Position Statements

Position Papers for Member Comment

Diversity, Equity, and Inclusion – Member comments under review

Position Papers

Executive Summary – Title Protection for the Clinical Nurse Specialist (March 2024)
Title protection is a regulatory mechanism used by state regulators to safeguard the public from fraudulent, unqualified individuals providing services without proper credentials. States regulate many providers; physicians, dentists, pharmacists, lawyers, and nurses…MORE  

Title Protection for the Clinical Nurse Specialist (March 2024)
There is an opportunity to provide clarity regarding appropriate use of the title Clinical Nurse Specialist (CNS) and related job descriptions. Employers are utilizing the title CNS to describe positions or staff that do not meet the education, certification…MORE

Using Simulation in Clinical Nurse Specialist Practicum Education (October 2023)
Preparing the newest generation of clinical nurse specialists (CNSs) to meet the increasingly complex needs of patients, nurses, and organizations requires innovative and forward-thinking educational strategies and methods…MORE

Entry for CNS Practice Position Statement (March 2023)
Clinical nurse specialists (CNS) are advanced practice registered nurses (APRNs) with graduate level preparation at the master’s post-graduate certificate, or doctorate in nursing practice (DNP) levels…MORE

Clinical Nurse Specialist Full Practice Authority (March 2023)
The 2008 Advanced Practice Registered Nurses (APRNs) Consensus Model created a structure establishing licensing, accreditation, certification, and education (L.A.C.E) requirements for four APRN roles…MORE

PhD Position Statement (August 2016)
NACNS recognizes the Doctor of Philosophy (PhD) as the highest level of formal education for those individuals whose career path is to develop science to promote the discipline and practice of nursing…. MORE

Importance of the CNS Role in Care Coordination (December 2013)
The CNS role promotes quality health care services and decreases health care expenditures… MORE

Achieving Specialty Competency for Clinical Nurse Specialists (September 2013)
NACNS strongly supports the continuation of specialty practice education for the clinical nurse specialist…. MORE

Prescriptive Privilege for the Clinical Nurse Specialist (September 2021)
NACNS recognizes the practice of the CNS is at the advanced practice level…. MORE

Clinical Nurse Leader – Statements 1 and 2 (September 2005)
NACNS recognizes that the AACN is proposing this role in response to the perceived quality gaps…. MORE

Opioid Position Papers

Abuse and Misuse Position (May 2018)
NACNS supports a balanced approach to the care of patients in pain; one that integrates clinician
education, judicious use of opioid analgesics and … MORE

Role of the CNS Position Statement (May 2018)
The National Association of Clinical Nurse Specialists (NACNS) supports and advocates for the active
involvement of the clinical nurse specialist (CNS) in all efforts to address the national opioid crisis…. MORE

Universal Paper (May 2018)
In light of the critical nature of the national opioid public health emergency the National Association of
Clinical Nurse Specialists (NACNS) advocates for funding and national support for thoughtful, varied and
individualized approaches…. MORE

White Papers

NACNS White Paper on Telehealth Competency for the Clinical Nurse Specialist: Gap Analysis and Recommendations (August 2021)
The National Association of Clinical Nurse Specialists (NACNS) supports and advocates for the role of the Clinical Nurse Specialist (CNS) in the provision of telehealth services. The diversity of CNS roles and practice settings creates challenges in precisely defining how telehealth is incorporated into the CNS role…MORE

CNS Quality Outcomes Paper: Impact of the Clinical Nurse Specialist Role on the Costs and Quality of Health Care (December 2013)
Research and demonstration projects have shown that the CNS role is uniquely suited to lead implementation of evidence-based quality improvement actions that also reduce cost throughout the health care system…. MORE

NACNS Response to IOM Future of Nursing Report (March 2012)
NACNS supports the four overarching key messages identified by the Institute of Medicine (IOM) report, The Future of Nursing.… MORE

NACNS Statement on APRN Consensus Model Implementation (March 2012)
NACNS calls for careful implementation of the Consensus Model  in order to preserve patient and health care system access to CNS services, particularly given the significant influence this role has on cost and quality of health care outcomes…. MORE

Certification of Clinical Nurse Specialists (September 2005)
NACNS supports validation of core knowledge, specialty knowledge, and attainment of CNS competencies…. MORE

Talking Points

Talking Points on Regulation of CNSs

Talking Points on CNS Certification

Other Resources

Nursing Organization Alliances Statement on Principles of a Healthful Practice/Work Environment. NACNS endorses this statement (September 2005)