Purpose:

The environment in which clinical nurse specialists (CNSs) practice is changing.

Significance:

Recent changes in the practice, education, and regulation needs of CNSs in both Canada and the United States identified the need for cross-border discussions and international collaboration.

Design:

The presenters represent CNSs in British Columbia, Ontario, and the National Association of Clinical Nurse Specialists in the United States.

Methods:

Collaboration has focused on regulatory needs as a primary focus but has also addressed commonalities in education and practice across borders.

Findings:

The presenters will discuss the needs for collaboration, sharing, and understanding of the different political environments while focusing on patient care outcomes as the driving force for practice.

Conclusions:

They will share, for example, the concerns they have by postponing the title protection.