CNS! Is this a Dying Specialty!? - page 4

Okay guys, What's the deal with this specialty? 1) Is there a demand? 2) Anybody currently practicing wished they had done NP instead? 3) Anybody currently praciticing love they job?... Read More

  1. by   irish_rainbow
    I have good news! After researching and talking with the director of the program I am interested in, I have learned some new information which I think will be helpful for me. The school I am interested in has "post-graduate" studies. So basically, if I decide to do the Pediatric CNS track, I can go back and do post grad studies to sit for my APN license if I want to. This makes me less fearful of choosing the wrong track since it's easily remedied should I change my mind at any time. The post grad studies can range from about 3-5 semesters, which isn't too bad considering you'd be getting a whole other certification. Also, there are only about 3 classes that are actually different between the Peds CNS and Peds PNP... now the Peds Acute NP is a little different between both, I believe.

    In all of my research, I have to say that it does seem the two titles have intertwined over the years and it can get extremely confusing when trying to define what exactly these specialities really are. I think a lot of it does depend upon the state in which you practice, the school you attended, and the facility in which you work. Where I work they are simply called Advanced Practice Partners and have a huge range of duties depending on what a particular unit has hired them for.

    I really appreciate everyone's help and discussion on this issue... you guys are so awesome and nice! :-)
  2. by   traumaRUs
    Hmmm....Advanced Practice PARTNERS - uh not a title I'd want to work under.

    Just another confusing name to what should be Advanced Practice Nurses.
  3. by   enoRN
    Quote from traumaRUs
    Hmmm....Advanced Practice PARTNERS - uh not a title I'd want to work under.

    Just another confusing name to what should be Advanced Practice Nurses.
    These shows how much nursing needs a real DEFINITION through all the refinemnt over the years
  4. by   traumaRUs
    Yes - I agree.

    The APRN consensus model via ANCC and ANA seems to be addressing this.
  5. by   bsnanat2
    Must admit I have not read every comment in this thread but plan to. Just wanted to add that in reading the new Consensus Model, CNS really seems to be the best way to go. I am doing research on advanced practice programs and which route to take. CNS is starting to look good because the Consensus Model emphasizes patient acuity as the defining factor in who can treat what, no matter what the setting (inpatient or outpatient). Primary care NP's need to make sure they are dealing with primary care type problems and acute care NP's need to make sure they are not doing primary care. The CNS though can treat across the primary to acute care spectrum within their population, peds or adult (adolescent through geriatric). CNS is starting to look pretty good especially since Georgia now gives CNS's prescriptive authority.
  6. by   duttyprofessor
    Hey everyone! I'm extremely new to this site, this being my first actual post, but I found this thread/board through a search and wanted to dive in.

    I'm taking prerequisites for a pediatric CNS program that's going to re-open next fall and during this time of uncertainty (will it open? is the program going to be viable?), I want to get some answers. I've been mentored a bit by a surgical CNS and another pediatric CNS who graduated 1.5 years ago and through conversations with them about what they do, it's right up my alley: policy change in the hospital, educating staff on the latest stuff, performing some varieties of research, etc. My passions are pediatric pain and integrative health (CAM therapies and the like), so I plan on bringing freshness to whatever I do.

    You all have provided a few on this thread already and I thank you for it.

    However, one of the first questions addressed (I think) was regarding the DNP.

    Ongoing from here on out, do you think the DNP role is similar enough to both the CNS and the NP that it will start taking CNS jobs? With my passion for advanced practice and interest in widespread change, is the DNP something I should look at prior to the MSN since there are some BSN-to-DNP programs that exist?

    Thanks for any information any of you can offer!

  7. by   gardentulip27
    Yes it is dying and yes go for NP. They are retiring many CNS certifications. What a profession! Have never heard of doctors, or pharmacists or lawyers, retiring their "certifications". OMG
  8. by   traumaRUs
    Agree with you Gardentulip!

    And...since CNS's can only be certified via ANCC, we are at their mercy.

    I would never advise anyone contemplating grad school to go for CNS.
  9. by   enoRN
    I completely disagree!!!
  10. by   enoRN
    We should be encouraging CNS. Everything is not about NPs and their roles. Who will we have let developing "nursing", I thought the CNS role was geared towards "nursing", its saddening.
  11. by   traumaRUs
    However, the certification issue remains: in my eyes, with the adult CNS being "retired" (which is the majority of CNS's), the writing is on the wall: CNS is disappearing.

    While I don't necessarily agree with the "retiring" of the adult CNS, its a done deal.

    Can I ask that you clarify your opinion EnoRN?
  12. by   enoRN
    TramaRUs, you may be right but if you look into schools, more credits have been added to the CNS curriculum. In the job market it might not be competitive as the NP, just like the Nursing Education is not. Some states dont hire CNS, fine, but some states still do. I just think Nursing body as a whole is missing the point of nursing especially ANCC. CNS will be for a long time.
  13. by   traumaRUs
    I just don't see how you can state that the CNS will be around a long time.

    With the advent of the Consensus Model from ANCC, the writing is on the wall that CNS will be going the way of the Model T.

    Even as far back as 1996, there was concern about the future role of the CNS: