[QUOTE=BittyBabyRN;4021841]I know that this may be addressed in another thread, but if someone could either answer my question, or direct me to an answer, I would appreciate it.
I know that a CNL is more of a generalist than a CNS, but what does this really mean? I know that in CNL training, in obtaining your MSN, you still have clinical rotations, and become an "expert" in a field.... but currently I work as an RN in a level III NICU, and would preferably stay with babies, or at the least, pediatrics. I feel that the program offered close to me that offers training to become a CNL is better for me due to the length, and online options, but I am unsure if the degree itself would be better as CNS or a CNL?
My main question is: What in the world is the real difference between a CNS and a CNL?
I am in my last semester of the CNL program. Here is a comparison table from the AACN to explain the difference.
|Clinical Nurse (CNL) |
|Shared Role Characteristics |
|Clinical Nurse Specialist (CNS) |
|The Clinical Nurse Leader (CNL) is prepared at the masterís degree level as a generalist. |
In addition to the competencies delineated in the AACN (1998)
Essentials of Baccalaureate Education for Professional Nursing Practice1, the CNL is prepared with the competencies outlined in the AACN (2003) Working Paper on the Role of the Clinical Nurse Leader2.
|The Clinical Nurse Specialist (CNS) is an advanced practice nurse prepared in a clinical specialty at the masterís, post-masterís or doctoral level as a specialist. |
The CNS, as an Advanced Practice Nurse (APN), is prepared with the AACN (1996)
Essentials of Masterís Education for Advanced Practice Nursing3, including the Graduate Nursing and APN Clinical Core. In addition, the CNS is prepared in a specialty curriculum which includes those clinical and didactic learning experiences identified and defined by the specialty nursing organization for the particular area of advanced clinical practice.
|The CNL functions as a generalist providing and managing care at the point of care to patients, individuals, families, and communities. |
|Both the CNL and CNS provide care in all types of health care settings, including acute, outpatient, home, school and community. |
|The CNS functions as an expert clinician in a particular specialty or subspecialty of nursing practice.,,456 |
|The CNL is responsible for the management and coordination of comprehensive client care, for individuals and clinical cohorts. |
|The CNL and CNS develop a comprehensive and holistic view of patients. |
|The CNS is responsible for designing, implementing, and evaluating patient-specific and population-based programs of care. |
|The CNL functions primarily within clinical microsystems which are small |
|Both the CNL and CNS manage care |
|The CNS functions at both microsystem and system levels, within three spheres of |