Foundations of Clinical Nurse Specialist Practice, 4e

Fulton
Springer
588 pages
ISBN: 9780826179227
August 2026

Essential for students, new CNSs, and practicing clinical nurse specialists, this updated text delivers practical guidance for CNS role development, evidence-informed decision-making, quality improvement, care delivery, and systems leadership. With actionable tools, updated competencies, and career-focused strategies, the Fourth Edition supports CNSs as they lead change, strengthen clinical influence, and advance outcomes across care, organizations, and professional practice. For the new CNS, chapters address credentialing, navigating a first job, managing expectations in an unstructured role, and obtaining third-party reimbursement. For CNSs expanding beyond traditional practice roles, the text includes entrepreneurship, business planning, and marketing clinical innovations, along with system-level content on high-reliability organizations, big data, quality improvement, and program evaluation.