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The role of the clinical nurse specialist in acute pain management.

A snapshot of the rapidly growing area of the clinical nurse specialist in pain management is provided. The conceptual framework for the study was developed from Donabedian's (1966) and Hamric's (1989) models The literature review indicated a knowledge deficit in the area of patient and cost-benefit evaluation; however, the conceptual framework indicated the need to establish the structure and process of this new area of practice prior to undertaking an outcome evaluation analysis. The study adopted a non experimental, descriptive, cross sectional survey design. The majority of the multidisciplinary acute pain services are co-ordinated by one full time G grade nurse, without any formal training who meets all the role dimensions of the clinical nurse specialist, and the role dimensions as described by the commission for the provision of Surgical Services (1990).