![]() The LACE Model defines advanced practice nursing (APRN) and delineates four roles: clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). The LACE Model defines advanced practice nursing(APRN) and delineates four roles: clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (LACE Model), is a product of the APRN Consensus Work Group and the National Council of State Boards of Nursing ( 2008), and was finalized and released in 2008, with a goal of full implementation by 2015. This article will address the Consensus Model for APRN Regulation, IOM Report, and Guidelines for CNS Education. A number of recent initiatives lend potential for solutions to some of these issues however, they may also create a new set of problems. Additional concerns include adequacy of faculty, clinical preceptors, clinical practicum settings, physical resources, and funding sources for students. Furthermore, lack of standardization in educational preparation, regulation, and even advanced practice recognition across states has challenged CNS educators and development and sustainability of CNS education programs. Finding room in the curriculum to address all seven competencies, application to the three spheres of influence, and addressing complex diseases and other health issues can be problematic. ![]() The complexity of the role itself creates challenges in the educational preparation of CNSs. CNSs employ seven core competencies in their practice: direct care, consultation, systems leadership, collaboration, coaching, research, and ethical decision-making ( NACNS, 2010). ![]() As they work across three spheres of influence, CNSs facilitate quality outcomes for individual patients and patient populations, support and mentor nurses, and spearhead innovative changes that advance the healthcare system in meeting the needs of patients, families, populations, and communities. CNSs employ seven core competencies in their practice: direct care, consultation, systems leadership, collaboration, coaching, research, and ethical decision-making. Clinical nurse specialists (CNSs) are advanced practice nurses that bring specialized knowledge to the practice setting. ![]()
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