CNS Population-Based Competencies Update
Catherine Ruhl, MS, CNM
Director, Women's Health Programs
Association of Women's Health, Obstetric and Neonatal Nurses
4/13/2015
©2012 Association of Women’s Health, Obstetric and Neonatal Nurses
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APRN Regulatory Model
© 2012 Association of
Women’s Health, Obstetric
and Neonatal Nurses
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Women’s health/gender specific
CNS competencies
• Build a foundation for use by educators
and certifiers
• Articulate the unique contribution of the
CNS in the care of women across the
lifespan and their infants
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Women’s health CNS
• Competencies for women’s health CNS in
process
• Writing group is joint task force of
AWHONN and NACNS
• Task force began work March, 2012
• Modeled on CNS competencies
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©2011 AWHONN
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Women’s health in the U.S.
• High rates of chronic illness: heart disease,
diabetes
• Obese/overweight: 63% of women, 2008
• 18.7 million women ages 19-64 uninsured
• 16.7 million effectively uninsured
© 2012 Association of
Women’s Health, Obstetric
and Neonatal Nurses
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Rates of chronic hypertension
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©2011 AWHONN
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Maternal and infant health
• Half of pregnancies unplanned
• Severe obstetric complication rates 27%
increase 1998 to 2005
• U.S. 50th in world for maternal mortality
• U.S. 30th in world for infant mortality
• Wide racial disparities maternal and infant
mortality
• 1 in 8 infants are premature
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©2011 AWHONN
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Cesarean birth rate
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Maternal mortality
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Population definition (draft)
• The women’s health CNS provides
advanced direct and indirect care to
women to address gender-related issues
that may impact health and wellness
across the lifespan, in the context of the
woman’s multiple social roles,
circumstances and family as she defines
family.
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Population definition (draft)
This includes, but is not limited to,
• reproductive health, starting in
adolescence;
• childbearing,
• newborn and family adaptation,
• perimenopausal, menopausal, and postmenopausal health, and
• healthy aging for women.
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CNS spheres of influence
• Patient
• Nurse/Nursing Practice
• Organization/System
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Core competency domains
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Direct care
Consultation
Systems leadership
Collaboration
Coaching
Research
Ethical Decision-Making, Moral Agency
and Advocacy Competency
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Unique WH CNS role
• The pressing women’s health issues of
our time require nurses who are advanced
practice clinicians and systems leaders at
every level and setting to provide direct
care, coordinate healthcare teams,
improve processes and promote healthier
outcomes for women across the lifespan
and for their families, and communities.
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©2011 AWHONN
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