end measuring the effects of their interventions and auditing their work.

Recommendations:

Over 20 recommendations were made. These will be discussed in full.

Conclusions:

The policy context exists in Ireland for the continued development and expansion of the role of the specialist. The development of the role exists on three levels, the service provider, the regional planning and development units and at national level with the Department of Health & Children and the National Council for the Professional Development of Nursing & Midwifery

References: Bamford O. Gibson F. (2000) The Clinical Nurse Specialist: perceptions of practicing CNS’s of their role and development needs. Journal of Clinical Nursing, 9: 282-292

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