Issues in role development for the CNS in oncology

The authors' experiences as oncology clinical nurse specialists (CNSs) led to discussion and exploration of common issues in role success and failure. The complexity of the role demands that the CNS examine system entry issues, his or her base of support and conflicting demands and expectations. This article focuses on issues pertaining to development, maintenance and evaluation of the clinical nurse specialist role. Role definition and strategies to develop and maintain both direct and indirect practice components of the CNS role are discussed. Particular attention is paid to the need for clarity of expectations and negotiations at system entry, as well as during role development and evaluation