Institutional members access full text with Ovid®

Share this article on:

The Clinical Nurse Specialist in Chronic Diseases

Moore, Jane PhD, MSc, RN, APN, CCRN; McQuestion, Maurene MSc, BScN, BA, RN, CON(C)

doi: 10.1097/NUR.0b013e3182503fa7
Feature Article

Background/Rationale: The number of individuals with chronic illness is growing at an astonishing rate because of the rapid aging of the population and the increased longevity of persons with chronic conditions. Nurses in clinical nurse specialist (CNS) roles are well positioned and ideally suited to meet the needs of a growing population with chronic diseases; yet, to date, there has been no critical review of the CNS in chronic diseases.

Purpose/Objectives: This article provides a critical review of the literature in order to better define and understand the CNS related to patients living with chronic illnesses (cardiovascular and oncology).

Description of the Project/Innovation: Using the guidelines of DiCenso et al (2005) for evaluating health services interventions, the literature was appraised in order to identify the characteristics of CNS roles, and the strengths and limitations of research about the effectiveness of CNS in chronic disease management.

Implications: Clinical nurse specialists with master’s-level preparation provided high-quality and cost-effective care to patients with chronic diseases. The CNSs had a positive impact on patient, family, and healthcare team outcomes. Further evaluation of the CNS role in the research domain of practice is recommended.

Author Affiliations: Assistant Professor (Dr Moore), Department of Nursing, Faculty of Applied Health Sciences, Brock University, St Catharines, Canada; and Clinical Nurse Specialist (Ms McQuestion), Princess Margaret Hospital, University Health Network, Toronto, Canada.

No funding has been received by either of the authors for this article.

The authors report no conflicts of interest.

Correspondence: Jane Moore, PhD, MSc, RN, APN, CCRN, Department of Nursing, Faculty of Applied Health Sciences, Brock University, EA321, 500 Glenridge Ave, St Catharines, ON, Canada L2S 3A1 (

© 2012 Lippincott Williams & Wilkins, Inc.