Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.
Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.
Thesis - University Access Only
Master of Science (MS)
midwestern nurse practitioners
A study was done to explore the role of the Clinical Nurse Specialist (CNS) practicing in three Midwestern states. Components of the role, role responsibilities, barriers and advantages to the role and rural/urban differences among these factors were examined. Questionnaires were mailed to all CNS's holding a license in South Dakota and Iowa. A response rate of 46.24% was obtained. Of those returned, 26 fit the criteria of being a CNS with a Masters degree practicing in the Midwest.
Statistical analysis demonstrated that the Midwestern CNS's role consists of the four traditional CNS roles of clinician, educator, consultant, and researcher with a greater frequency of case management described by rural CNS's and a slightly less frequent researcher role by urban CNS's. Population characteristics of CNS clients were examined. The 51-70 year old age group and middle and lower-middle socioeconomic classes were the groups most frequently served. Clients were described by the complexity and high risk nature of their disease process with rural CNS's having a wider variety of client's problems requiring a more "generalist" perspective. Decreased resources and workload were seen as barriers to practice with lack of knowledge about the role found as the most significant barrier. Safety and caring people were found to be the most significant advantages. No significant rural/urban CNS differences were found when comparing professional support available, job satisfaction, age groups served, socioeconomic groups served, population characteristic influencing practice most and barriers to practice. Significantly fewer rural CNS's (37.0%) felt they had college courses available to maintain their expertise than urban CNS's (77.8%). "Close to family" was perceived to be a significantly greater advantage to rural CNS's than urban.
Library of Congress Subject Headings
Nurse practitioners -- Middle West
Number of Pages
South Dakota State University
Copyright © 1995 Nancy Denker. All rights reserved
Denker, Nancy, "The Role of the Clinical Nurse Specialist in the Midwest" (1995). Theses and Dissertations. 709.