From policy to practice: Rolling out the clinical nurse specialist role in Portugal

Mário Amorim-Lopes, Sofia Cruz-Gomes, Elisa Doldi and Bernardo Almada-Lobo

Health Policy, 2025, vol. 155, issue C

Abstract: The specialization of Health Human Resources (HHR) is increasingly recognized as essential for addressing evolving healthcare demands. This paper presents a comprehensive policy framework for assisting with the implementation of Clinical Nurse Specialist (CNS) roles at the national or regional level, integrating key dimensions including barriers and enablers, regulation and governance, education and training requirements, career development, workforce planning, and economic analysis. The framework was applied to the implementation of CNS roles in Portugal, resulting in the issuance of a decree-law by the government.

Keywords: International comparison; Clinical nurse specialists; Nurse practitioners; Health workforce; Governance; Policy framework; Public policy (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:155:y:2025:i:c:s0168851025000648

DOI: 10.1016/j.healthpol.2025.105308

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