Clinical Nurse Leader Integration Into Practice: Developing Theory To Guide Best Practice

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
Miriam Bender

Abstract

Numerous policy bodies have identified the clinical nurse leader (CNL) as an innovative new role for meeting higher health care quality standards. Although there is growing evidence of improved care environment and patient safety and quality outcomes after redesigning care delivery microsystems to integrate CNL practice, significant variation in CNL implementation has been noted across reports, making it difficult to causally link CNL practice to reported outcomes. This variability reflects the overall absence in the literature of a well-defined CNL theoretical framework to help guide standardized application in practice. To address this knowledge gap, an interpretive synthesis with a grounded theory analysis of CNL narratives was conducted to develop a theoretical model for CNL practice. The model clarifies CNL practice domains and proposes mechanisms by which CNL-integrated care delivery microsystems improve health care quality. The model highlights the need for a systematic approach to CNL implementation including a well-thought out strategy for care delivery redesign; a consistent, competency-based CNL workflow; and sustained macro-to-micro system leadership support. CNL practice can be considered an effective approach to o...Continue Reading

References

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May 30, 2012·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Linda Weaver Moore, Cathy Leahy
Sep 1, 2012·Nursing Research·Miriam BenderCaroline Brown
Jan 24, 2013·Journal of Nursing Management·Miriam BenderCaroline Brown
Apr 12, 2014·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Miriam Bender
Jan 4, 2015·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Melinda S BenderChristine Kennedy

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Citations

May 7, 2016·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Miriam BenderLisle Hites
Dec 27, 2017·Journal of Nursing Management·Ligia Patricia Arroyo-MarlésBeatriz Sánchez-Herrera
Dec 15, 2017·Journal of Nursing Care Quality·Miriam BenderMarjory Williams
Sep 24, 2019·Research in Nursing & Health·Åste RenolenMarit Kirkevold
Feb 6, 2020·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Belinda K FordAndrew Jr White
May 10, 2020·International Journal of Environmental Research and Public Health·Jae-Young Choi, Sang-Hoon Byeon
Feb 10, 2018·Journal of Nursing Management·Miriam BenderLisle Hites
Aug 25, 2016·Journal of Advanced Nursing·Miriam BenderLisle Hites
Oct 11, 2020·Journal of Cancer Research and Clinical Oncology·Judith BüntzelJens Büntzel

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