CareerGPS

Clinical Nurse Specialists
Summary Occupational Forecast Data for Medical and Health Services Managers
Employment Employment Change Average Annual Job Openings Wage & Training Levels
2018 2023 Numerical Percent New Jobs Replacement Jobs Total Median Hourly Median Annual Training Levels
2,128 2,568 440 20.70% 88 184 272 $56.16 $116,814 Bachelor's degree
Description: Plan, direct, or coordinate the daily patient care activities in a clinical practice. Ensure adherence to established clinical policies, protocols, regulations, and standards.
Staffing Pattern Data Forecast Data Source: EMSI (2nd Quarter 2018)

Occupation Details

The information in this section represents occupational characteristics included in O*NET which defines key features of an occupation as a standardized, measurable set of variables called "descriptors". These distinguishing characteristics of an occupation are described in greater detail in the O*NET Content Model. All items are listed in descending order of importance.

  • Coordinate or conduct educational programs or in-service training sessions on topics such as clinical procedures.
  • Observe, interview, and assess patients to identify care needs.
  • Evaluate the quality and effectiveness of nursing practice or organizational systems.
  • Provide direct care by performing comprehensive health assessments, developing differential diagnoses, conducting specialized tests, or prescribing medications or treatments.
  • Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty such as obstetrics, neurology, oncology, or neonatal care.
  • Maintain departmental policies, procedures, objectives, or infection control standards.
  • Collaborate with other health care professionals and service providers to ensure optimal patient care.
  • Develop nursing service philosophies, goals, policies, priorities, or procedures.
  • Develop, implement, or evaluate standards of nursing practice in specialty area such as pediatrics, acute care, and geriatrics.
  • Develop or assist others in development of care and treatment plans.
  • Make clinical recommendations to physicians, other health care providers, insurance companies, patients, or health care organizations.
  • Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records.
  • Present clients with information required to make informed health care and treatment decisions.
  • Instruct nursing staff in areas such as the assessment, development, implementation and evaluation of disability, illness, management, technology, or resources.
  • Direct or supervise nursing care staff in the provision of patient therapy.
  • Identify training needs or conduct training sessions for nursing students or medical staff.
  • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.
  • Monitor or evaluate medical conditions of patients in collaboration with other health care professionals.
  • Participate in clinical research projects such as by reviewing protocols, reviewing patient records, monitoring compliance, and meeting with regulatory authorities.
  • Perform discharge planning for patients.
  • Prepare reports to document patients' care activities.
  • Write nursing orders.

Knowledge

89%
English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
87%
Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
86%
Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
83%
Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
81%
Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
80%
Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
68%
Therapy and Counseling - Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
62%
Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
62%
Sociology and Anthropology - Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
54%
Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
52%
Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
52%
Philosophy and Theology - Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
50%
Chemistry - Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal m

Skills

81%
Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
78%
Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
75%
Service Orientation - Actively looking for ways to help people.
75%
Speaking - Talking to others to convey information effectively.
72%
Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
72%
Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
72%
Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
72%
Writing - Communicating effectively in writing as appropriate for the needs of the audience.
69%
Time Management - Managing one's own time and the time of others.
69%
Science - Using scientific rules and methods to solve problems.
65%
Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
65%
Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.
65%
Coordination - Adjusting actions in relation to others' actions.
62%
Instructing - Teaching others how to do something.
62%
Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
60%
Negotiation - Bringing others together and trying to reconcile differences.
60%
Operations Analysis - Analyzing needs and product requirements to create a design.
56%
Persuasion - Persuading others to change their minds or behavior.
56%
Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
56%
Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.
53%
Systems Evaluation - Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
50%
Systems Analysis - Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.

Abilities

81%
Written Comprehension - The ability to read and understand information and ideas presented in writing.
81%
Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
78%
Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.
78%
Oral Expression - The ability to communicate information and ideas in speaking so others will understand.
75%
Speech Clarity - The ability to speak clearly so others can understand you.
75%
Written Expression - The ability to communicate information and ideas in writing so others will understand.
72%
Speech Recognition - The ability to identify and understand the speech of another person.
72%
Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
69%
Near Vision - The ability to see details at close range (within a few feet of the observer).
65%
Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
62%
Category Flexibility - The ability to generate or use different sets of rules for combining or grouping things in different ways.
62%
Selective Attention - The ability to concentrate on a task over a period of time without being distracted.
62%
Flexibility of Closure - The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
62%
Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
56%
Time Sharing - The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
56%
Fluency of Ideas - The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
53%
Speed of Closure - The ability to quickly make sense of, combine, and organize information into meaningful patterns.
53%
Arm-Hand Steadiness - The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
53%
Originality - The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
50%
Mathematical Reasoning - The ability to choose the right mathematical methods or formulas to solve a problem.
50%
Visual Color Discrimination - The ability to match or detect differences between colors, including shades of color and brightness.

Work Activities

98%
Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.
92%
Assisting and Caring for Others - Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
91%
Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others, and maintaining them over time.
88%
Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
87%
Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.
87%
Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.
86%
Identifying Objects, Actions, and Events - Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
85%
Coaching and Developing Others - Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
84%
Training and Teaching Others - Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
83%
Monitor Processes, Materials, or Surroundings - Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
83%
Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
81%
Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.
81%
Performing for or Working Directly with the Public - Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
80%
Interpreting the Meaning of Information for Others - Translating or explaining what information means and how it can be used.
76%
Evaluating Information to Determine Compliance with Standards - Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
75%
Judging the Qualities of Things, Services, or People - Assessing the value, importance, or quality of things or people.
74%
Developing and Building Teams - Encouraging and building mutual trust, respect, and cooperation among team members.
74%
Provide Consultation and Advice to Others - Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
73%
Interacting With Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
71%
Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
71%
Analyzing Data or Information - Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
67%
Resolving Conflicts and Negotiating with Others - Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
66%
Communicating with Persons Outside Organization - Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
64%
Guiding, Directing, and Motivating Subordinates - Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
64%
Thinking Creatively - Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.
64%
Developing Objectives and Strategies - Establishing long-range objectives and specifying the strategies and actions to achieve them.
62%
Inspecting Equipment, Structures, or Material - Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
62%
Coordinating the Work and Activities of Others - Getting members of a group to work together to accomplish tasks.
57%
Handling and Moving Objects - Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
54%
Performing General Physical Activities - Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
50%
Selling or Influencing Others - Convincing others to buy merchandise/goods or to otherwise change their minds or actions.
50%
Scheduling Work and Activities - Scheduling events, programs, and activities, as well as the work of others.
Title Job Zone Five: Extensive Preparation Needed
Overall 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.
Job Training Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.
Job Zone Examples These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include librarians, lawyers, aerospace engineers, wildlife biologists, school psychologists, surgeons, treasurers, and controllers.
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).

Interests

Enterprising - Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.
Social - Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
Conventional - Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.
Investigative - Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

Work Styles

Integrity - Job requires being honest and ethical.
Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
Stress Tolerance - Job requires accepting criticism and dealing calmly and effectively with high stress situations.
Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction.
Self Control - Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
Initiative - Job requires a willingness to take on responsibilities and challenges.
Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
Analytical Thinking - Job requires analyzing information and using logic to address work-related issues and problems.
Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
Persistence - Job requires persistence in the face of obstacles.

Work Values

Support - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.
Achievement - Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
Relationships - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
Working Conditions - Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.
Recognition - Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.
Independence - Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.