Summary: | In this article on issues pertaining to the Clinical Nurse Specialist (CNS), the area of administrative support for the role is explored. Issues are organized under the headings of: Reasons for hiring and selection, methods of hiring and support, position description and work plan, reporting relationships, and structural elements. The issues addressed include: Organizational experience with the role, attitudes regarding the CNS's credentials, need for involvement of stakeholders in planning and interviewing, methods of operationalizing support, identification of the referral base, effects of organizational placement, and need for adequate resources. The issues are explored from the vantage point of current findings in the literature as well as the authors' personal experiences.
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