{
  "entityType": "role",
  "schemaVersion": "role.v1",
  "slug": "role-29-1141-04",
  "socCode": "29-1141.04",
  "title": "Clinical Nurse Specialists",
  "summary": "Direct nursing staff in the provision of patient care in a clinical practice setting, such as a hospital, hospice, clinic, or home. Ensure adherence to established clinical policies, protocols, regulations, and standards.",
  "aliases": [
    "APN (Advanced Practice Nurse)",
    "CNS (Clinical Nurse Specialist)",
    "Critical Care CNS (Critical Care Clinical Nurse Specialist)",
    "Neuroscience Clinical Nurse Specialist (Neuroscience CNS)",
    "Board Certified Clinical Nurse Specialist (CNS-BC)",
    "Emergency Clinical Nurse Specialist (Emergency CNS)",
    "ICU CNS (Intensive Care Unit Clinical Nurse Specialist)",
    "Pediatric Clinical Nurse Specialist (Pediatric CNS)",
    "Psychiatric Adult Clinical Nurse Specialist (Psychiatric Adult CNS)",
    "Trauma ICU CNS (Trauma Intensive Care Unit Clinical Nurse Specialist)",
    "Adult Health Clinical Nurse Specialist (Adult Health CNS)",
    "Clinical Ambulatory Nurse"
  ],
  "tasks": [
    {
      "text": "Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty, such as obstetrics, neurology, oncology, or neonatal care.",
      "type": "Core",
      "iwa": "4.A.4.a.5.l"
    },
    {
      "text": "Collaborate with other health care professionals and service providers to ensure optimal patient care.",
      "type": "Core",
      "iwa": "4.A.4.a.2.d"
    },
    {
      "text": "Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.",
      "type": "Core",
      "iwa": "4.A.2.b.3.a"
    },
    {
      "text": "Maintain departmental policies, procedures, objectives, or infection control standards.",
      "type": "Core",
      "iwa": "4.A.2.a.3.d"
    },
    {
      "text": "Develop, implement, or evaluate standards of nursing practice in specialty area, such as pediatrics, acute care, and geriatrics.",
      "type": "Core",
      "iwa": "4.A.3.b.2.f"
    },
    {
      "text": "Instruct nursing staff in areas such as the assessment, development, implementation, and evaluation of disability, illness, management, technology, or resources.",
      "type": "Core",
      "iwa": "4.A.4.b.3.f"
    },
    {
      "text": "Develop and maintain departmental policies, procedures, objectives, or patient care standards, based on evidence-based practice guidelines or expert opinion.",
      "type": "Core",
      "iwa": "4.A.3.b.2.f"
    },
    {
      "text": "Evaluate the quality and effectiveness of nursing practice or organizational systems.",
      "type": "Core",
      "iwa": "4.A.2.a.1.b"
    },
    {
      "text": "Observe, interview, and assess patients to identify care needs.",
      "type": "Core",
      "iwa": "4.A.1.a.1.l"
    },
    {
      "text": "Monitor or evaluate medical conditions of patients in collaboration with other health care professionals.",
      "type": "Core",
      "iwa": "4.A.1.a.2.e"
    },
    {
      "text": "Provide coaching and mentoring to other caregivers to help facilitate their professional growth and development.",
      "type": "Core",
      "iwa": "4.A.4.b.2.a"
    },
    {
      "text": "Provide direct care by performing comprehensive health assessments, developing differential diagnoses, conducting specialized tests, or prescribing medications or treatments.",
      "type": "Core",
      "iwa": "4.A.2.b.1.f"
    }
  ],
  "emergingTasks": [
    {
      "text": "Develop and evaluate work processes based on evidence-based standards."
    }
  ],
  "activities": [
    {
      "name": "Train medical providers.",
      "iwa": "4.A.4.b.3.f"
    },
    {
      "name": "Collect medical information from patients, family members, or other medical professionals.",
      "iwa": "4.A.1.a.1.l"
    },
    {
      "name": "Examine patients to assess general physical condition.",
      "iwa": "4.A.1.b.2.i"
    },
    {
      "name": "Evaluate program effectiveness.",
      "iwa": "4.A.2.a.1.b"
    },
    {
      "name": "Evaluate effectiveness of personnel policies or practices.",
      "iwa": "4.A.2.a.1.b"
    },
    {
      "name": "Diagnose medical conditions.",
      "iwa": "4.A.2.b.1.f"
    },
    {
      "name": "Prescribe medications.",
      "iwa": "4.A.4.c.3.f"
    },
    {
      "name": "Treat acute illnesses, infections, or injuries.",
      "iwa": "4.A.4.a.5.l"
    },
    {
      "name": "Follow protocols or regulations for healthcare activities.",
      "iwa": "4.A.2.a.3.d"
    },
    {
      "name": "Collaborate with healthcare professionals to plan or provide treatment.",
      "iwa": "4.A.4.a.2.d"
    },
    {
      "name": "Establish nursing policies or standards.",
      "iwa": "4.A.3.b.2.f"
    },
    {
      "name": "Develop medical treatment plans.",
      "iwa": "4.A.2.b.2.a"
    },
    {
      "name": "Advise medical personnel regarding healthcare issues.",
      "iwa": "4.A.4.b.6.f"
    },
    {
      "name": "Analyze patient data to determine patient needs or treatment goals.",
      "iwa": "4.A.2.a.4.f"
    },
    {
      "name": "Communicate detailed medical information to patients or family members.",
      "iwa": "4.A.4.a.1.e"
    },
    {
      "name": "Supervise patient care personnel.",
      "iwa": "4.A.4.b.4.a"
    },
    {
      "name": "Maintain medical or professional knowledge.",
      "iwa": "4.A.2.b.3.a"
    },
    {
      "name": "Monitor patient conditions during treatments, procedures, or activities.",
      "iwa": "4.A.1.a.2.e"
    },
    {
      "name": "Evaluate patient functioning, capabilities, or health.",
      "iwa": "4.A.2.a.1.f"
    },
    {
      "name": "Conduct research to increase knowledge about medical issues.",
      "iwa": "4.A.1.a.1.s"
    },
    {
      "name": "Monitor medical facility activities to ensure adherence to standards or regulations.",
      "iwa": "4.A.1.a.2.k"
    },
    {
      "name": "Prepare reports summarizing patient diagnostic or care activities.",
      "iwa": "4.A.3.b.6.f"
    },
    {
      "name": "Develop procedures to evaluate organizational activities.",
      "iwa": "4.A.3.b.2.f"
    },
    {
      "name": "Develop educational programs.",
      "iwa": "4.A.2.b.2.l"
    },
    {
      "name": "Manage healthcare operations.",
      "iwa": "4.A.4.b.4.j"
    },
    {
      "name": "Teach classes in area of specialization.",
      "iwa": "4.A.4.b.3.b"
    },
    {
      "name": "Support the professional development of others.",
      "iwa": "4.A.4.b.2.a"
    }
  ],
  "capabilities": [
    {
      "name": "Medicine and Dentistry",
      "family": "knowledge",
      "value": 4.76
    },
    {
      "name": "Education and Training",
      "family": "knowledge",
      "value": 4.43
    },
    {
      "name": "Psychology",
      "family": "knowledge",
      "value": 4.29
    },
    {
      "name": "English Language",
      "family": "knowledge",
      "value": 4.29
    },
    {
      "name": "Speaking",
      "family": "essential_skill",
      "value": 4.12
    },
    {
      "name": "Oral Comprehension",
      "family": "ability",
      "value": 4.12
    },
    {
      "name": "Oral Expression",
      "family": "ability",
      "value": 4.12
    },
    {
      "name": "Reading Comprehension",
      "family": "essential_skill",
      "value": 4
    },
    {
      "name": "Critical Thinking",
      "family": "essential_skill",
      "value": 4
    },
    {
      "name": "Active Learning",
      "family": "essential_skill",
      "value": 4
    },
    {
      "name": "Monitoring",
      "family": "essential_skill",
      "value": 4
    },
    {
      "name": "Social Perceptiveness",
      "family": "transferable_skill",
      "value": 4
    },
    {
      "name": "Service Orientation",
      "family": "transferable_skill",
      "value": 4
    },
    {
      "name": "Judgment and Decision Making",
      "family": "transferable_skill",
      "value": 4
    },
    {
      "name": "Biology",
      "family": "knowledge",
      "value": 4
    },
    {
      "name": "Written Comprehension",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Written Expression",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Problem Sensitivity",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Deductive Reasoning",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Inductive Reasoning",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Speech Clarity",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Therapy and Counseling",
      "family": "knowledge",
      "value": 3.95
    },
    {
      "name": "Active Listening",
      "family": "essential_skill",
      "value": 3.88
    },
    {
      "name": "Writing",
      "family": "essential_skill",
      "value": 3.88
    },
    {
      "name": "Coordination",
      "family": "transferable_skill",
      "value": 3.88
    },
    {
      "name": "Complex Problem Solving",
      "family": "transferable_skill",
      "value": 3.88
    },
    {
      "name": "Speech Recognition",
      "family": "ability",
      "value": 3.88
    },
    {
      "name": "Information Ordering",
      "family": "ability",
      "value": 3.75
    },
    {
      "name": "Category Flexibility",
      "family": "ability",
      "value": 3.75
    },
    {
      "name": "Customer and Personal Service",
      "family": "knowledge",
      "value": 3.71
    },
    {
      "name": "Sociology and Anthropology",
      "family": "knowledge",
      "value": 3.71
    },
    {
      "name": "Learning Strategies",
      "family": "essential_skill",
      "value": 3.62
    },
    {
      "name": "Persuasion",
      "family": "transferable_skill",
      "value": 3.62
    },
    {
      "name": "Time Management",
      "family": "transferable_skill",
      "value": 3.62
    },
    {
      "name": "Near Vision",
      "family": "ability",
      "value": 3.62
    },
    {
      "name": "Administration and Management",
      "family": "knowledge",
      "value": 3.57
    },
    {
      "name": "Instructing",
      "family": "transferable_skill",
      "value": 3.5
    },
    {
      "name": "Selective Attention",
      "family": "ability",
      "value": 3.25
    },
    {
      "name": "Systems Evaluation",
      "family": "transferable_skill",
      "value": 3.12
    },
    {
      "name": "Management of Personnel Resources",
      "family": "transferable_skill",
      "value": 3.12
    }
  ],
  "skills": [
    {
      "name": "Psychology",
      "type": "Specialized Skill"
    },
    {
      "name": "English Language",
      "type": "Common Skill"
    },
    {
      "name": "Social Perceptiveness",
      "type": "Common Skill"
    },
    {
      "name": "Reading Comprehension",
      "type": "Common Skill"
    },
    {
      "name": "Inductive Reasoning",
      "type": "Common Skill"
    },
    {
      "name": "Deductive Reasoning",
      "type": "Common Skill"
    },
    {
      "name": "Critical Thinking",
      "type": "Common Skill"
    },
    {
      "name": "Biology",
      "type": "Specialized Skill"
    },
    {
      "name": "Active Learning",
      "type": "Common Skill"
    },
    {
      "name": "Writing",
      "type": "Common Skill"
    },
    {
      "name": "Speech Recognition",
      "type": "Specialized Skill"
    },
    {
      "name": "Complex Problem Solving",
      "type": "Common Skill"
    },
    {
      "name": "Active Listening",
      "type": "Common Skill"
    },
    {
      "name": "Information Ordering",
      "type": "Specialized Skill"
    },
    {
      "name": "Time Management",
      "type": "Common Skill"
    },
    {
      "name": "Learning Strategies",
      "type": "Specialized Skill"
    },
    {
      "name": "Instructing",
      "type": "Specialized Skill"
    },
    {
      "name": "Mathematics",
      "type": "Common Skill"
    },
    {
      "name": "Systems Analysis",
      "type": "Specialized Skill"
    },
    {
      "name": "Negotiation",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft Word",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft PowerPoint",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft Outlook",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft Excel",
      "type": "Common Skill"
    },
    {
      "name": "Chemistry",
      "type": "Specialized Skill"
    },
    {
      "name": "Finger Dexterity",
      "type": "Common Skill"
    },
    {
      "name": "Visualization",
      "type": "Specialized Skill"
    },
    {
      "name": "Telecommunications",
      "type": "Specialized Skill"
    },
    {
      "name": "Physics",
      "type": "Specialized Skill"
    },
    {
      "name": "Foreign Language",
      "type": "Common Skill"
    },
    {
      "name": "Email Software",
      "type": "Specialized Skill"
    },
    {
      "name": "Depth Perception",
      "type": "Common Skill"
    },
    {
      "name": "Geography",
      "type": "Specialized Skill"
    },
    {
      "name": "Presentation Software",
      "type": "Specialized Skill"
    },
    {
      "name": "Medical Software",
      "type": "Specialized Skill"
    },
    {
      "name": "Installation",
      "type": "Specialized Skill"
    },
    {
      "name": "Equipment Selection",
      "type": "Specialized Skill"
    },
    {
      "name": "Equipment Maintenance",
      "type": "Specialized Skill"
    }
  ],
  "tools": [
    {
      "example": "eClinicalWorks EHR software",
      "category": "Medical software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft Excel",
      "category": "Spreadsheet software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft Office software",
      "category": "Office suite software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft Outlook",
      "category": "Electronic mail software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft PowerPoint",
      "category": "Presentation software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft Word",
      "category": "Word processing software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Allscripts Professional EHR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Amkai AmkaiCharts",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Bizmatics PrognoCIS EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Cerner Millennium",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "ChartWare EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "e-MDs software",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Email software",
      "category": "Electronic mail software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "GE Healthcare Centricity EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Medscribbler Enterprise",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "MicroFour PracticeStudio.NET EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "NextGen Healthcare Information Systems EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Online medical databases",
      "category": "Information retrieval or search software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "SOAPware EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "StatCom Patient Flow Logistics Enterprise Suite",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "SynaMed EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Texas Medical Software SpringCharts EMR",
      "category": "Medical software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Web browser software",
      "category": "Internet browser software",
      "hot": false,
      "inDemand": false
    }
  ],
  "workContext": [
    {
      "name": "E-Mail",
      "value": 5
    },
    {
      "name": "Telephone Conversations",
      "value": 4.9
    },
    {
      "name": "Face-to-Face Discussions with Individuals and Within Teams",
      "value": 4.86
    },
    {
      "name": "Indoors, Environmentally Controlled",
      "value": 4.76
    },
    {
      "name": "Work With or Contribute to a Work Group or Team",
      "value": 4.65
    },
    {
      "name": "Exposed to Disease or Infections",
      "value": 4.57
    },
    {
      "name": "Freedom to Make Decisions",
      "value": 4.48
    },
    {
      "name": "Contact With Others",
      "value": 4.38
    },
    {
      "name": "Determine Tasks, Priorities and Goals",
      "value": 4.33
    },
    {
      "name": "Impact of Decisions on Co-workers or Company Results",
      "value": 4.25
    },
    {
      "name": "Importance of Being Exact or Accurate",
      "value": 4.2
    },
    {
      "name": "Coordinate or Lead Others in Accomplishing Work Activities",
      "value": 4.14
    },
    {
      "name": "Work Outcomes and Results of Other Workers",
      "value": 4.14
    },
    {
      "name": "Physical Proximity",
      "value": 4.05
    },
    {
      "name": "Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets",
      "value": 4.05
    },
    {
      "name": "Frequency of Decision Making",
      "value": 4.05
    },
    {
      "name": "Consequence of Error",
      "value": 3.86
    },
    {
      "name": "Deal With External Customers or the Public in General",
      "value": 3.81
    },
    {
      "name": "Health and Safety of Other Workers",
      "value": 3.81
    },
    {
      "name": "Conflict Situations",
      "value": 3.62
    },
    {
      "name": "Exposed to Sounds, Noise Levels that are Distracting or Uncomfortable",
      "value": 3.48
    },
    {
      "name": "Time Pressure",
      "value": 3.48
    },
    {
      "name": "Written Letters and Memos",
      "value": 3.35
    },
    {
      "name": "Dealing With Unpleasant, Angry, or Discourteous People",
      "value": 3.24
    },
    {
      "name": "Exposed to Contaminants",
      "value": 3.14
    },
    {
      "name": "Spend Time Sitting",
      "value": 3.05
    },
    {
      "name": "Public Speaking",
      "value": 3
    },
    {
      "name": "Spend Time Standing",
      "value": 3
    },
    {
      "name": "Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls",
      "value": 3
    },
    {
      "name": "Importance of Repeating Same Tasks",
      "value": 2.95
    },
    {
      "name": "Level of Competition",
      "value": 2.86
    },
    {
      "name": "Spend Time Walking or Running",
      "value": 2.76
    },
    {
      "name": "Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection",
      "value": 2.62
    },
    {
      "name": "Spend Time Making Repetitive Motions",
      "value": 2.52
    },
    {
      "name": "Exposed to Cramped Work Space, Awkward Positions",
      "value": 2.48
    },
    {
      "name": "Dealing with Violent or Physically Aggressive People",
      "value": 2.29
    },
    {
      "name": "Exposed to Hazardous Conditions",
      "value": 2.29
    },
    {
      "name": "Spend Time Bending or Twisting Your Body",
      "value": 2.29
    },
    {
      "name": "Exposed to Radiation",
      "value": 2.14
    },
    {
      "name": "Exposed to Extremely Bright or Inadequate Lighting Conditions",
      "value": 1.95
    }
  ],
  "preparation": {
    "jobZone": "5",
    "jobZoneName": "Job Zone Five: Extensive Preparation Needed",
    "education": "Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).",
    "experience": "Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.",
    "svpRange": "(8.0 and above)",
    "educationDistribution": [
      {
        "label": "Master's Degree",
        "percentage": 85.71
      },
      {
        "label": "Post-Master's Certificate",
        "percentage": 4.76
      },
      {
        "label": "First Professional Degree",
        "percentage": 4.76
      },
      {
        "label": "Doctoral Degree",
        "percentage": 4.76
      }
    ]
  },
  "personFit": [
    {
      "name": "Social Orientation",
      "family": "work_style",
      "value": 10
    },
    {
      "name": "Self-Control",
      "family": "work_style",
      "value": 9
    },
    {
      "name": "Stress Tolerance",
      "family": "work_style",
      "value": 8
    },
    {
      "name": "Empathy",
      "family": "work_style",
      "value": 7
    },
    {
      "name": "Health Care Service",
      "family": "specific_interest_area",
      "value": 6.63
    },
    {
      "name": "Social",
      "family": "career_interest_type",
      "value": 6.23
    },
    {
      "name": "Professional Advising",
      "family": "specific_interest_area",
      "value": 6
    },
    {
      "name": "Perseverance",
      "family": "work_style",
      "value": 6
    },
    {
      "name": "Social Service",
      "family": "specific_interest_area",
      "value": 5.48
    },
    {
      "name": "Medical Science",
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