The Analysis Of Formative Factors For Clinical Nurse Specialist In The United States

Purpose:Clinical Nurse Specialists as the leader of specialization of nursing process, we explore their formation and development through the analysis of the formative factors of clinical nurse specialists in the United States. This study aims to get some enlightenment and provide a reference for nursing specialized in rapid prototyping in our country.Subjects:Clinical Nurse Specialists in the United States Sources of Information:1. web of Knowledge database(2005-2015) of Thomson routers2. Academic Journal Network Publishing Database(CAJD) of CNKI3. The official website of The nursing professional organization4. Books, journals, and other publications of Clinical Nurse Specialist in theUnited States Methods:Literature review method; History method; Bibliometrics method; Logical reasoning method.Results:1. The formation of clinical nurse specialists in the United States:(1) early nightingale outstanding contribution to the care and the construction of advanced nursing theory was the historical foundation;(2) Trend of specialization of nursing process formed the social background;(3)The social role positioned the clinical nurse specialists practice;(4) Basic requirement was a graduate level education;(5) The standardized management by nursing professional organization guided the correct development direction;(6) nursing academic journals published the latest research achievements;(7)The abilities changed with the times, system of certification perfecting, professional group gradually recognized were the sign of formation.2.A quantitative analysis of the clinical nursing specialist research in the United States: The amount of papers published in 《Clinical Nurse Specialist》had risen steadily, to some extent, explain in the field of concern and attention degree is higher and higher. Top 10 productive scholars are from the United States, it also confirmed that the United States in an outstanding leading position. The author affiliation distribution in each state in the United States, headed by Indiana University, showed that the journal had a wide range of influence. In addition, through the research focus of the magazine analyzed four core research contents, management, outcome, and influence on the top three key words, and intensive care related research content,teenagers as the research object, mental health in the United States research become hot spot content.3. A quantitative analysis of the clinical nursing specialist research in China: The theme of “clinical nurse specialists" literature retrieved in CNKI, concluded that the earliest literature in our country is in 1982. The amount of literature has soared since2001, showed CNS research began. the top productive author is professor huizhen wang, southern medical university, southern medical university had a in-depth research on clinical nursing specialist areas. From the high frequency keywords analysis can be concluded that the title between specialist nurse and clinical nurse specialists is not clear. Secondly, nursing management, operating room specialized field of research, education and training of CNS are the core research current in our domestic clinical nurse specialists study.Conclusions:1.The formation of clinical nurse specialists in the United States was a gradual process of development and perfection.2.The development of nursing specialization in China used systematic cultivation of the clinical nurse specialist in the United States for reference.3.The difference of clinical nurse specialists research hot spot between home and abroad was obvious.Suggestion:1.The development of local nursing theory, to lay the foundation for the long-term development.2.The higher nursing education in China should be coordinated with the international nursing professional track.3.The profound development of nursing science needs to set up the secondary discipline as soon as possible.4.The nursing professional groups should play a greater role.5.Establish the special policy and system of the clinical nurse specialists.Innovation points:Use the method of Bibliometrics, analyze the current research status of China and the United States in the field of clinical nurse specialists.Conceptions for making further study:To further research some other factors of the Clinical nurse specialists’ formation.The dissertation is supported by the key discipline construction funding in Shanxi Province and done as part of the project ‘‘nursing position setting and talentscore competency assessment”.