CNS Roles in Implementation of a Differentiated Case Management Model

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Abstract
As advanced nursing practitioners and consultants, CNSs are leaders in affecting changes in nursing practice. During implementation of Primm's model of differentiated case management at Community Memorial Hospital, Menomonee Falls, Wisconsin, the CNSs enacted the roles of implementation consultant, researcher, direct care provider, educator, and performance and project evaluation consultant. The CNSs were committed to initiating and maintaining change, and facilitating momentum to incorporate the differentiated levels of staff nurse practice. We describe CNS roles in this process as well as outcomes seen after implementation of differentiated case management.

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