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Clinical Nurse Specialist
1 month ago
JOB SUMMARY
A Clinical Nurse Specialist (CNS) is a licensed Registered Nurse with graduate nursing educational preparation with in-depth, specialized clinical nursing knowledge and expertise in the area of mental health and addictions. The CNS provides strong leadership in a specialty program towards improved clinical outcomes through advanced nursing practice, program planning and delivery, research and knowledge mobilization, efficient resource utilization, consultation, education and capacity building.
The CNS provides clinical guidance and leadership to nursing staff managing complex care, promotes evidence-based practice; and organizational system change, towards improving the quality of client and family care. The CNS acts as a clinical expert in a specialized area of nursing while working within an interdisciplinary team to find solutions for complex healthcare issues at multiple levels: the client and family, healthcare providers, administrators, and policy-makers through a direct relationship with clients and families or through integrated role responsibilities related to education, research and clinical leadership and Nursing Professional Practice. The CNS demonstrates knowledge and skill in building intra- and inter-professional collaboration, and role-models leadership attributes such as high-level autonomy, accountability, assertiveness and enhanced communication and problem-solving skills. In addition, the CNS enhances excellence in nursing research by role modeling the utilization of, participation in, and knowledge mobilization of research findings. This role is expected to drive the organizational nursing strategy while empowering nursing staff to practice in accordance to professional practice standards and subspecialty competencies, through mentoring, coaching, and role-modeling.
Duties:
1. Accountability #1: Demonstrates management excellence through the LEADS Based Sentinel Behaviours:
The Royal is a LEADS based organization and it is expected that our leaders demonstrate the five capabilities of the LEADS in a Caring Environment through actions:
1. Lead Self:
- Makes a disciplined effort to continuously be aware of one’s own assumptions, values, principles, strengths and limitations, and understand them in the context of a strategic role to connect managers with organizational priorities.
- Systematically employs personal mastery – either formally through a personal learning plan or informally to enhance interpersonal and strategic capabilities.
- Recognizes that qualities of character are regularly tested in bridging strategic and operational responsibilities; and tries to deliberately exercise them as appropriate.
- Works in a manner that is conducive with staff, client, and family safety practices, policies and procedures of The Royal.
- Engage Others:
- Supports the quality of morale and productivity and ensures action is taken – with input from employees to improve morale and productivity.
- Listens and establishes strategic communications processes (using appropriate interpersonal communication, media and meetings) to elicit open exchanges of ideas, evidence and information.
- Provides materials and support for the creation and sustainability of high-performance teams in at the unit level and at departmental level.
- Ensures a work environment that is conducive to The Royal’s Harassment-Free Workplace Policy.
- Achieve Results:
- Sets direction through strategies that outline key approaches and tactics to achieve the results expected in the work unit.
- Clearly describes how current decisions within the strategic area align with overall organizational strategy.
- Gains support of other leaders and staff for successful implementation of strategies, and for changes to those strategies when those changes are validated by new evidence.
- Holds self and others accountable for establishing outcome measures consistent with strategies, and for achievement of the targets the work unit is responsible for.
- Develop Coalitions:
- Actively supports and develops processes to involve, or seek input from customers when planning changes that may impact the stakeholder.
- Supports processes to encourage the gathering, interpretation, and dissemination of quality evidence and knowledge to influence the coalition.
- Mobilizes commitment and resources from many different sources in the system to support the achievement of the coalition’s desired results and engages in a process to resolve emergent conflicts.
- Systems Transformation:
- Uses critical/systems thinking to identify issues and practices that could improve service.
- Creates an environment in the respective program or department where innovation, creativity and continuous improvement are valued.
- Encourages staff to think about trends, anticipate problems the respective program or department may face and create solutions in line with the values of organization and system.
- Employs small and large system approaches to implement changes required in the respective program or department.
1. Accountability #2: Direct Comprehensive Care
- Provides comprehensive physical and mental health assessment for clients and families while incorporating health promotion, disease prevention and management, client and family advocacy, and collaborative strategies to positively affect health outcomes.
- Demonstrates clinical decision making and expert knowledge and synthesis of advanced nursing practice using current evidence.
- Work collaboratively with an interdisciplinary team to provide consultation, recommendations, and manage multifaceted needs of clients and families.
- Assesses complex clinical care issues, develops, implements, and evaluates innovative approaches and programs addressing these issues in collaboration with interdisciplinary teams and nursing professional practice.
- Recognize the need for and plan outcome measurements (e.g., obtaining client feedback, conducting pre- and post-surveys, monitoring length of stay, readmission rates, reduction of secondary complications, and knowledge of staff providing care).
- Identify and assess trends or patterns, at macro, meso, and micro levels that have health implications for clients towards adopting efforts to enhance positive outcomes.
1. Accountability #3: Optimizing Health System
- Understand and integrate the principles of resource allocation and cost-effectiveness in organizational and health system-level decision-making.
- Participate in strategic planning for nursing professional practice, health-care service, department and/or organization.
- Contribute to system-level change through the development of standards of care, practice guidelines, care protocols, programs, and/or policies.
- Identify gaps in nursing practice and organizational processes towards developing strategies to facilitate and manage change in collaboration with nursing professional practice.
- Understand legislative and standards driven issues that influence health policy and use this knowledge to build strategies to improve client care and/or health care access.
- Advocate to participate on professional, regional, provincial, and/or federal committees that are related to individual specialties.
1. Accountability #4: Education
- Identify the learning needs of nurses and other members of the interdisciplinary team and find or develop programs and resources to meet those needs.
- Collaborate with Nursing Professional Practice team to disseminate knowledge, using appropriate delivery methods and utilizing adult education principles.
- Plan, initiate, coordinate, and evaluate needs-based continuing education programs for staff and clinical partners to promote quality client care.
- Act as a mentor, preceptor, coach or role model for nursing colleagues, other members of the health-care team and students.
- Contribute to, and advocate for, an organizational culture that supports nursing professional growth, continuous learning and collaborative practices.
1. Accountability #5: Research
- Engages in research and knowledge mobilization activities related to clinical practice and nursing professional practice.
- Actively participates in and conducts research within the organization.
- Identify, appraise, and apply research, practice guidelines and current best practices at the client, family, and program level.
- Utilize digital technology towards data-driven clinical care resulting best client outcomes.
- Champions nursing research at the program and organizational level within Interprofessional teams.
1. Accountability #6: Leadership
- Fosters critical thinking amongst staff in decision-making and problem solving.
- Apply theories and principles of project and change management.
- Participates in and provides leadership on Interprofessional committees as they pertain to the select patient population.
- Facilitates and supports a collaborative, Interprofessional team practice model.
- Embodies and facilitates organizational nursing strategy, while elevating nursing professional practice.
- Ensure a work environment that is conducive to the Royal’s Anti-Racism, Harassment & Discrimination Free Workplace Policy.
Qualifications:
- Registered with the College of Nurses of Ontario (CNO).
- BScN degree is required.
- Masters Degree is required.
- Masters Degree in Nursing is preferred, although candidates with Relevant Masters degree will be considered with a minimum of five (5) to ten (10) years’ experience in Geriatric Psychiatry.
- Member of relevant professional organizations (preferred).
- CPMHN (C) and/or GNC(C) preferred.
- Current CPR certificate, Basic Cardiac Life Support (BCLS) Level C.
- Direct clinical practice experience in psychiatry/mental health nursing care.
- Minimum 5 years’ experience as a Registered Nurse providing services in geriatric psychiatry.
- Knowledge of mental health best practices, community services, and crisis response.
- Proven ability in independent and collaborative decision-making.
- Strong oral and written communication skills.
- Knowledge of mental health best practices and community services.
- Ability to work with adult learners and colleagues in a variety of settings using a collaborative approach.
- Proven ability in independent and collaborative decision-making.
- Ability to respond to questions and requests in a timely manner.
- Demonstrated leadership, program development, and education skills.
- Experienced/knowledgeable in research and evaluation principles.
- Ability to determine feasibility of potential research, educational or clinical initiatives.
- Proven ability in working effectively with all members of health care team as well as autonomously.
- Demonstrated commitment to own continuing academic growth and development.
- Excellent analytical, critical thinking and problem solving skills – ability to respond to shifting priorities and to multi-task.
- Strong organizational skills with demonstrated ability to meet deadlines/timelines.
- Demonstrated computer literacy.
- Commitment to Continuous Quality Improvement, Best Practices and Team Work.
- Effective mentoring and clinical supervision skills to support both the academic role and the clinical practice of other team members.
- Experience with clinical documentation in an Electronic Health Record.
- English level A- is mandatory in oral expression, oral comprehension, reading comprehension and written expression. French level A- is mandatory in oral expression and oral comprehension.
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