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    Presentation Slide Show Presentation Slide Show Presentation Transcript

    • Oncology Clinical Nurse Specialists Cyndi Miller Murphy, RN, MSN, CAE Oncology Nursing Certification Corporation Executive Director
    • Historical Perspective
      • University of Pittsburgh offered an oncology tract in the medical-surgical master’s degree program in nursing
      • First oncology graduate program in nursing offered at Rush University
      • 1990 44 graduate programs in oncology nursing in USA
    • Historical Perspective
      • Oncology Nursing Society (ONS) published the Standards of Advanced Practice in Oncology Nursing
          • defined the structure, process, and outcome criteria for advanced practice nursing
      • Oncology Nursing Certification Corporation (ONCC) survey of ONS members with graduate education indicated that 69% were interested in obtaining advanced oncology certification
    • Historical Perspective
      • 1993-1994 First role delineation study (RDS) of advanced clinical oncology nursing practice was conducted by ONCC
        • 1,349 master’s prepared ONS members in clinical roles were surveyed
        • Instrument based on the CNS role
        • Responses CNS 58%
          • NP 6%
          • Other 36%
    • Historical Perspective
      • First AOCN ® Certification Examination Administered
      • First ONS Position Statement on Advanced Oncology Nursing Practice published
      • 1997 ONS published Statement on the Scope and Standards of Advanced Practice in Oncology Nursing
    • Historical Perspective
      • Second RDS of Advanced Oncology Nursing Practice conducted by ONCC
      • Significant shift in roles of Oncology APN
    • ONS Membership CNS NP 1994 1660 269 1998 1417 633
    • Historical Perspective 1998 Second RDS of Advanced Oncology Nursing Practice 1200 Oncology APN surveyed 1998 1994 NP 41% 6% CNS 36% 58% Combined 11% Other 12% 36%
    • Historical Perspective
      • Significant changes in practice from 1994
      • Significant changes to the Test Blueprint
      • Few significant differences were found between the NP and CNS groups with regard to knowledge and job responsibilities (< 10% items)
      1998 RDS
    • Historical Perspective 1999 Revised AOCN ® Certification Examination administered
    • Historical Perspective
      • ONS Position on The Role of the Advanced Practice Nurse in Oncology Care revised
      • Third RDS of Advanced Oncology Nursing Practice conducted by ONCC
        • Response to changing demographic
    • ONS Membership CNS NP 1994 1660 269 1998 1417 633 2004 833 1283
    • Results of Third RDS 2003 Oncology CNS and Oncology NP share a substantial core of knowledge important to both roles. However, there are discernable differences in work responsibilities for NP and CNS in oncology.
    • Results of Third RDS 2003 Task-knowledge linkages were used to develop relative weights of the test specifications (blueprints) for separate role specific examinations.
    • AOCNS, AONP Test Blueprints CNS 4% 3% 14% 13% 11% 17% 9% 13% 5% 12% NP 4% 8% 20% 19% 12% 15% 5% 9% 5% 3%
      • Cancer Screening, Prevention, Early Detection, and Genetic Risk
      • Cancer Diagnosis and Staging
      • Cancer Treatment Modalities
      • Acute, Chronic, and Late Symptom Management
      • Oncologic Emergencies
      • Psychosocial Management
      • Coordination of Multidisciplinary Care
      • Professional Practice
      • End of Life Care
      • Research Utilization
      • X. Roles of the CNS
      Weight Topic
    • 2005 Administration of new AOCNS, AOCNP Certification Examinations
    • Care Setting 1994 1998 2003 In Patient 58% 34% 31% Out Patient 37% 63% 61% Home 5% 3% 1% Other 7%
    • AOCN ® Certified Nurses NP 470 CNS 436 Administrator 196 Educator 133 Other 250
    • AOCN ® Certification Recognized for CNS Role in 13 states
    • Specialization vs. Subspecialization
      • Oncology meets the ABNS definition of a specialty and all related ABNS standards
        • Definition and Scope of Nursing Specialty
        • Research Based Body of Knowledge
    • Specialization vs. Subspecialization
      • Specialty : Oncology
      • Examples of Subspecialties within oncology
        • Specific diseases or categories of diseases
        • Leukemias
        • Gynecologic Cancers
        • CNS Tumors
        • Endocrine Tumors
        • Specific treatment entities
              • Blood and Marrow Transplantation
              • Radiation Oncology
              • Surgical Oncology