The Clinical Nurse Specialist (CNS) is a member of the nursing leadership team. The CNS influences nurses, nursing support personnel and the organization to support evidence-based practice (EBP) and in collaboration with City of Hope (CNS) nursing leadership, assures the achievement of quality and cost effective patient and family outcomes. The CNS works collaboratively and possesses expertise as a(n) clinician, educator, consultant, and leader. CNS practice is based on competencies described by the National Association of Clinical Nurse Specialists, 2010 and Oncology Nursing Society, 2013. The Mission, Vision and Core values of the City of Hope are incorporated into all areas of practice.
Key Responsibilities include:
Clinical Nursing Practice
- Models excellence in nursing practice using scientific knowledge and advanced concepts in the assessment, diagnosis, planning, implementation and evaluation of actual or potential problems in the oncology patient population.
- Proactively identifies opportunities and investigates solutions to assure the provision of state-of-the-art nursing care and associated outcomes.
- Influences patient outcomes through the translation, implementation and integration of EBP into daily operational activities.
- Collaborates and consults with nurses and other to influence nursing practices and improve care outcomes within a specific unit or service and/or across Nursing and Patient Care Services (NPCNS).
- Acts as a key stake holder and decision maker for the development, implementation and evaluation of standards of care, policies, guidelines and the introduction of new equipment and technology at the point of care.
- Supports nurses in the management of symptom distress related to cancer or its treatment based on advanced knowledge of the etiology of cancer, the rationale for treatment, patient and family responses and needs, and associated nursing interventions.
- Provides expertise in the assessment of patient and family learning needs, provision of educational strategies and evaluation of the effects of teaching strategies for general and specified oncology patient populations.
- May provide direct patient care, consult with other nurses or clinical staff about specific patients, and make recommendations for interventions and plan of care.
- Assumes accountability for unit based, department wide or Institutional clinical practice roles.
- Provides education to staff and patients, and families based on advanced practice knowledge of oncology nursing care and the principles of adult learning.
- Proactively assesses learning needs and develops, evaluates, and modifies NPCNS orientation and educational programs and initiatives that ensure ongoing competence of all levels of nursing staff.
- Designs and evaluates educational programs and initiatives that are congruent with COH’s strategic plan, NPCNS priorities, regulatory requirements and oncology nursing standards.
- Designs and implements clinical and professional competency programs and other educational activities in collaboration with nursing staff and leaders.
- Participates in local and national professional activities and organizations to promote the educational and professional growth of self and others within COH and the community.
- Coordinates the clinical learning experiences of students and visitors; acts as a liaison to faculty, affiliating institutions and visitors.
- Consultation, Mentorship, and Coaching
- Works collaboratively with other departments and disciplines on projects, initiatives and programs to meet the goals of COH and promotes excellence in care delivery and outcomes.
- Is a clinical resource and consultant to all of COH nursing community regarding clinical policies, standards and guidelines of care.
- Provides clinical expertise in the development and implementation of nursing clinical policy, procedure and standards processes and contributes to relevant committees and work teams.
- Mentors and supports the professional growth and development of nurses, other NPCNS staff and students.
Research and Quality
- Participates in the development of the COH Nursing Quality Plan.
- Facilitates and leads quality and process improvement programs and initiatives.
- Assesses quality of care and patient outcomes.
- Implements evidence based practices at the unit level with NPCNS staff.
- Identifies clinical practice problems, reviews literature and provides clinical support to staff and leaders to implement EBP solutions.
- Participates in research activities that expand the scientific base of nursing practice knowledge.
- Disseminates work related to research, EBP and quality improvement initiatives.
- Contributes to the creation of an environment that stimulates continuous self learning, positive group processes, reflective practice, and the empowerment of others.
- Models constructive and mutually respectful relationships with colleagues.
- Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age.
- Participates in goal-defining processes and systems changes to promote best practices
- Functions as a change agent, to implement, evaluate and promote nursing care and systems that are safe, cost effective and evidence based.
- Partners with leaders in clinical areas to establish goals and then develop, implement and evaluate strategies consistent with institutional and departmental goals.
Basic education, experience and skills required for consideration:
- Master’s degree in nursing.
- Minimum of 3-5 years recent experience as a nurse in oncology.
- Leadership and education experience required.
- Clinical expertise in oncology nursing.
- Ability to work as an effective member of an interprofessional team.
- Excellent organizational, communication and interpersonal skills.
- Program or project development experience.
- Critical thinking and problem solving skills.
- Ability to make independent decisions.
- Identifies personal, clinical and leadership strengths and areas for growth, formulating professional goals, objectives and methods for accomplishment
- Compliance with accepted standards of professional nursing practice and all licensure and registration requirements applicable to the nursing role.
- Demonstrates understanding of special needs and behaviors of age groups of the population served
- Excellent oral/written communication and organizational skills
- Demonstrated ability to collaborate with the interdisciplinary team
- Licensed as a Registered Nurse in the state of California.
- Possess an active California BRN issued Clinical Nurse Specialist license / certificate.
- Appropriate advanced practice nursing certification.
Preferred education experience and skills:
- Experience in lung and colorectal oncology helpful.
City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.