Comparing CNS and NP Role Activities: A Replication

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Abstract
Since the early 1980s, there has been discussion about combining the clinical nurse specialist (CNS) and nurse practitioner (NP) roles. The implications of such a merger have generated much concern and controversy. This study replicates Williams and Valdivieso's 1992 descriptive study comparing the CNS and NP roles to gain more insight into current implementation of role activities. A demographic questionnaire, the Advanced Nursing Practice Survey, and the Work Activities Checklist were used to poll 610 CNSs and NPs practicing in Minnesota. The findings of the study revealed significant differences in CNS and NP role activities. Analysis of the replication and original study findings suggested no evolution toward a blended CNS/NP role. These data imply that while the roles have similarities they continue to have areas of unique practice. Results of the study support the continued existence of the two advanced practice roles.