Strategies for Practice as a Clinical Nurse Specialist in a Small Setting

The size of setting impacts the clinical nurse specialist's (CNS) practice in a myriad of ways. The many differences between small and large settings that affect the CNS role are identified, and the roles of clinician, educator, executive, and researcher illuminate facts and provide examples that demonstrate the limitations and benefits of a small setting. The three specialty areas represented include oncology, cardiovascular, and gerontology/community health. Practical strategies for practice of the clinical nurse specialist in a small or nontraditional setting are provided.