Data about the activities and pressures experienced by practicing clinical nurse specialists at eight university hospitals were collected during a two-day symposium in May 1971 at the University of Wisconsin. Based on recall of past and present job experience, 122 activities and 59 pressures were identified. These were categorized into 12 activity and four pressure areas. The data revealed that during the first year following appointment, a concentration of activity appeared within a defined area of responsibility and focused on areas such as patient care and personal growth. Later the clinical nurse specialist's activities broadened to include community activities, consultation, and education. The clinical nurse specialists consistently indicated involvement in planning, setting policies and standards, and change.